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Meredith College

Meredith College. 2013 Renewal & Enhancements Andrea Rossbach 10/11/2012. What has changed for 2013?. Your 2013 Medical Plans: How They Compare . Your 2012 Medical Plans: How They Compare . High Deductible PPO Plan. What is Blue Options HSA SM ? . High Deductible PPO Health Plan

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Meredith College

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  1. Meredith College 2013 Renewal & Enhancements Andrea Rossbach 10/11/2012

  2. What has changed for 2013?

  3. Your 2013 Medical Plans: How They Compare

  4. Your 2012 Medical Plans: How They Compare

  5. High Deductible PPO Plan What is Blue Options HSASM? • High Deductible PPO Health Plan • Similar to a traditional PPO, except: • High deductible (required by the federal government)1 • No co-payments Then you pay a 20% of the cost: coinsurance Until you meet your deductible You pay 100% 1 Blue Options HSA plans, deductible and out-of-pocket maximum amounts are subject to change year to year in order to comply with IRS requirements. For the most up-to-date requirement information, see www.irs.gov.

  6. Health Savings Account (HSA)* (for medical expenses) What is Blue Options HSASM? • Health Savings Account (HSA) • Tax-free savings account for qualified medical expenses • Administered by BNY Mellon1 Earn interest over time tax-free Use money to pay for medical expenses tax-free2 Contribute money tax-free 1 BCBSNC does not administer your HSA and is not affiliated with your HSA custodian or administrator.  Your HSA custodian is The Bank of New York Mellon. 2 Withdrawals are tax-free only if used for qualified medical expenses. See irs.gov for specific regulations.

  7. Similar to Traditional PPO Plans: • Choice of doctors • Large Blue OptionsSM network of providers • Out-of-network benefits option1 • Access to specialists with no referrals2 • Provider discounts = big savings • Nationwide, worldwide coverage3 • Preventive4 services at no charge • For a list of covered preventive care services: www.bcbsnc.com/preventive. 1 When you see an out-of-network provider, you may pay more out of pocket. 2 Referrals may be needed for mental health and substance abuse services. 3 Blue Cross and Blue Shield Association Internal Data, 2007: www.bcbs.com/news/press/facts/bluecard.html (Accessed September 2008) 4 Preventive care services received from an in-network provider in an office-based, outpatient or ambulatory surgical setting or urgent care center are now covered at 100%. For a list of covered preventive care services refer to www.bcbsnc.com/preventive. Some restrictions may apply.

  8. Different from Traditional PPO Plans • High Deductible • Required by federal government • Family aggregate deductible • Single deductible for all covered family members • No co-payments for services • You pay 100% until you meet your deductible • Pay for care with HSA • Pre-taxed funds For guidance, visit www.irs.gov, publication 502 1 When you see an out-of-network provider, you may pay more out of pocket. 2 Referrals may be needed for mental health and substance abuse services. 3 Blue Cross and Blue Shield Association Internal Data, 2007: www.bcbs.com/news/press/facts/bluecard.html (Accessed September 2008) 4 Preventive care services received from an in-network provider in an office-based, outpatient or ambulatory surgical setting or urgent care center are now covered at 100%. For a list of covered preventive care services refer to www.bcbsnc.com/preventive. Some restrictions may apply.

  9. How does Blue Options HSASM work? Deductible: $2,500 employee/ $5,000 family After you reach your deductible1 • You pay 100% of your health care & prescription drug expenses • Exception: In-network preventive care2 is covered at 100%, without paying your deductible first Before you reach your deductible1 • You pay 20% of your health care expenses, including prescriptions After you reach your out-of-pocket maximum1 Of $4000 employee/$7500 family • BCBSNC pays 100% of all covered expenses for the rest of the plan year 1 Blue Options HSA plans, deductible and out-of-pocket maximum amounts are subject to change year to year in order to comply with IRS requirements. For the most up-to-date requirement information, see www.irs.gov. 2 Preventive care services received from an in-network provider in an office-based, outpatient or ambulatory surgical setting or urgent care center are now covered at 100%. For a list of covered preventive care services refer to www.bcbsnc.com/preventive. Some restrictions may apply.

  10. How the HSA Works 2013 Annual Contribution Limits: • $3,250 individual • $6,450 family • $1,000 per year catch-up contribution (55 or older by 12/31/13) You, your employer, or anyone can contribute to the HSA – tax-free! When you use your HSA to pay for qualified medical expenses, the money comes out tax-free1! HSA checkbook and debit card from Mellon Use for medical expenses at doctor’s office, pharmacy, etc. If you don’t use your HSA money, you don’t lose it! The fund grows - tax-free! 1 Withdrawals are tax free only if used for qualified medical expenses. Specific regulations and a list of qualified medical expenses can be found in IRS publication 502, available at www.irs.gov.

  11. Pharmacy Benefits * For a 30-day supply ** There is a $50 minimum and $100 maximum per 30-day supply.

  12. Health Care Cost Estimator ToolLook at costs on 56 proceduresFind Blue Distinction Centers and make informed decisions on health care costs. https://www.brainshark.com/bcbsnc/costtransparency

  13. A friendly reminder Blue Points will discontinue 12/31/2012 for Meredith Employees. Please cash in your points by 12/30/2012

  14. New Wellness Program:Healthy Outcomes

  15. Achiever A Credit Tracking – 6 months

  16. Employee portal • Personalized messaging • Dashboard incentive status and activity tracking • Top three program recommendations prominently displayed • Tools and media • Weight, nutrition, exercise, pain • Multiple health programs and trackers • Calculators • Planners and guides Welcome screen

  17. Employee portal Wellness overview • Displays program overview • Informs member how to achieve their goals • Describes each program activity • Shows credit value of each activity

  18. Private and confidential • Health Assessment responses are confidential • Results are not used to determine insurance rates or eligibility for coverage • Get a personal health report you can print • Access programs to improve your specific risk conditions

  19. Why should you participate? • Helps you get healthier • Meredith college is giving $20 per month to the HSA fund or $20 towards premium to members on the PPO beginning 1/1/2014 • Helps your company control health care costs, which is good for everyone, last year there was a savings but we need to increase participation

  20. Questions???

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