2021 Open Enrollment - Roanoke College
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
2021 Open Enrollment
OCTOBER 2020
2021 Overview
•High claims year leading to overall 7% medical premium increase
•PPO 4 plan design changes and spousal carve out
•New Anthem Cards for 2021
•Possible change from MedImpact to another PBM
•Reduction in dental premiums!!
• No plan design change
•No change to vision premiums or plan design
•No change to Long Term Care premiums
•Increase to the FSA and HSA limit for 2021
1
VPCBC to US Benchmarks
VPC to Benchmarks
14
12
10
8
6
4
2
0
2017 2018 2019 2020 2021
Consortium/Spouse Carve Out VA Medical Nat'l Rx Consortium
Roanoke College to VPCBC
Roanoke College to VPCBC
40
35
30
25
20
15
10
5
0
2017 2018 2019 2020 2021
Consortium Roanoke College No Spouse Carve Out Not in VPCBC
2
Summary of Significant Changes
•Plan 4 changes in deductibles and max out of pocket expenses
PLAN 4 PPO Individual Family
Deductible Increasing from $500 to $750 Increasing from $1,000 to $1,500
Max Out of Pocket Medical Increasing from $3,000 to $3,250 Increasing from $6,000 to $6,500
Max Out of Pocket Rx Decreasing from $3,600 to $3,350 Decreasing from $7,200 to $6,700
•Spousal carve out
•These two changes reduced our rate increase from 17% to 7%
Spousal Coverage
•Effective January 1, 2021, spouses who are eligible for medical coverage through their employer
are no longer eligible for medical coverage in the Virginia Private Colleges Benefits Consortium
(VPCBC) medical plan.
•If your spouse meets the requirements to continue coverage you must complete the Spousal
Eligibility Affidavit
•What are the requirements to continue coverage? Spouse must fall into one of the following
categories:
• Your spouse is not employed or is retired
• Your spouse is employed but does not have access to affordable, minimum essential coverage
• Your spouse is employed by Roanoke College or another VPCBC school
•Loss of coverage is a ‘qualifying event’: COBRA and Life Event Letter
3Spousal Coverage (cont.)
•Spousal Eligibility Affidavit
• ALL BENEFIT ELIGIBLE employees must acknowledge this change, even if not covering a
spouse (everyone will do an affidavit)
• Will be available on FormFinder
• Affidavit must be completed before your 2021 elections will be processed and
sent to carriers
• Must provide spouses’ employer information for audit purposes
•If your spouse does not meet the requirements to continue coverage, coverage
ends at 11:59 p.m. on December 31, 2020
• Spousal provision only applies to health insurance
Anthem Medical Summary
Plan 4 – PPO Plan 9 – HMO Plan 7- HDHP PPO
Deductible $750 / $1,500 None $3,000 / $6,000
OOP Max $3,250 / $6,500 $2,500 / $5,000 $3,000 / $6,000
Preventative Visit 100% 100% 100%
PCP Co-pay $20 $25 Billed amount until deductible is met
Specialist Co-pay $40 $50 Billed amount until deductible is met
LiveHealth Online $10 $15 $49
• Look for your new Anthem cards effective January 1 for all enrolled participants
4New Benefit Features
Anthem Health Guides
• Anthem Health Guides is the concierge customer service team at Anthem trained to
help guide you through the sometimes confusing health care system. They can help
you stay on top of exams, tests, or preventive screenings, compare costs
of health care services, find in-network doctors, help you save money on Rx, and
much more.
• After January 1 when you call customer service you will automatically be connected.
Anthem’s Sydney App
• Dashboard of services; find everything all in one place; quick access to medical ID
card
Rx Summary (Plan 4 and 9)
Retail Copay Mail Order Copay
Generic $10 $10
Brand Name 30% coinsurance 30% coinsurance
$40 min to $80 max $80 min to $160 max
Non-Preferred Brand 40% coinsurance 40% coinsurance
$60 min to $120 max $120 min to $240 max
Specialty 50% coinsurance 50% coinsurance
Up to $200 up to $400
• The plan 4 RX Out-of-Pocket max are reducing.
• The OOP for RX will be $3,350 for individual and $6,700 for family.
