Completing the 2016 Year Incentive deadline to receive Conference - - PowerPoint PPT Presentation

completing the 2016 year
SMART_READER_LITE
LIVE PREVIEW

Completing the 2016 Year Incentive deadline to receive Conference - - PowerPoint PPT Presentation

2017 HEALTH CARE CHANGES CBOP DISTRICT EVENTS SEPTEMBER 2016 WPAUMC Benefits Team Kathleen Lasky & Alexis Soohy UPMC Health Plan Take a Healthy Step 2 Completing the 2016 Year Incentive deadline to receive Conference Board of


slide-1
SLIDE 1

2017 HEALTH CARE CHANGES CBOP DISTRICT EVENTS

SEPTEMBER 2016

WPAUMC Benefits Team – Kathleen Lasky & Alexis Soohy

UPMC Health Plan – Take a Healthy Step

slide-2
SLIDE 2

Completing the 2016 Year

  • Incentive deadline to receive Conference Board of Pensions

HRA/HSA funding ($500 individual/$1,000 family) is

OCTOBER 31, 2016

  • Requirements include:
  • EMPLOYEES & COVERED SPOUSES
  • MyHealth Questionnaire
  • Biometric Screening
  • EMPLOYEES ONLY
  • 300 Take a Healthy Step Points

2

slide-3
SLIDE 3

MyHealth Questionnaire

  • Employees complete or update their questionnaire
  • Spouses sign-in with their individual UPMC ID# and MyHealth Online

Account to complete their questionnaire

3

slide-4
SLIDE 4

Biometric Screening @ Quest Please Review Hand- Out for Instructions

4

Https://my.blueprintforwellness.com

slide-5
SLIDE 5

Employees only: 300 TAHS Points

5

slide-6
SLIDE 6
  • Located on Benefits

Page > Health Care > Helpful Files

  • Provider signature is not

required, please send proof of service with your form. Ex.: Bill, Explanation of Benefits (EOB), etc.

  • Same form to be used in

2017 year

Proof of Service form for eye exam, dental, etc.

6

slide-7
SLIDE 7

WPAUMC 2017 Health Insurance Changes

7

slide-8
SLIDE 8

Take a Healthy Step - 2017 CHANGES

  • Includes the option to choose either:
  • UPMC Health Plan Premium Network PPO, or
  • UPMC Health Plan Standard Network HMO (new option)
  • Both plan options have deductibles & out-of-pocket (OOP)

limits that have increased from 2016 levels

  • Both options offer Health Savings Account (Keystone

Federal UM Credit Union) or Health Reimbursement Arrangement (UPMC) OPEN ENROLLMENT: October 1 – November 30, 2016

8

slide-9
SLIDE 9

9

slide-10
SLIDE 10

Premium Network PPO Option

  • Same structure as 2016 with increased deductibles and out-
  • f-pocket maximum
  • PCP not required (but encouraged)
  • No referrals needed for specialist visits

10

slide-11
SLIDE 11

Standard Network HMO Option

  • HMO option has lower deductible, however you MUST:
  • Select your Primary Care Physician (PCP) and PCP#
  • The PCP & PCP# must be included on your enrollment application.
  • Receive referrals from your PCP to see any specialists
  • (excluding OB-GYN, mental health providers and Pediatricians)
  • Verify that your providers are in the HMO Standard Network, which

is more limited than the PPO network.

  • Accept that there is ZERO out of network Coverage. You will pay in

entirety for any services out of the HMO network unless it is deemed an absolute medical emergency.

11

slide-12
SLIDE 12

12

slide-13
SLIDE 13

upmchealthplan.com/find

13

slide-14
SLIDE 14

This provider, in Cranberry Twp., is in- network for both the PPO and HMO

  • ptions.

14

slide-15
SLIDE 15

UPMC APPLICATION

 Name  HMO or PPO  HRA or HSA

(under Healthy U)

 Open Enrollment

15

slide-16
SLIDE 16

UPMC APPLICATION

 Employee or Family  Employee info  Covered Members info  PCP #, Practice #, & already patient FOR HMO ONLY!!!!!!!  Signature

16

slide-17
SLIDE 17

Where do I find the PCP and Practice #?

