1 / 57

2014 Open Enrollment for Health Benefits and Flexible Spending Accounts

2014 Open Enrollment for Health Benefits and Flexible Spending Accounts. All handouts are available online! Please take only what you need Please don’t throw handouts away on your way out Please return what you don’t use. What’s New for 2014-2015?. Premiums increase for most plans

minnie
Télécharger la présentation

2014 Open Enrollment for Health Benefits and Flexible Spending Accounts

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 2014 Open Enrollment for Health Benefits and Flexible Spending Accounts

  2. All handouts are available online! • Please take only what you need • Please don’t throw handouts away on your way out • Please return what you don’t use

  3. What’s New for 2014-2015? • Premiums increase for most plans • COVA Care prescription copays increase for tiers 2-4 • 2 more “do-right” options for COVA HealthAware members • Residential treatment for behavioral health now covered in all COVA Care, COVA HealthAware and COVA HDHP plans • New Asthma/COPD and hypertension incentive programs added to MyActiveHealth • FSA claims filing period extended for accounts that end during the plan year

  4. Flexible Spending • All current flexible spending accounts end June 30, 2014 and are not renewed. Final payroll deduction July 1, 2014. • To participate effective July 1, 2014 you must enroll during open enrollment. • If you do not enroll during open enrollment, you will not have another opportunity to enroll unless you experience a qualifying mid-year event.

  5. Flexible Spending • $2,500 maximum for medical account • $5,000 household maximum for dependent care account:

  6. Flexible Spending • Elections are made in per-pay-period amounts. There are 24 pay periods in the plan year • Elections must be made in even dollar amounts (no cents) • Minimum election to participate is $10 per pay period for either type of account (medical or dependent care) • Monthly participation fee deducted from your paycheck

  7. Flexible Spending • Flexible spending administrator is Anthem • New medical FSA participants receive a Blue Cross Blue Shield FSA debit card. Previous participants receive new balance on existing card. • Dependent Care FSA participants file for reimbursement

  8. Flexible Spending • Current participants have until September, 2014 to submit claims to Anthem/Conexis for expenses incurred on or prior to June 30, 2014. • NEW! If you have an FSA for only part of the plan year, you may file FSA claims for up to 3 months after your coverage period ends.

  9. Flexible Spending • All part-time and full-time faculty and classified staff are eligible for flexible spending • No health plan participation is required

  10. 2014 Open Enrollment – Plans Offered • COVA HealthAware (Aetna) • COVA Care (Anthem) • COVA High Deductible Health Plan (Anthem) • Kaiser Permanente (NoVA, MD, DC, Fredericksburg only) • TRICARE Supplement Plan

  11. Lower premium than COVA Care

  12. COVA HealthAware • Health Reimbursement Arrangement (HRA) for medical, behavioral health and prescriptions: • Employee: $600 / Employee + Spouse: $1,200 • Receive more HRA funds by completing one or more “do right” activities • Up to $150 additional for employee • Up to $150 additional for spouse • Unused HRA funds may carry forward into future benefit periods. HRA pays before FSA.

  13. “Do Rights” • $50 added to your HRA when you or your covered spouse completes up to 3 of these: • Maximum $150 extra each for you and your spouse

  14. COVA HealthAware • Most services covered in-network at 80% after deductible • Out of network included but higher deductible applies and most services covered at 60% • Expanded Dental and Vision options • All services administered by Aetna • One customer service number for everything

  15. COVA HealthAware How it works…. • Your HRA pays medical, behavioral health and prescription expenses first, automatically. • If you have more expenses, you and/or your health FSA pay all expenses until you reach the deductible.

  16. COVA HealthAware How it works (continued)…. • Once you satisfy the deductible, the plan pays 80% of covered expenses in-network (60% out of network) and you and/or your health FSA pay 20% (40% out of network) until you reach the out-of-pocket maximum. Expanded Dental benefits are separate and have a separate deductible.

