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 HRA Plans  Blue Cross Blue Shield  Wellness Incentive.

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Presentation on theme: " HRA Plans  Blue Cross Blue Shield  Wellness Incentive."— Presentation transcript:

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2  HRA Plans  Blue Cross Blue Shield  Wellness Incentive

3  Three plan selections, all very similar  Each plan designed with the HRA credit dollars  HRA credits reduce the deductible  Unused HRA credits carry over into the next plan year-By March 2014  Preventative care paid at 100% and does not reduce the credit dollars  Provides both in-network and out-of-network benefits  Must meet the deductible before the co- insurance will begin to pay

4 Only one carrier this year United Health and Cigna no longer the insurance provider

5  2013 Wellness-For completing the wellness pledge in 2013, members will add $240 credit dollars and spouses will add $240 credit dollars  2014 Wellness Incentive-For completing the wellness in 2014, members can earn up to $480 credit dollars and spouses can earn up to $480 credit dollars to add during 2014  No lower premiums this year, only the incentive of the credit dollars

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9 The first thing you need to do is find out how much of your current deductible you have meet this year.  CIGNA-go to mycigna.com  UHC-go to myuhc.com HRA Members  Verify how many credit dollars will roll over next year.  Mycigna.com or myuhc.com

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11  The current deductible for this example family of $4000 as of Oct 1 st has not been met.  No one individual has met their deductible  The child (who has met the most) has only met $522 of the $1600 deductible still leaving $1077 to be met before co-insurance would begin to pay  They have only met a total of $641 of the $4000 deductible  The family has $515.41 credit that will roll over for the 2014 plan year. This will add to any plan they choose.

12  Which plan offers a similar plan coverage?  Currently they have a $4000 deductible  $1500 starting out in credit dollars (wellness HRA)  The Silver Plan is the closest plan to what they currently have  $4000 deductible  Credits dollars $400 + the $515.41 roll over would be $915.41  With the wellness incentive the credit dollars would be $915.41 + $480 for a total of $1395.41  2014 Wellness Incentive-Additional $960 credit dollars for a total of $2355.41  Monthly Premiums  Currently $350.86  Silver $379.00

13  Since they didn’t meet their deductible, what if they wanted to increase the deductible to try and save on their premiums?  They could try the Bronze Plan.  This plan has a $5000 deductible, $1000 more  They would get $200 credit dollars + $515.41 rollover + the $480 incentive for a total of $1195.41  Complete the 2014 wellness incentive add $960 for a total of $2155.41 credit dollars  Monthly Premiums  Currently paying $350.86  Bronze Monthly $260.40

14  Would the Gold Plan be an option for this family?  They did not meet their deductible last year. The deductible would lower, $3000 making it only $1000 less  They would have $800 credit dollars to add to their rollover and incentive for a total of $1795.41  2014 Wellness Incentive-Additional $960 credit dollars for a total of $2755.41  However their premium would go from $350.86 to $539.84  The total deductible they meet this year was only $643.64 of the $4000. This still left $3356.36 before co-insurance would begin to pay.  Would this justify a rate increase of $188.98 per month for this family. Probably not.

15  HMO Members  No more Co-Pays  You will receive credit dollars to help meet the deductible  If you completed the wellness pledge you will receive the addition $240 per employee and spouse  2014 Wellness Incentive addition credit dollars available  HDHP Members  You will receive HRA Credit dollars to help meet the deductible  If you completed the wellness pledge you will receive the addition $240 per employee and spouse  2014 Wellness Incentive addition credit dollars available

16  Myclarkebenefits.com  Click on the Red Button  What happens if I don’t enroll?  If you currently have health insurance you will default into the BRONZE Plan.  If you don’t currently have Health Insurance, you will NOT have health insurance again in 2014  Open Enrollment Dates  October 21 through November 8

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