Transcript 2012 Annual Open Enrollment Information

2012 Annual Benefits Enrollment
2012 Annual Benefits Enrollment
Web for Employees
http://webemp.okstate.edu/
Available from 8:00am Saturday, October 1, until
6:00pm Monday, October 31, 2011
Review your benefit enrollments for 2012 and
make changes
Review Your Benefit Enrollments
•Health Care
•Dental
•Vision
•Life
2012 Health Care Insurance Plans
BlueOptions
BlueChoice
2012 HealthCare Premium Chart
Employee Only
OPSU
Cost
Employee/
Spouse
Employee/
Child(ren)
Family
Employee OPSU Cost Employee OPSU Cost Employee OPSU Cost Employee
Cost
Cost
Cost
Cost
BlueChoice
$ 530.34
$
0.00
$ 769.64 $ 558.36
$ 659.62
$ 301.66
$ 895.38 $ 851.76
$ 486.90
$
0.00
$ 706.60 $ 512.64
$ 605.59
$ 276.95
$ 822.04 $ 782.00
BlueOptions
Eligibility for BlueCross BlueShield
• Employee Eligibility:
6-Month Regular Appointment
at least 75% FTE
• Health Benefits:
Employee Only Coverage
Employee/Spouse Coverage
Employee/Child(ren) Coverage
Family Coverage
• Dependent Coverage:
Coverage to age 26
Prevention and Wellness
• Wellness Exams
• Immunizations
• Early Detection Exams & Testing
Bone Density, Colorectal,
Gynecological, Mammograms, PSA
• Blue Access & Personal Health Manager
Health Risk Assessment, 24/7 Nurseline
BluePoints, Health Tools & Management
BlueChoice PPO
• Preventive and Wellness at 100%
• Prescription drug coverage is the same benefit
offered with BlueOptions, top 75 drug list
• $25 office visit copay
• $500 individual/$1500 family deductible
• 80% paid by BlueCross after deductible
• Out-of-pocket maximum
BlueOptions
• Preventive and Wellness at 100%
• Same prescription coverage benefit offered as
BlueChoice, top 75 drug list
• $30 primary care office visit copay, $50 specialist
office visit copay
• $750 individual/$2250 family deductible
• 80/20 co-insurance BluePreferred Network
• 70/30 co-insurance BlueChoice Network
• Out-of-pocket maximum
BlueOptions Deductible Credit
• Complete a Health Risk Assessment (HRA) on
BlueAccess for Members
– Receive a deductible credit of $250
– Reduce your calendar year deductible to $500
• Enroll in Special Beginnings
– Receive a deductible credit of $250
– Can be combined with the HRA deductible credit
– First trimester enrollment is required
Condition Management Programs
• BlueOptions Only
• Diabetic Condition Management Program
– Receive a reduction in pharmacy cost
• Generic and name brand copays reduced to $10.00 for one
month supply
– Enrollment required to receive pharmacy benefit
• Congestive Heart Failure Condition Management
Program
– 50% reduction on generic and name brand drugs
– Enrollment required to receive pharmacy benefit
Healthy Interactions
**NEW**
• Interactive sessions for OSU/A&M’s sponsored
health and wellness programs
• Face to face small group sessions
– Facilitated by trained, licensed professionals
– Sessions in November
Prescription Drugs
Negotiated Discounts
$4.00 Top 75 Generics
$25.00 Other Generics
$50.00 Preferred
$100.00 Non Preferred
$150.00 Triessant Specialty
$200.00 Non Triessant Specialty
LESSER of 34-day supply or 200 units
Dental and Vision Insurance
• 2012 OSEEGIB Employee Benefits Option Guide is
available online at http://hr.okstate.edu
• Add dependent children until age 26
• If you cover one dependent, you must cover all
dependents unless they have other group dental or
vision coverage
• No changes to plans, minimal change in premiums
• For provider listings, sib.ok.gov
ING Supplemental Life Insurance
• No increase in premium rates
• No premium changes unless you go into the next 5year age-rated bracket
• Add $5,000 if not at maximum
• At 65, 70, & 75 coverage decreases
• OPSU also provides 2 times annual earnings
($200,000 maximum) in life insurance
• NEW! ING Travel Assistance Service
OCTOBER IS ANNUAL BENEFITS
ENROLLMENT MONTH
Web for Employees
http://webemp.okstate.edu