Open Enrollment is here! JetBlue 2015 benefits.
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1 Open Enrollment is here! JetBlue 2015 benefits.
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3 What to know. Open Enrollment is October 16 to October 30. Fine-tuning and enhancements. Not much is changing this year, so your current benefit elections will automatically carry forward into You only need to enroll if you wish to make changes or put pre-tax dollars into a Flexible Spending Account. A few highlights: Prescription drug coverage will move to CVS/Caremark providing an enhanced Crewmember experience through its convenient retail network. Plus, prescription expenses will now count toward your medical plan s out-of-pocket maximum. Dental coverage has been enhanced to include dental implants and posterior composites (white fillings). More leading innovations and support are coming throughout 2015 LiveHealth Online to video chat with a doctor continues in 2015; expansion of HealthyMoms HappyBabies beginning January 1; BlueCenters of Surgical Excellence starting April 1; Applied Behavioral Analysis (ABA) therapies coming July 1 just to mention a few! Get started with a look at medical and prescription drug benefits... Ú BlueBenefits@jetblue.com lifeisbetterinblue.com
4 Medical/Rx. JetBlue offers medical options with UnitedHealthcare and Anthem BlueCross BlueShield. Both options have plan accounts (with FREE money from JetBlue) and include prescription drug coverage. Medical remains the same for expenses count toward the Green Plan (PPO with HRA) Health Reimbursement Account (HRA) Funded only by JetBlue. Debit card for easy access to funds. Account balance rolls over year after year. Can also fund up to $2,500 (pre-tax) into a Healthcare FSA. Earn an additional $250 ($500 family) by working with a BlueCarpet nurse for an ongoing health condition through our Care Management program this will reduce your deductible even further. Deductible Individual Family JetBlue dollars to use toward your deductible In-network $1,300 $2,600 Out-of-network $1,950 $3,900 $400 ($800 family) seed money Up to $400 ($800 family) Healthy Rewards Preventive care FREE Not covered Coinsurance you pay 20% 40% Emergency room $300 copay (waived if admitted) Enhancement Includes your deductible, coinsurance and prescription drug expenses. Prescription drugs 30-day supply 90-day supply Out-of-pocket (OOP) maximum Individual Family Generic: 50%, up to $10 max per Rx Brand (if no generic available): 50%, up to $60 max per Rx Brand (if generic available): $10 copay + generic/brand price difference Generic: 50%, up to $30 max per Rx Brand (if no generic available): 50%, up to $180 max per Rx Brand (if generic available): $30 copay + generic/brand price difference $4,300 $8,600 Administered through $6,450 $12,900 2
5 2015 and now prescription out-of-pocket maximum! Blue Plan (PPO with HSA) Health Savings Account (HSA) Funded by JetBlue and you, up to $3,350 ($6,650 family). Debit card for easy access to funds. Account balance rolls over year after year. You own HSA and get triple-tax savings. In-network $1,300 $2,600 Out-of-network $1,950 $3,900 $400 ($800 family) seed money Up to $400 ($800 family) Healthy Rewards FREE CVS/Caremark Not covered 20% 40% $300 copay after deductible (waived if admitted) Enhancement Prescription program now with CVS/Caremark! CVS/Caremark brings you and your family more convenient features, such as: Maintenance Choice* choose to receive your 90-day supply of maintenance medication at a local CVS or at home. Minute Clinics located inside many CVS pharmacies giving you quick access to in-network care. Discount card for discounts in CVS stores. *Mail order is no longer required for 90-day maintenance medications. You can now choose to pick up medications at your local CVS Pharmacy. 20% after deductible (up to $200 max per Rx) per IRS rules 20% after deductible (up to $600 max per Rx) per IRS rules $4,300 $8,600 $6,450 $12,900 Waltz down the BlueCarpet! Get the star treatment when you connect with a BlueCarpet benefits advocate or nurse. You get personalized help with claims, questions or any of your healthcare needs. Call and experience truly personal support. 3
6 What to know. Dental. The Delta Dental PPO plus Premier plan has two network choices: Delta Dental Premier and Delta Dental PPO SM. The plan covers typical preventive, basic and major dental services, including orthodontia for dependents under age 19. Vision. The vision plan, administered by EyeMed Vision Care, covers routine exams, lenses, frames and contacts. And, you can see any eye doctor you d like, but you ll save the most money if you go to an EyeMed Vision Care Access Network provider. NEW: Coverage for dental implants and posterior white fillings. For more updates, see the dental section on lifeisbetterinblue.com. 4 Flexible Spending Accounts. Contribute a portion of your earnings pre-tax to one or both Flexible Spending Accounts (FSAs) the Healthcare FSA or Dependent Care FSA. Use the Healthcare FSA to help pay healthcare expenses for you and your family. Use the Dependent Care FSA to help pay qualified day care expenses. These accounts let you have tax-free dollars set aside to pay qualified expenses while reducing your taxable income. Remember, you cannot fund a Healthcare FSA if you elect the Blue Plan with a Health Savings Account (HSA). $ Use up FSA dollars! Spend your pre-tax FSA dollars before December 31, 2014, because you can only carry forward $500 from a Healthcare FSA into the new year. Dependent Care FSA money does not carry forward. You have until March 31, 2015 to submit all FSA claims for reimbursement.
