The State Health Plan covers all adult and flu vaccinations as recommended by the Centers for Disease Control and Prevention (CDC).

• Coverage includes the cost of the vaccine and administration fee if the member receives the shot in a network doctor’s office.
• Any associated office visit charges will follow regular Plan coverage rules.
• Members can also take advantage of this benefit at a network pharmacy.

COVID-19 Vaccines

PEBA, BlueCross BlueShield of South Carolina and Express Scripts are continuing to monitor information about the COVID-19 vaccines.

• The State Health Plan will cover the COVID-19 vaccination as recommended by the CDC at no member cost.
• For vaccines that require more than one dose, the plan will cover each required dose at no member cost.

For more information, visit PEBA's website. 

Adult well visits are a covered benefit under the Standard Plan, subject to copayments, deductibles and coinsurance in covered years.

Blue CareOnDemand is a faster, easier way to connect with health care professionals.

• You can use this service to connect with U.S. board-certified physicians and other health care professionals 24/7, 365 days a year, from your computer or smartphone.
• This feature is available to State Health Plan primary members (Standard and Savings Plans) age 18 and older. Dependent children under age 18 can also use this benefit with an adult member.

The State Health Plan provides one baseline routine mammogram (four views) for women ages 35-39.

• Women ages 40 and older can receive one routine mammogram (four views) each calendar year.
• The State Health Plan also covers any diagnostic mammograms, which are subject to patient liability.

On Campus Screenings 

University Health Services partners with Lexington Medical Center’s Women’s Imaging Mobile Mammography annually. Visit their website to learn more information, including scheduling and eligibility.

The State Health Plan provides members with certain electric or manual breast pumps at no cost. Members can learn how to get a breast pump by enrolling in the maternity management program, Coming Attractions.

Coming Attractions supports mothers throughout their pregnancy and postpartum care. Once enrolled, expectant mothers will receive educational materials throughout their pregnancy and the baby’s first year of life. You do not have to wait until you have seen your physician to enroll in Coming Attractions.

There are two ways to enroll:

1. Visit StateSC.SouthCarolinaBlues.com and log in to your My Health Toolkit® account. Select Wellness, then click on Health Coaching. Go to the My Activities Page, click on Assessments and complete the maternity health screening.
2. Call Medi-Call at 803.699.3337 or 800.925.9724 to talk to a maternity nurse to complete a maternity health screening.

Lactation consultations through Blue CareOnDemand

This benefit allows members to video chat with a lactation consultant at no cost. Get help for many of the common issues associated with breastfeeding from the comfort and privacy of your own home. And, it doesn’t have to stop after the first visit. You can schedule follow-up appointments at a time and frequency that are right for you. Appointments are available seven days a week.

The State Health Plan pays 100 percent of the allowed amount for approved well exams and immunizations. Coverage is available for the following checkups, and the well child care exam must occur after the child’s birthday:

• Younger than 1 year old (up to six visits);
• 1 year old (up to three visits);
• 2 years old (up to two visits); and
• 3 years old until 19 years old (one visit a year).

The State Health Plan allows women ages 18-65 to receive a Pap test each calendar year at no cost. 

Based on recommendations from the United States Preventive Services Task Force (USPSTF), the Plan also covers the HPV test once every five years at no cost for women ages 30-65, or as otherwise recommended by the USPSTF.

You should contact your provider about the cost of the exam and related services.

The State Health Plan covers the cost for both diagnostic and routine screenings based on age ranges recommended by the United States Preventive Services Task Force (USPSTF).

The State Health Plan also covers some early detection take-at-home tests for eligible members. Visit your qualified network provider to find out which screening option is best for you.

Covered benefits include a generic prep kit, pre-surgical consultation, the procedure and anesthesia. If you choose a non-generic prep kit, extra charges will apply. Any facility charges or associated lab work as a result of the screening may be subject to patient liability.

If you have time to plan ahead for an inpatient or outpatient procedure, you can research the quality of care you may expect to receive at the hospital. These websites provide information to help you make the best informed decision for your specific needs.

When you receive care through a Patient-Centered Medical Home (PCMH), you work with a health care team that is typically lead by one doctor. The team may include nurses, a nutritionist, health educators, pharmacists and behavioral health specialists. Team members communicate with each other as well as the patient to provide comprehensive, coordinated care. 

PEBA offers no-cost preventive screenings for faculty, staff, retirees, COBRA subscribers and covered spouses whose primary insurance coverage is the State Health Insurance Standard Plan or Savings Plan.

 Contact Healthy Campus Initiatives at 803-777-6581 to schedule your screening on campus.  

Screenings include:

• Blood Count
• Blood Pressure Screening
• Health Education
• Lipid Profile
• Metabolic Profile
• Weight Measurement

Pro tip: Schedule your adult well visit after your preventive screening and share your results with your network provider to eliminate the need for retesting at a well visit. Sharing your results will minimize the cost of your adult well visit.

The State Health Plan offers two telehealth options, and both are an easy way to be treated for common conditions. The options are available 24/7, but are not meant to replace your primary care provider.