  17. COVA HealthAware How it works (continued)…. • When you reach the out-of-pocket maximum, the plan begins paying 100% of covered expenses for the rest of the plan year – except dental. Expanded Dental expenses do not count toward the out-of-pocket maximum.

  18. COVA HealthAware Remember: Although out-of-network coverage is included, your deductible, coinsurance and out-of-pocket maximum are higher when you use out-of-network providers.

  19. COVA HealthAware www.covahealthaware.com

  20. COVA HealthAware Use Aetna Navigator secure member web site to: • Track your HRA balance • Print a temporary ID card or order a new card • Track your deductible and out-of-pocket expenses • Check the price of a drug before you go to the pharmacy • Access the Member Payment Estimator

  21. COVA HealthAware Employee Premium Changes for 2014-2015 • No premium increase for single basic coverage • $1.50 per paycheck increase for dual basic • $1.50 per paycheck increase for family basic

  22. COVA Care All medical, behavioral health, EAP and vision benefits administered by Anthem Prescription benefits administered by Anthem Pharmacy through Express Scripts Dental benefits administered by Delta Dental

  23. COVA Care Co-payment for most services Co-insurance for laboratory & diagnostic services Nationwide coverage through BlueCard program, and international coverage through BlueCard Worldwide when traveling

  24. COVA CareWhat’s Changing for 2014-2015? Tier 2 prescription copay increases from $25 to $30 at retail and from $50 to $60 for mail order. Tier 3 prescription copay increases from $40 to $45 at retail and from $80 to $90 for mail order Tier 4 prescription copay increases from $50 to $55 at retail and from $100 to $110 for mail order Residential treatment added to behavioral health benefits

  25. COVA Care Employee Premium Changes for 2014-2015 • $1.50 pre paycheck increase for single basic coverage • $3.50 per paycheck increase for dual basic • $5.00 per paycheck increase for family basic

  26. COVA High Deductible Health Plan (HDHP) No plan changes, except coverage added for residential treatment to behavioral health benefits Premium for basic coverage still $0 for faculty and classified staff who work 80% full-time or greater

  27. Important Dental Coverage Reminder Only preventive dental is included with COVA HealthAware, COVA Care and COVA HDHP basic plans. Routine dental services are not included in the basic plans. If you need more than preventive coverage, remember to add Expanded Dental to your plan during open enrollment!

  28. Kaiser Permanente HMO NEW! Pediatric eyewear benefit added Premiums increase $3 for single coverage, $7 for dual coverage, $10 for family coverage Service area remains limited to: Northern Virginia Maryland DC Fredericksburg

  29. TRICARE Supplement Plan Available to these employees and their dependents: Military retirees Spouses or surviving spouses of military retirees Must be eligible for TRICARE military benefits and ineligible for Medicare No plan design or premium changes Administered by ASI Insurance

  30. Premium Rewards Earn a discount on your COVA HealthAware or COVA Care premium! Annual premium savings: Employee or Spouse - $204 ($17/month) Employee and Spouse - $408 ($34/month)

  31. Premium Rewards If you and/or your spouse have a premium reward in force right now (January –June, 2014), the reward will continue through June, 2015 as long as the person who earned the reward remains enrolled in COVA Care or COVA HealthAware. You can change plans between COVA Care and COVA HealthAware (or vice versa) and keep your premium reward.

  32. Premium Rewards If you have been enrolled in COVA Care or COVA HealthAware since July 1, 2013 but do not currently have a premium reward, you can earn one effective July 1, 2014! Complete a health assessment and biometric screening no later than May 31, 2014. If you lost your premium reward January 1, 2014, you can earn it back by completing a biometric screening no later than May 31, 2014.

  33. Premium Rewards If you and/or your spouse enrolled in COVA Care or COVA HealthAwarebetween August 1, 2013 and March 1, 2014, you can each earn a premium reward effective July 1, 2014 by completing a health assessment and biometric screening no later than May 31, 2014.

