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SPOC Health and Dental Insurance

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Health Insurance
Dental Insurance

Health Insurance

The health insurance plan available to SPOC-covered employees is Alliance Select.  The State-sponsored health insurance plan is provided by Wellmark Blue Cross and Blue Shield.

Alliance Select

Alliance Select offers access to a large selection of doctors and hospitals in Iowa and nationwide. You may seek health care from any provider located in the United States.  In Iowa, in-network care can be received at 100 percent of hospitals and 99 percent of doctors.  Outside of the state, you'll have access to 96 percent of hospitals and 93 percent of doctors. Keep in mind with this option you can see any provider you choose, but you will have lower out-of-pocket expenses if you choose a network provider. 

Health Insurance Premiums

SPOC-covered employees share in the cost of health insurance by paying 20% of the total health insurance premium. By participating in the Healthy Opportunities Wellness Program, a SPOC-covered employees can reduce the amount of their health insurance premium contribution by $70.00 per month in 2018. 

2018 Health Insurance Premiums for SPOC-covered Employees PDF

Health Insurance Resources

Health Insurance Notices
Required by Law  

Alliance Select Summary  Health Insurance Marketplace Notice
New  2019 Summary of Benefits and Coverage (SBC) (with wellness) HIPAA Privacy Practice Notice
New  2019 Summary of Benefits and Coverage (SBC) (without wellness) “Michelle's Law” Notice 
Alliance Select Benefit Booklet Women's Health and Cancer Rights Act

Health Insurance Information

Helpful Links
ACA Preventive Services List
Wellmark: Drug List (Formulary: Blue Rx Completesm)
Wellmark: Find a Doctor or Hospital
Understanding your health insurance benefits
Comparing the Cost of Care
Explanation of Benefits: If it’s not a bill, then what is it?
Understand Your Out-Of-Pocket Costs
Video Recording
Wellmark's Find a Provider
Understanding Jargon: Copay (Wellmark YouTube video)
Understanding Jargon: Coinsurance (Wellmark YouTube video)
Understanding Jargon: Deductible (Wellmark YouTube video)
Understanding Jargon: OPM (Wellmark YouTube video)

More Information

For more information about health insurance, please contact Wellmark customer service at 800-622-0043.

Dental Insurance

Your dental health is as important as your medical health. The State of Iowa offers SPOC-covered employees and their dependents comprehensive preventive services and coverage for most conditions requiring dental diagnosis and treatment, including orthodontic treatment for children.

Provider

Dental services are provided by Delta Dental of Iowa. You may receive services from any dentist but there are advantages in receiving services from a dentist who participate with Delta Dental of Iowa or any other Delta Dental Member Company.

Dental Insurance Premiums 

2018 Dental Insurance Premiums PDF 

Dental Insurance Resources 

Dental of Iowa PPO Benefits Certificate

Vision Care Discount Program

In addition to dental benefits, your dental insurance also includes access to a vision discount program through EyeMed Vision Care at no additional cost. You and your family members who are enrolled in Delta Dental of Iowa are eligible to receive the discounts.  

Using Your EyeMed Discount Program 
You can locate an EyeMed provider by calling 866-246-9041 or go to Delta Dental’s EyeMed Locate a Provider.

When scheduling your appointment, inform the office that you are a Delta Dental member with an EyeMed discount plan. Once you arrive, present your Delta Dental ID card or a discount card to receive discount services.

More Information

For more information about health insurance, please contact Delta Dental's customer service at 800-544-0718.


Updated 11/30/2018