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Rocky Mountain Annual Conference and Extend Health for Retired Clergy. TODAY’S AGENDA. Brief historical review Plan of action to keep you “whole” (no harm) and allow retiree plan to survive. Introduction to Extend Health Participant questions/concerns
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Rocky Mountain Annual Conference and Extend Health for Retired Clergy
TODAY’S AGENDA • Brief historical review • Plan of action to keep you “whole” (no harm) and allow retiree plan to survive. • Introduction to Extend Health • Participant questions/concerns • Review of Packet Supplemental material • Additional questions/concerns • Invitation to ‘Log on”—EH & Conference
Why Is Rocky Mountain Changing Plans? • Current retiree health planis no longer sustainable at 17% of the Conference Budget • New Medicare Plan offering provides flexibilityin benefits and cost • Self-Directed choice vs. Sole Provider
Up-Front Issues to Lessen Anxiety • No Initial Pre-Existing Condition Exclusion • Visit Website now to become familiar with Extend Health • Question/Answer Blog on Conference Website
Funding Information • Rocky Mountain Conference will fund a Health Reimbursement Account (HRA) for eligible participants • Premiums will no longer be deducted from pension checks or paid to Conference office. • Tax-advantaged account used to reimburse you foreligible health care expenses
What Is an HRA? • Your HRA funds will be available January 1, 2013 • Unused $ roll-over for future use • Account for a couple is a jointaccount • You must meet Rocky Mountaineligibility requirements to qualify for HRA • Subsidy levels reviewed every 2 years • Conference will establish a “Safety Net” Fund to cover “outlier/extreme” costs.
Rocky Mountain Funding Information Companion Plan--$480/month Pre-2010 Retiree with MORE than 20 years of Pre-82 service: Savings/Income to you:Single2-Party From Eliminating Current Health Flex Premium $120 $240 Monthly Subsidy from Conference to your HRA $150$300 TOTAL Savings/Income to you $270 $540
Rocky Mountain Funding Information Companion Plan--$480/month Pre-2010 Retiree with MORE than 20 years of Pre-82 service: Estimated Monthly Average Health Costs Single2-Party Selected Health Plan Premium – High Avg $215 $430 Selected Dental Plan Premium – High Avg $30 $60 Selected Vision Premium – High Avg$15$30 TOTAL High Average Monthly Premiums $260 $520 Net Monthly Cash Savings/ Income $10 $20
Rocky Mountain Funding Information Companion Plan--$480/month ALL Retirees with LESS than 20 years of Pre-82 service: Savings/Income to you:Single2-Party From Eliminating Current Health Flex Premium $240$480 Monthly Subsidy from Conference to your HRA $50$100 TOTAL Savings/Income to you $290 $580
Rocky Mountain Funding Information Companion Plan--$480/month ALL Retirees with LESS than 20 years of Pre-82 service: Estimated Monthly Average Health Costs Single2-Party Selected Health Plan Premium – High Avg $215 $430 Selected Dental Plan Premium – High Avg $30 $60 Selected Vision Premium – High Avg$15$30 TOTAL High Average Monthly Premiums $260 $520 Net Monthly Cash Savings/Income $30 $60
Claims Submission Premiums • Reimbursed by filing a paper/on-line claim • Reimbursed through Auto-reimbursement process (afterset-up) Unreimbursed Medical Expenses • Reimbursed by filing an on-line claim or a paper claim by mail or fax
Process Overview Conference Contributes Monthly Subsidy Clergy HRA Extend Health • Participant sends paid bills to Extend Health for reimbursement • (Typically 2 weeks after receipt of claim) • Participant Pays: Monthly Premium, Co-Pays, Deductibles, Other
Extend Health—Who Are They? • Individual Medicare Supplement ‘Connector Model’Exchange • Partner with 70+ health plan carriers • Objective and trusted U.S.-based licensed benefit advisors (LBAs) • Objectively help each participant make informed and confident decision
Why Extend Health? • Experienced in helping peoplejust like you • Enrolled almost 400,000 participants • Their services are provided at no cost to you
Type of Plans Offered • Medicare Advantage* • Medicare Supplement(Medigap) • Medicare Part D (Prescription) • Dental • Vision *Rx often included
Plans Offered (Not Inclusive*) • Blue Cross and Blue Shield (Anthem) • Humana • Aetna • AARP (Secure Horizons and UnitedHealthcare) • Delta Dental • VSP (Vision) *Plans can be added and deleted
Type of Services Offered • Education • Guides and decision tools • Objective Evaluation of Needs • Enrollment—Initial and Ongoing • Lifetime Post-Enrollment Customer Service • HRA (Health Reimbursement Account)
Evaluate and Enroll Licensed Benefit Advisor • 100% domestic workforce • Objective advocacy • Neutral compensation • Extend University • Licensed, certified, appointed Hours of Operation Monday – Friday 8:00 a.m. – 8:00 p.m., Central time
How you can obtain general information NOW • Web site for Extend Health is: www.extendhealth.com/gbophb. • When you access the site: • Click on “Shop and Compare” • Enter the zip code you want to look up • Click ‘Go’ • Complete Box 1 and 2—Click “Go” • Answer 3 questions—Click “Go” • Click on the Medigap, Prescription Drug or Medicare Advantage tabs to see what plans are available. • You can also click the tabs in the upper left hand corner to look at Dental and Vision plans. • Speak to an Expert 1-866-322-2824