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Department of Human Resources

Health Plan - Highmark Delaware Special Medicfill

The State Employee Benefits Committee (SEBC) held its monthly meeting on October 24, 2022, and to comply with Judge Calvin Scott’s interim ruling, the SEBC voted to extend the Medicfill contract for state pensioners for 12 months pursuant to the Emergency Procedures and Critical Need for Professional Services provision of the procurement code, 29 Del. C. § 6907. Pending the resolution of the litigation, the SEBC will consider its options for Calendar Year 2024, which include renegotiation of the Highmark BCBS Delaware Medicare Advantage PPO plan contract and rebidding of the State Medicare health plan.

During the week of October 31, 2022, State of Delaware Medicare eligible pensioners will be mailed additional information regarding Special Medicfill enrollment for the plan year that begins January 1, 2023. These important mailings are also posted on the State of Delaware Medicare Open Enrollment website under Communications.

Enrollment in the Special Medicfill with prescription plan will automatically continue for individuals currently enrolled. Benefit eligible pensioners who are enrolled in the Special Medicfill without prescription plan or who have waived coverage for the current plan year, will be given the opportunity to make changes effective January 1, 2023.



In recent months, Philips Respironics learned that a sound-reduction foam used in some of their Continuous Positive Airway Pressure (CPAP) or Bi-level Positive Airway Pressure (BiPAP) machines could degrade into small particles or give off certain chemicals, and issued a voluntary recall of these machines in June 2021. If you have purchased a CPAP or BiPAP machine or any related supplies within the past 5 years you will receive a letter from Highmark explaining the recall and instructing you what to do next if you are affected.

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The Special Medicfill Plan is funded by the State of Delaware Group Health Fund through health premiums paid by you and the State. This plan is administered by Highmark Delaware.


Pensioners currently enrolled in the Special Medicfill with Prescription

Pensioners current enrolled in the Special Medicfill without Prescription

Pensioners not currently enrolled in the Special Medicfill Plan