Welcome to RCRV s presentation of Rockwell Collins Insurance Programs available to RC retirees for /4/2017

Transcription

1 Welcome to RCRV s presentation of Rockwell Collins Insurance Programs available to RC retirees for /4/2017 1

2 RCRV Presenters Don Grimm Harlan Hanson Joe Wells James Wolfe RCRV SHIIP Counselors for the Senior Health Insurance Information Program of the State of Iowa Insurance Division 2

3 Thank You RCRV St Luke s Hospital & Angela Berns for the handouts. Rockwell Collins for providing our meeting room and Martha Vitti for joining us from the Retirement Service Center in Irvine, CA Dwight Turner, Karen Bragg-Matthews and Paula Stander of Willis Towers Watson OneExchange for joining us today. If you have questions for OneExchange, then speak to one of them at the break. 3

4 Disclaimer We do not make decisions for Rockwell Collins (RC), we are here to present 2018 Insurance information only We will not discuss Rockwell Collins Policies or Government Health Care Policy issues Please hold all questions until the end Save personal questions for one-on-one discussions with a counselor at the end of the presentations 4

5 What Is SHIIP? Objective Information Source Part of the State of Iowa Insurance Division Answers questions and provides assistance Doesn t recommend or endorse specific companies, products or agents

6 RCRV Retiree Volunteers by Kayla Paulson Volunteering Provides a Variety of Benefits Socialization Sense of Purpose Improve Health Leverages Skills Keeps Mind Sharp Make an Impact Utilize a Volunteer Agent and connect with fellow Retirees. Contact Kayla Paulson, United Way s 55+ Initiative, x837 or Kayla.Paulson@uweci.org 6

7 Rockwell Collins Medicare Insurance Program Rockwell Collins (RC) has partnered with Willis Towers Watson s OneExchange to provide information and enrollment for Medicare-eligible retirees and spouses RC will continue to provide up to $669 for each eligible retiree and their eligible spouse (based on years of service with RC) You will receive these funds in a Health Reimbursement Arrangement (HRA) administered by OneExchange on or about Jan 1, 2018 You can be reimbursed for your premiums only by submitting claims to OneExchange 7

8 Who is OneExchange? Willis Towers Watson s OneExchange is the largest private Medicare exchange in the industry They have over 1500 insurance agents, located in TX, UT, and AZ who will work with you to enroll you in a plan of your choice Insurance Questions--contact OneExchange at , or visit 8

9 OneExchange 2018 Offerings as of 10/2/2017 Handouts have 2017 data as info not avail at time of printing. 15 Part D plans from several carriers are being offered by OneExchange. Premiums range from $20.40 to $92.40 per month. (23 Plans are available in Linn County thru Medicare.gov) 5 Medicare Advantage with Prescription Drugs plans by 3 carriers and 1 Medicare Advantage without drugs are being offered by OneExchange. 4 HMOs from $0 to $34 per month and 2 PPO s with drugs from $0 to $49 per month and 1 PPO plans without drugs at $0). This data as of 10/2/17 at 6 AM. See OneExchange s website for further detail on above products. The above information is for Linn County. Other counties may have more or less plans available 9

10 OneExchange 2018 Offerings Continued Supplements are offered by OneExchange. You will have a choice of 21 Plans, A, B, C, F, High Deductible F, G, K, L, M or N. See OneExchange website for details. If you find a more economical drug plan than offered by OneExchange (and have signed up for a medical plan with OneExchange), you may sign up for a drug plan yourself, or through SHIIP or an agent of your choice and still collect your HRA. However, it is always advised to make changes through OneExchange. 10

11 Enrollment Period Medicare Open Enrollment is from 10/15/2017 through 12/7/ information was available on Oct. 1, 2017 at for programs available through OneExchange You mustenroll in at least one program through OneExchange, or the HRA will not be available to you now or in the future If you are turning 65 and have under-65 dependents, you must enroll prior to the month of your birthday or risk the chance of having your dependent s insurance canceled by RC. See current contract info in future cell 11

12 If You Want To Stay With Your Current Provider If you are already enrolled in a plan through OneExchange and wish to continue that plan, you don t need to do anything We still recommend you review your drug programs. Many retirees can get a more economical drug program if they just look! 12

