1. Open Enrollment and Wellness Update

2. Learning Objectives Learn about how open enrollment impacts you
New rates / Compare Plans
Flexible Spending Account (FSA) reminders

3. Learning Objectives
Learn how to get paid for making smart health choices
Wellness Plan – join anytime!
Surgery Decision Support
Gym Reimbursement (PPO Plan)
Expand on Wellness for the benefit of the HRO audience

4. Open Enrollment New Rates / Compare Plans
Health plan rate increases vary
PPO individual rate increasing about 8%, and
RF contribution rate unchanged at 85% single and 70% dependent share.
NO CHANGE in Dental rates

5. Open Enrollment
New Rates / Compare Plans
Read details in the Benefits Bulletin, which you should receive this week.
Or, online by November 1st, 2016

6. www.rfsuny.org/benefits, select “Benefits Publications” in Quick Links

7. What changes can I make? Medical, Dental and Vision Coverage
Add or remove dependents
Enroll in, or waive coverage
Change health plans
Life insurance
Update beneficiary
Enroll in Flexible Spending Accounts
Required every year – no rollovers
Maximum for health care spending is $2550
Maximum for dependent care spending is $5000 (depending on tax filing status)

8. Who is ConsumerMedical?
Consumer Medical provides comprehensive, current, objective, and personalized information on ANY diagnosis or medical topic. Information that can help you and your family, with your doctor, make some of the most important decisions of your life. And if you need a second opinion, Consumer Medical can also identify top physician experts for any diagnosis anywhere in the U.S. As a Research Foundation employee, you are eligible to sign up for access to Consumer Medical.

9. ConsumerMedical for Research Foundation Employees
October 25, 2016

10. About ConsumerMedical
Founded in 1996 by David Hines, current CEO
Mission statement:
“To engage, educate, and empower consumers by supporting optimal healthcare decisions with compassion and excellence.”
Goals of our Service:
Create an active participant
Increase medical literacy
Improve quality of care
Be a source of support
We are a pioneer in treatment decision support programs offering trusted clinical expertise and personalized research, expert opinion, and advocacy support to help empower individuals to make educated decisions about their health and healthcare. 13
Proprietary and Confidential. Not to be distributed or reproduced without permission.

11. Your GPS for Healthcare™
ConsumerMedical helps you get the best care by guiding you through the five most important questions in healthcare:

12. Your GPS for Healthcare™
What do I have?
Help confirming the diagnosis you’ve been given is correct.
What do I need?
Help understanding your treatment options and confirming that the one being recommended is the best one.
Where do I go?
Help getting to the leading doctors and hospitals for your care.
What does it cost?
Help learning how to shop for your care so you get the best quality and price, and save money.
How do I connect?
Help building a strong support network with your family, friends, and other patients through local and online communities.©
© 2016 ConsumerMedical

13. ConsumerMedical Service
Up-to-Date, Personalized Research
Available Treatment Options
Best Doctors and Hospitals
Second Opinion
Support and Coping Resources
Surgery Decision Support
Prevention and Wellness Materials

14. Your Guided Patient Support Team
Decision Support Specialist
Primary contact; provides dedicated ongoing coaching and support
Researcher
Curates customized, evidence- based research and information
Personal preferences considered
Physician
Reviews all cases and research content
Participates in patient/family conference calls
Develops custom questions to ask doctor

15. Personalized Treatment Decision Support
Our team of physician-led researchers will create a customized report for you on ANY medical diagnosis or procedure
Customized “Questions to Ask your Doctor”
Help finding a specialist
Guiding participants through their healthcare journey — one decision at a time
Combining trusted clinical expertise with compassionate guidance to empower individuals to make educated decisions about their healthcare

16. Surgery Decision Support
A program that targets the following non-emergent, elective surgical procedures where two or more medically acceptable options exist and where Research Foundation employees have legitimate choices among treatment options.
Low back surgery
Hysterectomy
Knee replacement
Hip replacement
Weight loss surgery
Requirements for employees ($400 incentive to complete the program):
Physician has recommended surgery as treatment option
Enrolls with us at least 30 days prior to surgery
Reviews personalized materials we provide to them and then engage with our physician-led support teams
Completes a telephonic survey
Did You Know?
1 out of every 4 surgeries
is unnecessary*
*ConsumerMedical: , Independently verified at claims level.