• As announced last year, no 4th quarter prescription drug deductible carryover into 2021 (this
provision only applied to plan 4).
• Value based preventative prescription drug benefits will continued to be offered for all plans,
including Plan 7.
5Other Benefits
•Dental
• 2% premium reduction
• No changes in benefits – Low Plan and High Plan
•Vision-No changes in benefits or premiums
•Long Term Care
• To qualify for enrollment, visit genworth.com/Roanoke
• Call Toll Free 800.416.3624
•Employee Assistance Program
Spending Accounts and Life Insurance
•Flexible Spending
• 2021 Limit Increase FSA Limits 2021
• Health- $2,750 Health FSA / Limited $2,750
Purpose FSA Rollover: $550
• Rollover- $550 from 2020
Dependent Care FSA $5,000
• Dep. Care- $ 5,000 (No Change)
HSA/HDHP Limits 2021
•Health Savings Account (HSA) HSA Contribution
Maximum (Employee)
$3,600
• 2021 Limit Increase HSA Contribution $7,200
• Employee Only- $3,600 Maximum (Family)
• Family- $7,200
• Life Insurance
• Wish to add more? Enroll at a later date
6Make the Most Out of Your Benefits
•Create accounts on the vendor websites, download the apps
•Comparison shop prices for services (online tools)
•Call Anthem! Use the “Health Guides” program
•Use in-network doctors
•Examine your EOB’s
•Plan your services – avoid 4th quarter surgeries and other
expensive procedures if possible
Make the Most Out of Your Health
Benefits, con’t
•Anthem LiveHealth Online
Plan 4 Plan 9 Plan 7
LiveHealth Online $10 $15 $49
•Take advantage of preventative care benefits offered at zero cost to the participate.
• Screening test (annual colonoscopies, mammograms, type 2 diabetes screenings, blood pressure screenings)
• Immunizations (flu shot, pneumonia, shingles immunizations)
•Have diagnostic tests performed at specialty centers, instead of a hospital
• Lewis Gale Imaging on Brambleton, Insight on Franklin Road, Endoscopy Center near Kabuki
• Colonoscopy, Mammogram, X-rays, lab work
•Minimize ER utilization
• MinuteClinic – CVS walk in for ‘minor’ illness (flu, sinus infection, skin rash, pinkeye, ear infection, etc.)
• Roanoke, Hollins, Christiansburg
• Urgent Care Centers
7Make the Most Out of Your Rx Benefits
•Prescription Drug
• Value based prescription list offers many maintenance medications at zero cost to the participate
• Walgreens and CVS generally more expensive than Kroger and Wal-Mart
• Try mail-order(MedImpact Direct) over retail (Kroger, CVS)
Plan 4/Plan 9 Plan 7
Mail Order- 90 Day Supply $10 Price Varies by drug
Retail- 30 Day Supply $10 Price Varies by drug
Retail- 90 Day Supply $30 Price Varies by drug
•Sam’s Club Plus Members – Big Rx Savings
•GoodRx.com – Sometimes certain prescriptions are less expensive outside of your insurance!?!
Making the Most Out of All Your Benefits!
•HealthAdvocate
• Provide support for you and your family with a wide range of health and insurance-
related issues 24/7
• Finding the right doctor
• Clarify benefit coverage
• Help schedule appointment and second opinions
• Resolve billing and insurance claim issues
• Assist in transfer of medical records
• Explain conditions
• Help arrange eldercare services
•You can reach HealthAdvocate by phone at 866.695.8622 by email at
answers@HealthAdvocate.com or online at
www.HealthAdvocate.com/VPCBC.
810/16/2020
Open Enrollment 2021 Summary
•Open Enrollment runs from 10/26/2020 to 11/9/2020
•Even if you are making no changes – confirm your benefit elections!
•Log into WebAdvisor using your Roanoke College user ID and password.
•Follow the instructions that will come via e-mail to complete your enrollment!
• VPCBC Affidavit
•Be sure you finish on or before November 9th!
•Need Help?
• Schedule a One to One phone or Zoom call with HR
•Look for, and remember to start using your new Anthem card January 1!
Questions?
9You can also read
