Open Enrollment Whats Changing? Plan Year April 1, 2018 March 31, - - PowerPoint PPT Presentation

Open Enrollment – What’s Changing?

Plan Year April 1, 2018 ‐ March 31, 2019

Same great benefits – Enhanced!

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Preferred PPO Medical Plan

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Benefits Summary In‐Network Out‐of‐Network Deductible (Individual/Family) $2,000/$4,000 $3,500/$9,750 Coinsurance 20% 40% Out‐of‐Pocket Maximum (Individual/Family—Includes all medical copays, deductibles and coinsurance) $3,500/$7,000 $7,000/$14,000 Blue Distinction Total Care PCP $0 N/A Teladoc (1‐800‐Teladoc) $5 Copay Convenient Care Clinics $10 Copay Urgent Care Center $30 Copay Physician/Specialist Office Visits 20% 40% AD* Outpatient Therapy ‐ PT, ST and OT 20% 40% AD* Independent Clinical Labs (free standing facilities and office visits) 0% ‐ Quest

20% ‐ Outpatient Setting

40% AD* Preventive Care 0% Not Covered Outpatient Diagnostic Imaging

(MRI, MRA, CAT Scan, PET Scan)

Up to $500 Copay 40% AD* Emergency Room Services $300 Copay (waived if admitted) Ambulance $250 Copay Durable Medical Equipment and Prosthetic Appliances 20% AD* 40% AD* Hospital Inpatient 20% AD* 40% AD* Mental Health & Substance Abuse Inpatient Outpatient 20% AD* 20% 40% AD* 40% AD*

* After Deductible

New!

You can now access your BCBS of Florida ID card

• n MyHealthToolkit!

Remember:

• Member ID: ICI + 12 digit

number

• National Alliance claims

administration and web portal are based in South Carolina, however, ICUBA’s contract is with BlueCross BlueShield

• f Florida!

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BCBS ID Card!

Medical Plan Premiums

Total Premium Employee Cost Employer Cost HRA Preferred PPO

(Monthly)

Employee $602

$222.74

$379.26 $125 Employee + Spouse $1,281

$474.97

$807.03 $150 Employee + Child(ren) $1,084

$401.08

$682.92 $140 Employee + Family $1,687

$624.19

$1,062.81 $175

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Total Premium Employee Cost Employer Cost HRA

(monthly)

Preferred PPO

(Biweekly)

Employee $277.85

$102.80

$175.05 $125 Employee + Spouse $591.23

$218.76

$372.48 $150 Employee + Child(ren) $500.31

$185.11

$315.20 $140 Employee + Family $778.62

$288.09

$490.53 $175

Medical Plan Premiums Change

Employee 2017/18 Employee 2018/19 Change Preferred PPO

(Monthly)

Employee $214.60 $222.74 $8.14 Employee + Spouse $456.58 $473.97 $17.39 Employee + Child(ren) $386.28 $401.08 $14.80 Employee + Family $601.25 $624.19 $22.94

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Employee 2017/18 Employee 2018/19 Change Preferred PPO

(Biweekly)

Employee $99.04 $102.80 $3.76 Employee + Spouse $210.73 $218.76 $8.03 Employee + Child(ren) $178.28 $185.11 $6.83 Employee + Family $277.50 $288.09 $10.76

BlueRewards powered by Rally 2018‐2019 Incentive Plan

$250 ICUBA Dollars

(redeemable for gift cards in Rally)

+ UNLIMITED Rally Coins & ICUBA Private Sweepstakes

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Rally 2018‐2019 Incentive Plan

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Activity Incentives Rally Survey Gatekeeper to Rally $ Biometric Screenings $25 Onsite/Campus Events $10 each (up to $50) Wellness Exams $25 Colonoscopy $50 Mammogram/PSA $50 ICUBAcares $50 TOTAL ICUBA $ $250

$250 ICUBA Dollars

(redeemable for gift cards in Rally)

Rally Coins are WORTH MORE!