The State Health Plan provides diabetes education to an eligible member through certified diabetes educators. The goal is to help you understand more about your condition and how to better manage it.

• Talk to your network physician if you have diabetes or think you may be at risk.
• Let your doctor know you're interested in meeting with a diabetes educator and he can refer you.
• You can also get one-on-one coaching from a health coach to help you manage diabetes.
• For details, call BlueCross BlueShield of South Carolina at 855.838.5897.

If you have diabetes, you may qualify for No-Pay Copay, which provides certain generic medicine to treat your condition at no cost to you.

Health coaching is available to Standard Plan and Savings Plan subscribers and their covered adult family members. If you have behavioral or chronic medical conditions, you can learn how to manage your symptoms, and delay or even prevent many of the complications of these diseases.

Meru Health is an online health care provider that offers State Health Plan primary members an evidence-based program to reduce anxiety, stress, depression and burnout.

No-Pay Copay rewards members for taking active steps in managing their health and it saves them money. By completing activities in Rally each quarter, members can receive certain generic drugs related to their condition the next quarter at no cost. Covered conditions include:

• High blood pressure and high cholesterol.
• Cardiovascular disease, congestive heart failure and coronary artery disease.
• Diabetes.

Each activity earns members points. When members earn at least 25 points in a quarter, they will receive their benefit the following quarter. Members also earn points for completing certain annual activities, such as getting a flu vaccine. Members must earn 150 points in total by the end of the year, combining points earned for quarterly and annual activities, to receive their benefit in the first quarter of the following year.

Eligible generic prescriptions

• Antihypertensive drug list
• Cholesterol-lowering drug list
• Diabetes drug list and testing supplies

BlueCross BlueShield of South Carolina (BlueCross) identifies eligible members and mails an invitation to join the program. Participants must then register for Rally to complete activities. Visit StateSC.SouthCarolinaBlues.com or call BlueCross at 800.868.2520 for more details.

If you think you qualify for the program, call BlueCross at 855-838-5897. BlueCross administers the program. Express Scripts, the pharmacy benefits manager, can provide more information about eligible generic prescriptions. Contact Express Scripts at 855-612-3128.

Strive (formerly Rally) is an innovative, digital program for State Health Plan primary members age 16 and older at no cost to members.  This program builds healthy habits  through activities and challenges for physical, emotional, social and financial well-being.

To enroll:

To enroll in Strive, log in to My Health Toolkit. Click the Wellness tab and select Strive. Next, click the Sign up for Strive link. Follow the instructions to register and take the brief health survey. For questions about Strive, please contact BlueCross at 800.868.2520.

The State Health Plan provides enrollment in the Quit For Life® program at no cost.

• It also includes a $0 copay for tobacco cessation drugs to eligible participants.
• Covered spouses and dependent children ages 13 or older are also eligible for the program.

To enroll:
You can enroll by phone or online. After verifying your eligibility, you can talk to a Quit Coach.

1. Call 800.652.7230 (State Health Plan’s dedicated line) or call 866.QUIT.4.LIFE (866.784.8454)
2. Visit www.quitnow.net/SCStateHealthPlan

Wondr Health (formerly Naturally Slim) is a clinically-proven online program that teaches you how to lose weight and keep it off forever while still eating your favorite foods. State Health Plan members, including spouses and dependent children age 18 and older, are eligible to apply. 

University Health Services partners with Lexington Medical Center’s Women’s Imaging Mobile Mammography annually. Visit their website to learn more information, including scheduling and eligibility.

Gamecocks LiveWell provides free or low-cost services that support faculty and staff nutrition goals, help manage stress and more.

Become a Wellness Ambassador
Our Wellness Ambassadors are a group of faculty and staff members who are committed to health and serve as champions of employee wellness. 

Call University Health Services 803-777-8283 to schedule your no-cost, one-on-one assessment and get a personalized plan for setting and achieving your wellness goals. Get support, guidance and encouragement in a judgement-free zone.

All sessions are free and can focus on:

• Balanced Eating
• Tobacco Cessation
• Physical Activity
• Stress Management

PEBA offers no-cost preventive screenings for faculty, staff, retirees, COBRA subscribers and covered spouses whose primary insurance coverage is the State Health Insurance Standard Plan or Savings Plan.

 Contact Healthy Campus Initiatives at 803-777-6581 to schedule your screening on campus.  

Screenings include:

• Blood Count
• Blood Pressure Screening
• Health Education
• Lipid Profile
• Metabolic Profile
• Weight Measurement

Pro tip: Schedule your adult well visit after your preventive screening and share your results with your network provider to eliminate the need for retesting at a well visit. Sharing your results will minimize the cost of your adult well visit.

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Campus Recreation offers membership to faculty, staff & their spouses which allows access to our facilities and the opportunity to participate in our many programs and services.

Employee Assistance Program (EAP) has a broad range of support services including financial counseling, marriage counseling and free legal assistance. 

Personal development classes provide opportunities for classroom training, online courses and webinars on a variety of health and wellness topics.