17. Expert Second Opinions
A second opinion can be extremely valuable in making an informed treatment decision!
We identify top experts in your area based on:
Medical specialty
Board certification
Hospital and academic affiliations
Standing in the medical community
Office location
Languages spoken
Gender
Insurance accepted
Next available appointment

18. Participant Example AVOIDED UNNECESSARY TOTAL KNEE REPLACEMENT (TKR)
Background:
46-year-old male diagnosed with Osteoarthritis
Doctor recommended TKR
ConsumerMedical:
Physician-led team provided information on diagnosis, treatment options, surgical and nonsurgical, risks/benefits, pain management, role of lifestyle, and customized “Questions to Ask Your Doctor”
Impact:
Decided to have a least invasive procedure – hyaluronic injections
Implemented lifestyle changes – diet and exercise; reports losing weight
Made an informed decision; decided against TKR surgery
Quality of Care Improvements:
Achieved best practice, eliminated side effects of treatment, avoided an unnecessary procedure, improved wellness, quality of life, and gained peace of mind
“I needed to figure out what to do and what options I had to treat the knee. I reached out to ConsumerMedical and (they) helped me through the process.”
DB#

19. Trigger Points for Referring to ConsumerMedical
Research Foundation employees, insured dependents and retirees should call ConsumerMedical if they:
Need help with a treatment decision
Want to validate that the treatment decision they made was the right one
Experience unresolved pain/symptoms
Would benefit from surgery decision support
Need a second opinion
Are newly diagnosed and need a baseline understanding of diagnosis and treatment options

20. How to Get Started 1-888-361-3944 www.myConsumerMedical.com
Employees and dependents can call:
M-F 8:30 am – 11:00 pm ET
24/7 voic
After hour calls returned within three hours the next business day
Or visit our secure website:
Company Code: Research Foundation

21. Things to Remember
It is a completely free service for all Research Foundation employees, insured dependents and retirees
We will educate Research Foundation employees on ANY medical topic, diagnosis, or procedure
It is confidential and secure. We do not share employee information with Research Foundation or the health plan.
We are a completely independent company
We do not:
Provide medical opinions, recommendations, or give advice
Follow employees longitudinally over years
Note the $25 incentive program here
Find out more today!

22. Thank You! Questions? Sue Morrell Account Executive 781-499-5198 smorrell@consumermedical.com

23. Gym Reimbursement (PPO Plans)
Earn up to $150 per family every six months
Taxable benefit
Must make 50 visits to gym in six month period (about twice a week)
Submit reimbursement form with log printout from gym

24. New and Improved Virgin Pulse Program!
On October 4, the Research Foundation moved to a new Virgin Pulse Platform. The new website and mobile app have greater functionality and allow you to earn points faster by participating in various activities.
All HealthCash has been transferred over as PulseCash and individuals already enrolled in Virgin Pulse simply can log onto the new site using their same username and password

25. New and Improved Virgin Pulse Program!
By completing simple healthy behaviors, you can earn up to $100 in cash or gift cards each quarter — $400 for the year.

26. New and Improved Virgin Pulse Program!
To get started, visit join.virginpulse.com/rfsuny and complete the registration steps.

27. What's Your Financial IQ?
During the month of November, employees will have the opportunity to take this educational challenge to have fun and learn important information about financial planning. The more you play, the better your chance of increasing your IQ.
Employees who participate in the challenge will be entered for a chance to win one of three tablet computers. Check your on November 1 for more information on how to participate in the challenge.

28. Retirement Reminders
You can enroll in or change your election percentage for the voluntary 403B plan at any time.
403B IRS Limits 2016:
$18,000 annual contribution
Additional $6,000 if age 50 or over at the end of the calendar year.
To Enroll:

29. How to get more information?
Employee Self Service
Benefits Bulletin
and select the Regular Employees > Benefits Publications Quick Link
Conexis
Wellness program
Sign up at

30. Questions from our viewers