Sandia 2022 Medical Plan Guide

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Sandia 2022 Medical Plan Guide
Sandia 2022
Medical Plan Guide

                     hr.sandia.gov » 505-284-4700
Sandia 2022 Medical Plan Guide
Table of Contents
Sandia Medical Plan Options........................................................................................................................................ 3
     The Health Savings Plan..............................................................................................................................................................................................4
     About the Health Savings Account (HSA).............................................................................................................................................................6
     The Total Health PPO Plan..........................................................................................................................................................................................8

Healthcare FSA: Another Way to Save for Healthcare ....................................................................................... 12
Prescription Drug Coverage........................................................................................................................................ 13
Incentives for Completing Healthy Activities = Extra Money for Your Healthcare.................................... 15
HSA, HRA, HCFSA: What’s the Difference?.............................................................................................................. 16
Additional Financial Protection..................................................................................................................................17
2022 Medical Plan Premiums..................................................................................................................................... 18
Plan Contacts.................................................................................................................................................................. 19

This guide highlights key features of Sandia’s medical and prescription drug benefits. The terms of your benefit
plans are governed by legal documents, including insurance contracts. If there are inconsistencies between
information in this guide and the legal plan documents, then the legal plan documents are the final authority.

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Sandia 2022 Medical Plan Guide
Sandia Medical Plan Options
You have two medical plans to choose from: the Health Savings Plan and the Total Health PPO
Plan. With both plans, you pay 100% of expenses for non-preventive medical care until you meet
your annual deductible, after which the plan shares costs with you. Then, once you reach the
annual out-of-pocket limit, the plan pays 100% of your eligible expenses for the rest of the year.

The plans are similar in many other ways too. They both:

  • Offer comprehensive medical and prescription drug coverage
  • Cover in-network preventive care at no cost to you
  • Cover the same services
  • Offer the same plan administrators and tiered provider network choices*
  • Offer the opportunity to earn money from Sandia to help pay for your healthcare

But only the Health Savings Plan is paired with a special savings account
that helps you cover current expenses while you save and invest for
the future.
*Kaiser Permanente is not offered to California residents who choose the Health Savings Plan.

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Sandia 2022 Medical Plan Guide
The Health Savings Plan
The Health Savings Plan comes with comprehensive medical and prescription drug coverage
PLUS a tax-favored health savings account (HSA).

How Health Savings Plan Coverage Works

          Free preventive care
     1    In-network preventive care and many generic preventive medications are free.

     2    Your annual deductible
          For non-preventive services, you need to meet the annual deductible before the plan shares costs
          with you. Be sure to note:
          • Your costs for Tier 1 and Tier 2 (in-network) services combine and accumulate toward your
            deductible. See page 11 for more details about availability of Tier 1 providers in your location.
          • A separate deductible applies for Tier 3 (out-of-network) services.
          • Your prescription drug costs count toward meeting your annual deductible. Note: This is a big
            difference between the Health Savings Plan and the Total Health PPO Plan.

           Employee-only            $1,400 for Tiers 1 and 2 combined (in-network)
           coverage                 Separate $3,000 deductible for Tier 3 (out-of-network)

           Covering yourself and    $2,800 for Tiers 1 and 2 combined (in-network)
           one or more family       Separate $6,000 deductible for Tier 3 (out-of-network)
           members
                                    Your family members’ expenses accumulate together to meet the overall
                                    family deductibles noted above. You’ll pay this full amount before plan cost
                                    sharing begins for any one family member.

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Sandia 2022 Medical Plan Guide
Plan cost sharing
      3
            After you meet your annual deductible, the plan will share the cost of your medical care and
            prescription drugs until you meet the annual out-of-pocket limit. You’ll pay the following share of
            costs for medical services. See page 13 for prescription drug cost-sharing details.
              • 10% coinsurance for Tier 1 (in-network) providers
              • 20% coinsurance for Tier 2 (in-network) providers
              • 40% coinsurance (plus any amount over the plan’s allowed charge for a service) for Tier 3
                (out-of-network) providers

     4      Your annual out-of-pocket limit
            Once you meet your annual out-of-pocket limit, the plan will pay 100% of eligible expenses for
            the rest of the calendar year. Be sure to note:

              • Your costs for Tier 1 and Tier 2 (in-network) services combine and accumulate toward your
                out-of-pocket limit.
              • A separate out-of-pocket limit applies for Tier 3 (out-of-network) services.
              • The out-of-pocket limit includes both your medical services and prescription drug costs.
              • Both the deductible and out-of-pocket limit reset at the start of each calendar year.

