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OPEN ENROLLMENT November 6 -19, 2017
Mark Your Calendar Open Enrollment November 6 -19 Share your enrollment materials with your family. Open Enrollment is required for everyone. All employees eligible for medical and dental benefits must enroll, even if they are waiving coverage. Enroll before November 19 at 11: 59 p. m.
Discussion Items Ø What is Open Enrollment? Ø Who is Eligible? Ø Medical Pan Options Ø Dental Plan Options Ø Steps to Enroll
All employees eligible for coverage must enroll or waive online medical and dental benefits for 2018. If you want to keep your same plan, you must enroll online. If you are declining your insurance benefits, you are required to complete a waiver online. Enrollments not completed during Open Enrollment will result in loss of coverage for 2018.
Open Enrollment is … The only time you can enroll or drop your coverage in the medical and/or dental plans without a qualifying event.
Qualifying Event examples are… Ø Marriage Ø Divorce or Legal Separation Ø Loss of Coverage Ø Death Ø Qualified Child Medical Support Order (QCMSO) Ø Legal Guardianship Ø Newborn and Adoption (60 days to enroll) Please Note: You must enroll within 31 days of a qualifying event; otherwise, you will need to wait until the next Open Enrollment.
Dependent Eligibility Who is Eligible for Medical and Dental Coverage? Å Spouses Å Children up to age 26
Dependent Eligibility To add dependents… Å Required documentation must be uploaded during online enrollment. Å You can upload documents starting now, if you are a current member. Å Upload documents to your Benelogic file cabinet: https: //butlerhealthplan. benelogic. com
Dependent Eligibility Required Documentation to Verify Eligibility of Dependents
Dependent Eligibility Special Requirements for Spouses in Medical Plan 1. Spouses who have access to an employersponsored medical plan or retiree group medical plan, such as STRS or SERS, must take that coverage on an individual basis as primary insurance in order to be covered with Butler Health Plan as a secondary insurance. Note: This does not apply to the dental plan.
Dependent Eligibility Special Requirement for Spouses in Medical Plan 2. In order for spouses to enroll in the Butter Health Plan for primary medical coverage, they must meet one of the following criteria: Spouse has access to the Butler Health Plan through his/her school. Spouse does not have access to an employersponsored medical plan or retiree medical plan. Other coverage would cost more than 55 percent of single premium. Note: This does not apply to the dental plan.
What Is New for 2018? Our Prescription Plan now offers two choices to fill your long-term maintenance medications. 1. Express Scripts Home Delivery Pharmacy 2. Exclusive Smart 90 Standard Pharmacy where you may fill maintenance medications at a select group of retail pharmacies such as Kroger, Meijers, and Walmart. * Smart 90 information and program is available January 1, 2018. after
What Is New for 2018? PPO No plan changes. HDHP Only change is deductibles due to 2018 IRS limits $2, 700 /person and $5, 400 /family MVP Only change is deductibles due to 2018 IRS limits $6, 650 /person and $13, 300 /family
Medical Plan Options - 2018
Medical Plan Options PPO Preferred Provider Organization With the PPO, you pay more out of your paycheck to “buy” the coverage, and then less out of your pocket because you pay flat copays for routine office visits and prescriptions. The PPO has the lowest deductible.
Medical Plan Options HDHP High Deductible Health Plan HDHP With the HDHP, you pay less out of your paycheck to “buy” the coverage, and then more out of your pocket for services. You can set up a health savings account (HSA) that lets you build up tax-deductible money to pay medical expenses. You pay a lower premium, but are subject to a higher deductible and maximum out-of-pocket. Check with your local bank or employer to see if they offer an HSA.
Medical Plan Options MVP Minimum Value Plan The MVP has the highest deductible. Once the deductible is met, the Plan pays 100%. There are no copays. Offers basic coverage and has the following exclusions: Ø No out-of-network coverage except for emergencies Ø No coverage for treatment of temporomandibular joint dysfunction (TMJ)
To find a doctor or other healthcare provider go to www. anthem. com 1.
To find a doctor or other healthcare provider go to www. anthem. com 2.
