Transcript What is a Health Savings Account

Annual Benefits Enrollment
and
Be Well UC Update
2016
Today’s Agenda
• 2017 Benefit Information
• Medical Plan Overview
• Voluntary Benefit Plans
• Affordable Care Act Information
• Castlight
• Be Well UC
What’s Staying the Same
(for all employees)
• Health Savings Account/HDHP Plan
• Health Savings Account Funding Amounts from
UC
• Flexible Spending Account Maximums and
Administrator
• Life Insurance, Long Term Disability and Personal
Accident Plans
• Dental plan designs and cost
• UCP/UC Health discounts
What’s changing (non AAUP)?
• PPO Plan Design
• Employee premiums for PPO and HSA/HDHP
plans
• New PPO cards issued
• Employee contributions decreasing for
Supplemental Life Insurance
• ESS has new look; is more user friendly!
What’s changing (AAUP)?
• Spousal surcharge $75
• New medical rate for Employee + SP/DP
• UC HSA contribution will be made for each year
of plan enrollment
• Supplemental LTD Plan available is annual base
pay is over $80,000
• ESS has new look; is more user friendly!
Health Savings Account/HDHP
• All covered medical and
prescription expenses go towards
the same integrated deductible
• Includes Health Savings Account
(HSA)
• Flexibility to choose your doctors,
hospitals, and other healthcare
providers
• Same network of providers as
PPO
Components of the
HSA/HDHP
• Preventive Services
covered at 100 percent
• Upfront deductible
• Coinsurance coverage up
to maximum annual outof-pocket
• Member may use Health
Savings Account to cover
the member cost-share
• Maximum out of pocket
limits expenses for year
2017 HDHP
HSA/HDHP
In-Network
Out-of-Network
Preventative Care
100%
70% after deductible
Physician/ Specialist
90% after deductible
70% after deductible
Urgent Care
90% after deductible
70% after deductible
Emergency Room
90% after deductible
70% after deductible
Outpatient
90% after deductible
70% after deductible
Inpatient
90% after deductible
70% after deductible
Prescription Drugs
90% after deductible
70% after deductible
Employee Only Deductible
$1,500
$3,000
Family of 2 or More Deductible
$3,000
$6,000
Annual Out of Pocket Maximum (Employee
Only)
$3,000
$6,000
Family Coverage Annual Out of Pocket (Any
coverage other than Employee Only)
What is a Health Savings Account?
A Health Savings Account, or HSA, is a tax-free account that…
• Helps you budget for health care expenses this year.
• Allows you to build savings for future expenses.
• Is available only if you are enrolled in a High Deductible Health Plan.
To be eligible for an HSA, you must meet the following criteria:
• Have a qualified consumer directed health plan
• Have no other medical coverage except what is permitted by IRS
• Not be enrolled in Medicare Part A or B (spouse can be enrolled in
Medicare)
• Not be claimed as a dependent on someone else’s tax return (other than
as a spouse)
• Not have access to dollars in a Flexible Spending Account, including
spouse’s FSA
2017 Health Savings Account
UC Funding (annual, non AAUP)
Health Savings Account Funding - Based on Annual Base Pay 1/1/17
Less than
$39,999
$40,000 $79,999
$80,000$99,999
$100,000 +
Employee
Only
$800
$550
$450
$350
EE + Children
$1600
$1100
$900
$700
EE+ Sp/DP
EE+ Family
$1600
$1600
$1100
$1100
$900
$900
$700
$700
Employee Only 2017 HSA max: $3450
Employee + or More 2017 HSA max: $6750
(includes UC contributions)
PPO Traditional Plan
•Pay copay at time of service
Additionally:

•Flexibility to choose your

doctors, hospitals, and other
healthcare providers

•Higher “upfront” premium and
lower “pay as you go” cost

Comprehensive coverage
Caps on out-of-pocket
spending in a plan year
Lower costs when you use
in-network providers
Same network of providers
for both UC medical plans
2017 PPO
2017 PPO Plan (non AAUP)
In Network
Preventative Care
100%
Primary Care Physician
100% after $25 copay
Specialist Visit
100% after $35 copay
Urgent Care
100% after $50 copay
Emergency Room
100% after $100 copay
Test/Lab/DME
90% after deductible
Outpatient
90% after deductible
Inpatient
90% after deductible
Deductible
$200 Individual/ $400 Family
Annual Out-of-Pocket Maximum
$1200 Individual/ $2400 Family
Plan Out-of-Pocket Maximum
$7150 individual/$14,300 Family
Prescription Drugs
$15/$35/$50/25% coinsurance
Mail Order (mandatory for maintenance
medications)
$30/$70/$100/25% coinsurance
Price/quality shopping tool available to UC employees, spouses/domestic
partners and dependents age 18 and older enrolled in a UC Anthem medical plan
 Compare doctors, facilities, and medical services based on the price and
patient reviews.
 See personalized cost estimates based on your location, medical plan, and
whether or not you’ve already paid your annual deductible.
 Find Prescription Drug pricing
 Review step-by-step explanations of past medical spending so you know
how much you’ve paid and why.
 Receive helpful tips about ways to reduce your medical bills and find highquality care.
 Register at www.Anthem.com
12
Affordable Care Act Update
2016 Tax Filing!
• Benefit eligible UC employees will receive IRS Form 1095-C
• Provides IRS with information about coverage status (enrolled or
not), covered dependents and period of time covered (if applicable)
• You will use the information on the form to complete LINE 61 OF
your Federal return
• You may need to provide copies to others (e.g., spouse) depending
upon filing status
• Paper form delivered to UC employees at home address by same
deadline as W2 (IRS postmark requirement is 01/31/2017)
• Will NOT be mailed from UC
Unum Voluntary Benefit Plans
Critical Illness/Cancer coverage pays a cash benefit if diagnosed with
serious illness/condition (i.e. heart attack, stroke, coronary artery disease,
cancer.
Accident plan provides off-the-job coverage for accidental injuries, hospital
care, accidental death benefits
Wellness benefit available with both plans
Enrollment Dates: 11/1 through 11/14/2016
(your 2016 choices roll over to 2017)
Unum customer service: 866-559-6605
Annual Enrollment Resources
Annual Enrollment website (new
link)
Anthem Medical: 1-844-249-5372
Anthem Dental: 1-877-604-2156
Home Mailers
ESS Instructional aid
Sample claim scenarios
AE meetings
Claim cost estimator worksheets
Benefit Enrollment assistance
Individual Meetings (HSA/HDHP-PPO)
Benefits Elearning
Plan comparison charts
Webinars (live, recorded)
Premium Cost Information
Employee videos
BENEFITS/WELLNESS FAIRS
NOVEMBER 1
UCBA (Muntz 10:00-2:00)
NOVEMBER 4
KINGSGATE MARRIOTT (10:00-3:00)
NOVEMBER 11
UCC (Athletic Building 11-1:00)
BASIC PLAN COST ESTIMATOR - 2017
Plan Information
HSA/HDHP
PPO
- $0
Not applicable
# of Primary Care office visits times copay or average cost (HSA/HDHP)
___ x ____= $___
___ x $__ = $___
# of Specialist office visits times copay or average cost (HSA/HDHP)
___ x ____ = $___
___ x $__ = $___
# of Tier 1 Rx times copay (retail/mail order) or average cost (HSA/HDHP)
___ x ____ = $___
___ x $__/__ = $___
# of Tier 2 Rx times copay (retail/mail order) or average cost (HSA/HDHP)
___ x ____ = $___
___ x $__/__ = $___
# of Tier 3 Rx times copay (retail/mail order) or average cost (HSA/HDHP)
___ x ____ = $___
___ x $__/__ = $___
# of Tier 4 Rx times copay (retail) or average cost (HSA/HDHP)
___ x ____ = $___
___ x 25%/ $250 max =
$___