             Employee-only             $3,000 for Tiers 1 and 2 combined (in-network)
             coverage                  Separate $6,000 limit for Tier 3 (out-of-network)

             Covering yourself and     $8,700 for Tiers 1 and 2 combined (in-network)
             one or more family        Separate $18,000 limit for Tier 3 (out-of-network)
             members
                                       Your family members’ expenses accumulate together to meet the overall
                                       family out-of-pocket limits noted above. Once you reach the limit, the plan
                                       pays 100% of the costs for all family members.

Understanding how these features work helps you see how
your healthcare is covered. While your deductible may
be higher with this plan, your premiums are lower.
The Health Savings Plan may be even more beneficial
when you factor in its valuable savings opportunity:
the health savings account (HSA) it’s paired with.

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Sandia 2022 Medical Plan Guide
About the Health Savings
                                                                                                  Growing your HSA
Account (HSA)                                                                                     Contributing to your HSA
                                                                                                  works to your advantage
This special savings account comes with the Health Savings                                        because the more you
Plan. It’s earmarked for healthcare expenses, and you and                                         contribute, the more
                                                                                                  Sandia does too.
Sandia contribute to it with pretax* dollars.
                                                                                                  But annual limits, set by
You can use the money in your HSA — including Sandia’s contributions —                            the IRS, apply. In 2022, your
to cover current eligible healthcare expenses, like your annual deductible,                       contributions — combined
copays, coinsurance, dental and vision care expenses, many over-the-                              with Sandia’s — can’t
counter drugs, and healthcare supplies. Or you can let the balance grow.                          exceed $3,650 if you cover
The money will be there for you to use next year, in three years, and                             yourself only, or $7,300
decades from now. That’s because the HSA is yours forever, even if you                            if you cover yourself and
change plans, change jobs, leave Sandia, or retire.                                               family members. You can
                                                                                                  add an additional $1,000 if
Your entire unused balance rolls over from year to year, earning interest
                                                                                                  you’re age 55 or older.
along the way. And for even greater growth potential, you can invest part of
the balance once it reaches $1,100.                                                               As you decide how much
                                                                                                  to contribute, make sure
                                                                                                  your contributions, plus
Funding Your HSA                                                                                  Sandia’s, do not exceed the
To enroll in the Health Savings Plan, you must contribute at least $100 per                       maximum. Optum Bank’s
year to your HSA. Tip: Since you’re paying lower monthly premiums for                             Health Savings Account
the Health Savings Plan, start with that difference, and then add even                            Calculators can help you
more pretax* dollars directly from your paycheck.                                                 with the math!

In return, here’s what you’ll get from Sandia:

   Sandia HSA                   Sandia matches your contributions at 66 2/3%, which means your initial $100 minimum
   matching                     contribution earns you $66.67 from Sandia.
   contribution                 When you contribute more, you get more from Sandia, up to these annual maximums:
                                 • If you cover yourself only: To get the $600 maximum match from Sandia, contribute at
                                   least $900 a year.
                                 • If you cover yourself and family members: To get the $1,000 maximum match from
                                   Sandia, contribute at least $1,500 a year.

   Incentives for               To earn more money for your HSA, complete all your healthy activities (including your health
   completing                   assessment, a Health Action Plan, and Virgin Pulse activities). See what you can earn on page 16.
   healthy activities           The incentives you earn in the current year will go into your HSA in January the
                                following year.

*California and New Jersey treat HSA contributions as taxable income for state income purposes.