  34. Premium Rewards If you and/or your spouse enrolled in COVA Care or COVA HealthAware between April 1, 2014 and June 1, 2014, you can each earn a premium reward by completing a health assessment and biometric screening: Rewards are effective as follows:

  35. Premium Rewards If you and/or your spouse are newly enrolling in COVA Care or COVA HealthAware effective July 1st, you can each earn a premium reward by completing a health assessment and a biometric screening:

  36. Premium RewardsHow to Complete the Health Assessment Register or log in to www.myactivehealth.com/cova. Go to the health assessment link and answer questions. Click “Complete and Save” to submit. Your spouse needs to register separately to complete the health assessment. If you don’t have Internet access, you may call Active Health at 866-938-0349 to complete the health assessment by phone.

  37. Premium RewardsHow to Complete the Biometric Screening Register or log in to www.myactivehealth.com/cova. Your spouse needs to register or log on separately. Go to the biometric screening link Print either a: Biometric Screening Physician Form to take to your doctor, or LabCorp authorization to take to a location that is convenient for you Be sure to follow all instructions on the form or authorization

  38. Premium RewardsNeed Help? Call ActiveHealth at 866-938-0349 to: Get detailed instructions about completing the activities or for help with the web site Find out whether you are on record as having completed either or both activities Important:ActiveHealth cannot tell you whether you have earned a premium reward, only whether you have completed activities.

  39. Premium RewardsNeed Help? Not sure if you’re getting a premium reward? Log on to Employee Direct using your health plan ID number at http://edirect.virginia.gov. Contact VCU Benefits to check your reward status Important: VCU does not approve or deny premium rewards, but we can check the reward status in your state health plan record. Only rewards approved by the state health plan result in lower billing to your VCU paycheck. VCU cannot see your health activities record or data.

  40. Premium RewardsMore About Active Health The state health plan has safeguards in place to ensure that your personal information on the MyActiveHealth portal is not shared with VCU. The state health plan confirms that all data from your health assessment and biometric screening is completely secure. The data is available to you and also your doctor at your request.

  41. Premium RewardsMore About Active Health ActiveHealth uses health information to identify possible health issues and to help you and your doctors track and improve your health. Participation is voluntary. You may call ActiveHealth to “opt out” of the program. Just remember that since ActiveHealth administers the Commonwealth’s incentive programs, you will be unable to receive any program incentives in the future, including premium rewards.

  42. MyActiveHealth Oversight for incentive programs Premium Rewards Bariatric surgery pre-education program Diabetes management

  43. MyActiveHealth Holistic health management Healthy Insights – Disease Management Healthy Beginnings – Maternity Management Healthy Lifestyles – Coaching Incentive programs can include free supplies or prescriptions for specified conditions, copay waivers, or HRA contributions.

  44. MyActiveHealth Portal Registration Visit www.myactivehealth.com/cova Click on “Create Account” and use 00+health plan ID for employee ID Enter your information to create User ID and password

  45. New ActiveHealth Program for 2014-2015 For members with asthma, COPD and hypertension May allow participants to get certain drugs at no cost to manage these conditions. Program criteria must be met to qualify

  46. More MyActiveHealth Services Digital coaching Interactive trackers, games and more Telephone support

  47. Choosing Your COVA Plan Use the Alex online tool to compare COVA HealthAware, COVA Care and COVA HDHP. www.alexforcova.com The tool helps you project your out-of-pocket expenses under each plan.

  48. Making Your Open Enrollment Elections Use the Open Enrollment Checklist, then: Make your elections online using Employee Direct Submit dependent documents to VCU Benefits if you are adding dependents to your health plan

  49. Making Open Enrollment Elections If you use a paper enrollment form instead of Employee Direct, it must be received by VCU Benefits by 5pm on May 23rd! If you use Employee Direct, you must complete your online transaction by 11:59 pm on May 23rd!

  50. Everyone’s Favorite Question! If I don’t do anything during open enrollment, everything stays the same, right?

More Related