creating your path— focusing on your future retiree health care bb&t | august 2014
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Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 2
Content
New Delivery Model for Medicare-Eligible Retirees
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 3
Overview of Retiree Benefit
For all BB&T retirees and spouses of retirees 65 or older: If you are over age 65 and your spouse is under age 65, you may elect to cover your spouse through
the BB&T Retiree medical coverage (Select or Consumer options ) through BCBS NC. BB&T will draft your account for the pre-65 coverage
If you elect the BB&T Retiree Life Insurance, BB&T will draft your account for the premium You may have 2 different enrollment periods:
– BB&T open enrollment for pre-65 Health care and for Life Insurance in November If you and your spouse are both 65 or older, you will each make an election with Aon Retiree Health
Exchange for your Medicare Supplement coverage and will be billed separately for coverage
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 5
Introducing Aon Retiree Health Exchange
An independent insurance exchange Offers Medicare insurance plans from quality carriers
– Financially stable– “Staying power” in the marketplace– Name brands such as AARP, Blue Cross and Blue Shield, Humana, and United Healthcare
Broad range of products to meet individual needs Employs licensed and certified benefit advisors
– Are salaried; no incentive to steer individuals to specific carriers and/or plans for you!– Benefit advisors are licensed, certified, and experienced in Medicare related insurance. – Will assist you through the entire process and will remain your advisor ongoing
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 6
Why Aon Retiree Health Exchange?
Aon Retiree Health Exchange is one of the nation’s most trusted advisors in navigating Medicare—it’s advice you can count on
We have a reputation for providing expert, independent assistance to Medicare recipients who expect and deserve high-quality health insurance at an affordable price
Aon Retiree Health Exchange presents complex health insurance information in an objective manner via its Internet site and trained and licensed insurance professionals
The Benefit Advisors are located in Lincolnshire, Illinois, Charlotte, North Carolina, Orlando, Florida, The Woodlands, Texas and Winston-Salem, North Carolina
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 8
Enrollment Process for Medicare-Eligible Retirees
Getting Started Confirm your appointment Read materials in the education kit or online Collect the following:
– Medicare card– List of doctors– List of medications
Learn/Compare/Enroll Talk with your benefit advisor Complete necessary paperwork Enroll over the phone
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 9
2014 Medicare Part A (Inpatient Hospital Care)
What Is Covered
Part A covers part of the following services: Inpatient hospital care Inpatient care in a skilled nursing facility
(not custodial or long-term care) Hospice care services Home health care services Nursing home care
What You Pay
Enrollment in Medicare: Part A is automatic for most people who have
worked 40 quarters in their lifetime Deductible: $1,216 per benefit period
– A benefit period starts the day you leave the hospital and lasts 60 days
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 10
2014 Medicare Part B (Outpatient Hospital and Doctor Care)
What Is Covered
Outpatient care– Doctors’ visits– Outpatient hospital– Lab services
Preventive care Emergency room visits Mental health Ambulance Lab tests
What You Pay
Premium: $104.90 – Social Security determines the premium
amount based on the last 2 years of taxable income
Deductible: $147 Coinsurance:
– Medicare pays 80%– Participant pays 20%
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 11
Current Plan
Government-Funded
Original Medicare
Part A(covers
hospital stays)
Part B(covers doctors and
outpatient visits)
Medicare Supplement Plan + Rx Drug Coverage (Optional)
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 12
Medicare Insurance Plan Options
+
Keep original Medicare and add:
Medicare Supplement Insurance
Medigap(covers some or all of the costs
not covered by Part A or B)
Offered by Private Companies
Replace Original Medicare with
Medicare Advantage
Part C(combines Part A and B
and may include prescription drugs)
Offered by Private Companies
Medicare Part D
Part D(covers
prescriptions)
Offered by Private Companies
OR
And/Or If Part C of your plan does not include prescriptions,
consider adding Part D.
MEDIGAP
Government-Funded
Original Medicare
Part A(covers
hospital stays)
Part B(covers doctors and
outpatient visits)
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 13
Medicare Supplement (Medigap) plans
Medicare Supplements supplement the Medicare coverage you already have– Medicare remains your primary; your Supplement is your secondary
With Medicare Supplement plans, you can go to any doctor, any medical facility in the country as long as the doctor/medical facility accepts Medicare and the service is Medicare approved (similar to what you currently have)
Plans are all federally regulated– Plans come with a range of coverage—Plans A through N
• Plan F has highest level of coverage Covers your deductibles and out-of-pocket expenses left over by Medicare
– Plans from company to company are the same—only difference is price• Prices vary by company, age, and service area
Current group supplement is similar to Medigap Plan F—except for Part B deductible
In the open market, there are options known as Medicare Supplements.
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Medicare Supplement Chart
For illustrative purposes only.
