Group Health Plan

GROUP HEALTH PLAN (pre-tax or post-tax benefit)
 
Notice: The Ashland School District Group Health Plan
follows the requirements of the Affordable Care Act.

 

Eligibility:

  • All certified employees working 20 hours or more per week and a minimum of ten months per calendar year qualify for medical/dental/vision.

  • All classified, confidential and supervisor employees working 20-29.99 hours per week and a minimum of ten months per calendar year qualify for medical only.

  • All classified, confidential and supervisor employees working 30 hours or more per week and a minimum of ten months per calendar year qualify for medical/dental/vision.

  • All classified, confidential and supervisor employees working 30 hours or more per week and a minimum of ten months per calendar year qualify to add spouse, children and/or family coverage.

  • Classified employees only - may opt-out of the group health plan and receive a $200 per month cash incentive with proof of coverage through another plan. Opt Out Form

 
Medical coverage is provided by 
HMA (Healthcare Management Administrators). HMA provides access to claims and benefit information through our member portal, myHMA. Upon receipt of your ID card you can access HMA by going to www.accesshma.com and selecting the myHMA Member login button and then clicking on the “register now” link. For step by step directions on how to register in the member portal, CLICK HERE. For step by step directions on how to find a provider, CLICK HERE.

Medical Coverage Changes for 2022

 
Dental Coverage: 

  • There are no-changes to dental benefits.

  • Benefits will be administered by HMA.

  • HMA has a network of dental providers. Out of network dental providers will be reimbursed at 85% of the usual and customary rates. To find an in-network dentist go to www.accesshma.com. View the In-Network Dental Providers Guide


Vision Coverage:

 
Pharmacy Coverage:


Mail Order Program and Copays changes 2022:

Copays have decreased for preferred brand, non-preferred brand and specialty products.

Mail Order Pharmacy

Please send mail order prescriptions to Costco Pharmacy. It is easy to begin using Costco Pharmacy. You can register online at pharmacy.costco.com. Please allow 10 to 14 calendar days from the day you submit your order to receive your medication(s). You do not need to be a Costco member to use Costco Pharmacy.

 

Specialty Pharmacy

Navitus SpecialtyRx serves members who are taking medication(s) for certain chronic illnesses or complex diseases such as rheumatoid arthritis, multiple sclerosis, cancer and hepatitis C. To receive specialty medications through the pharmacy benefit, you will need to fill these prescriptions at Lumicera Health Services. Ordering new prescriptions through our specialty pharmacy partner, Lumicera Health Services is simple. Just call a patient care specialist at 1.855.847.3553 to get started. They will work with you and your prescriber to get your prescription set up. 

  • $30 for generic products (90 day supply)

  • $60 for preferred brand products (90 day supply)

  • $90 for non-preferred brand products (90 day supply)

  • $120 for specialty products (90 day supply)