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APS Renewal Options Benefit Year: November 1, 2017 – October 31, 2018

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Presentation on theme: "APS Renewal Options Benefit Year: November 1, 2017 – October 31, 2018"— Presentation transcript:

1 APS Renewal Options Benefit Year: November 1, 2017 – October 31, 2018

2 What our are current medical plan options?
Through Kaiser Permanente, both PSE and Exempt / Excluded currently offer the following medical plans: HMO Plan PPO $100 deductible plan PPO $750 deductible plan PPO $1,500 deductible plan Qualified High Deductible Health Plan (QHDHP) with HSA option Lets take a look at some of the key benefits and current monthly rates of these plans...

3 Current Coverage Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools Medical/Rx Plans - Non-AEA Benefit Outline and Cost Summary Current Coverage Network Benefit Outline HMO PPO $100 PPO $750 PPO $1,500 QHDHP w/ HSA Carrier Kaiser Permanente Plan Type Alliance HMO (RQ ) Access PPO (RQ ) Access QHDHP HSA (RQ ) Deductible (In/Out) $200 (2x Family) $100/$200 (3x Family) $750 (2x Family) $1,500 (3x Family) $1,500/$3,000 (2x Family Agg.) OOP Max incl. Deductible (In/Out) $2,000 (2x Family) $1,000/Unlimited (3x Family) $3,000 (2x Family) $4,000 (3x Family) In: $5,100 ($6,850 Family) Out: $10,200 ($13,700 Family) Coinsurance (In/Out) 100/0% 90/70% 80/60% 80/60% Enhanced: 90/60% Office Visit $15/100% $15/100% (dw) Enhanced: $5/100% (dw) First 4 Visits: $25/100% (dw) 5+ Visits: $0/80% $20/80% Enhanced: $10/80% $0/80% Outpatient Lab/X-Ray $0/100% $0/90% First $500: $0/100% (dw) $501+: $0/80% Emergency Room $100/100% $75/90% $75/80% $100/80% Prescription Drugs $15/$30 (2x Mail) In: $15/$25/$45 (2x Mail) Out: Not Covered In: $20$45/$65 (2x Mail) Out: Not Covered After Ded.: $10$35/$70 (2x Mail) Out: Not Covered Preventive Care $0/100% (dw) $0/100% (dw); Net. Only Monthly Rates Non-AEA Employee 35 34 18 12 29 811.99 926.24 758.96 607.97 533.81 Employee + Spouse 6 5 3 7 1,490.77 1,700.54 1,393.41 1,116.20 980.05 Employee + Child(ren) 17 8 1,087.82 1,240.90 1,016.78 814.50 715.15 Employee + Spouse & Child(ren) 1 2 9 1,786.95 2,038.41 1,670.25 1,337.96 1,174.77 Total Employees 58 52 30 26

4 Current Coverage Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools Medical/Rx Plans - Non-AEA Benefit Outline and Cost Summary Current Coverage Network Benefit Outline HMO PPO $100 PPO $750 PPO $1,500 QHDHP w/ HSA Carrier Kaiser Permanente Plan Type Alliance HMO (RQ ) Access PPO (RQ ) Access QHDHP HSA (RQ ) Deductible (In/Out) $200 (2x Family) $100/$200 (3x Family) $750 (2x Family) $1,500 (3x Family) $1,500/$3,000 (2x Family Agg.) OOP Max incl. Deductible (In/Out) $2,000 (2x Family) $1,000/Unlimited (3x Family) $3,000 (2x Family) $4,000 (3x Family) In: $5,100 ($6,850 Family) Out: $10,200 ($13,700 Family) Coinsurance (In/Out) 100/0% 90/70% 80/60% 80/60% Enhanced: 90/60% Office Visit $15/100% $15/100% (dw) Enhanced: $5/100% (dw) First 4 Visits: $25/100% (dw) 5+ Visits: $0/80% $20/80% Enhanced: $10/80% $0/80% Outpatient Lab/X-Ray $0/100% $0/90% First $500: $0/100% (dw) $501+: $0/80% Emergency Room $100/100% $75/90% $75/80% $100/80% Prescription Drugs $15/$30 (2x Mail) In: $15/$25/$45 (2x Mail) Out: Not Covered In: $20$45/$65 (2x Mail) Out: Not Covered After Ded.: $10$35/$70 (2x Mail) Out: Not Covered Preventive Care $0/100% (dw) $0/100% (dw); Net. Only Monthly Rates Non-AEA Employee 35 34 18 12 29 811.99 926.24 758.96 607.97 533.81 Employee + Spouse 6 5 3 7 1,490.77 1,700.54 1,393.41 1,116.20 980.05 Employee + Child(ren) 17 8 1,087.82 1,240.90 1,016.78 814.50 715.15 Employee + Spouse & Child(ren) 1 2 9 1,786.95 2,038.41 1,670.25 1,337.96 1,174.77 Total Employees 58 52 30 26