Truly, UNLIMITED VALUE!

• Auctions
• Win now (“Buy it now”)
• Sweepstakes (Rally & ICUBA)
• Donations

The Coin Value is an exciting new feature for ICUBA Members beginning on April 1, 2018!

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New ‐ Rally Auctions!

Enter a Rally Auction! The great thing about bidding – If you bid on an item, but do not win, Rally will return your coins! Really want the Auction Item? Don’t take the chance of bidding on the item, try the win now feature.

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Feeling charitable? Donate your coins!

• Rally Donations give users the opportunity to donate their Rally Coins
• Charities rotate on a quarterly basis and are pre‐selected by Rally

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• Members work together with
• ther Rally users to reach

quarterly donation goals

• Once the coin threshold is

met – Rally will make a stated financial donation to the charity 1 Million Coins = $1,000 Dollar Donation

Ready to win? ICUBA is giving away $50 Amazon Gift Cards every 14 days!

Starting April 1, 2018 when you earn a City Challenge milestone, not only will you earn coins as you sync your tracking device, but you will be entered

E V E R Y S I N G L E T I M E

a m i l e s t o n e i s r e a c h e d ! No limits or restrictions and multiple entries are permitted! Private sweepstakes winners will also be featured in ICUBA’s BenefitsWise Newsletters.

ICUBA Private Sweepstakes!

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Rally City Challenge – Mission Tracking Options

• 1. GoogleFit
• 2. Apple iOS Health
• 3. Rally Mobile
• 4. Fitbit
• 5. Jawbone UP
• 6. RunKeeper
• 7. MapMyRun
• 8. Strava
• 9. Misfit
• 10. Moves
• 11. Garmin
• 12. UA Record
• 13. Nokia Health

Tracking devices as of January 2018. Tracking devices subject to change according to Rally agreements with vendors. 13

Need help? Go to helpcenter.werally.com

Health Care Reform Preventive Statin Coverage

Statins for primary prevention of cardiovascular disease

Under the Affordable Care Act (ACA), all non‐grandfathered health plans are required to provide $0 cost coverage for all evidence‐based items or services with an A or B rating from the United States Preventive Services Task Force (USPSTF), subject to reasonable medical management techniques. On Nov. 13, 2016, the USPSTF issued a B recommendation that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low‐ to moderate‐dose statin for the prevention of CVD events and mortality when all of the following criteria are met:

Age 40 to 75 years One or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension, or smoking) Calculated 10‐year risk of a cardiovascular event of 10%

• r greater. This requires

universal lipid screening.

1 2 3

AND AND

Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.

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$0

(if eligible)

ICUBAcares Pharmacist Advocate Program

Real Pharmacists ‐‐ Real Advocates ‐‐ Real Solutions

• Prescription Check‐up!
• Preferred Brand vs. Non‐Preferred tier confusion
• Prior Authorization, Step Therapy, Quantity Limits

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Member Testimonial:

ICUBAcares helped the doctors get me on the right medication. They reached out to my Primary Doctor to request he change a prescription that appeared to be causing issues with one of my other medications. Due to that I was able to get my medication under control.

Professional Counseling

Speak with a licensed clinician to manage a diagnosed behavioral health condition over the phone, televideo or in the office

Psychiatric Medication Evaluation

Medication management for diagnosed behavioral health conditions

Applied Behavioral Analysis Therapy

Behavioral health services related to Autism Spectrum Disorder (ASD) diagnosis

Intensive Services

Hospitalization Detoxification Residential treatment

Behavioral Health Program

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Health

• Breast and prostate

cancer recovery

• Heart problems
• Diabetes
• Depression
• Digestive heath
• Pain management
• Respiratory problems
• Substance abuse

Life

• Depression/anxiety
• Postpartum

depression

• Caregiver status

(child, elder, autism)

• Grief and loss
• Military transition

Condition Management

Program Details

How do I meet with my therapist and coach?

