New Benefit Year Information

July is here and with it, a new benefit year. There are a lot of exciting changes coming in FY2025 and we’d like to take a moment to share a few important reminders for you to pass along to your teams.

Medical coverage begins with Regence BlueShield of Idaho

To kick off the plan year and the transition to Regence, we invite you to watch this brief welcome video from Regence BlueShield of Idaho president, Mark Ruszczyk. And for those that were unable to attend the June Lunch & Learn sessions, the presentation slides and recording are available on the FY2025 Benefits Information page of the OGI website – this is a great place to start to get a basic understanding of your benefits with Regence.

 Member ID Cards
Regence member ID cards were mailed at the end of June. If you have not received your card and need to fill a prescription or see a doctor, contact Regence Customer Service at 1-800-854-5585 and they will provide the information you need. Once you have your ID card, we strongly encourage you to create an account at Regence.com. Using the Regence member portal, you can search for providers, find a pharmacy, view claims, access additional benefits and much more.

Pharmacy Benefits
With Regence, we have moved from a four-tier to a six-tier drug list – sometimes called a formulary. To learn more about what this means and how it may impact you, review the New Six-Tier Formulary flyer. Specialty pharmacy and prescription services have also transitioned, and members should now work with either Accredo or AllianceRx Walgreen’s Pharmacy for specialty pharmacy needs. More information about specialty pharmacy, home delivery and extended supply medication is available on the OGI website on the FY2025 Benefits Information page.

 Other Programs and Benefits
In addition to medical and pharmacy benefits, coverage with Regence includes several health and wellness programs for members to take advantage of – many at low or zero cost. Review the Regence Vendor Flyer for a summary of the programs and their benefits. Individual program flyers with more detail can be found on the FY2025 Benefit Information page of the OGI website.

Vision Benefits
Vision benefits are included with medical coverage and Regence partners with VSP to offer both adult and pediatric vision coverage. When the time comes to access your vision benefits, you will use your Regence member ID card. Visit ogi.idaho.gov/vision-benefit for more information. We know the process of changing medical coverage can be stressful, and we are working hard to make the transition as smooth as possible. Please continue to reach out with questions and contact Regence Customer Service at 1-800-854-5585.

No changes to Dental coverage or FSA and HSA programs

Dental coverage will continue with Blue Cross of Idaho. New dental cards will be issued for FY2025, so please hold on to your current card until the new one is received. More information about specific dental benefits is available at ogi.idaho.gov/dental. You may also call Blue Cross of Idaho customer service at 1-866-804-2253.

 The Health Savings Account and Flexible Spending Account programs will continue with Navia in FY2025. As a reminder, only those enrolled in the High-Deductible Health Plan are eligible for the HSA, while any employee, regardless of whether they enroll in benefits, can take advantage of the FSA. More details are available online at ogi.idaho.gov under the HSA & FSA tab.

As the FY2025 benefit year begins, remember that the Office of Group Insurance website is the best place to start to find more information about all the benefits and resources available for State of Idaho members.