17

slide-18
SLIDE 18

UPMC enrollment application notes

  • UPMC Enrollment Deadline is NOVEMBER 30, 2016.
  • If you do not send in your enrollment application by

November 30, you will default to the PPO, Health Reimbursement Arrangement, with larger network and higher deductible.

  • Our enrollment file will be sent to UPMC on December 1st,

you will not be permitted late enrollment.

  • You do not need to check Vision and/or Dental

18

slide-19
SLIDE 19

UPMC enrollment application notes

  • If you are currently on the PPO plan and wish to continue on the

PPO plan for 2017 AND you are not adding/removing family members, or changing from HSA to HRA, you can bypass the enrollment application and send us notification in writing with your election to remain on the PPO plan in 2017.

  • Email sent to Kathleen or Alexis is acceptable, you can also fax or

mail your confirmation to the Conference Center.

  • If you are enrolled in an HSA in 2016 and turned age 65 in 2016,

you must enroll in an HRA in 2017 as you are no longer eligible for an HSA.

  • HMO plan requires enrollment application.

19

slide-20
SLIDE 20

Health Savings Account

  • Not all members are eligible. Eligibility is limited to those

who:

  • Are covered under a high deductible health plan
  • Have no other insurance coverage
  • Are not enrolled in Medicare
  • Not claimed as a dependent on someone else’s tax return

20

slide-21
SLIDE 21

Health Insurance Changes: MetLife Dental

21

slide-22
SLIDE 22

REMEMBER; There is no enrollment form for your dental coverage.

22

slide-23
SLIDE 23

Full Grid available at www.wpaumc.org/benefits > 2017 Active Employees > MetLife Dental Grid

23

slide-24
SLIDE 24

Health Insurance Changes: Vision

24

The 2017 vision provider is EyeMed Vision Care, Insight Network. Before January 1, 2017, you will receive a packet with ID cards and additional information. Please note: you will be automatically enrolled in EyeMed by your Benefits Team. More information to follow.

slide-25
SLIDE 25

Vision 2017

25

slide-26
SLIDE 26

Final Thoughts…

  • Fill your prescriptions (extra months if possible) before

January 1, 2017

  • If you’ve reached your deductible in 2016, try to have any

medical procedures/exams completed before January 1, 2017

  • Be a smart healthcare consumer
  • Take advantage of the programs UPMC provides
  • Continue contributing to your HSA
  • Pay attention to Friday UPMC email tips

26

slide-27
SLIDE 27

The Good News!!

Congratulations to our 2016 Wellness Champions

  • Rev. Denton & Kathie Lester

Keep up the great work, WPA Members, by participating in UPMC wellness programs such as the Biometric

  • screening. Our health screening

numbers are improving! We have 106 members who have lowered blood pressure and/or lowered cholesterol and many who have lost weight! Lets keep the momentum going!

27

slide-28
SLIDE 28

Other Annual Conferences

Annual Conferences Charge Clergy A Specific Dollar Amount 55% A Sliding Scale Amount, based on Salary 38% A Percentage of the blended rate 7% Nothing, regardless of coverage 7 Conferences

Based on Dollar Amount

(if not zero)

Based on % of Pay Based on Blended Rate

Participant Only: $25/ month - $756/ month

2% - 7.68% 13.5% - 28%

Participant +1: $65/month - $800/ month Participant + Family: $75/month - $1,350/ month

Information from 2015 Wespath survey with 47/56 completed and returned.

28

slide-29
SLIDE 29

Questions? Please Contact Us…

  • www.wpaumc.org/benefits
  • Kathleen Lasky, Conference Benefits Officer
  • Kathleen.Lasky@wpaumc.org
  • 724-776-2300 x 274
  • Alexis Soohy, Sr. Benefits Coordinator
  • Alexis.Soohy@wpaumc.org
  • 724-776-2300 x 278
  • Finance & Benefits Fax: 724-776-4358

29

slide-30
SLIDE 30

Special thanks to the Western Pa. Conference Board of Pensions for all they do… Showing gratitude is one of the simplest yet most powerful things humans can do for each other.

  • Randy Pausch

30