Benefits
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Kapnick Insurance Group administers the District's health, dental, vision and life insurance plans. Employees have access to an online portal at https://detroitk12.bswift.com where they enroll in benefits, complete life event changes and print additional copies of their benefit confirmation statement. Employees can also call Kapnick directly at (888) 447-9038 for additional assistance regarding their benefits.
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Healthy Blue Living Requirements
All plan options require employees to select a Personal Care Physician (PCP)for themselves, and any dependents, and schedule a physical (employee only) to maintain a low cost deductible (see the Healthy Blue Living Brochure below for full details). Any member who does not make a PCP selection during the open enrollment period will automatically be assigned to a network physician.
All employees electing healthcare coverage through the District must complete the Healthy Blue Living requirements annually between January 1 and March 31. Note: new hires must complete the process within 90 days of plan eligibility.
Important
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Beginning January 1, 2025, Blue Cross Blue Shield (BCBSM) and Blue Care Network (BCN) will no longer cover prescriptions for glucagon-like peptide-agonist drugs (GLP-1) used for weight loss, including Saxenda, Wegovy and Zepbound. Currently, there are no other Michigan insurance carriers available to the District that are covering these medications. This is a decision made by BCBSM and BCN and not by the District.
Unfortunately, members who decide to continue to use these medications for weight loss, will be responsible for the full cost starting January 1, 2025. Prices for these weight loss medications will range widely depending on the drug, the dosage, and the source. Diabetic medications which include weight loss capabilities on the BCBSM PPO and BCN HMO drug lists will continue to be covered. A current list of covered diabetic medications is available by clicking the links below:
BCBSM PPO Drug List BCN HMO Drug List
If you have any questions regarding covered drugs and coverage requirements, please contact BCBSM Customer Service via phone at (800) 752-1455 or BCN Customer Service at (800) 662-6667 for assistance.
2025 Health, Dental & Vision Benefits
2025 Medical Plan Summaries
2025 Dental Plan Summaries
2025 Vision Plan Summaries
2025 Information and Resources
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