Transcript CIGNA’s Healthcare Leadership Program

Are You Leaving Money on the
Table?
Michele Bell - Cigna
August 22, 2012
Are you making the most of your benefits?
Understand
your plan
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Use tools and
free resources
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Save $$
Benefits are an expensive investment
Understand your plan and its provisions
Utilize on-line tools
Be aware of free resources
Ask questions
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Know your Limits!!
2012 H S A Contribution Limits
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Because HSAs offer special tax advantages, the IRS puts limits on the maximum
amount that can be contributed to the account. These are total contributions,
including any contributions you receive from Salient:
Under age 55 and not enrolled in Medicare: (based on a 12-month period)
– up to $3,100 individual coverage
– up to $6,250 family coverage
Age 55 or older:
– Maximum contribution increases by $1,000 (considered a “catch-up” contribution)
– up to $4,100 individual coverage
– up to $7,250 family coverage
To make the maximum contribution in a calendar year, individuals must:
– Meet all requirements to be eligible for HSA contributions on January 1
– Remain qualified through December 1
– If these criteria are not met, maximum contribution is prorated = 1/12 maximum
contribution for each month individual is qualified
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Plan Ahead!!
2013 H S A Contribution Limits
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Because HSAs offer special tax advantages, the IRS puts limits on the maximum
amount that can be contributed to the account. These are total contributions,
including any contributions you receive from Salient:
Under age 55 and not enrolled in Medicare: (based on a 12-month period)
– up to $3,250 individual coverage
– up to $6,450 family coverage
Age 55 or older:
– Maximum contribution increases by $1,000 (considered a “catch-up” contribution)
– up to $4,250 individual coverage
– up to $8,250 family coverage
To make the maximum contribution in a calendar year, individuals must:
– Meet all requirements to be eligible for HSA contributions on January 1
– Remain qualified through December 1
– If these criteria are not met, maximum contribution is prorated = 1/12 maximum
contribution for each month individual is qualified
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Are you Maximizing your Contributions to the Cigna Choice
Fund HSA?
Employers
Account Holders
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Payroll withholding of
Employee HSA contributions
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Unscheduled Deposits
to the HSA Account
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Employer Contributions to
Employee HSA accounts
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Transfers from other
HSA Accounts
 Monies sent to JPMorgan
Chase from the Employer
 Monies sent to JPMorgan Chase
via Mail with Transaction
Specific Deposit form
 EFT transfer from individual’s
personal account
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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What Can Money in the HSA be Used For?
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The IRS determines what is a “qualified health expense”
Qualified health expenses
– Expenses eligible under the medical plan
– Expenses incurred after the HSA account is established
– Other expenses typically covered through an FSA: Medical, pharmacy
including some over-the-counter medications*, vision and dental
– A more comprehensive list is available on myCigna.com
Use the HSA to pay for qualified health expenses for:
– Employee
– A spouse as recognized by the IRS
– Dependents as recognized by the IRS
– The HSA cannot be used for a domestic partner
Domestic Partners and Dependents who are not recognized by the IRS
– Can be covered through the HSA-qualified medical plan
– However, since HSA cannot be used for these dependents, Automatic
Claim Forwarding should NOT be elected if they are covered through
the HSA-qualified medical plan
*Purchases of most over-the-counter drugs and medicines on or after January 1, 2011, cannot be
reimbursed without a doctor’s prescription and store receipt
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Are you leaving money on the table?
We know money doesn’t grow on trees, but did you know:
•Preventive care is available in-network at 100% coverage (for children AND adults)?
•H S A funds “roll over” so they’re available when you need them – this year or next?
•You deductible and out-of-pocket expenses will be lower when you use a Cigna innetwork doctor/hospital/lab
•Many drugs are available in a generic form – which in most cases is much less
expensive than the brand alternative – your doctor can help you determine if a generic
may be right for you and/or your family
•You have FREE access to a nurse 24/7 with one simple phone call?
•You can access discounts through Healthy Rewards?
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Preventive Care is Covered at 100%
Savings Tip!
• Your health plan focuses on helping to keep you well, rather than just providing
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coverage for covered illness or injury.
Your plan includes coverage for wellness services for women, men and children.
Your doctor will determine the tests that are right for you based on your age, gender
and family history. Always discuss your preventive care needs with your doctor.
Ask you doctor to code your preventive care visits as such, not a regular office
visit
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Know Before You Go! Cost of Care Estimator
Health care professionals can generate accurate, personalized pre-care estimates of a patient’s
anticipated costs – to help facilitate financial discussions and set expectations.