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Sandia 2022 Medical Plan Guide
Using Your HSA
Your HSA is your account, and the money in it is yours                                        Did you know?
to spend for eligible medical expenses — however and                                          According to Fidelity, the average couple retiring today
whenever you want.                                                                            will need more than $300,000 to cover their healthcare
                                                                                              expenses in retirement. That’s above and beyond
You’ll open your HSA account with Optum Bank,                                                 what they’ll need just to cover basic expenses.
and you’ll receive an HSA debit card to pay for                                               The HSA can be a valuable component in your
eligible expenses from your available HSA balance.                                            retirement savings plan. Be sure to check out
Alternatively, to build your HSA balance for future                                           Optum Bank’s many planning resources, including
expenses, you can pay out of pocket. It’s up to you.                                          this video, which explains the ins and outs of
                                                                                              investing your HSA balance.
Go to the Health Savings Account to get details about
using your HSA and to find links to Optum Bank’s
many resources, including a list of HSA-qualified
medical expenses.
                                                                                               The HSA Triple Tax Advantage
Health Savings Plan Eligibility                                                                One of the advantages of investing in the HSA is
                                                                                               that it helps you save on taxes three ways! With an
Enrollment in the Health Savings Plan requires                                                 HSA, you pay no taxes* on:
enrollment in the plan’s health savings account (HSA)
                                                                                               1. Money you and Sandia contribute
with Optum Bank. You cannot enroll in one without the
                                                                                               2. Money your HSA earns from interest
other — and to enroll in the Health Savings Plan, you
                                                                                                  and investments**
need to contribute at least $100 per year to your HSA.
                                                                                               3. Money you use from your HSA to pay for
In addition, the IRS sets several rules for who can                                               eligible healthcare expenses (see the list)
have an HSA and how you can use it. You’ll find the                                            *California and New Jersey treat HSA contributions as taxable
fine print through HR Solutions, and you can contact                                           income for state income purposes; in addition, New Hampshire
                                                                                               and Tennessee tax HSA interest and investment earnings.
Optum Bank at 866-234-8913 if you have questions
                                                                                               **Refer to Optum Bank’s website to find rules, restrictions, and
about your eligibility.                                                                        additional resources about investing.

    Using Sandia’s Onsite Employee Health Services Clinic
    With the Health Savings Plan, you can get most services free through our
    onsite Employee Health Services clinic. However, for personal healthcare,
    until you meet the Health Savings Plan’s annual deductible, you’ll pay
    the fair market cost for a service.* (Tip: You can use your HSA balance,
    including Sandia’s contributions, to pay for personal healthcare services at
    the clinic.) Examples of personal healthcare services include visits to the
    clinic for a sore throat or for physical therapy after elective knee surgery.
    Once you meet your annual deductible, you’ll have no additional cost when
    using clinic services for the rest of the year.

    Total Health PPO Plan members (and employees who waive Sandia medical
    coverage) receive all clinic-provided care at no cost.
    *To offer the Health Savings Plan and the HSA it’s paired with, Sandia has to follow IRS rules that govern plans
     with high deductibles.

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Sandia 2022 Medical Plan Guide
The Total Health PPO Plan
Sandia also offers the Total Health PPO Plan to employees.
Except for differences in plan premiums, all the plan features and benefits remain the same, including annual
deductibles and out-of-pocket limits, what you pay for care in-network and out-of-network, and your plan
administrator choices (BCBSNM and UnitedHealthcare; and for California employees, Kaiser too). Here’s a quick
summary. To review all the plan details, visit hr.sandia.gov.

How Total Health PPO Plan Coverage Works

      1      Free preventive care
             In-network preventive care is free.

      2      Your annual deductible
             For non-preventive medical services, you need to meet the annual deductible before the plan
             shares costs with you. Be sure to note:
              • Your costs for Tier 1 and Tier 2 (in-network) services combine and accumulate toward
                 your deductible. See page 11 for more details about the availability of Tier 1 providers
                 in your location.
              • A separate deductible applies for Tier 3 (out-of-network) services.
              • There is no annual deductible for prescription drugs. See page 13 more information about
                 prescription drug coverage.

               If Your Plan Administrator Offers Access to Tier 1 Providers

                                  Tiers 1 and 2 (In-Network) Combined                          Tier 3 (Out-of-Network)

              Individual          $500 — then cost sharing for Tier 1 providers begins         Separate $2,000
                                  Plus $250 — then cost sharing for Tier 2 providers begins    deductible
                                  The most you pay for your Tier 1 and Tier 2 deductibles
                                  combined is $750

              Employee +          $1,000 — then cost sharing for Tier 1 providers begins       Separate $4,000
              spouse OR           Plus $500 — then cost sharing for Tier 2 providers begins    deductible
              Employee +          The most you pay for your Tier 1 and Tier 2 deductibles
              child(ren)          combined is $1,500

