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City of Phoenix Retiree Medical Coverage Information

City of Phoenix Retiree Medical Coverage Information. 2011- 12 Plan Year. Mary Kyle, Deputy Human Resources Director October 13, 2011. Helpful Reminders. The 31 Day Rule. 31 Days Benefit changes for qualified life events must be made within 31 days.

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City of Phoenix Retiree Medical Coverage Information

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  1. City of PhoenixRetiree Medical Coverage Information 2011- 12 Plan Year Mary Kyle, Deputy Human Resources Director October 13, 2011

  2. Helpful Reminders employee.phoenix.gov/hr

  3. The 31 Day Rule 31 Days • Benefit changes for qualified life events must be made within 31 days. • Marriage, divorce, birth, loss of other group coverage, etc. • If you forget, you are responsible for the medical, pharmacy and dental claims the ineligible dependent incurs. employee.phoenix.gov/hr

  4. Can I Re-enroll? Yes, you may re-enroll in City retiree medical coverage during Open Enrollment if you’ve had CONTINUOUS, COMPARABLE COVERAGE since the date you dropped the City’s coverage. Evidence of continuous, comparable coverage is required. Speak with a Benefits Analyst for details. employee.phoenix.gov/hr

  5. Medicare Eligibility • You are eligible for Medicare on the 1st day of the month you turn 65. • You are eligible for Medicare if you are qualified for Social Security Disability Income (SSDI) for the previous two years. Medicare enrollment is automatic when disabled. You must provide a copy of your Medicare Card to the Benefits Office. employee.phoenix.gov/hr

  6. Benefits Info Online employee.phoenix.gov/hr Benefits – Employment Services Training & Development – Support Services eCHRIS Self-Service - Retirees FORMSDOCUMENTSWEBSITE LINKS UPDATES employee.phoenix.gov/hr

  7. eCHRIS Help • HR Center • (602) 262-6608 • Located on the 1st floor of the Personnel Building. • Benefits Office • (602) 262-4777 • Located on the 4th floor of the Personnel Building. • Password Help • Call (602) 534-4357 employee.phoenix.gov/hr

  8. In the Mail Keep your address updated

  9. Self Funding • Provider networks are leased. • Provider reimbursement levels are set • City pays a monthly fee to process claims and provide other services. • City is billed for the amount paid to each doctor, hospital, lab, etc. • This is paid from the Health Care Benefits Trust employee.phoenix.gov/hr

  10. $215 Million = The total projected cost for medical and pharmacy coverage in the 2011 – 12 Plan Year for • Employees • Retirees • Covered family members 99.06% is spent directly on claims employee.phoenix.gov/hr

  11. HELP US PROVIDE QUALITY COVERAGE • Pharmacy – Use Generics where possible to save money for you and for the plan • Use mail order for maintenance medications • Check retail locations for $4 generic medications • Visit Urgent Care and Convenience Care Clinics instead of the Emergency Room when appropriate • Keep yourself healthy • Get annual physicals/check-ups • Get an annual flu shot employee.phoenix.gov/hr

  12. Medical Co-Pays employee.phoenix.gov/hr

  13. Co-Pay Changes as of Aug. 1 employee.phoenix.gov/hr

  14. Prescription Co-Pays Do Not Change • To save yourself money as well as the plan, use generics where appropriate • Mail order saves you money as well as the plan – 2 copays for 3 months of medication employee.phoenix.gov/hr

  15. CIGNA Pharmacy Management Replaced CVS/Caremark employee.phoenix.gov/hr

  16. CIGNA Pharmacy Replaces CVS/Caremark • Effective on August 1, 2011 • For CIGNA and BlueCross/BlueShield plans. • You should be using your CIGNA Pharmacy card at this point. • Contact the onsite Pharmacy Representative in the Benefits Office for help employee.phoenix.gov/hr

  17. Retiree Medicare Meetings You are invited to a Medicare Information Meeting hosted by the City of Phoenix Benefits Office and the Area Agency on Aging. Learn about the basics of Medicare from an impartial subject matter expert. Find out how the City’s coverage integrates with Medicare. No R.S.V.P. necessary. Bring your spouse, family member or friend. We look forward to seeing you there. employee.phoenix.gov/hr

  18. Retiree Medicare Meetings We’re sorry if you can’t make it to one of these meetings. Information will be available online at http://employee.phoenix.gov/hr/retirees/index.html employee.phoenix.gov/hr

  19. Wellness • Wellness programs help to control medical premium costs. • The City is introducing a Health Risk Assessment incentive for employees. • Wellness program options and incentives for retirees will be reviewed and implemented in 2012. employee.phoenix.gov/hr

  20. QUESTIONS AND COMMENTS? employee.phoenix.gov/hr

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