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2014 HealthPort Open Enrollment

2014 HealthPort Open Enrollment. October 14 th -25 th , 2013. 2014 Open Enrollment Highlights.

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2014 HealthPort Open Enrollment

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  1. 2014 HealthPort Open Enrollment October 14th-25th, 2013

  2. 2014 Open Enrollment Highlights • HealthPort continuously assesses benefits costs in order to determine any necessary program changes while striving to provide a comprehensive benefits package to all eligible associates. Here are the 2014 highlights: • Transamerica & Key Benefit Administrators will be replacing United Healthcare as the provider of the limited medical plan. • The medical plans will now cover preventive visits at 100% • The Standard will continue to provide the dental and vision insurance with no changes to benefits or price. • We will be changing Health and Dependent Care Spending Account administrators to Benefit Resources Inc. • The critical illness, accident, and legal plans have been discontinued.

  3. Considerations for 2014 Open Enrollment • 2014 Open Enrollment is taking place October 14th – 25th • Elections take effect January 1, 2014. Pre-Tax elections cannot be changed during the year unless you have an IRS qualified event • You are now able to enroll in coverage via the state exchanges. Visit www.healthcare.gov for more information.

  4. Enrollment Instructions • We are having an active enrollment. You have to make an election to continue coverage. If you take no action, we will assume you are waiving coverage. • Go to the UltiPro Homepage and select Myself > Open Enrollment • Select the current open enrollment session • Verify and add any new dependents • Follow the steps to enroll or decline in each benefit

  5. Transamerica & Key Benefit Administrators Medical Plan Options

  6. Transamerica & Key Benefits Administrators Health Plan • Two separate plans and ID cards, one ID number • Preventive Services card provided by Key Benefits Administrators • Preventive coverage only covered at 100% • Limited Hospital Indemnity Benefits provided by Transamerica • Provides reimbursements for sick visits, hospital stays, prescription drugs • Offered as a package, cannot be elected separately • Enrolling in this benefit allows you to avoid the individual tax penalty of Health Care Reform.

  7. New Transamerica/KBA Medical Plans

  8. In Depth LookPlan Functionality

  9. How are claims processed? • Give the appropriate ID card to your medical care provider • Benefits for preventive services are paid at 100% for network providers • If the service is not preventive, you will receive a check for your benefit amount.

  10. Covered Preventive Services for Adults • Abdominal Aortic Aneurysm one-time screening for men of specified ages who have ever smoked • Alcohol Misuse screening and counseling • Aspirin use for men and women of certain ages • Blood Pressure screening for all adults • Cholesterol screening for adults of certain ages or at higher risk • Colorectal Cancer screening for adults over 50 • Depression screening for adults • Type 2 Diabetes screening for adults with high blood pressure • Diet counseling for adults at higher risk for chronic disease • HIV screening for all adults at higher risk • Immunization vaccines for adults--doses, recommended ages, and recommended populations vary: • Hepatitis A • Hepatitis B • Herpes Zoster • Human Papillomavirus • Influenza (Flu Shot) • Obesity screening and counseling for all adults • Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk • Tobacco Use screening for all adults and cessation interventions for tobacco users • Syphilis screening for all adults at higher risk

  11. 22 Covered Preventive Services for Women • Anemia screening on a routine basis for pregnant women • Bacteriuria urinary tract or other infection screening for pregnant women • BRCA counseling about genetic testing for women at higher risk • Breast Cancer Mammography screenings every 1 to 2 years for women over 40 • Breast Cancer Chemoprevention counseling for women at higher risk • Breastfeeding comprehensive support and counseling from trained providers, as well as access to breastfeeding supplies, for pregnant and nursing women* • Cervical Cancer screening for sexually active women • Chlamydia Infection screening for younger women and other women at higher risk • Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, not including abortifacient drugs* • Domestic and interpersonal violence screening and counseling for all women* • Folic Acid supplements for women who may become pregnant • Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes*

  12. 22 Covered Preventive Services for Women • Gonorrhea screening for all women at higher risk • Hepatitis B screening for pregnant women at their first prenatal visit • Human Immunodeficiency Virus (HIV) screening and counseling for sexually active women* • Human Papillomavirus (HPV) DNA Test: high risk HPV DNA testing every three years for women with normal cytology results who are 30 or older* • Osteoporosis screening for women over age 60 depending on risk factors • Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk • Tobacco Use screening and interventions for all women, and expanded counseling for pregnant tobacco users • Sexually Transmitted Infections (STI) counseling for sexually active women* • Syphilis screening for all pregnant women or other women at increased risk • Well-woman visits to obtain recommended preventive services*

  13. The StandardDental and Vision Plan Options

  14. Standard Dental Passive PPO High Option

  15. Standard Dental Passive PPO Low Option New enrollee waiting periods apply, 6 months for Basic services, 12 months for major services

  16. Standard Vision Plan

  17. The StandardLife and Disability Insurance

  18. The Standard: Supplemental Life Insurance Supplemental Employee Life Supplemental Dependent Life Evidence of Insurability (EOI) will be required for Employee, spouse and dependents if you have not previously had coverage.

  19. The Standard: Short Term Disability Evidence of Insurability (EOI) will be required during Open Enrollment if you don’t have current coverage. * Effective 1/1/14, benefit deductions will be taken out of disability checks

  20. Other Benefits

  21. Other Benefits

  22. Email Questions to: benefits@healthport.com Questions?

  23. Questions? • Your Go-to Expert for Healthcare Help • Find the right doctors, hospitals and other providers including researching treatment options and securing second opinions • Clarify benefit coverage. Inform about any changes, new plan options and additional programs • Help schedule appointments and tests with doctors, hospitals, facilities and hard-to-reach specialists • Resolve billing and insurance claims issues, saving you time, money and stress • Estimate costs of common procedures so you can be an informed shopper • Explain conditions and treatment instructions • Help arrange eldercare services including transportation, adult day care, long-term care, etc.

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