All employees can now get free testing with COVID-19 Rapid Test at Chancy Drugs pharmacy in Valdosta. Contact your bookkeeper for an employment verification letter you must bring with you to Chancy Drugs.
ProCare will continue as the pharmacy benefit manager.
Non-Preferred Pharmacy Providers include the following pharmacies at which you will pay a higher copayment: CVS, Walgreens, Rite-Aid, Wal-Mart, Target, and SAM’S.
Chancy Drugs is the Health Plan’s preferred pharmacy.
Participation in the Diabetic Management Program is required for all diabetics covered by the health plan. All patients must fill their medications through the FiveStar Telehealth Clinic. Medication co-pays are at no charge for program participants. Participants who opt out of the program will be assessed an additional premium of $40.00 per month. Please contact TLC Benefit Solutions at 229-249-0940 for additional information.
There will be no changes to the dental benefits. Remember the annual maximum is now $1,500.
Effective January 1, 2022, vision benefits will be administered by EyeMed. For more details on vision benefits refer to the appropriate pages in the Open Enrollment packet.
Out of Pocket Expense will remain $6,850 (Single); $13,700 (Family) which breaks down to ($1,325 – single and $2,650 – family) for pharmacy expense and ($5,525 – single and $11,050 – family) for medical expense.
Centers of Excellence – The following facilities are reimbursed at 90% coinsurance and qualify for hotel reimbursements of no more than $100.00 per night in connection with surgery at these centers.
Wellness Programs – The Langdale Company Wellness Program has following components: (1) tobacco cessation, (2) a diabetes management program, and (3) a (chronic) disease management program and (4) annual health assessments (when offered). Lower medication copays, educational opportunities and care management are a few of the benefits offered.
Preferred Lab - Labcorp and Quest Diagnostics are the preferred Network provider for all lab services.
Bariatric Surgery, Limited to Gastric Sleeve - Treatment of severe obesity with surgical weight loss tools, limited to gastric sleeve, is now a covered benefit. The program offering gastric sleeve procedure must require pre-surgery diet and lifestyle changes and must be approved in advance by Utilization Management.
Chiropractic Services: Atlas Orthogonal Technique - Atlas orthogonal technique was added to in 2020. Members pay $25 copayment per visit with annual limits on the number of visits. (This is an in-network benefit. Confirm the provider is in your network before you proceed)
Sleep Apnea Program – Provides home sleep testing, treatment, supplies, and care management support at no cost to you. Annual participation fees are $200 for the initial year, and $100 a year, thereafter. Visit https://www.sleepcharge.com/langdale/ for a free evaluation. NEW SleepCharge members must average 70% compliance to qualify for annual renewal. If your compliance is below 70% within 90 days of your renewal date, you will be required to meet with a technician prior to the renewal.
The Telehealth Clinic is now available to all employees and their dependents over 12 years of age at all Company facilities. A schedule of clinic times and locations will be posted at each facility. The clinic is a partnership between The Langdale Company, Miller County Hospital, Chancy Drugs, Clinch Memorial Hospital, and the Global Partnership for Telehealth (GPT). Benefits include, but are not limited to:
Reminder: Adult children who turn 26 will be covered under the Plan until the end of the month in which they turn 26.
There is no change to the premium for Employee Only (Single) coverage. Family premium will increase 20% effective January 1, 2022. Refer to the Benefit Summary for premium listing.
Electronic copies of Health and Dental Summary Plan Descriptions (SPDs) are available on the TLC Benefit Solutions’ website: http://www.tlcbenefitsolutions.net/forms.html.
The Langdale Company Health Portal - The Portal allows you to assess your health information, track your online health history, use calculators and trackers, identify drug interactions, and communicate with the Health Advocate http://tlcbenefitsolutions.net/diamanagement.html.
24/7 Telehealth App/Phone/Desktop Service - Effective January 1, 2022, all employees and their dependents will have access to SAM, a 24/7 telehealth service available via phone, desktop, or mobile App. This benefit is available to all employees at no charge and regardless of their participation in the Health Plan. For more information go HERE.
Log in to the Member Portal to access:
Please Note: Flexible Spending Accounts and Vision Insurance are not administered by TLC.