Agenda Overview of Retiree Health Care Changes The Aon Retiree - - PowerPoint PPT Presentation

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Agenda Overview of Retiree Health Care Changes The Aon Retiree - - PowerPoint PPT Presentation

Sep 06, 2022 197 likes •568 views

Aon Retiree Health Exchange Help You Can Count On Agenda Overview of Retiree Health Care Changes The Aon Retiree Health Exchange Action Steps Learn About Medicare Timeline Aon Exchange Solutions 2 Proprietary &

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Aon Retiree Health Exchange™

Help You Can Count On

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Aon Exchange Solutions Proprietary & Confidential

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Agenda

  • Overview of Retiree Health Care Changes
  • The Aon Retiree Health Exchange
  • Action Steps
  • Learn About Medicare
  • Timeline
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Why Is RF Making This Change?

  • Decision based on thorough evaluation of the market
  • Challenges in the current plan design

‒ High cost ‒ Limited options

  • New plan design offers:

‒ More choice ‒ Greater flexibility ‒ High value

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What Is a Private Medicare Exchange?

What It Is:

  • An insurance marketplace

where you can: ‒ Compare coverage, carriers, and prices ‒ Get personalized,

  • ne-on-one support

‒ Choose the coverage option that best meets your needs

What It Is Not:

  • Associated with the public

exchanges established under the Affordable Care Act

Coverage Price Insurance carriers

Compare

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Aon Exchange Solutions Proprietary & Confidential

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Aon has served millions of employees, retirees, and their families for many years Offers broad range

  • f health plan coverage
  • ptions

Provides robust tools and services to help you learn, prepare, and enroll Recommended by the National Council on Aging (NCOA)

Introducing Aon Retiree Health Exchange

Retiree-Focused Solutions

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Aon Exchange Solutions Proprietary & Confidential

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About the Aon Retiree Health Exchange

Benefits Advisors serve you.

  • Licensed, certified, and experienced in Medicare-

related insurance

  • Not incentivized to steer you to specific health

insurance carriers and/or plans

  • Dedicated to you throughout the entire process

Benefits Advisors Help You Learn, Prepare, and Enroll

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RF-sponsored group health plan through insurance carrier Individual health insurance coverage purchased through the Aon Retiree Health Exchange

Retiring employees and dependents

When retiring, Medicare-eligible employees and Medicare-eligible dependents will enroll in health care coverage in a new way

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What do I need to do?

LEARN:

  • Learn more about and enroll in Medicare Parts A and B by

calling Social Security at 1-800-772-1213

  • Visit myhealthexchange4retirees.com/rfsuny
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What do I need to do?

PREPARE:

  • Call the Aon Retiree Health Exchange at 1-844-689-7837

to set up a phone appointment with a Benefits Advisor

  • Read the Education Kit that will be mailed to you after

setting your phone appointment

  • Gather information for your phone appointment

‒ Medicare Card ‒ Doctor’s names ‒ List of Medications

  • Set up your account on retiree.aon.com/rfsuny (optional)
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What do I need to do?

ENROLL:

  • Compare and choose the right plans for your needs with

the assistance of Benefits Advisor

  • Complete your enrollment during your phone appointment

with a Benefits Advisor or online (voice signature is required for some online enrollments)

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RF-sponsored group health plan through insurance carrier Individual health insurance coverage purchased through the Aon Retiree Health Exchange

Retiree and dependents turning age 65

Once a retiree or dependent of a retiree turns age 65, they’ll enroll in their health care coverage in a new way

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What do I need to do?

LEARN:

  • Learn more about and enroll in Medicare Parts A and B by

calling Social Security at 1-800-772-1213

  • Review the Education Kit mailed to you
  • Visit myhealthexchange4retirees.com/rfsuny
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What do I need to do?

PREPARE:

  • Confirm your phone appointment by calling the Aon

Retiree Health Exchange at 1-844-689-7837

  • Gather information for your phone appointment

‒ Medicare Card ‒ Doctor’s names ‒ List of Medications

  • Set up your account on retiree.aon.com/rfsuny (optional)
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What do I need to do?