Explanation of Estimate
 Generated by health care
Estimated
total cost for
treatment
professional/facility, and
specific to their services
 Based on a real-time
snapshot of the patient’s
coverage
 Illustrates “the math” and
helps educate patients
about how their coverage
influences what they can
expect to owe
Estimate of what a
patient will owe, based
on his/her plan
Estimated out-ofpocket costs
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Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2010 Cigna
Are you confirming that you’re not paying more than you
should?
Explanation of Benefits (EOB)
Quarterly Health Statement
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Available in print or online at
myCigna.com
Choose if you would like EOBs mailed to
your home, or go paperless and receive
email alerts after each claim is processed
and posted to myCigna.com
Clearly shows how and when claims were
paid, and by which plan and/or account(s)
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Available online at myCigna.com
You will be alerted by email after each
statement is posted to myCigna.com
Shows year-to-date deductibles, all
claim activity and out-of-pocket
expenses for that quarter
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Track Year-To-Date Expenses
Quarterly Health
Statement
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Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
Summarizes value of
coverage based on
cost/quality decisions
Includes year-to-date
accumulator
information, including
deductible, out-ofpocket, etc.
Design consistent with
Explanation of Estimate
and Explanation of
Benefits for easy
comparisons
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One Website to Manage Cigna Choice Fund HSA
Medical Plan and Bank Account
24/7 online health account
management
• Review personalized plan
coverage
• Check available balances
• Track claims and payments
• Get HSA bank account
information
• Manage investment
accounts via link to
JPMorgan Chase
At-A-Glance
Account Summary
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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myCigna.com Links Directly into JPMorgan Chase
At-A-Glance
Account Summary
Karen Smith
Karen Smith
Copyright © 2007 JPMorgan Chase & Co. All rights reserved.
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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“Going Green” can save you money!
• More environmentally-friendly options available for how you choose to receive
information about your Cigna Choice Fund® Health Savings Account (HSA)
• You will be prompted to review and accept the "Online Service E-Sign Disclosure and
Consent" when you log in to the secure HSA accountholder site for the first time after
March 17th, 2012
• If you accept the terms, information will be provided to you electronically
• Want to continue to receive your information on paper?? You can certainly do
that, but a paper statement fee will apply
• More information is available when you log in on-line
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Account Fees
Paper Statement Fee, if activated
$1.25 per statement
ATM Transactions
No charge, when using a JPMorgan
Chase or Washington Mutual ATM
Order of 25 Checks
$10.65 per order of 25 checks
Checks Returned
$20.00 per returned check
Check Stop Payment Service
$20.00 per stopped check
Duplicate Check
$10.00 per copy
Debit Card Transactions at Merchant
No charge, without limitation
Replace Lost or Stolen Debit Card
$15.00 per occurrence
Returned Deposit Check or EFT
$10.00 per occurrence
Foreign Currency Conversion
2.5% of purchase amount
Account Closing
$20.00 per account
Investment Account Fee
$2.50 per month
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Tax Form 1099-SA – HSA Distributions
• Reports calendar year distributions from the HSA
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ATM withdrawals
Debit card purchases
Cash advances made at bank branches
HSA checks paid
Automatic claim payments
Mailed in late January
If no distributions during the year, 1099-SA will not be sent
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Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Tax Form 5498-SA – HSA Contributions & Transfers
• Reports Fair Market Value (FMV) as of December 31 of the tax year
• Contributions can be made until April 15 of the next tax year, so the
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5498-SA is mailed in late January and again in May
Interest is not a contribution; it is included in the FMV
Incoming rollovers or trustee-to-trustee transfers
Incoming individual rollovers are reported separately on the form
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Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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What Are My HSA Savings and Investment Options?
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$2,000 minimum in HSA to invest
Once the investment account is opened, no minimum balance applies
Ten mutual funds from which to choose
Investments can be allocated into one fund or multiple funds
No minimum deposit for any fund
Tax-free growth of interest or investment earnings
Monthly fees apply
Online trading – no fees apply
Track your balance online or with convenient monthly statements
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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myCigna.com – One Stop for Great Information
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Treatment Decision Support
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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24-Hour Health Information Line
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Toll free, 24 hours a day, 7 days a week
Convenient access to registered nurses
Health and wellness audio library
Find a nearby provider any time - day or night
– General health information
– Specific health information about an illness or condition
– Location of an appropriate level of care
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Right Care – Right Place – Right Time
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Physician’s Office
Convenience Care Center
Urgent Care Facility
Emergency Room
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Convenience Care Center
Sample Treatments Available
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Allergies
Bladder infection
Bronchitis
Common Cold/Flu
Ear infections
Strep Throat
Minor burns, rashes or skin infections
Pink eye and styes
Vaccines: Influenza, Hepatitis, Polio, Meningitis, Pneumonia, etc.