              Employee +          $1,500 — then cost sharing for Tier 1 providers begins       Separate $6,000
              spouse and          Plus $750 — then cost sharing for Tier 2 providers begins    deductible
              child(ren)          The most you pay for your Tier 1 and Tier 2 deductibles
                                  combined is $2,250

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Sandia 2022 Medical Plan Guide
If Your Plan Administrator Does NOT Offer Access to Tier 1 Providers

                                    Tier 2 (In-Network)                             Tier 3 (Out-of-Network)

      Individual                    $750                                            Separate $2,000
                                                                                    deductible

      Employee + spouse OR          $1,500                                          Separate $4,000
      Employee + child(ren)                                                         deductible

      Employee + spouse and         $2,250                                          Separate $6,000
      child(ren)                                                                    deductible

    Your family members’ expenses accumulate together as you meet the deductibles noted above. But, if one
    person in the family meets the individual deductible, the plan begins to share costs for that person.

    Plan cost sharing
3
    After you meet your annual deductible, the plan will share the cost of your care until you reach
    the annual out-of-pocket limit. You’ll pay the following share for medical services; see page 13
    for prescription drug cost-sharing details.
     • 10% coinsurance for Tier 1 (in-network) providers
     • 20% coinsurance for Tier 2 (in-network) providers
     • 40% coinsurance (plus any amount over the plan’s allowed charge for a service) for Tier 3
        (out-of-network) providers

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Sandia 2022 Medical Plan Guide
Your annual out-of-pocket limit
4   Once you meet your annual out-of-pocket limit, the plan will pay 100% of eligible expenses for
    the rest of the calendar year. Be sure to note:
     • Your costs for Tier 1 and Tier 2 (in-network) services combine and accumulate toward your
       out-of-pocket limit.
     • A separate out-of-pocket limit applies for Tier 3 (out-of-network) services.
     • There is a separate out-of-pocket limit for prescription drug costs.
     • Both the deductible and out-of-pocket limit reset at the start of each calendar year.

     If Your Plan Administrator Offers Access to Tier 1 Providers — Medical
                         Tiers 1 and 2 (In-Network) Combined                            Tier 3 (Out-of-Network)

     Individual          $2,000 — then plan pays 100% for Tier 1 providers              Separate $6,500 limit
                         Plus $750 — then the plan pays 100% for Tier 2 providers
                         The most you pay for your Tier 1 and Tier 2 out-of-
                         pocket limits combined is $2,750

     Employee +          $4,000 — then the plan pays 100% for Tier 1 providers          Separate $13,000
     spouse OR           Plus $1,500 — then the plan pays 100% for Tier 2 providers     limit
     Employee +
     child(ren)          The most you pay for your Tier 1 and Tier 2 out-of-
                         pocket limits combined is $5,500

     Employee +          $6,000 — then the plan pays 100% for Tier 1 providers          Separate $19,500
     spouse and          Plus $2,250 — then the plan pays 100% for Tier 2 providers     limit
     child(ren)
                         The most you pay for your Tier 1 and Tier 2 out-of-
                         pocket limits combined is $8,250

     If Your Plan Administrator Does NOT Offer Access to Tier 1 Providers — Medical
                         Tier 2 (In-Network)                                            Tier 3 (Out-of-Network)

     Individual          $2,750                                                         Separate $6,500 limit

     Employee +          $5,500                                                         Separate $13,000
     spouse OR                                                                          limit
     Employee +
     child(ren)

     Employee +          $8,250                                                         Separate $19,500
     spouse and                                                                         limit
     child(ren)

     Prescription Drug Out-of-Pocket Limit (Accumulates Separately from Medical)
                         In-Network                                                     Out-of-Network

     Individual          $1,500 per individual, up to $5,950 combined for all           No limit; you pay
     and family          family members                                                 50% of the cost
     members

    Your family members’ expenses accumulate together as you meet the out-of-pocket limits noted
    above. But, if one person in the family meets the individual out-of-pocket limit, the plan will pay
    100% of eligible expenses for that person for the rest of the year.

