Health Coverage

Cape Fear Public Utility Authority recognizes employees have different needs when it comes to healthcare. Therefore, we offer a choice of two medical plans with varying options for health and prescription services. Our plans are offered by the State Health Plan of North Carolina. The State Health Plan is self-funded with claims administration through Aetna.

Full-time employees who work a minimum of 30 hours per work week are eligible for coverage. Coverage begins on the first day of the month following your start date and may include employee, spouse, and dependents up to age 26.

Plan options:

80/20 Plan

The 80/20 plan is a PPO (Preferred Provider Organization) utilizing Aetna’s provider network.  

• Office visits require a co-pay of $10.00 for Primary Care or $80.00 for Specialists.  
• The annual deductible is $1,250 for individual and $3,750 for family.
• Hospitalization is covered at 80 % after deductible and $300 copayment are met..
• Prescription medication copays for Generic and Preferred drug are $5 and $30 respectively.

Click here to view the benefit booklet for the 80/20 plan for employees. 

70/30 PLAN

The 70/30 plan for employees is also a PPO plan utilizing Aetna's provider network.  

• Office visits co-pay is $30 for Primary Care or $94 for Specialists.
• The annual deducible is $1,500 for individual and $4,500 for family.
• Hospitalization is covered at 70% after deductible and $337 copayment are met.
• Prescription medication copays for Generic and Preferred drugs are $16 and $47 respectively.

Click here to view the benefit booklet for the 70/30 plan for employees.

Quick Links

Provider's website