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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How Do I Find A Convenience Care Clinic Near Me?
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Log on to mycigna.com
Click on “Find A Doctor Or Service”
Under “Find A Place”, Click “Specialty Center”
Then Click On:
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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More Ways to Save Money…
– Talk to your doctor about your benefits, and ask for the best care for the best
price.
• The care decisions you make with your doctor can make a big difference in your
out of pocket costs. For prescription drugs, your doctor often has more than one
drug to choose from to treat your condition or illness. Though similar in effect,
these drugs can vary greatly in terms of your out of pocket expenses. By sharing
your specific benefits, your doctor can determine whether there are any
alternatives that can get you the care you need while protecting your wallet.
– Use in-network doctors, hospitals and facilities.
• Health plans negotiate rates with certain doctors, hospitals and facilities (such as
radiology centers). When you use these “in-network” providers, you can save a
lot. When you don’t, you may have to pay higher deductibles or coinsurance.
Additionally, you may have to pay any difference between your health plan’s
maximum reimbursement amount and your doctor’s charges. It’s important to
know that the “in-network” concept doesn’t just apply to doctors. So if your doctor
recommends that you visit a specialist, or sends you for a test or a hospital visit,
you’ll want to make sure that the facility or hospital you go to is in your health
plan’s network. You can find out which doctors and facilities are in-network by
calling your health plan or checking their website.
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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And a Few More Ways to Save…
Let Your Fingers Do The Walking (or Driving)
– There may be times when you can avoid the hassle and expense of an in-person
office visit with your doctor, while still getting the support you need.
• Medication adjustments
• If you are taking prescription medications and want to switch to mail order or
generic, often providers will write and fax new prescriptions directly to your
pharmacy and/or mail order pharmacy without requiring you to spend the time,
energy and money associated with a scheduled office visit.
• Lab follow-ups
• Doctors are often willing to have a brief phone call to discuss results of common
lab tests such as a cholesterol screening. If the results are good, you may save
yourself the co-pay and time. If the results require further treatment, you can then
schedule an appointment as needed.
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Having a Baby?
Healthy Babies - First Steps to a Healthy Pregnancy
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Toll free, 24 hours a day, 7 days a week
Features educational information from the March of Dimes
Prenatal care information and resources
Depression, Stress and Dental Care during pregnancy
www.text4baby.org
Free to all Salient Cigna members
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Find Docs & Services with Cost and Quality Transparency
• Your search results are personalized according to your health
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plan.
Don’t know your doctor’s specialty? No problem. myCigna.com will
help you find the right doctor without confusing medical titles.
Too many doctors to choose from? Refine your search according
to the criteria that’s important to you.
Quality distinctions and cost-efficiency ratings of doctors with
every result
Compare out-of-pocket estimates – specific to your coverage
plan – for actual treatment and procedure costs. And, out-ofpocket estimates calculate your deductible, the percentage you
pay (coinsurance) and any account balances on that given day.
Estimates show both doctor and facility fees in one place, allowing
you to more accurately compare total costs of treatment before
choosing your doctor and where to receive care.
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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Free Resources to Consider
• Healthy Rewards
– Provides discounts on many non-covered health related services such as:
• Massage Therapy
• Health related DVDs/Videos/Books
• Discounted Magazine Subscriptions
• Weight Management and Nutrition
• Fitness Center Discounts
• Lifestyle Management Programs
– Stress Management
– Tobacco Cessation
– Weight Management
• On-line Health Assessment
• Limeade Challenges
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna
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QUESTIONS?
"Cigna", “Cigna HealthCare”, "myCigna.com" and the "Tree of Life" logo are registered service marks of Cigna
Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and
services are provided exclusively by such operating subsidiaries and not by Cigna Corporation. Such operating
subsidiaries include Connecticut General Life Insurance Company (CGLIC), Cigna Health and Life Insurance
Company (CHLIC), Tel-Drug, Inc. and its affiliates, Cigna Behavioral Health, Inc., Intracorp, and HMO or service
company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. In Arizona, HMO plans are
offered by Cigna HealthCare of Arizona, Inc. In California, HMO plans are offered by Cigna HealthCare of
California, Inc. In Connecticut, HMO plans are offered by Cigna HealthCare of Connecticut, Inc. In North
Carolina, HMO plans are offered by Cigna HealthCare of North Carolina, Inc. All other medical plans in these
states are insured or administered by CGLIC or CHLIC. All models are used for illustrative purposes only.
831925 a 08/10
© 2010 Cigna Some content provided under license.