Www.hooswell.com Open Enrollment September 30, 2015.

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Presentation transcript:

Open Enrollment September 30, 2015

Complete your Active Online Health Assessment by Oct. 31 to earn $240 in If you are participating in the Fall Fitness Challenge, be sure to finish tracking 52 workouts by Oct. 31 to earn an additional $240. Visit for more information.

Hoo’s Well At-A-Glance  At the Biometric screenings, employees who were identified to have exceeded critical health values were identified by nurses and referred appropriately.  Due to significant decrease in employees identified above critical values, biometric screenings will only occur every other year.

All classes are FREE for employees & spouses covered by the UVa Health Plan! >Couch to 5K Training >Swimming & Tennis >Yoga, Pilates >Cycle UVA, 15 minute fit breaks! Classes start in late August. *Visit for more information! Fall Fitness Classes

5 Hoo’s Well Lifestyle Coaching Members are engaged in FREE tailored telephonic coaching. FREE or reduced rate medications for up to 9 chronic health conditions. Exercise Stress Management Nutrition Weight Management Tobacco Cessation HealthyRx Sleep Health

Hoo’s Well At-A-Glance  Blood Pressure and Cholesterol numbers were improved with a 5% reduction in Diastolic Blood Pressure Readings  BMI and Waist Circumference had a slight increase from 2013 to 2014

Average Utilization Choice: $965 in claims per month ($11,580 per year) Value: $647 in claims per month ($7,764 per year) Basic: $458 in claims per month ($5,496 per year, inclusive of employer provided Health Savings Account funding) Employees choose from: The Basic Plan, a High Deductible Health Plan (HDHP), 5% of participants The Value Plan, a low premium plan, 28% of participants The Choice Plan, a high premium plan, 67% of participants

UVA Health Plan Cost Total cost up 6.5% to $170m, reflecting both increased enrollment and increased usage High cost claims up 6% Prescription costs up nearly 6% Paid Expenses increases include ACA taxes and fees

UVA: Total Average Health Plan costs per employee increased 4.3% vs. national average increase of 4.6% CoVA: Total Average Health Plan costs per employee increased 5.9% _____________________________ UVA: Employer cost increased by 6.1% CoVA: Employer cost increased by 2.7% _____________________________ UVA: Employee cost decreased by 3.8% due to incentives CoVA: Employee cost increased by 17.9% UVA vs. State CoVA Plan

Favorable Cost Sharing Current UVA employer share is 82%, highest of all comparison groups. The Pathfinder group is University peers and the Hewitt Health Value Initiative is 471 comparative organizations.

Open Enrollment Oct. 5 – Oct. 31, 2015 Benefits & Wellness Fair – Newcomb Hall Wednesday, October 14 th 8:30 a.m. -2 p.m. Benefits & Wellness Fair – Med. Center, DCR’s Thurs. October 15 th 7:00 a.m. - 3 p.m. Employees log in to: (Academic) KnowledgeLink, Employee Self Service (Med Center) Complete Spousal Affidavit (if applicable) Complete Financial Wellness Assessment

What Stays the Same in 2016  Wellness incentives continue to offset employee premiums by as much as $40 per month ($480 per year)  Copayments for most Health Plan services remain the same  Maximum Out-of-Pocket Costs for all UVA Health and Dental Plans remain the same in 2016  Value and Choice Health Plan incentives remain the same for UVA Primary Care and Specialist Provider Copayments:  $15 Primary Care / $30 Specialty Care visits for Choice Health  $20 Primary Care / $40 Specialty Care visits for Value Health  Aetna Vision Discount Program same for all health plan members  Davis Vision Plan remains the same

Summary of 2016 Changes  Choice Health members are moving from paying a copayment to paying deductible and coinsurance for emergency room and outpatient procedures.  Annual Deductible for Choice Health members will be the same for both UVA Provider Network and Aetna In-Network; and Cost Sharing for Inpatient Hospital, Transplant Services, Acute Care for Mental Illnesses, and Outpatient Hospital Procedures will be the same for both networks as well Choice Health Inpatient Hospital, Transplant, Acute Care Mental Health, and Skilled Nursing for both UVA Network & Aetna In-Network $400 copayment Emergency Room for both UVA Network & Aetna In-Network Deductible & 10% Outpatient Procedures for both UVA Network & Aetna In-Network Deductible & 10% Deductible = $250 Indv. / $500 Family for both UVA Network, and Aetna In-network

Summary of 2016 Changes Value Health  Value Health members will pay a deductible for services provided at both UVA facilities and Aetna In-Network facilities. Those deductibles will be the same within your plan, regardless of provider Value Health Inpatient Hospital, Transplant, and Acute Care Mental Health, are now the same for both UVA Network & Aetna In-Network Deductible & 20% Deductible = $500 Indv. / $1,000 Family for both UVA and Aetna In-network

Summary of 2016 Drug & Health Plan Benefit Changes  Prescription Drug Changes for Choice and Value Health (Catamaran)  Decrease Employee costs Tier 2 and 3 for Catamaran Mail Order Drugs  Increase Employee costs Tier 2 and 3 minimum and maximum thresholds for Retail Drugs  Increase Employee costs for Specialty Drugs (Briova and UVA Specialty Pharmacy)  Cover transgender surgery  2015 monthly $10 tobacco free reward program ends in December. Health plan members still receive support services through Hoo’s Well Tobacco Cessation programs (visit and select Tobacco Cessation).

2016 Health Plan Monthly Active Employee Premiums Coverage TierBasicValueChoice Employee$19 (same)$51 (same)$99 ( + $9 ) EE+Child(ren)$24 (same)$85 (same)$237 ( + $22 ) EE+Spouse$31 ( + $1 )$94 ( + $3 )$271 ( + $29 ) Family$59 ( + $1 )$153 ( + $3 )$476 ( + $48 )  Increase for Value Health & Basic Health, just Employee + Spouse and Family tiers, ranging from $1 - $3 per month  Increase for Choice Health, all tiers, range $9 - $48 per month  Above rates do not reflect employee Hoo’s Well rewards earned in 2016 COBRA, retiree, part-time, wage, postdoctoral fellows, housestaff, and research associate benefit rates will be published online

Dental & Vision Premiums Coverage Tier BasicEnhanced Employee$1 (same)$10 ( + $1 ) EE+Child(ren)$2 (same)$24 ( + $2 ) EE+Spouse$4 (same)$28 ( + $3 ) Family$7 (same)$48 ( + $4 )  Basic Dental premiums remain the same in 2016  Enhanced Dental, premiums increase from $1 - $4 per month Davis VisionMonthly Premiums Employee$6.29 EE+Child(ren)$11.01 EE+Spouse$11.33 Family$17.62  Davis Vision rates are the same in 2016

Open Enrollment Reminders Consider Your Choices:  Review your Health Plan coverage option:  Basic Health  Value Health  Choice Health  Sign Spousal Affidavit (if applicable)  Review your Dental Plan coverage option:  Basic Dental  Enhanced Dental  Review Davis Vision Medical pre-tax account(s):  Health Savings Account (HSA), for Basic Health members, and Limited Dental & Vision FSA  Healthcare Flex Spending (FSA), for Value or Choice Members Dependent Daycare pre-tax account:  Dependent Daycare FSA Other Topics to Review :  Annual Tax Deferrals (TDSP)  Verify accuracy of your home mailing address and phone number in self-service  Verify your Dependent(s) information (Social Security Numbers, dates of birth)