Open Enrollment Information

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Presentation transcript:

Open Enrollment Information 2018

Medical Cost Medical plan costs are challenging and increasing. How have your costs been going? 2015 $20,935,892 2016 $20,666,478 2017 $25,079,918 (Projected) What has impacted your cost? Maternity claims are up. Emergency Room and Outpatient Claims are Up Prescription Drug Costs are Up Increase in Cancer patients along with their associated costs

Your Choices Matter You need to Seek Medical Care: For the Right Treatment At The Right Time At The Right Place Doing the right thing impacts your health and the associated cost of medical care. Participate in Wellness activities brought to you through: Macon-Bibb County Healthier-Making Better Choices

Your Choices Matter Current average claim costs: Emergency Room: $1,336 Urgent Care: $221 Doctor’s Visit: $125 Renewal Plan Modifications: Emergency Room Cost: $200 or $300 depending on your plan design. Urgent Care: $50 copay Primary Care Physician: $25 copay (on average) Live Health: $0.00 (FREE)

Plan Design Highlights In-Network Benefits HMO $500 $500 Deductible, then 80/20 split $2,500 Out of Pocket Maximum Copays: $20 PCP/$45 Specialist Rx: $10/$30/$50 ER: $200, UC: $35, Live Health: $0 POS $1,000 $1,000 Deductible, then 80/20 split $3,500 Out of Pocket Maximum $30 PCP/$60 Specialist Rx: $10/$30/$60 ER: $300, UC: $50, Live Health: $0 POS $500 $3,000 Out of Pocket Maximum $25 PCP/$50 Specialist

Rates

Wellness and Non-Tobacco Use Discounts Discounts for Non-Tobacco use will continue unchanged. Discounts for having an annual check-up will continue unchanged. See Page 8 of your guide.

Can I Still Use My Doctor? No changes in the Provider Network. But occasionally a physician will drop out of the Network. Important to check Network status before receiving care. Remember that HMO option requires use of Network providers.

Provider Search Instructions on Page 11

LiveHealth Online Page 7 of Guide

LiveHealth Online Page 7 of Guide See a Doctor 24/7 in minutes for non-emergency use. Board-certified doctors Available thru smartphone, tablet or computer with a webcam. Can order prescriptions as needed. Cost=$0 copay Pre-registering recommended for ease of use when you need a doctor.

Dental Insurance Renewing with Blue Cross No Change in Benefits BI-WEEKLY RATES: Single Employee $12.56 Employee + 1 dep $25.19 Employee + 2 or more $41.08 Dental Plan Details on Pages 19-21

Dental Benefit Review Network of preferred dentists Benefits are the same In and Out of Network But pricing is pre-negotiated with Network dentists and can save you money. No risk of “balance billing” when charged more than normal rate FIND A DENTIST: www.bcbsga.com or call the number on your ID card.

Dental Benefits Pages 19-21 of Guide Annual Benefit Maximum $1,500 Ortho lifetime benefit $1,500 Deductible: $50 per person Family Deductible: $150 Preventive Care covered at 100% and deductible doesn’t apply. Basic services covered at 80% Major services covered at 50% Orthodontia covered at 50% See Limitations and Exclusions section on page 17.

Vision Plan Details on Page 22 Vision Insurance Provided by Blue Cross No change to benefits or rates BI-WEEKLY RATES: Single Employee $2.48 Employee + Spouse $4.36 Employee + Children $4.73 Family $7.21 Vision Plan Details on Page 22

Vision Plan Benefits on Page 22 of Guide

Vision Overview In-Network Benefits Annual Exam covered after $10 Co-pay Lenses covered annually after $20 Co-pay Contacts covered annually up to $130 retail allowance. No Co-pay Choose either lenses or contacts, but both not covered. Frames covered annually up to $130 retail allowance.

Long Term Disability Page 23-24 of Guide Continuing with The Standard Insurance Company No change in benefits No change in rates, but total premium changes if your base pay changes.

Life Insurance Information Page 25 of Guide

Group Life Insurance MetLife is the Life Insurance Carrier County Provided Life Benefit for ACTIVE employees depends on hire date and former employer (City or County) County Provide Life Benefit for RETIREES depends on hire date and former employer (City or County) Supplemental life insurance is available for yourself, your spouse and/or your children under age 26.

Supplemental Life Insurance Eligible to Buy on yourself amounts up to 5 X Salary in $10,000 increments not to exceed $500,000 Rate based on your age on 1/1/18 Rates change as you get older Eligible to Buy on your spouse amounts up to $250,000 in $10,000 increments. Eligible to Buy either $10,000 or $20,000 on your children. Purchase of coverage on spouse or children requires at least minimum purchase of $10,000 on yourself.

Beneficiary Designations You can change your life insurance beneficiary at any time. Remember to keep this up to date especially when life events occur such as: Marriage Divorce Birth of a child Death of a beneficiary

Electronic Enrollment Process Sign on at www.maconbibbbenefits.com The On-Line System will be available to sign on Tuesday November 14, 2017. You will have access from your office, home computer or the 11th floor of the Macon-Bibb Human Resources Training Center The system will be Open from November 14th to November 22nd First time users must Register first by checking “Click here to register”. Answer 5 security questions designed to protect your personal information. Click on “Open Enrollment” then click on “Go to the Enrollment System”.

Wellness Gym memberships available through Kinetix and Navicent Health Cost per Month: $12.00 for Kinetix $24.40 for Navicent Flu shots today provided by Macon Occupational Medicine.

Additional Opportunities AFLAC Cancer Hospital Intensive Care Short Term Disability Accident and Critical Illness Hospital Indemnity Allstate Life Insurance

Additional Opportunities Continued Colonial Life Hospitalization Cancer Short Term Disability Accident Critical Care Principal Financial Group Transamerica Life Insurance

Additional Opportunities Continued LegalShield Legal Services Identity theft protection Liberty National Life Life Insurance Mass Mutual Financial Group - Whole Life Insurance BLUE CROSS BLUE SHIELD Medicare Supplemental Insurance They’re all here for You! Go visit with them and see what’s available.

Vendors On-site Vendors are on-site. Some of the vendors are giving away door prizes! Be sure to register for your chance to win. Make Sure you Check In with Macon-Bibb HR at front tables to be eligible for Door Prizes.