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2015-16 Health Benefits
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2015-16 Benefits This presentation will include an explanation of: Benefits cost increases Medical plan design changes Medical plan comparisons Employee Monthly Medical plan costs HSA Bank Transition Existing Wellness Resources New programs Benefits Open Enrollment Who to contact
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Benefits Cost Increases 2015-2016 District Contribution Employee Contribution Plans$29,250,994$8,948,468 HSA Deposit$3,240,484___________ Total$32,491,478$8,948,468
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Medical Plan Design Changes OAP/EPO PlanCurrent2015-16 Deductible$350$500 PCP/Specialist Copay$20/$35$25/$40 Inpatient Copay$150$250 Urgent Care/Emergency Room Copay$35/$100$50/$200 Prescription deductible$100 Retail Prescription Copay$7/$15/40% to 100%$7/$25/40% to 100% Coinsurance80%/20% Out-of-pocket maximum$2350/$7050$4250/$8500
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Medical Plan Design Changes 1500 HDHP$2500 HDHP Current2015/16Current2015/16 Deductible (Individual/Family)$1500/$3000 $2500/$5000 Coinsurance (District/Employee)80%/20% 100%/0%90%/10% Out-of-pocket maximum$3000/$6000$4000/$8o00$2500/$5000$3500/$7000 District HSA Contribution$1000 $1500
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Medical Plan Comparisons ServiceCost Preventive care visits$398 1 Emergency Room visit$2600 2 Primary care visits$160 3 Specialist visits$450 12 Generic prescriptions$288 3 Name brand prescriptions $240 Total Costs for Services$4136 Meet Karen o Single, in her 50s o Heart disease; o Controlling health through medication
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Medical Plan Comparisons Type of ServiceCost of Services Used by Karen EPO/OAP Plan$1500 HDHP$2500 HDHP Employee Cost Preventive care visits$398$0 1 Emergency room visit$2600$1080$1720$2510 2 Primary care visits$160$50$32$16 3 Specialist visits$450$120$90$45 12 Generic prescriptions$288$184 $57.60$28.80 3 Brand name prescriptions$240$75$48$24 Annual Payroll Deduction$720$120 Less District HSA Contribution-$0-$1000-$1500 Total Employee Cost$4136 (Total Cost of Services) $2229$1067.60$1243.80
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HSA Bank Transition On October 24, your HSA banking will transition from JPMorgan Chase Bank to HSA Bank Replacement debit cards will be sent to your homes mid-October All balances will automatically be transferred to your new card – there are no blackout dates Begin using the new card on October 24. The Chase card will be deactivated at the same time You can still access all account information on mycigna.com If you currently have automatic claim payments with Chase Bank, you will need to re-enroll after HSA bank transition
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Existing Wellness Resources Telephonic Coaching – call 1-800-Cigna24 at anytime to work with a coach to achieve your health and wellness goals. Includes chronic condition management Weight, Tobacco, Stress management Wellness, exercise, nutrition, etc. Mycigna.com resources: Health Assessment Online Coaching – My health Assistant Apps and activities on mycigna.com Look up benefits, find a doctor/dentist, cost transparency tools, manage claims, etc.
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New Programs Healthy Pregnancies, Healthy Babies – Voluntary program for pregnant women that provides incentives for following certain guidelines. Cancer Support Program – Provides care and support for employees and families touched by cancer. Personal Health Solutions Plus – Ensures that employees and their dependents receive the most appropriate and cost effective inpatient and outpatient care. Precertification required for certain outpatient procedures and services
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Benefits Open Enrollment July 22 – August 12, 2015 All eligible employees must sign-in to confirm their elections Elections go into effect on October 1, 2015 Benefits Health Fair-July 28-Westwood High School
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Who to Contact Benefits Department -480-472-7222 (ext. 27222) Michelle Bernal Lorraine Wagner A-K L-Z benefits@mpsaz.org www.mpsaz.org/benefits www.mycigna.com
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