13 Health Reimbursement Arrangement (HRA) RC will provide a HRA for each Medicare recipient (you and your eligible spouse) if enrolled through OneExchange You will get this money by providing a claim form to OneExchange for each premium paid along with proof of payment. Use the recurring form for monthly reimbursements for your Part B premium or you can apply online for your moneys. Ask OneExchange about automatic reimbursements for several insurance programs. HRA funds can only be used for reimbursement of premiums, not for copays or other medical costs Put both retiree and spouse on one recurring claim forms. Retiree or surviving spouse info must be on the top of the form! Reminder: if you don t enroll in at least one of the three programs through OneExchange, then you lose your HRA. 13

14 HRA (Cont) Automatic Reimbursement You may have the option of enrolling in automatic reimbursement which allows you to make premium payments directly to your insurance carrier. The carrier will notify the Medicare Coordinator that you made the payment and the coordinator will then reimburse you from your HRA. Enroll through OneExchange. Online Reimbursement You can also apply online for your reimbursement. See OneExchange s website. 14

15 HRA Info (cont) Your Medicare Part B of up to $134 can be reimbursed from the HRA up to the HRA value. Proof of payment can come from one of the following documents sent to you by Social Security: Statement you will receive in Dec of 2017 showing benefits and deductions for the coming year, 2018 SA-1099 you will receive in January 2018 for your 2017 income tax records If your eligible spouse does not use all the money in his or her HRA, you can claim your eligible spouse s unused portion 15

16 HRA Info (cont) No carry over. You must claim all your HRA for 2018 (claims will be accepted through 3/31/2019) or you will lose it. (For 2017 dollars, you must claim by 3/31/2018) You must enroll in either a Medigap, Medicare Advantage or Part D Drug Plan through OneExchange to be eligible for the HRA If you had 25 years (or more) with RC, you will receive $669 each for you and your spouse (if applicable) If you had less than 25 years with RC you will receive notification of your HRA amount at the time you retire and a balance indicator as you receive funds from your HRA 16

17 Filling out the OneExchange Recurring Premium Reimbursement form (instructions on back): 17

18 Example SSA Proof of Income Letter Send copy with HRA Reimbursement Application 18

19 Bargaining Unit Insurance current contract If you retired under the current contract: When you turn 65, youmust sign up for Medicare Parts A and B. You must also sign up for a supplement, MA plan and/or drug plan as well through OneExchange to be eligible for your HRA with an effectivity the same as your Medicare If you retired during the current contract and do not reach age 65 until 2019, then you are covered until 12/31/2018 by your contract. If you or your spouse are under 65 and not Medicare-eligible in 2017, then call Family Medical Care Plan (FMCP) directly at

20 Bargaining Unit Insurance prior contract (ended on 5/1/13) If you retired under prior contract that expired in May of 2013, and are Medicare-eligible, you must follow the same One Exchange/HRA program as nonbargaining unit retirees. If you are under 65, then you will be offered the same plan that active BU employees are offered, Family Medical Care Plan (FMCP) 20

21 Rockwell Collins Insurance for Under 65 Retirees (Non Bargaining unit only) RC will offer a health plan, Consumer-Driven Health Plan (CDHP), that is administered by Wellmark BCBS This is a high deductible health plan which is eligible for a Health Savings Account (HSA) HSA contributions must be made after-tax and claimed on your next year s taxes. You can t contribute if you are also covered by Medicare Letters will be sent out Oct 28, 2017 defining RC s offering. 21

22 Pre-65 Retirees As of January 1, Single Family Single Family Deductible Deductible OOPM OOPM In network $2,500 $5,000 $5,000 $10, Monthly Premiums* Single $208 Family $415 Out of network $3,500 $7,000 $5,500 $11,000 *Applies to retirees with 25 or more years of Vested service. Coinsurance is 20% Retiree / 80% Rockwell Collins after deductible is met. 22

23 Split Families (One Spouse under 65, the other on Medicare) People on Medicare will need to select a program through OneExchange (no action required if you want the same Medicare plan from OneExchange in 2018 that you had in 2017) Folks under 65 will have the CDHP plan administered by Wellmark BCBS 4 months prior to your 65th birthday, you will get a package from OneExchange. You must enroll in a plan with the same effective date as your Medicare effective date or risk not having insurance for your dependents and you will not receive a HRA. You must have your spouse covered under the RC plan if you want coverage for other dependents. If you and your spouse are both Medicare eligible, then RC insurance will not be offered to the remaining dependents 23

