Welcome Catholic Diocese 2018 Open Enrollment Agenda Open - - PowerPoint PPT Presentation

Welcome

Catholic Diocese 2018 Open Enrollment

Agenda

• Open Enrollment
• Health Plan –Wellmark Blue Cross Blue Shield
• Health Savings Account (HSA) –
• Vision Plan
• Next Steps

How to Enroll

• Review your current benefits election
• All benefit eligible employees will complete a

benefit election form.

• Once you make benefit elections, you will not be

able to change them until the next open enrollment period unless you have a qualified change of status

2018 Medical Benefits

• Self-funded plan renewing with Wellmark Blue

Cross Blue Shield

• Preferred provider organization network

– Iowa and South Dakota: Blue Select – Nationwide: Blue Card – Find a participating provider at www.wellmark.com

• Out-of-network providers have a higher

deductible and coinsurance

Health Plan

Online Access

• My Wellmark – www.wellmark.com

– Register with your ID card – Track and organize your medical claims and expenses – Find a trusted health provider – View the Wellmark drug list – Get health news, resources and tips – Sign up to receive your health statements online

Additional Benefits

• Personal Health Assistant 24/7

– Nurse hotline – Phone number on the back of your ID card

• Blue365

– Discounts on a variety of items/services

• MyIDCare

– Monitor your credit record – Track your online activity 24/7 – Access to complete identity recovery

• Get preventive screenings

– By having an annual exam, you can help avoid a catastrophic or large claim in the future

• Share the formulary list with your provider

– Ask for a generic drug versus a brand name drug – Ask for samples/discount coupons from your doctor – Review the Wellmark drug list (Blue Rx Value Plus)

• n www.wellmark.com

– GoodRx: mobile app and internet site to assist you with price shopping for your prescriptions https://plus.google.com/+Goodrx1/posts

How Can You Become a Good Consumer?

myWellmark Care Finder

• Know cost of care

− Compare the costs of medical procedures and know what your out-of-pocket costs will be

• Know quality of care

− Members review and rate their healthcare providers

• Know where to get care

− Locate doctors and hospital

Doctors on Demand – Medical Care

• Treating minor medical conditions

– Colds, flu and sore throat – Bronchitis and sinus infections – Urinary tract infections – Skin and eye issues – Allergies – Diarrhea and vomiting – Sports injuries

• Cost

– Traditional and Bronze Plan: $10 copay – High Deductible Health Plan (HDHP): $49

• Mental and behavioral health support

– Anxiety, stress, worry – Depression, grief – Relationship issues – Smoking or alcohol cessation – Body image/eating disorder

• Cost

– Traditional Plan: $10 copay – HDHP: $65 to $110 depending on length of visit

Doctors on Demand – Mental Health

Generic Preventive Rx

• Select generic preventive prescriptions will be

paid at 100% after a $10 copay under HDHP

• Treatment for conditions like high blood

pressure, high cholesterol, diabetes, depression, cardiac and respiratory conditions

• Visit wellmark.com to review the Wellmark

drug list

– PV next to the drug name indicates the medications that are included in the benefit

• This drug list is updated periodically

Covered Services High-Deductible Health Plan (HDHP)/HSA Qualified Traditional Health Plan Bronze Health Plan Deductible – calendar year $2,500 single $5,000 family (aggregate) $1,000 single $2,500 family $2,000 single $4,000 family Coinsurance 0% 20% 50% Out of pocket – calendar year (includes deductible, coinsurance and copay) $2,500 single $5,000 family (any combination) $3,500 single $8,750 family $6,350 single $12,700 family Office visit services

• Primary care physician
• Specialist care
• Doctors on Demand

0% after deductible 0% after deductible $49- $110 $25 copay $50 copay $10 copay $50 copay 50% coinsurance $10 copay Wellness services – routine exams, women’s preventive health, colonoscopies, etc. 100% paid; deductible waived; no patient cost sharing 100% paid; deductible waived; no patient cost sharing 100% paid – deductible waived; no patient cost sharing Prescription drug coverage

• Deductible
• Generic
• Formulary
• Non-formulary
• Out-of-pocket maximum

$10 copay on Preventive RX, deductible waived All other RX 0% after deductible $100 single; $200 family $12 copay (ded waived) $35 copay $50 copay $1,000/$2,000 $100 single; $200 family $0 copay (ded waived) $25 copay $100 or $200 copay NA Employer dollars to HSA $750 single $1,500 family None None

2018 Plan Design Overview

Health Savings Account (HSA)

HSA Quiz – True or False

• 1. I’m only enrolled in Medicare Part A, so I can still

enroll in an HSA.