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A Health Reimbursement Account Comes with the
Total Health PPO Plan
The Total Health PPO Plan is paired with a health            A maximum allowed balance applies with the HRA.
reimbursement account (HRA) to help you pay for              It’s based on your plan coverage level (employee
eligible medical, prescription drug, dental, and vision      only, employee + spouse, employee + child(ren), or
expenses — including your deductible and your share          employee + spouse and child(ren)). Once you reach
of coinsurance.                                              this maximum, you need to use some of your HRA
                                                             funds before you can earn more. If a balance remains
You earn tax-free HRA funding by completing your             at year-end, your funds carry over for use in the next
health assessment, Health Action Plan, and Virgin            year (up to the maximum amounts).
Pulse activities. You cannot contribute to your HRA;
only Sandia can. See page 15 for details about your          If you leave Sandia, you cannot take your HRA funds
HRA incentive opportunity. Sandia will deposit the           with you (unless you’re a qualified retiree under
incentives you earn during 2022 into your HRA in             age 65 or you decide to continue your coverage
January 2023, if you elect the Total Health PPO Plan.        through COBRA). And if you waive Sandia medical
Your HRA balance may not be available for you to use         coverage, you’ll forfeit your HRA funds.
until the end of January.

                                    Availability of Tier 1 Providers
                                    With both the Health Savings Plan and the Total Health PPO Plan, your out-
                                    of-pocket costs are determined by your doctor’s or provider’s network tier:
                                    Tier 1 (select in-network providers), Tier 2 (contracted local, regional, and
                                    nationwide in-network providers), or Tier 3 (out-of-network providers).

                                    Access to Tier 1 providers is based on location (per plan administrators’
                                    contractual relationships):

                                     • N
                                        ew Mexico: Tier 1 providers included in Blue Preferred Plus and
                                       UnitedHealthcare Choice Plus provider networks
                                     • California: No Tier 1 providers available
                                     • O
                                        ther states: Tier 1 providers included in UnitedHealthcare Choice Plus
                                       provider network

                                    Find a provider’s network affiliation at bcbsnm.com/sandia or myuhc.com.

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Healthcare FSA: Another Way to Save
for Healthcare
If you choose the Total Health PPO Plan or you waive Sandia medical coverage, you have one
more way to set aside money for your healthcare expenses: Sandia’s healthcare flexible spending
account (HCFSA). You make this election as a new hire and during Open Enrollment every year.

Sandia deducts your contributions from your paycheck before taxes are withheld, which reduces your taxable
income. You can use your HCFSA to pay for eligible healthcare expenses.

The IRS limits how much you can contribute annually to your HCFSA ($2,850 in 2022), and you need to use your
HCFSA funds during the year, because you’ll forfeit any balance over $570 on December 31.

Your HCFSA is not portable; if you leave Sandia or retire, you’ll lose the funds in your account, unless you decide to
continue medical coverage through COBRA.

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Prescription Drug Coverage
Prescription drug coverage is included with both the Health Savings Plan and the Total Health
PPO Plan. As you compare the plans to decide which is right for you, you’ll want to note a few
key points about prescription drug coverage.

Health Savings Plan                                                     Total Health PPO Plan
• The plan includes enhanced coverage for many generic                   • There is no deductible for prescription
  preventive medications. You’ll pay $0 for drugs included on              drugs. Cost sharing begins immediately
  the Express Scripts Consumer Directed Healthcare (CDH)                   and applies until you meet the out-of-
  Preventive Medications - Standard Plus drug list.                        pocket limit.
• You pay the full cost for non-preventive prescription drugs,           • There is a separate out-of-pocket limit
  but only until you meet the annual deductible. And take                  for prescription drugs.
  note: Your medical and prescription drug costs combine and
  accumulate toward one annual deductible.
• Once you meet the annual deductible, cost sharing applies
  until you meet the out-of-pocket limit.
• Your medical and prescription drug costs combine and
  accumulate toward one out-of-pocket limit.

Filling Your Prescriptions
You can get short-term prescriptions (30 days or less) at a network pharmacy. To get medications you take regularly,
you must use Express Scripts Smart90 mail order, Walgreens retail pharmacies, or Kaiser mail order (Kaiser
participants only).

    The SaveOn drug discount
    program is not offered with
    the Health Savings Plan.