24 HSA AND RETIREMENT AFTER 65 IF YOU ENROLL IN MEDICARE WHEN YOU RETIRE AND YOU ARE OLDER THAN 65, MEDICARE PART A WILL BE BACKDATED UP TO 6 MONTHS BUT NO EARLIER THAN THE MONTH YOU TURN 65 YOU CANNOT CONTRIBUTE TO AN HSA WHEN YOU HAVE MEDICARE THUS YOU MUST TERMINATE HSA CONTRIBUTIONS STARTING WITH YOUR PART A EFFECTIVE DATE WHICH IN THIS CASE WILL BE BEFORE YOU RETIRE. 24

25 RC Retiree Death Benefits If you retired prior to Jan 1, 1996, then contact Boeing benefits at If you retired after Dec 31, 1995, then contact Rockwell Collins Benefits at

26 New Medicare Cards People on Medicare will be issued new cards during April 2018 thru April 2019 This will not change your benefits You will get a new number. Will not be the same as your SSA number Will be mailed randomly so you may not receive at the same time as your friends New Medicare folks will get new cards during this timeframe 26

27 Medicare Info From this point forward, we will be reviewing Medicare requirements for folks just going on Medicare within the next year. It is a good review for the rest of you already on Medicare and you are welcome to stay. Ask questions now for first part of the briefing If you want to leave, this would be a good time to do so. We will take a short break at this time. Be back in 15 minutes. Thank you. 27

28 People Turning 65 in 2018 Rockwell Collins retirees turning 65 will receive a package from OneExchange 4 months prior to their birthday. To preserve your eligibility for the RC HRA you must sign up for a medical or drug insurance plan through OneExchange prior to your birthday. Your plan must take effect on the same date as your Medicare effective date If not, you may lose your RC insurance for your dependents who are not yet 65. You may also lose the HRA for both yourself and your spouse now and in the future years. 28

29 MEDICARE -Who Is Eligible? Must be a U.S. citizen or permanent resident for 5 years MEDICARE Age 65 and older Disability ALS End-Stage Renal Disease

30 Medicare Health Insurance MEDICARE Part A Hospital Insurance Part B Medical Insurance

31 Enrolling in Medicare Part A For people who have 40 work quarters of credit, i.e., for whom Part A is free Enrollment is automatic if drawing Social Security benefits No penalty for delaying Part A if it is free. You can enroll during Initial Enrollment Period or later 31

32 Enrolling in Medicare Part B Initial Enrollment Period 7 months, beginning 3 months before age 65 (Enrollment automatic if drawing SSA) General Enrollment Period January 1 through March 31 each year Coverage effective July 1 Premium increases 10% for each 12-month period you were eligible but did not enroll Pay this penalty as long as you have Part B 32

33 Cost Of Enrolling In Medicare Part B for 2018 People new to Medicare in 2017 pay $134 per month for Part B. People with higher incomes pay more if their income is above: $85,000 individual $170,000 couple filing joint return 33

34 Medicare-Eligible Retired & No Working Spouse Medicare is your primary coverage. Need to enroll in Medicare Part Aand Part B. Enrolling in Part B later can result in higher premium and a wait before getting coverage. All Rockwell Collins Retirees at age 65 must enroll in Part A and B unless your spouse is working and you are covered on their insurance 34

35 Medicare-Eligible and You or Your Spouse Works Can continue on employer plan Employer s plan remains primary to Medicare Employer can t offer alternatives Don t need to enroll in Medicare Part A or B Can enroll in Part B when worker regular premium & no delay in coverage If contributing to a HSA then do not sign up for Medicare Parts A or B 35

36 Forms to enroll in Part B

37 Part B for Worker or Spouse Special Enrollment Period For worker or spouse with Medicare Up to 8 months after worker retires. (Rockwell Collins Retirees must have insurance through OneExchange with same effective date as your Medicare effective coverage to get HRA and to keep insurance for your under age 65 dependents) 37

38 How Do I Pay The Part B Premium? If you are drawing benefits, the premium is taken out of your monthly payment: Social Security If you are not drawing benefits, you will be billed every 3 months 38

