July 2017 is Employee Benefits Information Month
The purpose of Employees Benefit Information Month is to show what
medical benefits that MaineDOT employees have, who administers the coverage, and who to contact with any questions.
For any additional information, please visit the Division of Employee Health's benefits web page.
Health Benefit Changes Starting July 1, 2017
- Changes for the new plan year
- Premium Rates Effective July 1, 2017
- The dental and vision premiums, coverage and carrier will remain the same
- The State of Maine health plan for active employees and non-Medicare retirees will have a premium increase of approximately 3% for both the employee and the employer. The coverage changes are as follows:
- Specialist office visit copay*: Increase from $30 to $40. *Copays are waived for preventive visits.
- No changes will be made to the following services: office visit copays for primary care doctor, walk-in clinic, emergency room, deductible amounts, coinsurance rates and out-of-pocket maximums.
- Anthem Blue Cross and Blue Shield will be the new administrator of the State of Maine Health Plan. ID cards will be issued before July 1st.
- Express Scripts will be the new pharmacy benefit manager of the State of Maine Health Plan. Express Scripts will also issue ID cards before July 1st.
- Specialty medications will be 25% coinsurance (max $150 for a 1-31 days' supply)
- Copay amounts for medication categories (generic, preferred, non-preferred and lifestyle medications) will remain the same. Note, the formulary will be updated for July 1st.
Base Annual Salary is Equal to or Less Than $30,000
| Level of Coverage |
Employee Deduction w/ Health Credit |
State Contribution w/ Health Credit |
Employee Deduction w/o Health Credit |
State Contribution w/o Health Credit |
| Employee Only | $0.00 | $427.57 |
$21.38 |
$406.19 |
| Employee & Spouse/Domestic Partner |
$178.86 | $715.44 | $201.22 | $693.08 |
| Employee, Spouse/Domestic Partner & Child(ren) |
$246.78 | $817.31 | $269.14 | $794.95 |
| Employee & Child(ren) | $102.50 | $600.89 | $124.86 | $578.53 |
| Family Contract (both employee, spouse/domestic partner work for the State and share children) |
$0.00 | $532.05 | $22.36 | $509.69 |
Base Annual Salary is Between $30,000 - $80,000
| Level of Coverage |
Employee Deduction w/ Health Credit |
State Contribution w/ Health Credit |
Employee Deduction w/o Health Credit |
State Contribution w/o Health Credit |
| Employee Only | $21.38 | $406.19 |
$42.76 |
$384.81 |
| Employee & Spouse/Domestic Partner |
$201.22 | $693.08 | $223.57 | $670.73 |
| Employee, Spouse/Domestic Partner & Child(ren) |
$269.14 | $794.95 | $291.49 | $772.60 |
| Employee & Child(ren) | $124.86 | $578.53 | $147.21 | $556.18 |
| Family Contract (both employee, spouse/domestic partner work for the State and share children) |
$22.36 | $509.69 | $44.71 | $487.34 |
Base Annual Salary is equal to or more than $80,000
| Level of Coverage |
Employee Deduction w/ Health Credit |
State Contribution w/ Health Credit |
Employee Deduction w/o Health Credit |
State Contribution w/o Health Credit |
| Employee Only | $42.76 | $384.81 |
$64.14 |
$363.43 |
| Employee & Spouse/Domestic Partner |
$223.57 | $670.73 | $245.93 | $648.37 |
| Employee, Spouse/Domestic Partner & Child(ren) |
$291.49 | $772.60 | $313.85 | $750.24 |
| Employee & Child(ren) | $147.21 | $556.18 | $169.57 | $533.82 |
| Family Contract (both employee, spouse/domestic partner work for the State and share children) |
$44.71 | $487.34 | $67.07 | $464.98 |
Retirees Not on Medicare
| Level of Coverage |
Monthly Pension Deduction |
Monthly State Contribution |
| Retiree | $0.00 | $855.14 |
| Retiree & Spouse | $894.30 | $894.30 |
| Retiree, Spouse & Child(ren) | $1,233.88 | $894.30 |
| Retiree & Child(ren) | $512.48 | $894.30 |
| Surviving Spouse | $855.14 | $0 |
| Retiree on Medicare & Spouse under age 65 |
$855.14 | $287.02 |
COBRA
| Level of Coverage |
COBRA Monthly Premium |
| Subscriber Only | $872.24 |
| Subscriber & Spouse/Domestic Partner | $1,824.37 |
| Family | $2,170.74 |
| Subscriber & Child(ren) | $1,434.92 |
Employee Health Information
- Active Employees and Non-Medicare Retirees
- Medicare Retirees
Administrative Carrier: Anthem Blue Cross and Blue Shield
| Coverage Dates | Member Services and Hours | Website | Other Important Contact Information |
| Begin: 07/01/2017 | 1-844-273-4614 1-888-671-4333 TTY M-F 8am-5pm |
Anthem.com |
24/7 NurseLine: International Service: Grand Rounds: |
Administrative Carrier: Express Scripts
| Coverage dates | Member Services and Hours | Website | Other Important Contact Information |
| Begin: 07/01/2017 | 1-800-595-0817 1-800-759-1089 TTY Available 24/7 |
Express-Scripts.com |
Specialty Pharmacy: |
Administrative Carrier: Aetna
| Coverage Dates | Member Services and Hours | Website | Other Important Contact Information |
| Begin: 01/01/2013 | 1-888-267-2637 TTY users dial 711 M-F 8am-6pm |
Anthem.com |
Prescription Services: Silver Sneakers: |
Additional Health Benefits
- Northeast Delta Dental
- Anthem Blue View Vision
- Flexible Spending Accounts
| Member Services and Hours | Website | Other Important Contact Information |
| 1-844-273-4614 1-888-671-4333 TTY M-F 8am-5pm |
NEDelta.com |
HOW Program: Delta Dental/EyeMed Discounts |
| Member Services and Hours | Website | Other Important Contact Information |
| 1-866-723-0515 1-888-671-4333 TTY Mon-Sat 7:30am-11pm Sunday 11am-8pm |
1-800-CONTACTS: |
Note: Blue View Vision is |
| Member Services and Hours | Website | Other Important Contact Information |
| Navia Benefit Solutions 1-800-669-3539 M-F 5am-5pm PST |
Company Code: SOM |
Wellness Information
- Living Resources Program
- On-Site Wellness Centers
- Gym Reimbursement
The Living Resources Program (formerly known as Employee Assistance Program or EAP) provides support, resources and information for personal and work-life issues. Living Resources is
company-sponsored, confidential and provided at no charge to you and your dependents.
| Phone Numbers and Hours | Website |
| 1-844-207-LINK (5465) Available 24/7 |
GuidanceResources.com Web ID: LivingME |
The State of Maine owns two wellness centers which are made available at no cost to State of Maine employees, retirees and covered spouses or domestic partners.
Employees and retirees must be eligible for State of Maine paid benefits.
| Phone Numbers and Hours | Website |
| Augusta: (207)287-4278 Bangor: (207)941-4419 Mon-Thurs: 6am-6pm Fri: 6am-2pm |
This new and expanded program will be effective July 1, 2016 for State of Maine employees who are eligible for State paid benefits.
| Phone Numbers and Hours | Website |
| Employee Health & Benefits 1-800-422-4503 M-F 8am-4:30pm |