ENROLL:

  • Compare and choose the right plans for your needs with

the assistance of Benefits Advisor

  • Complete your enrollment during your phone appointment

with a Benefits Advisor or online (voice signature is required for some online enrollments)

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Take a Closer Look at Medicare

1

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Medicare Insurance Plan Options

Part B

covers doctors and

  • utpatient visits

Part A

covers hospital stays

OR

Government-Sponsored

Also known as Part C (combines the coverage of Medicare parts A & B and may include Prescription Drug coverage plus extra benefits

Offered by Private Insurance Company Medicare Advantage Original Medicare

Also known as Medicare Supplement (helps cover Medicare-approved expenses not paid by Medicare parts A & B)

Offered by Private Insurance Company

Also known as Part D (covers medications prescribed by doctor)

Offered by Private Insurance Company

AND/OR

Medigap Prescription Drug Plan

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Medicare Parts A and B

Part B

covers doctors and

  • utpatient visits

Part A

covers hospital stays

Government-Sponsored Original Medicare

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What’s Covered

Part A covers a portion of the following services:

  • Inpatient hospital care
  • Inpatient care in a skilled

nursing facility (not custodial or long-term care)

  • Hospice care services
  • Home health care services
  • Blood

What You Pay

  • Enrollment in Medicare: Part A

is premium free for those people who have worked 10 years in their lifetime and paid into Social Security ‒ If you have not worked 10 years, there could be a monthly premium

  • Deductible: Per benefit period
  • Benefit period: Starts the day

you leave the hospital after spending a night and lasts 60 days

Medicare Part A—Inpatient Hospital Care

* 2014

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What’s Covered

  • Outpatient care:

‒ Doctor visits ‒ Outpatient hospital ‒ Blood

  • Preventive care
  • Mental health (outpatient)
  • Ambulance services
  • Laboratory services

What You Pay

  • Premium: Monthly

‒ Social Security determines the premium amount based

  • n the last two years of

taxable income

  • Deductible: Annual
  • Coinsurance:

‒ Medicare pays 80% ‒ Participant pays 20%

Medicare Part B—Outpatient Hospital and Doctor Care

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Medicare Insurance Plan Options

Part B

covers doctors and

  • utpatient visits

Part A

covers hospital stays

OR

Government-Sponsored

Also known as Part C (combines the coverage of Medicare parts A & B and may include Prescription Drug coverage plus extra benefits

Offered by Private Insurance Company Medicare Advantage Original Medicare

Also known as Medicare Supplement (helps cover Medicare-approved expenses not paid by Medicare parts A & B)

Offered by Private Insurance Company

Also known as Part D (covers medications prescribed by doctor)

Offered by Private Insurance Company

AND/OR

Medigap Prescription Drug Plan

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Medigap Plan—Medicare Supplement

Medigap plans add on to the Medicare coverage you already have:

  • Medicare remains your primary

coverage

  • The Medigap is your secondary

coverage

  • The service is Medicare-

approved

With Medigap plans, as long as the doctor/medical facility accepts Medicare patients, you can go to:

  • Any doctor
  • Any medical facility in the

country

  • Part D is not included
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Medigap Plan—Medicare Supplement

Plans are all regulated and must offer the same core plan benefits.

  • Plans come with a range of

coverage—Plans A through N

  • Plan F has highest level of

coverage—covering your deductibles and out-of-pocket expenses left over by Medicare

Prices and any “extra” features are the only differences between these plans.

  • Prices vary by company and zip

code (in New York)

  • Some plans offer benefits for

travel outside the United States

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Medicare Insurance Plan Options

Part B

covers doctors and

  • utpatient visits

Part A

covers hospital stays

OR

Government-Sponsored

Also known as Part C (combines the coverage of Medicare parts A & B and may include Prescription Drug coverage plus extra benefits

Offered by Private Insurance Company Medicare Advantage Original Medicare

Also known as Medicare Supplement (helps cover Medicare-approved expenses not paid by Medicare parts A & B)

Offered by Private Insurance Company

Also known as Part D (covers medications prescribed by doctor)