39 Get Help Paying For Part B Premium Medicare Savings Program SLMB Pays Medicare Premium Income below: $1376 per month individual $1847 per month couple Resources below: $7390 individual $11090 couple 39

40 Medicare Savings Programs Qualified Medicare Beneficiary (QMB) Pays Medicare premium(s), deductibles & coinsurance Income Limits: $1025 per month individual $1373 per month couple Resource Limits: $7390 individual $11090 couple 40

41 You might want to delay Part A if You are working or covered by a working spouse and the employer plan is a qualified high deductible plan and you have a Health Savings Account (HSA--Rockwell Collins plans qualify) 41

42 Your Medicare Coverage Choices Original Medicare Part A Hospital Insurance Part B Medical Insurance Supplemental Coverage Prescription Drug Coverage Part D Medicare Advantage Part C Combines Part A & Part B May include Prescription Drug Coverage Part D

43 Medicare Part A Hospital Insurance Inpatient Hospital Skilled Nursing Facility Home Health Care Hospice 43

44 Medicare Part B $134 per month in 2017 Medical Insurance Doctor Services Outpatient Hospital & Emergency Room Home Health Care Durable Medical Equipment Other Services & Supplies 44

45 Covered Preventive Services Welcome to Medicare preventive visit Annual wellness visit Abdominal aortic aneurysm screening Alcohol misuse counseling Bone mass measurement Cardiovascular screenings Colorectal cancer screenings Depression screening Diabetes screening Flu shots, pneumococcal shots & Hepatitis B shots Glaucoma tests Hepatitis C screening Lung cancer screening Mammograms (screening) Obesity screening & counseling Pap test/pelvic exam/clinical breast exam Prostate cancer screening Smoking cessation 45

46 Medicare Supplement Insurance Health insurance policies sold by private insurance companies Also called Medigap Cover gaps in Original Medicare Plan 10 standardized policies Plans A, B, C, D, F, G, K, L, M, N Guaranteed renewable One Exchange has Plans A, C, D, F, G, K, L, M, and N available only 46

47 Medicare Part D Available to all people on Medicare Enrolled in Part A and/or Part B Includes those on Medicare due to disability Don t need part D if covered by current bargaining unit contract plan until 1/1/19 then must have signed up for a Part D PDP (Prescription Drug Plan) 47

48 Initial Enrollment Period (IEP) New Medicare Beneficiary can join a drug plan any time during the 7-month period surrounding their Medicare eligibility (Bargaining unit folks must have Medicare A and B effective at time of their normal Medicare Effectivity) 48

49 O-5 Annual Election Period October 15 December 7 During the Annual Election Period you can: Change prescription drug plans Enroll in a drug plan for the first time Drop Medicare drug coverage Enroll in a Medicare Advantage plan Change Medicare Advantage plans Disenroll from a Medicare Advantage plan or Keep your current coverage 49

50 Monthly Medicare Part D Premiums Income above: $85,000 individual and $170,000 joint You willpay a higher premium 50

51 Late Enrollment Penalty Assessed 1% of base premium* for every month you were eligible to enroll in Medicare s prescription drug coverage and did not enroll. Pay penalty for your lifetime Example: Did not enroll in 2006-your penalty would be 127 months X 1% or 127% X $35.63 per month in penalty or $45.26 per month penalty (penalty goes up each year if National average goes up) * $35.63 in

52 2017 Standard Benefit-What You Pay Understanding drug coverage stages Deductible Initial Coverage Coverage Gap (Donut Hole) Catastrophic Coverage Up to $400 Up to $3700 total cost Up to $4950 out-of-pocket costs Through the end of the year

53 What Is Creditable Coverage? Drug coverage that is as good as or better than a Medicare prescription drug plan Includes: VA drug benefits Tricare for Life Some employer or retiree coverage Indian Health Services Will receive letter from Employer by Oct 15 that their coverage is as good as or better than Medicare coverage. 53

54 Comparing Part D Plans Premium Deductible Formulary the drugs that are covered Restrictions on your medications Out of pocket costs at pharmacy Coverage in the Gap Pharmacy network (national availability?) 54

55 How do you compare plans? Information is Online SHIIP can help you compare plans! Phone numbers later in presentation 55

