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2019 OPEN ENROLLMENT A Division of Health Care Service Corporation, - PowerPoint PPT Presentation

2019 OPEN ENROLLMENT A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Let us show you how to cut down on your insurance expenses WIN WIN Open


  1. 2019 OPEN ENROLLMENT A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

  2. Let us show you how to cut down on your insurance expenses WIN WIN

  3. Open Enrollment Plan Options What to Consider 1. Provider availability 1 Will you be able to visit the doctors, hospitals and other facilities you want to? 2. Your costs 2 What is going to come out of your paycheck every month? What about for the whole year? 3. Benefit payments 3 How much you will have to pay out of your pocket for your medical expenses? 4. Medical services 4 Consider your health status and services you expect to consume during the year. What has your experience been in past years? 3

  4. HMO Illinois Lifetime Benefit Maximum Unlimited Preventive Care 100% Office Visit Co-Pay $20 $15 Generic $30 Formulary Brand Prescription Drug Co-pays $50 Non-Formulary Brand 2x Mail Order Emergency Room Co-Pay $75 Deductible $0 BCBS Coinsurance 100% SAFETY NET $1500 Individual Maximum Out-Of-Pocket $3,000 Family Excludes RX copays $5,100 Individual Prescription Drug Out Pocket $10,200 Family

  5. HMO MO Fact vs vs Fi Fictio ion Fiction: Referrals required to schedule annual check up with your ob-gyn Fact: Not required if PCP and Ob-gyn are in same Medical Group Fiction: It’s difficult to see a specialist in the HMO IL Fact: PCP coordinates covered services and provide specialist referrals when appropriate Fiction: You’re stuck with chosen doctor all year Fact: You may change doctors within medical groups anytime by calling Medical Group. You may change medical groups by calling BCBSIL Customer Service – Changes can be made up until the last day of the month for an effective date of the 1st of the following month – For example: Make changes by January 31st for an effective date of February 1 st Fiction: If traveling out of state there is no coverage on the HMO plan Fact: Out-of-network coverage on the HMO plan is available in case of emergency when traveling out of state. Fiction: There is no coverage for children attending out of state colleges Fact: Covered members living out of the service area for at least 90 consecutive days can become Guest Members with full benefits at an affiliated BCBS HMO in another state. 5

  6. HMO Fact ct v vs Fict ction Fiction: There are few providers in the HMO network Fact: 5,123 7,766 Primary Care Physicians Specialists 95 81 Medical Groups (MGs) / Contracting Hospitals Independent Practice Associations (IPAs) 6

  7. 1.800MD T E L E ME DI CI NE BE NE F I T

  8. ACT I VAT E YOUR ME MBE RSHI P

  9. 1.800MD I S YOUR SOL UT I ON T O ON-DE MAND HE AL T H CARE  92% pa tie nt issue s re so lve d a t time o f c o nsult  1 ho ur g ua ra nte e d re spo nse time  15 minute a ve ra g e re spo nse time  24/ 7/ 365 a va ila b le whe n yo u ne e d us

  10. PPO and HSA Plan Members  Consumer focused approach to MRI  First provider in country to offer MRIs for an all-inclusive fee of $600 or less without sacrificing quality  State-of-the art GE technology  Expertly trained clinical staff  All scans read by subspecialized radiologists from the Cleveland Clinic  Evening & weekend appointments – online scheduling  BCBS In-network provider  Illinois locations: Schaumburg, Glenview, Skokie, Chicago, Lombard, Bolingbrook, Oswego, Vernon Hills  District 300 will contribute $100 to your HSA, HRA or FSA account for every Smart Choice MRI

  11. 2019 19 B BENEF EFIT G T GUIDE DE Please refer to your Benefit Guide that is provided to all employees for information on all these important benefits • Medical (BCBSIL), Dental (DELTA) and Vision (VSP) • Blue Access for Members • BCBSIL Well on Target program • Telemedicine provided by 1800MD • MRI services provided by Smart Choice MRI • Employee Assistance (Perspectives) • Flexible Spending Accounts (Horace Mann) • Life –Basic and Voluntary provided by Voya • Carrier Contact information

  12. Where d do I I access the 2019 Benefit Guide • Log into D300.org website • D300>Support Services>Human Resources; Click on Benefits

  13. WELCOME D300 Retirement Plans

  14. ROUNDING OUT YOUR RETIREMENT BENEFITS Teacher Retirement System (TRS) Tier I – Teachers and administrators first participating prior to January 1, 2011 Tier II – Teachers and administrators first participating on or after January 1, 2011 Illinois Municipal Retirement Fund (IMRF) Tier I – Support staff first participating prior to January 1, 2011 Tier II – Support staff first participating prior on or after January 1, 2011 403(b) Plan 457(b) Plan 15

  15. TAX ADVANTAGES IN A TRADITIONAL ACCOUNT • ANNUAL INCOME - RETIREMENT PLAN SAVINGS • LOWER current taxable Income = Money is contributed before taxes (pretax) from each paycheck 1. to your 403(b) account. Your taxable income is reduced by the amount you contribute. You pay 2. taxes on that money and any earnings upon withdrawal. Generally, your pre tax contributions, plus investment earnings and dividends, are subject to income taxes upon withdrawal. . 16

  16. ROTH CONTRIBUTIONS PAY TAXES NOW CONTRIBUTIONS TO A ROTH ACCOUNT ARE TAXED NOW. Withdrawals are tax-free at retirement, as long as: • You're at least 59 1/2 years old. • You've had the account for at least 5 years 17

  17. TARGET DATE FUNDS THE DESCRIPTION’S RIGHT IN THE NAME Designed for “target” retirement year • More aggressive early. • More conservative as you near retirement. Stocks Bonds Early Career Retirement Target date funds generally invest in a mix of stocks, bonds, cash equivalents, and potentially other assets, either directly or via underlying investments, and may be subject to all the risks of these assets. The investment allocations become more conservative over time: The percentage of assets allocated to stocks will decrease while the percentage allocated to bonds will increase as the target date approaches. The higher the allocation is to stocks, the greater the risk. The investment option’s principal value is never guaranteed, including at and after the target date. 18

  18. DO-IT-YOURSELF APPROACH If you prefer to select your own investments, you can. Before you do, consider the following: • Are you comfortable with investing principles, such as diversification, asset allocation, and risk? • Will you give yourself time to monitor and rebalance your portfolio? If you choose to create your own portfolio, we have investment advisor representatives who can help answer your questions. Call 888-235-0699. All investments involve risk, including loss of principal, and there is no guarantee of profits. Investors should carefully consider their objectives, risk tolerance, and time horizon before investing. There is no assurance that any investment will meet its stated objective. Please contact your financial professional if you have questions. Investment advisory services are offered through Transamerica Retirement Advisors, LLC (TRA), registered investment 19 advisor.

  19. Transameri rica M Meetings One on one meetings with Transamerica will be available soon. Information will be forthcoming.

  20. Thank You

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