5 Current Coverage Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools Medical/Rx Plans - Non-AEA Benefit Outline and Cost Summary Current Coverage Network Benefit Outline HMO PPO $100 PPO $750 PPO $1,500 QHDHP w/ HSA Carrier Kaiser Permanente Plan Type Alliance HMO (RQ ) Access PPO (RQ ) Access QHDHP HSA (RQ ) Deductible (In/Out) $200 (2x Family) $100/$200 (3x Family) $750 (2x Family) $1,500 (3x Family) $1,500/$3,000 (2x Family Agg.) OOP Max incl. Deductible (In/Out) $2,000 (2x Family) $1,000/Unlimited (3x Family) $3,000 (2x Family) $4,000 (3x Family) In: $5,100 ($6,850 Family) Out: $10,200 ($13,700 Family) Coinsurance (In/Out) 100/0% 90/70% 80/60% 80/60% Enhanced: 90/60% Office Visit $15/100% $15/100% (dw) Enhanced: $5/100% (dw) First 4 Visits: $25/100% (dw) 5+ Visits: $0/80% $20/80% Enhanced: $10/80% $0/80% Outpatient Lab/X-Ray $0/100% $0/90% First $500: $0/100% (dw) $501+: $0/80% Emergency Room $100/100% $75/90% $75/80% $100/80% Prescription Drugs $15/$30 (2x Mail) In: $15/$25/$45 (2x Mail) Out: Not Covered In: $20$45/$65 (2x Mail) Out: Not Covered After Ded.: $10$35/$70 (2x Mail) Out: Not Covered Preventive Care $0/100% (dw) $0/100% (dw); Net. Only Monthly Rates Non-AEA Employee 35 34 18 12 29 811.99 926.24 758.96 607.97 533.81 Employee + Spouse 6 5 3 7 1,490.77 1,700.54 1,393.41 1,116.20 980.05 Employee + Child(ren) 17 8 1,087.82 1,240.90 1,016.78 814.50 715.15 Employee + Spouse & Child(ren) 1 2 9 1,786.95 2,038.41 1,670.25 1,337.96 1,174.77 Total Employees 58 52 30 26