Offered by Private Insurance Company

AND/OR

Medigap Prescription Drug Plan

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Medicare Advantage Plans

Part C Features

  • Includes Medicare Parts A and B coverage

‒ Convenience of 1 card for all services

  • Most include prescription drug coverage (Part D)
  • May offer extra coverage

‒ Vision ‒ Hearing ‒ Dental ‒ Health/wellness programs

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Medicare Advantage Plans

Part C What You Pay

  • Medicare Advantage Plan premium

‒ Low to no premium

  • Copays/coinsurance and deductibles

‒ Amounts vary based upon the plan you choose

  • Out-of-pocket maximum

‒ For your financial protection

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Medicare Advantage Plans

Part C Types of Plans

  • Network-based plans

‒ HMO (Health Maintenance Organization)

  • Closed Network

‒ PPO (Preferred Provider Organization)

  • Open Network

‒ SNP (Special Needs Plan)

  • Chronic conditions

‒ Coordinated Care (in network) ‒ Nationwide coverage for emergency care

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Enrollment Periods

‒ Special Enrollment Period (SEP)

  • Age 65 or older employees (retiring) and age 65 or older

dependents

  • Coverage under the group plan is ending
  • Eligible two months before, the month of and two months after

you retire ‒ Initial Enrollment Period (IEP)

  • Turning 65
  • Eligible three months before, the month of and three months

after you turn 65 ‒ Open Enrollment Period (OEP)

  • October 15th through December 7th (annually)
  • Able to compare and change Medicare Advantage and Part D

plans

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Health Reimbursement Account

How It Works

Participant Pays health insurance premiums directly to insurance carrier Insurance Carrier Reports medical/Part D premium payments to the Aon Retiree Health Exchange

Note: For those who are eligible to receive an HRA.

Participant Pays for eligible

  • ut-of-pocket expenses,

such as copays or coinsurance, and submits reimbursement claims Participant HRA Reimburses participant for premiums and other eligible

  • ut-of-pocket expenses
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Months: Transition event Decades: Ongoing support

What We Help With

  • Access to care and prescription

drugs

  • Claim denials and incorrect

payments

  • Billing disputes
  • Authorization and referrals
  • Medicare coordination

Our Advocates

  • Pioneered service in 1999
  • 400 clients
  • 3.6 million participants
  • Advocates average 18 years of

industry experience

Advocacy Services

Access to Additional Assistance After Enrollment

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Account Activation – Retiring employees and dependents age 65 and older

  • After you scheduled your phone appointment, visit

retiree.aon.com/rfsuny

  • On the website you can:
  • Confirm your phone number and address
  • Add your prescriptions
  • Compare plans and add them to your shopping cart
  • Access the HRA link – available once plans are active
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Account Activation – Retirees and dependents turning age 65

‒ After you receive your Education Kit, visit retiree.aon.com/rfsuny ‒ On the website you can:

  • Confirm or reschedule your appointment
  • Confirm your phone number and address
  • Add your prescriptions
  • Compare plans and add them to your shopping cart
  • Access the HRA link – available once plans are active
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Timeline

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Enrollment timeline – Retiring employees and dependents Age 65 or older

  • Two months before your retirement date, call the Aon

Retiree Health Exchange to: ‒ Set up a phone appointment with a Benefits Advisor ‒ Obtain an account ID# (optional)

  • Complete your phone appointment(s) with a Benefits

Advisor

  • Enroll online or by phone prior to your retirement to avoid

a lapse in coverage

  • Receive ongoing support through the Aon Retiree Health

Exchange

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Enrollment timeline – Retiree and dependents turning age 65

  • Receive Education Kit in the mail and read through the

material (three months before Medicare begins)

  • Confirm initial phone appointment by calling the number

provided in the Education Kit, or by going online

  • Set up your account online using instructions provided in

the Education Kit (optional)

  • Complete your phone appointment(s) with a Benefits

Advisor

  • Enroll online or by phone prior to becoming Medicare-

eligible to avoid a lapse in coverage

  • Receive ongoing support through the Aon Retiree Health

Exchange

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Thank You!

After the meeting, if you have other questions, call the Aon Retiree Health Exchange at 1-844-689-7837 (TTY 711 Relay), 7 a.m. to 10 p.m. Central time, Monday through Friday myhealthexchange4retirees.com/rfsuny