1 / 16

2011 - 2012 Health & Flexible Spending Benefits

2011 - 2012 Health & Flexible Spending Benefits. April 13, 2011. 2011 Renewal. July 1, 2011 Administrative & Plan Changes Blue Cross Blue Shield for healthcare administration Medco new pharmacy administrator under BCBSNC Retail Mail Order (cost savings by using)

briana
Download Presentation

2011 - 2012 Health & Flexible Spending Benefits

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 2011 - 2012Health & Flexible Spending Benefits April 13, 2011

  2. 2011 Renewal • July 1, 2011 Administrative & Plan Changes • Blue Cross Blue Shield for healthcare administration • Medco new pharmacy administrator under BCBSNC • Retail • Mail Order (cost savings by using) • Flexible Benefit Administrators for FSA administration • With plan design changes, no additional cost to employee for individual coverage

  3. 2011 – 2012 Renewal

  4. 2011 – 2012 Budgeted Rates New Payroll Deductions as of June 3, 2011

  5. Impact of Health Reform 2010 -2011 • Over the Counter (OTC) medications will no longer be eligible for FSAs without a physician prescription. • You must file a paper claim with Flexible Benefit Administrators to be reimbursed for Over the Counter (OTC) medications with physician prescription. • Dependent coverage for adult children up to age 26 • 100% coverage for preventive services in network • No annual limits on certain types of benefits • No pre-existing condition exclusions for children ages 0-19

  6. Website address: https://www.bcbsnc.com/memberservices/

  7. Website address: http://www.bcbsnc.com/

  8. Online Tools & Programs (Available through my member services after you are enrolled) • Manage conditions or progress online • With our Online Healthy Living programs • Research prescription drugs • Learn about prescription drug treatments, and their relative costs, for a number of medical conditions • Compare hospitals • Find a hospital that matches unique criteria • Estimate the cost of health care services • With our Health Care Cost Estimator tool • Research more than 200 conditions • Using our online health encyclopedia • Find a provider • Locate providers and research outstanding providers/facilities for certain procedures

  9. 24 hour health information resource Call 1-877-477-2424 • Web-based health information & support tools • Audio and video tape library • 24/7 access to specially-trained nurses – employees can get quick, personalized answers to health questions

  10. BCBS ID Cards • ID cards will be mailed from BCBSNC to your home • 2 copies of your ID card will be mailed during initial enrollment, if additional cards are needed call BCBSNC Customer Service.

  11. NEW FLEXIBLE SPENDING ACOUNT ADMINISTRATOR P.O. Box 8188 Virginia Beach, VA 23450 Toll Free (800) 437-3539 Fax (757) 431-1155 www.flex-admin.com FlexDivision@flex-admin.com

  12. Your Benefits Card Administration You may elect to use the Benefits Card if you enroll in the Healthcare Reimbursement Account or Dependent Care Reimbursement Account The FBA Benefits Card works like a debit card and allows you to automatically pay for expenses from your flexible spending account at the time of service. The card eliminates your need to pay out-of-pocket at the time of service. The Benefits Card is restricted for use only at eligible merchants and for eligible services as governed by the IRS. Using the Benefits Card will lessen the paperwork you have to submit, however, there may be instances where documentation is requested to substantiate a card swipe. If requested, documentation must be submitted within 40 days of the transaction to avoid temporary deactivation of the card. This ensures the Plan is kept in compliance. You may elect to order an additional card for any eligible dependent at no charge.

  13. Important Reminders • The BCBS card for medical and prescription use • You will receive 2 cards; extras may be requested online • or through customer service. • Transition of Care Forms available if in the middle of treatment (3rd trimester, chemo, etc. ) • Explanation of Benefits is only generated and mailed for deductible/coinsurance amounts . View all EOBs on-line. • Call your physician for new prescriptions for mail order: • Request a 30 day prescription (to fill locally) • Request a 90 day prescription with refills and mail to Medco • after 7/1

  14. Open Enrollment Notes • For ALL dependents covered by the Medical Plan, you will need to provide Social Security Numbers during open enrollment process. • BCBS Information Line: 1-877-224 -3305 • Open Enrollment: April 18th – 27th to enroll in health plan and make changes to or add all other products as well. • MANDATORY to meet with an enroller

More Related