6 Current Coverage Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools Medical/Rx Plans - Non-AEA Benefit Outline and Cost Summary Current Coverage Network Benefit Outline HMO PPO $100 PPO $750 PPO $1,500 QHDHP w/ HSA Carrier Kaiser Permanente Plan Type Alliance HMO (RQ ) Access PPO (RQ ) Access QHDHP HSA (RQ ) Deductible (In/Out) $200 (2x Family) $100/$200 (3x Family) $750 (2x Family) $1,500 (3x Family) $1,500/$3,000 (2x Family Agg.) OOP Max incl. Deductible (In/Out) $2,000 (2x Family) $1,000/Unlimited (3x Family) $3,000 (2x Family) $4,000 (3x Family) In: $5,100 ($6,850 Family) Out: $10,200 ($13,700 Family) Coinsurance (In/Out) 100/0% 90/70% 80/60% 80/60% Enhanced: 90/60% Office Visit $15/100% $15/100% (dw) Enhanced: $5/100% (dw) First 4 Visits: $25/100% (dw) 5+ Visits: $0/80% $20/80% Enhanced: $10/80% $0/80% Outpatient Lab/X-Ray $0/100% $0/90% First $500: $0/100% (dw) $501+: $0/80% Emergency Room $100/100% $75/90% $75/80% $100/80% Prescription Drugs $15/$30 (2x Mail) In: $15/$25/$45 (2x Mail) Out: Not Covered In: $20$45/$65 (2x Mail) Out: Not Covered After Ded.: $10$35/$70 (2x Mail) Out: Not Covered Preventive Care $0/100% (dw) $0/100% (dw); Net. Only Monthly Rates Non-AEA Employee 35 34 18 12 29 811.99 926.24 758.96 607.97 533.81 Employee + Spouse 6 5 3 7 1,490.77 1,700.54 1,393.41 1,116.20 980.05 Employee + Child(ren) 17 8 1,087.82 1,240.90 1,016.78 814.50 715.15 Employee + Spouse & Child(ren) 1 2 9 1,786.95 2,038.41 1,670.25 1,337.96 1,174.77 Total Employees 58 52 30 26

7 Current Coverage Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools Medical/Rx Plans - Non-AEA Benefit Outline and Cost Summary Current Coverage Network Benefit Outline HMO PPO $100 PPO $750 PPO $1,500 QHDHP w/ HSA Carrier Kaiser Permanente Plan Type Alliance HMO (RQ ) Access PPO (RQ ) Access QHDHP HSA (RQ ) Deductible (In/Out) $200 (2x Family) $100/$200 (3x Family) $750 (2x Family) $1,500 (3x Family) $1,500/$3,000 (2x Family Agg.) OOP Max incl. Deductible (In/Out) $2,000 (2x Family) $1,000/Unlimited (3x Family) $3,000 (2x Family) $4,000 (3x Family) In: $5,100 ($6,850 Family) Out: $10,200 ($13,700 Family) Coinsurance (In/Out) 100/0% 90/70% 80/60% 80/60% Enhanced: 90/60% Office Visit $15/100% $15/100% (dw) Enhanced: $5/100% (dw) First 4 Visits: $25/100% (dw) 5+ Visits: $0/80% $20/80% Enhanced: $10/80% $0/80% Outpatient Lab/X-Ray $0/100% $0/90% First $500: $0/100% (dw) $501+: $0/80% Emergency Room $100/100% $75/90% $75/80% $100/80% Prescription Drugs $15/$30 (2x Mail) In: $15/$25/$45 (2x Mail) Out: Not Covered In: $20$45/$65 (2x Mail) Out: Not Covered After Ded.: $10$35/$70 (2x Mail) Out: Not Covered Preventive Care $0/100% (dw) $0/100% (dw); Net. Only Monthly Rates Non-AEA Employee 35 34 18 12 29 811.99 926.24 758.96 607.97 533.81 Employee + Spouse 6 5 3 7 1,490.77 1,700.54 1,393.41 1,116.20 980.05 Employee + Child(ren) 17 8 1,087.82 1,240.90 1,016.78 814.50 715.15 Employee + Spouse & Child(ren) 1 2 9 1,786.95 2,038.41 1,670.25 1,337.96 1,174.77 Total Employees 58 52 30 26

