This document provides important information on plan benefits, wellness incentives, and how to make an election.
What is the Active Member Decision Guide?
This is the member cost for eligible medications and supplies under the Copay Waiver Program.
What is $0?
This organization handles the pharmacy benefits for SHBP Anthem and UnitedHealthcare Active plans.
Who is CVS Caremark?
Many people think antibiotics treat this common illness when, in fact, they do not.
What is the common cold/viruses?
Whether you get them at your doctor's office or local pharmacy, these preventive shots are usually covered at no cost.
What are vaccines?
If a member does NOT make an active election for 2026 coverage, this happens by default.
What is they remain in their current Medical Plan Option and Tier?
Members must sign up for the copay/coinsurance waiver program through this vendor.
What is their medical vendor (Anthem Blue Cross and Blue Shield (Anthem) or UnitedHealthcare (UHC))?
This type of medication generally has a lower cost-share compared to Brand name drugs.
What are generic drugs?
Despite being thought of as completely safe, this OTC medication can cause liver damage at high doses.
What is Tylenol?
Members don't have to pay a copay for this type of medical service by an in-network provider.
What is preventive care?
This is the Open Enrollment period for 2026.
What is October 20, 2025 - November 7, 2025
To participate, members 18 and over must take this online assessment that estimates your "health age".
What is the RealAge Test?
Members may be able to get this many days-worth of maintenance medications at a discounted rate.
What is a 90-day supply?
It's a common misconception that these are always safe because they are "natural".
What are supplements or herbal remedies?
Many of these products, found as patches or gum, are covered at no cost under preventive services.
What are smoking cessation products?
This type of event allows members to change their coverage outside of Open Enrollment.
What is a Qualifying Event?
Members with this commercial plan option are NOT eligible for the Copay Waiver Program.
What is Kaiser Permanente (KP)?
This type of medical device can be obtained for free - sweet!
What is a blood glucose meter?
This location is commonly used to store medications but it can actually be too warm or humid.
What is the bathroom or kitchen?
Getting a colonoscopy, mammogram, pap smear, or prostate screening not only protects your health but also earns you these rewards.
What are Well-Being Incentive points?
This is the purpose of www.mySHBPgs.adp.com.
What is employees can make their healthcare enrollment elections.
These three chronic conditions are covered under the Copay Waiver Program.
What are diabetes, asthma, and coronary artery disease (CAD)?
Name three services provided at the SHBP CVS/Caremark website www.info.caremark.com/shbp.
Find a pharmacy, Price a drug, get the list of covered drugs (preferred drug list), get the specialty drug list, submit a mail order claim, request a free diabetic meter, find the drugs covered at zero dollars under the copay/coinsurance waiver program, get customer service phone numbers, and more!
This is the safest way to dispose of expired or unused medications.
What is a Drug Disposal Box?
This exam helps screen for a type of cancer, and even the prep kit for it is covered as a preventive service.
What is a colonoscopy?