GOING MOBILE Use your mobile device to search for doctors, hospitals and more with our free app from the App Store. SM or Google Play. TM. Ø Search for Anthem Blue Cross and Blue Shield and download the app. Ø Get turn-by-turn directions to find a doctor’s office. Ø Select State Ø Select Blue Access (PPO) for primary network for all plans Ø When traveling, select National PPO (Blue Card PPO)
Dental Plan for 2018 ü Basic, Standard and Premium Dental Plan Options remain the same.
Dental Plan Options - 2018 Basic Dental Networks Delta Dental Provider Search Standard Premium Delta Dental PPO Network Delta Dental Premier Network Annual Deductible $75 /person $150 /family $50 /person $100 /family $25 /person $50 /family Annual Maximum Benefit $1, 000 /person $1, 500 /person $2. 500 /person Lifetime Maximum Benefit Orthodontia Not Covered $1, 500 /person $1, 800 /person Preventative 80% Covered Deductible Waived 100% Covered Deductible Waived Basic Care Covered at 80% Major Care Covered at 50% Covered at 60% Orthodontia Care Not Covered 60% Adult Orthodontics Not Covered Yes Sealants Covered to age 16 See your 2018 dental plan rates online or ask your Treasurer or Personnel Department.
You have access to two nationwide networks of participating dentists: Delta Dental PPOSM Delta Dental Premier®. Participating dentists in these networks can be found at www. deltadentaloh. com
BHP Health and Wellness The Butler Health Plan supports early detection, worksite wellness and education programs to assist you with your personal health goals. Making healthy lifestyle choices helps you and the Plan spend less money on health care.
BHP Health and Wellness • Watch for flu shots in the fall at your workplace. • Preventive care screenings, well baby care, and immunizations covered 100%. Fall
BHP Health and Wellness Watch for free health evaluation at your workplace in the Spring if you are enrolled in medical plan. Because your health matters, employees and spouses can earn $150 toward next year’s medical plan deductible just by participating in a free confidential health evaluation. Spri ng Your Preventive Health Evaluation includes blood tests, blood pressure, and a brief health assessment. Learn your health status and receive a person Health Score and Goal.
Enrollment Instructions: Before You Enroll You will need to gather information about you and your dependents: üSocial Security Number üDate of Birth üOther medical and dental coverage information that you and your dependents may have üOther required documentation to verify eligibility
Enrollment Instructions: Important Information BHP Employee Portal User. IDs have changed to be district-specific. Use your NEW User. ID to Sign In to your account for Open Enrollment. First letter of first name, Last 4 -digits of Social Security Number @Employer For Example, John Doe from employer BCESC would be: jdoe [email protected] (bcesc, butlertech, fairfield, greatoaks, hamilton, madison, middletown, monroe, newmiami, ross, sycamore, talawanda)
Enrollment Instructions Log on https: //butlerhealthplan. benelogic. com Enter your NEW district-specific User. ID. Enter your current Password. If you attempt to login with your old ID it will prompt Click on the Forgot User ID/Password link, then click on the I do not know my User ID link and follow the wizard to retrieve your new User ID. At that point the User ID will be displayed. You can also reset your password if you choose to do so. However if you know your password, you can click Cancel to return to the Sign In page and log in with the correct User ID and password combination.
Enrollment Instructions Follow the instructions on the website to enroll in your benefits or waive coverage. Click on the finish button to save your elections. Print your confirmation summary to make sure you select the correct benefit and the dependents that you want covered on your plan. The last elections that you save will be your benefits beginning January 1, 2018.
https: //butlerhealthplan. benelogic. com
Upload PDF, PNG, JPG and BMP
Enroll Online November 6 -19 You may make changes on the enrollment website until 11: 59 p. m. EST on Sunday, November 19, 2017. The last elections that you save will be your benefits beginning January 1, 2018.
Your Open Enrollment Medical and Dental Benefits Begin January 1, 2018
ID Cards will be mailed before December 31 Anthem Express Scripts Group: 004000020 PPO PLAN Plan Codes: 834/332 It will state PPO, HDHP or MVP The fifth digit of the client number of the number after the space represents the Plan. Delta Dental 1 -Basic 2 -Standard 3 -Premium
Questions? Open Enrollment November 6 -19, 2017