On May 12, 2023, the COVID-19 Public Health Emergency period will officially come to an end. This means that COVID-19 testing and testing-related services, including over-the-counter tests, will no longer be covered at 100%. Services received at your provider’s offices will be subject to deductibles, coinsurance, or copayments depending on which health plan you are enrolled in. Over the counter COVID tests are not covered by the health plan. The COVID-19 vaccine will still be covered at 100% as it is considered preventive care.
The goal of the South Dakota State Employee Benefits Program is to offer quality, affordable health care and flexible benefits plan options to all employees. When combined with the LiveWellSD and Employee Assistance Programs, State employees have all of the resources and options necessary to make informed health care decisions and healthier life choices.
Eligible State employees and their families will have access to four options including a zero deductible health plan, a low deductible health plan, and two high deductible health plans. Information on these and more can be found here.
• NEW: FY24 Benefits Guide – Downloadable PDF | Online Flip Book
• FY23 Benefits Guide – Downloadable PDF | Online Flip Book
Machine Readable File "MRF" Transparency in Coverage
This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to access and analyze data more easily.