# of emergency room visits or average cost (HSA/HDHP)
___ x ____ = $___
___ x $___ = $___
$1500/$3000
$___/$___ deductible
___ x 10% = ____
____x 10% = ____
$3,000 Single
$6,000 Family
(does not include copays)
All expenses apply to
above max.
(all expenses, including copays)
Your Annual Cost of Plan (what you pay out of your paycheck).
Your cost is determined by your annual base pay. ________/mo cost x 12 = Add cost of Spouse/Domestic
partner surcharge, if applicable.
UC’s HSA Contribution (minus)
1
TOTAL MUST PAY COST (regardless of utilization of plan)
Expenses (Annual) – include yourself plus family members
Hospital, surgical, lab, X-ray, other (deductible)
Hospital, surgical, lab, X-ray, other (co-insurance)
2
TOTAL MIGHT PAY COST (based on plan utilization)
Might pay costs cannot exceed amounts to the right (out of pocket max). If higher, cap costs at this amount.
Might pay costs cannot exceed amounts to the right (out of pocket max). If higher, cap costs at this amount.
1&2
TOTAL MUST PAY and MIGHT PAY COST (1 + 2)
**Find all of your personalized 2016 claim information at xxxxx; find information about UC’s 2017 medical plans at xxxxx
$___/____
$7,150/$14,300
Employee Wellness
BWUC is a voluntary, comprehensive, incentive based
wellness program launched August 2015.
Be Well UC incentives are for those enrolled in UC’s
medical plan as the primary subscriber.
All are welcome to join programming.
Details and FAQs available at www.uc.edu/hr/bewelluc
It’s Time to Be Well
It’s Time to
Approximately 1 week after medical benefits are activated you’ll
be able to login to the portal:
www.assethealth.com/bewelluc
Complete a health screening
(with your healthcare
provider or at a live oncampus screening event) &
a health assessment
(available on the portal)
Earn a $25 Amazon gift
card for completing this
by 12/31/16!
Track your healthy habits in a
challenge, join us at Lunch &
Learn programming or other
pop-up events on all
campuses or complete an
online course and earn up to
$240 cash in Jan 2018
(the incentive is pro-rated
based on start date)
It’s Time to
Make it a habit to visit www.uc.edu/hr/bewelluc frequently to see what’s new!
Check out the monthly spotlight topic
featuring events and health education
about observances and local resources!
2016-2017
themes include:
Treat Your Teeth,
Defeat the Seat,
No Butts About It
and more!
The event calendar is updated as
programming is confirmed. From
this page you’ll find flyer downloads
as well as presentation materials in
case you missed a session!
2017 Enrollment Process
Mark your calendar!
• UC’s Annual Enrollment Period will be Nov. 1 – 30, 2016
• Action required:
• Enroll in Flexible Spending Accounts
• YOU MUST RE-ENROLL EACH YEAR
• Dependent change or Spousal Surcharge Change
ESS link: https://www.ucflex.uc.edu/irj/portal
REMEMBER TO SAVE AND SUBMIT YOUR ELECTIONS!
PRINT or SAVE a CONFIRMATION FORM.
Important Reminders
•
•
•
•
AE is a good opportunity to review all of your benefit plans
Designate a life insurance beneficiary
Enter your dependent(s’) SSNs into your ESS account
Benefit choices from 2016 (including your HSA contribution)
will rollover to 2017; EXCEPT FSA
Visit our websites:
Annual Enrollment:
UC Benefits: xxxx
http://www.uc.edu/hr/benefits/annual-enrollment.html
Tobacco Free UC
• As of May 1, 2017, UC will go tobacco free
• The policy, as approved by the board, will apply to
all students, faculty, staff and visitors
• The rule also applies to all campus owned or leased
properties
• All forms of tobacco, including e-cigarettes, are
banned from campus property