• False – if you are enrolled in Medicare Part A, B or

Tricare, then you cannot contribute to an HSA

• 2. My husband has a traditional plan with single

coverage through his employer, so I can still open an HSA.

• True – the IRS only prevents you, the account holder,

from having first-dollar coverage and an HSA

• 3. My husband has a medical flexible spending

account (FSA) through his employer but I don’t have an FSA through mine, so I can open and contribute to an HSA.

• False – your family unit can not participate in an FSA,

HRA and HSA

HSA Quiz – True or False

• 4. HSAs allow you to pay medical bills with tax-

free money.

• True
• Money goes into your account on a pre-tax

basis

• Withdrawals for qualified medical expenses are

tax free

• Balances in the account grow interest, tax free
• This is called the “triple tax advantage”

HSA Quiz – True or False

• 5. I can only use my HSA dollars to pay expenses

for dependents covered under my health plan.

• False – you can use your HSA dollars to pay for

yourself, your spouse and your tax-dependent children even if they are not covered under my HDHP

• 6. I can use my HSA dollars for non-medical

expenses after I turn 65 and not be subject to the 20% penalty.

• True – If you use your HSA dollars for non-eligible

expenses prior to age 65, you are subject to a 20% penalty and appropriate taxes. Once you hit age 65, you can use the HSA dollars for non-eligible expenses and only pay the appropriate taxes like an

• IRA. Eligible expenses are still tax free.

HSA Quiz – True or False

• 7. The IRS sets the annual HSA contribution limits.

In 2018, the HSA contribution for single coverage is $3,450 and family coverage is $6,900. This annual maximum includes all contributions made into the HSA, including the employer contribution.

• True – the annual maximum includes all

contributions into your HSA

• 8. Once I turn 55, I can contribute an additional

$1,000 into my HSA annually.

• True – HSA account holders can contribution a

“catch-up” contribution of $1,000 annually

Record Keeping

• Whenever you use HSA funds to pay for a

medical expense, you should keep your receipt

• You may need to demonstrate to the IRS that

HSA distributions were for qualified medical expenses

• If the IRS requests receipts for verification

purposes, failure to provide those receipts could result in having to pay a penalty

HSA Vendor

• HSA through Discovery Benefits

www.discoverybenefits.com

• Debit card and online reimbursement requests
• Cash account

– Funds default to the cash account

• Higher interest bearing account

– Automatic transfer (48-hour turnaround)

• Mutual funds

– Automatic transfer (three- to five-day turnaround)

• Address updates should be made on your DBI portal

You can set HSA to automatically transfer funds to the higher interest account or mutual funds through DBI portal

Vision Coverage

Vision Benefit

• If you elect medical coverage you will receive the

vison benefit through VSP

• Exam – 100% once every 12 months
• Glasses – 20% discount
• You will not receive a VSP ID card. You just

need to give your provide your social security number and they will be able to access your eligibility information in the VSP system.

VSP - Value Adds

• Discounts on prescriptions, telemedicine, hearing

aids and more

• TruHearing – save up to 60% on brand-name

hearing aids. Visit truhearing.com/vsp or call 877.396.7194 for additional information.

• 12 month warranty on select glasses purchased

by Premier Program providers.

• Visit VSP.com for additional information

Next Steps

What to Do Next

• All employees must complete the 2018 Benefit

Election Form.

• If you are changing any of your current elections a new

enrollment form must be completed.

• All plan descriptions and forms can be found on the

diocesan website at www.sfcatholic.org/human- resources.

• Watch the mail for your new Wellmark ID Card in

December.

Dates to Remember

Open enrollment period October 10, 2017 to October 31, 2017 Return all paperwork to your local benefit coordinator

Please Note…

• This benefit summary is intended only to provide

you with a brief overview of your benefits

• It is not a contract and should not be relied upon

to fully determine your coverage

• Refer to your summary plan description for an

exact description of the services/supplies that are covered, exclusions and other conditions

• f coverage

Questions? Thank you!