7 2015 rates. Full-time Medical Rates Green Plan Blue Plan Semi-Monthly Weekly Semi-Monthly Weekly Crewmember Only $49.50 $22.85 $62.50 $28.85 Crewmember + Spouse/ Domestic Partner $ $57.23 $ $72.00 Crewmember + Child(ren) $84.00 $38.77 $ $48.92 Crewmember + Family $ $72.92 $ $92.08 Dental Rates Semi-Monthly Weekly Crewmember Only Crewmember + Spouse/ Domestic Partner Crewmember + Child(ren) Crewmember + Family Vision Rates Semi-Monthly Weekly Crewmember Only Crewmember + Spouse/ Domestic Partner Crewmember + Child(ren) Crewmember + Family Family covered under JetBlue benefits. You may view lots of people as your family but you can only cover qualified dependents under JetBlue benefits. See lifeisbetterinblue.com for who you can cover and be sure to have supporting documentation for all dependents you cover. Always keep your dependent information current on BCSS (bcss.jetblue.com). BlueBenefits@jetblue.com lifeisbetterinblue.com
8 What to know. More benefits, please. Life Insurance and AD&D You get Basic coverage for yourself (automatically) plus Supplemental coverage that you can purchase. You can also buy Dependent coverage for your family at group rates. Disability Disability coverages replace a portion of your pay if you get sick or injured. Group Legal You get access to a nationwide network of professionals provided through Hyatt Legal. 6
9 What s ahead FREE flu shots This fall, get your free flu shot at a CVS Pharmacy with a voucher or at your in-network doctor s office during your annual preventive check-up. See lifeisbetterinblue.com for details. Welcome The Hartford In January, we re moving our life insurance plans to The Hartford. Even though your benefits won t change, you ll see information about a special enrollment in Stay tuned! BlueCenters of Surgical Excellence You ll have the ability to receive a higher quality of care through the new BlueCenters of Surgical Excellence for treating back pain conditions. Look for more information in Applied Behavioral Analysis (ABA) therapies Starting July 1, 2015, we re building coverage with the right support for your child to receive ABA therapies in-network when pre-certified through BlueCarpet s Special Needs Navigator service. For information on plans and contribution rates for all your benefits, visit lifeisbetterinblue.com. BlueBenefits@jetblue.com lifeisbetterinblue.com
10 What to do. 3 steps to enroll: Review your choices in this brochure and on lifeisbetterinblue.com, where you ll find the latest news, tools, videos and details on your 2015 benefits. Choose the coverage you want which plans to elect and which dependents to cover for Be sure to update all dependent information. Enroll on BCSS go to bcss.jetblue.com and follow the prompts to update your dependents and make your 2015 elections on or before October 30. Most of the coverage you elect during Open Enrollment begins on January 1, 2015 and stays in effect for the entire year. Changes are only allowed if you have a Qualified Life Event, such as a birth, marriage, divorce, change in work status, etc. Visit lifeisbetterinblue.com for information on when each benefit begins such as Disability and Life Insurance. Enroll in the CSPP. Crewmember Stock Purchase Plan (CSPP) enrollment is also October 16 to October 30. This program gets you a 15% discount on JetBlue stock. 8 BlueBenefits@jetblue.com lifeisbetterinblue.com
11 Don t forget this! Ú What s app-ening? Need quick info on your benefits or want to contact a Business Partner on the go? Use the app! View your current benefits info whenever you want on your mobile device with the BlueBenefits App. Visit app.lifeisbetterinblue.com using your smartphone or tablet to register. Then, activate when you get the and save the app on your home screen for easy access. The JetBlue benefits outlined in this brochure are only highlights. If there is any difference between what s printed in this brochure and the actual plan documents, the plan documents will govern.
12 Pocket resources.
13 Pocket resources. Resource Phone Web BlueBenefits lifeisbetterinblue.com app.lifeisbetterinblue.com BlueCarpet lifeisbetterinblue.com/bluecarpet Medical: UnitedHealthcare Medical: Anthem BlueCross BlueShield myuhc.com anthem.com Rx: CVS/Caremark caremark.com Accounts: PayFlex bluebenefits.healthhub.com Dental: Delta Dental deltadentalins.com Vision: EyeMed eyemedvisioncare.com Disability: MetLife mybenefits.metlife.com
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