U Va H e a l t h P l a n E m p l o y e e E n r o l l m e n t

Transcription

1 UVA HEALTH PLAN

2 U Va H e a l t h P l a n E m p l o y e e E n r o l l m e n t

3 E n r o l l m e n t C o s t S av i ng M e a s u r e s In 2013, a dependent audit was conducted. Results: 6% of these dependents (1480) were removed saving nearly $2 million per year In 2014, a working spouse provision was implemented, limiting coverage to spouses without access to affordable coverage providing "minimum value from their own employer. Results: 30% of approx. 6,000 spouses were removed (2,050), saving nearly $10 million per year.

4 U Va H e a l t h P l a n C o s t

5 U Va H e a l t h P l a n v s. C O VA

6 I m p o r t a n t D a t e s & S t e p s t o T a k e Open Enrollment Dates October 6-31, 2014 Benefits & Wellness Fair Oct. 8 Newcomb Hall Benefits & Wellness Fair Oct. 9 Medical Center, DCR s Complete a biometric screening and the Aetna online health risk assessment by 10/31/14 Log in to Benefits@ (academic) KnowledgeLink (medical center) Complete Tobacco Attestation Complete Spousal Affidavit (if applicable) 6

7 Increase In-network : H e a l t h P l a n C h a ng e s Increase Out-of-Network: Calendar Year Deductible Office Visit Copays Calendar Year Deductible Maximum out of pocket amount Emergency Room Copay/Coinsurance Inpatient Copay for Choice Health Maximum out of pocket amount (Medical and Rx will be integrated) Specialty Drugs are no longer covered through medical benefit- need to be billed thru Rx Cover Applied Behavioral Analysis (ABA) for children with Autism; up to $35,000/yr ACA Mandates: Cover generic breast cancer preventive drugs without cost sharing Cover tobacco cessation drugs with $0 copay for 2 cycles per year 7

8 P r e m i u m s Active employee health premiums remain the same as 2014 rates Increases for Basic dental: $1 per month for employee+spouse $1 per month for family Increases for Enhanced dental: $2 per month for employee only $5 per month for employee+child/ren $6 per month for employee+spouse $11 per month for family 8

9 Health Plan Choices Similarities: Basic Health Plan Value Health Plan Choice Health Plan Receive in-network, preventive care at no cost and no deductible to meet Managed by Aetna with access to the same doctors and networks Coverage available for spouses who do not have access to coverage from their own employer and children up to age 26

10 Health Plan Choices Differences: Basic Health Plan Value Health Plan Choice Health Plan Premiums Deductibles Costs at the point of care See the Medical Schedule of Benefits for a detailed comparison of plans

11 Health Plan Choices Basic Health Value Health Choice Health Out of Pocket Expenses Highest deductible; 20% coinsurance for most care Modest deductible; fixed copayments or coinsurance at the time of care Lowest deductible; fixed copayments for most care Prescription Drug Coverage You pay a deductible plus coinsurance for the negotiated rate Fixed rates for most common/least expensive drugs; coinsurance for more expensive drugs Fixed rates for most common/least expensive drugs; coinsurance for more expensive drugs Health Savings Account Includes an HSA with employer seed; use it to pay for expenses while you are meeting your deductible Not available Not available

12 Health Plan 2015 Monthly Premiums Medical Claims Administrator: Aetna, , or to find an Aetna provider:

13 Dental Plan Choices 2 Dental Plans offered: Basic & Enhanced (see 2015 Dental Schedule of Benefits for a detailed plan comparison) Both include 100% coverage for preventative & diagnostic services Basic ($1,000 annual maximum) Enhanced ($2,000 annual maximum) Enhanced includes orthodontic up to $1,000 lifetime max

14 Dental Plan 2015 Monthly Premiums Dental Claims Administrator: United Concordia, For member services or to find a dental provider visit,

15 Davis Vision 2015 Monthly Premiums Davis Vision premiums remain the same as 2014 rates Davis Vision: or (800)

16 Healthcare Flexible Spending Account (Full FSA) Full Healthcare FSA is available for Value or Choice health plans Plan Administrator: Chard Snyder, (800) Pay for un-reimbursed medical expenses with your pre-tax dollars $240 annual minimum contribution for Healthcare FSA $2,500 annual maximum for Healthcare FSA

17 Healthcare Flexible Spending Account (Full FSA) All FSA members receive a visa debit Benny Card providing an automatic way to pay for qualified expenses. It is still important to keep all receipts. Claim forms (if needed) as well as account balances, reimbursement instructions, eligibility, and plan information is available on Chard Snyder s website. Each year you must reelect FSA through your Benefits@ account during Open Enrollment. All monies in your account at the end of the plan year s grace period (March 15 th ) will be forfeited.

18 Dependent Daycare FSA Dependent Daycare FSA enrollment is available regardless of health plan enrollment decision $240 annual minimum and $5,000 annual maximum for Dependent Daycare FSA Used for children under 13 who qualify as dependents on your federal tax return Funds for dependent care are available only after the money has been deducted from your paycheck and you have incurred the dependent care expense All monies in your account at the end of the plan year s grace period (March 15 th ) will be forfeited.

19 Dependent Daycare FSA Can be used for: Before & after school programs Nursery school, preschool, in-home care Summer camp (not overnight) Adult daycare Cannot be used for: Child support payments Educational supplies or activity fees Private school tuition (after preschool) Overnight camps

20 Basic Health Plan Health Savings (HSA) HSA is offered to Basic Health members because it is a high-deductible consumer-driven health plan, so you may use the HSA for qualified medical expenses University contributes money into your HSA based on your health plan dependents, marital and family status (amount prorated based on your date of hire) You can also make voluntary pretax contributions into your HSA account through your paycheck Balance rolls forward at the end of each year and your HSA account earns interest Annual limits to the amount of combined pre-tax dollars that can be contributed to your HSA by employer and employee range from $3,350 to $6,650 in 2015, depending on your health plan coverage

21 Basic Health Plan Limited FSA Because the Basic Health Plan is a high-deductible consumer-driven health plan, in addition to your HSA you may choose to open a Limited Healthcare FSA Limited FSA funds may ONLY be used for eligible vision and dental expenses Annual minimum $240, annual maximum $2,500 All FSA and HSA benefits are administrated by Chard Snyder All FSA and HSA programs allow you to access your funds with your visa debit Benny Card

22 Complete your online enrollments through employee self service by October 31, 2014 Important Reminders Academic Employees login through Open Enrollment changes are effective January 1, 2015 Links for more information about open enrollment benefits are found at Medical Center Employees login through Knowledgelink Employee Self Service

23 Open Enrollment Resources Ask questions about program details User guides and online tutorials available at HR Service Center at or

24 Questions? Thank You! 24