8 Current Coverage Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools Medical/Rx Plans - Non-AEA Benefit Outline and Cost Summary Current Coverage Network Benefit Outline HMO PPO $100 PPO $750 PPO $1,500 QHDHP w/ HSA Carrier Kaiser Permanente Plan Type Alliance HMO (RQ ) Access PPO (RQ ) Access QHDHP HSA (RQ ) Deductible (In/Out) $200 (2x Family) $100/$200 (3x Family) $750 (2x Family) $1,500 (3x Family) $1,500/$3,000 (2x Family Agg.) OOP Max incl. Deductible (In/Out) $2,000 (2x Family) $1,000/Unlimited (3x Family) $3,000 (2x Family) $4,000 (3x Family) In: $5,100 ($6,850 Family) Out: $10,200 ($13,700 Family) Coinsurance (In/Out) 100/0% 90/70% 80/60% 80/60% Enhanced: 90/60% Office Visit $15/100% $15/100% (dw) Enhanced: $5/100% (dw) First 4 Visits: $25/100% (dw) 5+ Visits: $0/80% $20/80% Enhanced: $10/80% $0/80% Outpatient Lab/X-Ray $0/100% $0/90% First $500: $0/100% (dw) $501+: $0/80% Emergency Room $100/100% $75/90% $75/80% $100/80% Prescription Drugs $15/$30 (2x Mail) In: $15/$25/$45 (2x Mail) Out: Not Covered In: $20$45/$65 (2x Mail) Out: Not Covered After Ded.: $10$35/$70 (2x Mail) Out: Not Covered Preventive Care $0/100% (dw) $0/100% (dw); Net. Only Monthly Rates Non-AEA Employee 35 34 18 12 29 811.99 926.24 758.96 607.97 533.81 Employee + Spouse 6 5 3 7 1,490.77 1,700.54 1,393.41 1,116.20 980.05 Employee + Child(ren) 17 8 1,087.82 1,240.90 1,016.78 814.50 715.15 Employee + Spouse & Child(ren) 1 2 9 1,786.95 2,038.41 1,670.25 1,337.96 1,174.77 Total Employees 58 52 30 26

9 2017-2018 Medical Renewal Plan Options Arlington Public Schools (Non-AEA)
The Benefit Committee has thoroughly reviewed the current plans and is presenting two medical plan renewal options for the year: Renew with Kaiser Permanente “as-is.” Return to WEA (Aetna and UHC) plans and offer only a Kaiser HMO plan. 1 2

10 Renewal Choice 1 This option would renew our current medical plans “as-is.” The 2017 renewal increase for each plan is as follows: HMO Plan PPO $100 deductible plan PPO $750 deductible plan PPO $1,500 deductible plan QHDHP with HSA option Lets review the increase in monthly premiums for employees and their dependents with this option... 15.3% 18.0% Overall increase of 17.2% 18.0% 18.0% 17.7%

11 Renewal Choice 1 Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools Medical/Rx Plans - Non-AEA Benefit Outline and Cost Summary Renewal Choice 1 Network Benefit Outline HMO PPO $100 PPO $750 PPO $1,500 QHDHP w/ HSA Carrier Kaiser Permanente Plan Type Core HMO (RQ ) Access PPO Access QHDHP HSA Deductible (In/Out) $200 (2x Family) $100/$200 (3x Family) $750 (2x Family) $1,500 (3x Family) $1,500/$3,000 (2x Family Agg.) OOP Max incl. Deductible (In/Out) $2,000 (2x Family) $1,000/Unlimited (3x Family) $3,000 (2x Family) $4,000 (3x Family) In: $5,100/$7,150 (Family) Out: $10,200/$14,300 (Family) Coinsurance (In/Out) 100/0% 90/70% 80/60% 80/60% Enhanced: 90/60% Office Visit $15/100% $15/100% (dw) First 4 Visits: $25/100% (dw) 5+ Visits: $0/80% $20/80% Enhanced: $10/80% $0/80% Outpatient Lab/X-Ray $0/100% $0/90% First $500: $0/100% (dw) $501+: $0/80% Emergency Room $100/100% $75/90% $75/80% $100/80% Prescription Drugs $15/$30 (2x Mail) In: $15/$25/$45 (2x Mail) Out: Not Covered In: $20$45/$65 (2x Mail) Out: Not Covered After Ded.: $10$35/$70 (2x Mail) Out: Not Covered Preventive Care $0/100% (dw) $0/100% (dw); Net. Only Monthly Rates Non-AEA Employee 35 34 18 12 29 936.37 1,092.54 895.26 717.21 628.26 Employee + Spouse 6 5 3 7 1,719.13 2,005.87 1,643.66 1,316.78 1,153.46 Employee + Child(ren) 17 8 1,254.46 1,463.70 1,199.39 960.86 841.69 Employee + Spouse & Child(ren) 1 2 9 2,060.69 2,404.40 1,970.22 1,578.39 1,382.63 Total Employees 58 52 30 26