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Prescription Drug Coverage Highlights

                                       Health Savings Plan                                    Total Health PPO Plan

  Prescription Drug                    Combined with medical out-of-pocket limit              A separate out-of-pocket limit applies
  Out-of-Pocket Limit*                                                                        $1,500 per individual, up to $5,950
                                                                                              combined for all family members

  Retail Pharmacy (up to 30-day supply) or Accredo Specialty Mail Order (most limited to 30-day supply);
  not available out-of-network

  Generic / specialty                  $0 for drugs on an expanded list of                    $0 for many preventive medications
  generic                              preventive medications                                 You pay 20%
                                       For other generic drugs:                               ($5 min / $10 max)
                                       You pay 20% after you meet the deductible
                                       ($5 min / $10 max)

  Preferred brand                      You pay 30% after you meet the deductible              You pay 30%
  name / specialty                     ($30 min / $45 max)                                    ($30 min / $45 max)
  preferred brand name

  Non-preferred brand                  You pay 40% after you meet the deductible              You pay 40%
  name / specialty non-                ($50 min / $75 max)                                    ($50 min / $75 max)
  preferred brand name                                                                        Note: Accredo is not available out-of-network

  Express Scripts Smart90 Mail Order** and Walgreens Pharmacies (90-day supply), Kaiser Mail Order (100-day
  supply), or Accredo Specialty Mail Order (most limited to 30-day supply)

  Generic                              $0 for drugs on an expanded list of                    $0 for many preventive medications
                                       preventive medications                                 You pay 20%
                                       For other generic drugs:                               ($12.50 min / $25 max)
                                       You pay 20% after you meet the deductible
                                       ($12.50 min / $25 max)

  Preferred brand name                 You pay 30% after you meet the deductible              You pay 30%
  (formulary)                          ($75 min / $112.50 max)                                ($75 min / $112.50 max)

  Non-preferred brand                  You pay 40% after you meet the deductible              You pay 40%
  name (non-formulary)                 ($125 min / $187.50 max)                               ($125 min / $187.50 max)

*The cost of out-of-network prescription drugs purchased outside of the program is covered at 50% and does not apply toward the out-of-pocket
 maximum limit.
**Maintenance medications purchased outside the Smart90 program will be billed at the full cost after the first two months of refills. See the
  plan booklet for details.

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Incentives for Completing Healthy
Activities = Extra Money for
Your Healthcare
Whether you choose the Health Savings Plan or the Total Health PPO Plan, when you complete
your health assessment, do a Health Action Plan, and participate in healthy activities through
Virgin Pulse, Sandia will add money to your HSA or HRA.

    Employee only             Employee + child(ren)            Employee + spouse           Employee + spouse
                                                                                             and child(ren)

      $500                          $750                         $1,000                      $1,250
Sandia’s contribution to your HSA (if you choose the Health Savings Plan) or HRA (if you choose the Total Health PPO
Plan) — based on the activities you’ve completed through 2022 — will be deposited into your account in January 2023.

Don’t miss the deadlines for completing your healthy activities in 2022!

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HSA, HRA, HCFSA: What’s the Difference?
Sandia offers three healthcare accounts that help employees pay for qualified healthcare
expenses. The table below provides an overview.

  Account Feature                                             HSA                                    HRA                      General Purpose HCFSA

  Who’s eligible?                               Health Savings Plan                    Total Health PPO Plan                  Offered to Total Health
                                                participants — with a few              participants                           PPO Plan participants and
                                                caveats; check the fine                                                       employees who waive
                                                print at HR Solutions to                                                      medical coverage; Health
                                                confirm your eligibility to                                                   Savings Plan participants
                                                participate in the Health                                                     cannot have a general
                                                Savings Plan                                                                  purpose HCFSA

  Sandia contributes to the
  account

  You contribute to the
  account

  You can invest the money in
  the account

  Paying for eligible
  healthcare expenses from
  the account is tax-free

  Your balance at year-end
  can carry over for use in the
  next year                                                                                 Up to certain limits                        Up to $570

  You can take your account                                                                                *                                        **
  with you if you leave Sandia

  Account provided through                      Optum Bank manages                     Based on your medical plan             Based on your medical plan
  different administrators,                     the HSA for both BCBSNM                BCBSNM:                                BCBSNM:
  based on your medical plan                    and UHC participants                   BenefitWallet                          BenefitWallet
  choice
                                                                                       UHC: UnitedHealthcare                  UHC: UnitedHealthcare
                                                                                       Kaiser: Kaiser Permanente              Kaiser: Kaiser Permanente
                                                                                                                              Waive medical: PayFlex
*Leaving Sandia? You can take your HRA funds with you only if you’re a qualified retiree under age 65 or you decide to continue your coverage through COBRA.
**Leaving Sandia? You may be able to use your remaining HCFSA funds if you decide to continue your coverage through COBRA.