• You choose
• Meet via web‐based videoconferencing or over

the telephone What is the appointment frequency?

• Meet once a week with your therapist, to

address emotional challenges

• And meet once a week with a behavior coach, to

identify health goals and develop an action plan How long is the program?

• Eight weeks
• Sixteen sessions

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Vision Premium Change

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Employee Cost

(Monthly)

Employee Cost

(Biweekly)

Enhanced Plan Employee

$4.83 $2.23

Employee + Family

$12.36 $5.71

Monthly Dental Plan Premiums

Total Premium Employee Cost (Monthly) Employee Cost (Bi‐Weekly) HMO 250CS Dental Option Employee $11.72 $0 $0 Employee + 1 $23.50 $11.78 $5.44 Employee + Family $36.50 $24.78 $11.44 Preventive Plus Low Dental PPO Option Employee $19.48 $7.76 $3.58 Employee + 1 $45.28 $33.56 $15.49 Employee + Family $74.96 $63.24 $29.19 High Dental PPO Dental Option Employee $39.77 $28.05 $12.95 Employee + 1 $79.21 $67.49 $31.15 Employee + Family $133.21 $121.49 $56.07

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Life and Disability

During Open Enrollment, you may have the opportunity to increase your life insurance coverage.

• If Evidence of Insurability (EOI) is required you will receive a notice:
• You will receive an email from Symetra with instructions to complete the EOI

process for the coverage(s) elected during Open Enrollment.

• This EOI process must be completed and coverage approved by the insurance

carrier prior to the coverage being active.

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ACTION REQUIRED: You have selected a plan level which requires Evidence of Insurability (EOI). Please know: A representative from the insurance carrier’s medial underwriting department will reach out to you in the coming days for additional information as it relates to the EOI process. The EOI process must be completed and approved before this coverage takes effect. If and when the amount you have requested is approved, your payroll contributions will be adjusted accordingly.

Enrolling in your benefits at ICUBAbenefits.org

• During your Open Enrollment period you are free to update your benefits for the April 1, 2018‐

March 31, 2019 Plan Year

• Your OE elections will remain in effect until the next plan year, as stipulated by Section 125

Internal Revenue Code

• You may change your elections during the plan year only within 30‐days of a qualified life event

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How to get started:

• Click the Start Your Enrollment button located at the top of your home page.
• You will be asked to confirm your personal information. Once complete,

select the orange Continue button on the right panel to review your selections and complete your enrollment.

• View, Email or Print your enrollment confirmation once complete!

Enrolling in your benefits at ICUBAbenefits.org

• Open Enrollment is February 5 – February 16
• You only need to participate in open enrollment if:

– You want to continue or add a flexible spending account (FSA) (FSA amounts do not roll over from year to year); or – You want to make changes to your benefits; or – You want to add or drop dependents

• However, even if you don't meet the criteria above, it is suggested that you review your benefits

to be sure they are what you want for the new plan year.

• You should also review your beneficiaries for your life insurance plan(s). Beneficiaries can be

changed any time in the year at ICUBAbenefits.org

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Who is an eligible dependent?

• Your legally recognized spouse
• Your natural child
• Your legally adopted child
• Your stepchild
• A child required to be covered pursuant to a Qualified Medical Child Support Order

(QMCSO)

• A child with proof of legal guardianship who resides with you
• A foster child

A child is a dependent until the end of the calendar year in which the age of 26 is attained or is over 26 years of age and is no longer continuously incapable of self‐support because of a Disability.

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Open Enrollment Sweepstakes!

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1. Login at ICUBAbenefits.org and update or confirm your personal phone number and personal email address 2. Finalize the enrollment process! 3. AUTOMATICALLY ENTERED TO W I N !

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Go to rollins.edu/human‐resources/benefits ‐or‐ ICUBAbenefits.org