56 Plan Finder

57 Medicare Advantage (Part C) Medicare $ Ambulance Service Other Insurance Dr. A $ $ Medicare Advantage Plan $ Dr. B $ Hospital $ Lab $ $ Home Health Agency Drugs 57

58 Medicare Advantage - Eligibility Have Medicare Parts A & B Do not have end-stage renal disease Live in service area (county-specific) Covers people on Medicare because of disability 58

59 Medicare Advantage - A Private Solution Medicare contracts with a private company on an annual basis. Contracts require that plans provide Medicare Part A & B services. The plan handles claims. You receive services and make payments based on the private plan s rules. The plan may offer extra coverages dental, vision, health club membership 59

60 Medicare Advantage Out-of-Pocket Costs Must still pay Part B premium May pay additional monthly premium Pay other out-of-pocket costs Different from Original Medicare Plan Vary from plan to plan 60

61 Trying Out A Medicare Advantage Plan If you enroll in a Medicare Advantage plan when you first enroll in Medicare part B at age 65 AND You disenroll from the Medicare Advantage plan within 12 months THEN You will be able to get a Medicare Supplement without answering health questions 61

62 Medicare Advantage Types of Plans HMO-Health Maintenance Organization PPO-Preferred Provider Organization Private Fee For Service not in Linn County area 62

63 Medicare HMO Check that your providers will accept the plan. Generally must get care and services from plan s network May have to pay full cost of care outside of plan s network May need to choose primary care doctor Need referral to see a specialist 63

64 Medicare PPO There are in-network and out-of-network providers. Co-payments are set by the plan. Usually higher for out-of-network care You don t need a referral to see an out-of-network provider. An out-of-network provider does not have to accept your PPO plan. You don t need a referral to see a specialist. 64

65 Initial Enrollment Period New Medicare Beneficiary Can join a Medicare Advantage plan any time during the 7-month period surrounding their Medicare eligibility. If you are a RC retiree you must enroll through OneExchange with a plan effective on the same date as your Medicare effective date or you will not get the HRA and if you have dependents under age 65, they may have their insurance with RC cancelled. 65

66 Open Enrollment Period October 15 December 7 Can choose new plan Medicare Advantage Plan* Medicare Prescription Drug Plan Original Medicare Plan New plan starts January 1 * You can switch from a MA plan to a supplement within the first year provided you signed up for the MA plan when you first turned

67 Medicare Advantage Disenrollment Period January 1 February 14 each year Can return to original Medicare Can enroll in a stand alone Part D drug plan Change effective first day of following month Again, these changes must be done through OneExchange 67

68 Key Questions when Shopping for MA Plans Will my doctors, hospital and other medical providers accept payment from the MA plan? What are the deductibles, co-payments or coinsurance for the benefits I m most likely to use? What is the annual out-of-pocket maximum? What is the premium? Do I live in the service area for the plan? Does the plan include prescription drug coverage? 68

69 mymedicare.gov

70 Health Insurance Marketplace If I have Medicare, do I need to do anything about the Health Insurance Marketplace? Medicare isn t part of the Marketplace If you have Medicare, you are covered and don t need a Marketplace plan If you have a Marketplace plan before you enroll in Medicare: Cancel your Marketplace plan when Medicare begins Any premium tax credit and reduced cost-sharing will end when Medicare starts 70

71 For Assistance Call for appointments Willis Towers Watson s OneExchange UnityPoint Health St Luke s Hospital SHIIP Mercy Medical Center SHIIP Meth-Wick SHIIP (Meth-Wick Residents only) Jones County RSVP/SHIIP SHIIP Office, Des Moines Rockwell Collins Retirement Dept (Martha Vitti) Family Medical Care Plan (FMCP) Medicare Office MED-ICAR(E) ( ) HRA FAX number

72 Volunteering for SHIIP A challenging and rewarding opportunity to help Iowans on Medicare Be a counselor, computer volunteer, member of our speakers bureau or assist in running the office so you can help promote SHIIP For more information call SHIIP at Unity Point St Lukes at or the SHIIP office in Des Moines at

73 Thank you for Coming Any Questions Comments on our new location? After group questions, we have several SHIIP Counselors as well as Rockwell Collins and OneExchange representatives situated around the room who will answer your questions one-on-one 73