Wayne County Government 2020Enrollment Meeting 2 Administrator - - PowerPoint PPT Presentation

wayne county government 2020enrollment meeting
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Wayne County Government 2020Enrollment Meeting 2 Administrator - - PowerPoint PPT Presentation

1 Wayne County Government 2020Enrollment Meeting 2 Administrator Claims Questions please contact: Kerilyn Lepper, Benefit Analyst klepper@dunnbenefit.com Tammy Shaw, Claims Manager tshaw@dunnbenefit.com Nikki Malott, Flex Benefits


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SLIDE 1

Wayne County Government 2020Enrollment Meeting

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SLIDE 2

Administrator

Claims Questions please contact: Kerilyn Lepper, Benefit Analyst klepper@dunnbenefit.com Tammy Shaw, Claims Manager tshaw@dunnbenefit.com Nikki Malott, Flex Benefits nmalott@dunnbenefit.com (800) 880-9960 www.dunnbenefit.com

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SLIDE 3

Precertification

Please call Clinix prior to receiving services (see ID Card

  • r SPD for a list required services) to receive the

maximum benefit payable. (800) 227-2298 www.clinixhealthcare.com

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SLIDE 4

Eligibility – Working Spouse Rule

4 If the spouse of the Employee is employed and eligible for coverage under their

  • wn employer, benefits under this Plan will continue to be coordinated as

described in the Coordination of Benefits section of this document. The spouse’s plan will be primary on the spouse’s claims and this Plan will pay as secondary if family coverage is elected and the appropriate premium/contribution is paid. However, if the spouse elects not to take coverage that is available through his/her employment (without regard to cost), this Plan will not provide any coverage for that spouse. The Working Spouse Rule does not apply when both husband and wife are employees of this Employer. However, no person may be both an employee and a dependent of this Plan. The Working Spouse Rule applies to medical, dental and vision coverages.

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SLIDE 5

Preferred Provider Organization

(PPO)

To check the status of a provider, you can call Encore Health Network or visit their website. (888) 446-5844 www.encoreconnect.com

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SLIDE 6

Prescription Drugs

  • True Rx will administer your prescription drug program starting 1/1/20.

Information will be found on your NEW ID CARD.

  • Plan A – Traditional Plan - rx copays apply.
  • Plan B- Traditional Plan – rx copays apply.
  • Plan C – High Deductible Plan – pays 100% AFTER deductible is met.

If you have any questions or need assistance with a prescription drug, please call True Rx.

  • Member Services (866) 921-4047
  • www.truerx.com
  • RxGrp#-TRUE0891 Bin#-020958 PCN:07960000

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SLIDE 7

Benefit Summary

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SLIDE 8

Contributions

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SLIDE 9

Value Added Programs

Lab Testing

This is an optional benefit designed to save you money on

  • utpatient laboratory needs.

Plan A, B, and C 100% no deductible At preferred facilities ONLY

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Diagnostic Testing

An enhanced out-patient Diagnostic Testing benefit, including X-rays, MRI, CT and PET scans, will be available to help you save money. Plan A+B: 80% no deductible Plan C: 100% no deductible At preferred facilities ONLY

(A list of facilities will be provided)

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SLIDE 10

Value Added Programs - Telemedicine NO COST TO YOU!

 Talk to a Doctor 24/7/365 access  Avoid unnecessary ER/Urgent Care visits Avoid long waits www.swiftmd.com Online Passcode: WAYNEGVT17 10

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SLIDE 11

Voluntary Products

Voluntary Term Life

VTL Benefits are available to elect under OneAmerica. www.oneamerica.com

Dental

Dental Benefits are available to elect under Delta Dental. www.deltadentalin.com

Flexible Benefit Plan

  • FSA:
  • Health Reimbursement:

Annual Maximum $2,700

  • Rollover maximum $500
  • Dependent Care: Annual

Maximum $5,000

  • Debit Cards Available

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SLIDE 12

Dunn Online

CHECK OUT OUR NEW MEMBER PORTAL

  • Mobile Access
  • Print ID Card
  • New User-Friendly Design
  • Personal Health Record
  • Online Enrollment

www.dunnbenefit.com

BECAUSE OF DUNN ONLINE, YOU CAN NOW “ENROLL” ONLINE!

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Register Today!

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SLIDE 13

Open Enrollment

  • Dates for Open Enrollment:

starts October 21st and ends November 1st

  • Change elections for Medical/Dental/Life/Flex
  • Add or remove dependents

ONLINE ENROLLMENT DEMO

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SLIDE 14

Questions

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