Features A B C D F G K L M NMedicare Part A Coinsurance and Hospital Costs (up to 365 days after Medicare Benefits are used up)
Medicare Part A Hospital Deductible 50% 75% 50%
Skilled Nursing Facility Care Copay/Coinsurance 50% 75%
Part A Hospice Care Coinsurance or Copayments 50% 75%
Medicare Part B Deductible
Medicare Party B Coinsurance (Generally 20%) 50% 75%
Medicare Part BExcess Charges
Blood(First 3 Pints) 50% 75%
Foreign Travel Emergencies(up to Plan Limits)
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 15
Guaranteed Issue of Coverage for Medicare Supplement (Medigap)
“Guaranteed issue” means that during this special election enrollment period for retirees, you’re automatically accepted by the insurance plan without having to answer medical questions– You have guaranteed acceptance into any Medicare Supplement Plan, regardless of any
pre -existing health conditions Enrolling in a Medicare Supplement Plan after this period, in most states, requires approval from the
insurance company This is a one-time chance for those age 65 and older
– For those turning age 65 in the future, you have the same opportunity during your initial enrollment
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2014 Medicare Part D Plans(Prescription Drug Coverage)
100% Paid by ParticipantDeductible $310
75% Paid by Plan25% Paid by Participant
Initial Coverage Level $2,850 Limit
The Donut HoleExit at $4,550
BRANDS:(50% Discount)
GENERICS:72% Paid by Participant
28% Paid by Plan
47.5% Paid by Participant
2.5% Paid by
Plan
15% Paid by Plan80% by Medicare5%
Catastrophic Coverage
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 17
Medicare Advantage Plans (Part C)
Obtain Medicare Parts A/B coverage through the Medicare Advantage Plan, not Original Medicare Must pay:
– Part B premium– Medicare Advantage Plan premium (if any)– Copays/coinsurance and deductibles, as applicable
Network-based:– PPO, HMO, HMO-POS, PFFS
Medicare Advantage Plans may offer extra coverage:– Vision, hearing, dental, health/wellness programs
Most plans include prescription drug coverage (Part D)
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 18
Choosing a Medical Plan Comparison
Supplement Plan (Medigap)
Can be higher premium/low to no cost on the back end
Can go to any doctor or medical facility in the country that accepts Medicare
Does not include prescription drugs Most plans include foreign travel emergency
coverage Guaranteed issue under certain circumstances
Medicare Advantage (Part C)
Low to no monthly premium/Pay as you go Network based plans/HMOs, PPOs Typically includes prescription drugs copays,
coinsurance, and deductibles No medical underwriting
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 19
Choosing a Medical Plan
Even if you and your spouse are both Medicare-eligible, your health needs may differ—each eligible person can choose a medical or prescription drug plan
You may change your Medicare Advantage and Part D plans every year during the Annual Enrollment Period (AEP) October 15–December 7
You may change your Medigap plan at any time during the year. However – you may be subject to underwriting
Initial Enrollment Period (IEP) – Newly Eligible Tricare and VA coverage
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 20
Choices to Meet Retirees’ Needs
Prefilled Paper Many retirees prefer to
review printed materials before making decision
Paper applications accepted via prepaid envelopes or fax
Telephonic Enrollment Highly trained benefit advisor
guides retirees through process
Retirees work with same benefit advisor throughout process (if desired)
Enrollments can be completed over the phone with telephonic signature
Preferred method—98%
Online Detailed summary of benefits
information Comparison of current plan
and alternate plans Online plan application
collection up to signature requirements
www.retiree.aon.com/bbt
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 21
Conveniently Paying for Your Coverage
Two options: Pay your health insurance premium by check each billing period
or Have your premium automatically withdrawn from a checking or savings account
– Most insurance providers allow automatic withdrawal as a convenient alternative to paper checks
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 22
Retiree Health Reimbursement Account (HRA) Highlights
Retiree HRA can only be used for reimbursement of eligible premiums for Medicare Supplement, Medicare Advantage, and/or Medicare Prescription Drug Plan, Medicare Part B and D coverage (including Part D penalties paid or surcharges) – Any additional premium expenses for the year would be paid by you
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 23
Premium Billing and HRA Reimbursement
Pays insurance premiums directly to carrier
Reports premium payments to Aon Retiree Health Exchange
Aon Retiree Health Exchange
Reimburses retirees for premiums
CarrierRetiree
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 24
Premium Billing and Manual Claim HRA Reimbursement
Pays insurance premiums directly to carrier and completes manual claim form each month for eligible expense and submits to Aon Retiree Health Exchange/Your Spending Account™
Aon Retiree Health Exchange
Reimburses retirees for premiums
Retiree receives premium increase from carrier and fills out amanual claim form for premium increase and submits to Aon Retiree Health Exchange/Your Spending Account
Retiree
Retiree
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 25
Advocacy—The Solution
Retirees Need Assistance
Access to care and prescription drugs Claim denials and incorrect payments Billing disputes Authorization and referrals Medicare coordination
Advocacy Services
Pioneered service in 1999 200 clients 3.6 million participants Advocates average 18 years of industry
experience
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 26
PROBLEM SOLUTIONSROOT CAUSE
Medicare Advocacy Examples
Receiving unexpected bills from rheumatologist
Provider miscoded diagnosis and CPT code; as a result, charges were not eligible for Medicare reimbursement
Medicare denied a claim, indicating Medicare was not the primary payer
Retiree did have additional coverage; however, Medicare was primary
Medicare denied claim as not medically necessary
Advocate worked with provider to correct and refile bill with Medicare
After bill was reprocessed, advocate communicated accurate liability to retiree
Advocate facilitated refiling claim with Medicare, then forwarded EOBs to health plan for secondary payment
Advocate collected medical records and forwarded them to Medicare
Once approved, advocate made arrangements for home delivery of wheelchair
Medicare denied a retiree’s request for a wheelchair
Erroneous CPT code
Incorrect Medicare
claim denial
Access to wheelchair
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 27
Website
Visit retiree.aon.com/bbt On the website, you can:
– Confirm your appointment– Change you appointment– Add your prescriptions– Compare plans– Create a unique user ID
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 28
Website retiree.aon.com/bbt
Proprietary & Confidential
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Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 29
Educational and Informative Content
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 30
Quick and Easy Plan Entry
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 31
Guided Tools, Including Personalized Rx Calculations
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 32
Simplified Browsing Experience
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 33
Side-by-Side Comparison Shopping—Comparing Apples-to-Apples
Aon Retiree Health ExchangeProprietary & Confidential | 03769 AHN RET.PPTX/046-S8-01859 07/17/2013 34
Prescription Profiler
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