12 Renewal Choice 2 This option replaces Kaiser Permanente plans with WEA (Aetna and UHC) plans aside from a Kaiser HMO plan. Key Considerations: The WEA Select Plans through United Healthcare (UHC) and Aetna have been released. The WEA is offering a total of twenty-eight (28) plans for the SY. The current PPO plans cannot be offered alongside the WEA plans (only the HMO) Will have access to the 10% discounted rates.

13 Renewal Choice 2 Network Benefit Outline QHDHP Basic Plan
QHDHP Basic Plan Easy Choice A Easy Choice B PPO Plan 3 PPO Plan 2 PPO Plan 5 Carrier WEA Network Deductible (Individual / Family) $1,750 / $3,500 $2,100 / $4,200 $1,250 / $3,750 $750 / $2,250 $500 / $1,500 $300 / $900 $200 / $600 Out-of-Pocket Maximum (Individual / Family) $5,000 / $10,000 $6,600 / $13,200 Med: $4,000 / $8,000 Rx: $2,500 / $5,000 Med: $3,500 / $7,000 Rx: $2,500 / $5,000 Med: $3,000 / $9,000 Rx: $2,000 / $4,000 Med: $2,000 / $6,000 Rx: $2,000 / $4,000 Med: $1,000 / $3,000 Rx: $2,000 / $4,000 Coinsurance (In/Out) 80% / 50% 70% / 50% 75% / 50% 80% / 60% 90% / 70% Primary Care Office Visit $0/80%, Ded. Applies $35/100% (dw) $25/100% (dw) $30/100% (dw) $20/100% (dw) Monthly Rates Aetna: PPO Network Employee 560.58 611.14 730.17 758.96 980.37 1,079.03 1,259.80 Employee + Spouse 1,028.24 1,125.23 1,331.79 1,388.03 1,799.55 1,980.16 2,426.82 Employee + Children 747.75 815.23 975.46 1,014.09 1,314.15 1,446.75 1,715.24 Employee + Spouse & Children 1,220.98 1,339.27 1,589.98 1,656.98 2,155.94 2,374.13 2,924.67 Aetna: High Performance Network 538.54 587.07 701.32 728.95 941.47 1,036.16 1,209.68 987.41 1,080.51 1,278.77 1,332.76 1,727.75 1,901.11 2,329.83 718.19 782.96 936.75 973.84 1,261.84 1,389.12 1,646.83 1,172.41 1,285.96 1,526.60 1,590.91 2,069.83 2,279.25 2,807.68 UnitedHealthcare: PPO Network 589.75 642.95 768.27 798.57 1,031.71 1,135.52 1,325.83 1,082.24 1,184.37 1,401.78 1,460.69 1,894.46 2,084.53 2,554.25 786.48 857.54 1,026.56 1,066.93 1,382.95 1,522.89 1,805.01 1,285.42 1,409.41 1,673.66 1,744.35 2,269.43 2,498.89 3,078.69 UnitedHealthcare: High Performance Network 532.82 580.81 693.82 721.15 931.30 1,025.00 1,196.63 976.81 1,068.94 1,264.99 1,318.10 1,709.13 1,880.68 2,304.28 710.17 774.28 926.70 963.09 1,247.98 1,374.27 1,628.71 1,159.97 1,271.81 1,510.12 1,573.85 2,047.19 2,254.30 2,777.17

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