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Additional Financial Protection
If you or a member of your family is hospitalized, injured in an accident, or becomes critically ill,
you’re likely to be hit with expenses you haven’t planned for. Hospital indemnity, accident, and
critical illness insurance benefits can help with those unexpected expenses. During each year’s
Open Enrollment, you can purchase these programs and others through Sandia Extras.

You’ll pay for this voluntary coverage through after-tax paycheck deductions. If you leave Sandia, you can arrange to
be billed directly, so you can take your coverage with you.

Accident Insurance                       Critical Illness Insurance                 Hospital Indemnity
Benefit                                  Benefit                                    Insurance Benefit
The plans cover a wide variety of        The plans provide a lump-sum               The plans provide a lump-sum
accidental injuries and provide          benefit in the event you or a family       benefit in the event you’re
a lump-sum payment directly              member is diagnosed with any of            hospitalized. You can use this
to you. You can use the benefit          35 critical illnesses, including heart     cash benefit to pay for any type
to pay out-of-pocket medical or          attack, stroke, and many cancers.          of expense, including your
any other costs you may have,            Recurrences are also covered. The          out-of-pocket costs for care and
including household expenses.            plans include an extra $50 benefit if      your household or personal
MetLife offers a choice of plans to      you have eligible health screenings        expenses. The plan is offered
fit your specific needs and budget.      or take physician-recommended              through MetLife.
                                         prevention measures.

                                                             To learn more about the plans and enroll, visit
                                                             the Sandia Extras website or call Corestream at
                                                             855-514-8800.

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2022 Medical Plan Premiums
Sandia sets employee premiums based on salary levels. Employees making less money pay a
lower premium.

Check out the full premium chart at hr.sandia.gov.

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Plan Contacts
Use the information below if you need to contact plan providers directly. To learn more about
these providers, visit hr.sandia.gov > Resources.

BenefitWallet
HRA and HCFSA administrator for
                                                  Express Scripts                                  Optum Bank
BCBSNM plan participants
855-236-8600                                      Mail-order prescription drugs for                HSA administrator
Website                                           BCBSNM and UnitedHealthcare                      866-234-8913
                                                  plan participants                                Website
                                                  877-817-1440
Blue Cross Blue Shield of                         Website                                          PayFlex
New Mexico (BCBSNM)
                                                                                                   FSA administrator for Sandians
Medical plan administrator                        HR Solutions                                     who waive medical coverage
877-498-7652                                      Benefits information                             800-284-4885
Dedicated customer advocate                       505-284-4700                                     Website
Erica Lindenmuth: 505-962-7294;                   HR Self-Service
Erica_Lindenmuth@bcbsnm.com                       Website                                          UnitedHealthcare
BCBSNM Behavioral Health:                                                                          Medical plan administrator, HRA
888-898-0070                                      Kaiser Permanente                                and HCFSA administrator for
Website                                           Medical plan administrator; HRA                  UnitedHealthcare plan participants
                                                  and HCFSA administrator for                      877-835-9855
                                                  Kaiser members (CA only)
Employee Health Services                          877-568-0774 (dedicated Sandia
                                                                                                   Dedicated customer advocate
                                                                                                   Kathleen Bormann: 763-321-3786;
Sandia Employee Health                            employee help line)                              email Kathleen_Mauro@uhc.com
Services Clinics                                  800-663-1771 (customer service)
505-284-4700, Option 1 (New Mexico)               Website                                          Behavioral Health
505-284-4700, Option 3 (California)                                                                877-835-9855
Webpage                                                                                            Website

Sandia National Laboratories is a multimission laboratory managed and operated by National
Technology & Engineering Solutions of Sandia, LLC, a wholly owned subsidiary of Honeywell
International Inc., for the U.S. Department of Energy’s National Nuclear Security Administration
under contract DE-NA0003525. SAND2021-10986 O

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