enroll exclusively online at 1 enroll exclusively online at

of 22 /22
Enroll exclusively online at www.HealthyatTenet.com 1 Enroll exclusively online at www.HealthyatTenet.com.

Author: sharleen-king

Post on 23-Dec-2015

226 views

Category:

Documents


6 download

Embed Size (px)

TRANSCRIPT

  • Slide 1
  • Enroll exclusively online at www.HealthyatTenet.com 1 Enroll exclusively online at www.HealthyatTenet.com.
  • Slide 2
  • Enroll exclusively online at www.HealthyatTenet.com 2 2011 BenefitsIf You Remember Only Five Things 1.Almost everybody will spend less through the Health & Savings Plan (formerly HDHP) than under any other option. Youll receive an additional contribution if you choose it in 2011. 2.The Health Savings Accountfunded by Tenet and youcan be used now, next year, OR for retiree medical coverage. 3.Use Tenet facilities whenever available! 4.Nothing is more important than your health and wellness. Use the preventive benefits! 5.Tenet spends FOUR times the amount you do to provide YOUR benefits. Annual Enrollment November 8 - 23
  • Slide 3
  • Enroll exclusively online at www.HealthyatTenet.com 3
  • Slide 4
  • 4 Health and Welfare Benefits Pre-tax benefits Medical Rx Health Savings Account Wellness Pre-tax benefits (other) Dental Vision Spending Accounts After-tax benefits Disability Basic & Supplemental Life Basic & Supplemental AD&D Long-Term Care Hyatt Legal Plan
  • Slide 5
  • Enroll exclusively online at www.HealthyatTenet.com 5 NEW! United Healthcare Network! Expanded Network & Minimal Disruption Almost nobody will have to change doctors Transition of Care may be available if your physician is out of network Continue to receive services for specified medical and behavioral conditions For a defined period of time With out-of-network health care professionals at network rates You must apply for Transition of Care at enrollment, or no later than January 30, 2011.
  • Slide 6
  • Enroll exclusively online at www.HealthyatTenet.com 66 2011 Medical Plans EPO Exclusive Provider Organization Highest premium (regardless of usage) No Deductible Co-pays ($) Unlimited Co-pays PPO Preferred Provider Organization Lower Premiums Moderate deductible Coinsurance (%) Out of pocket max - $4,000 to $12,000 Health & Savings Plan High Deductible Health Plan Lowest Premiums Highest deductible Coinsurance (%) Health Savings Account eligible Steerage to Tenet facilities Out of pocket max - $5,200 to $10,400 All three plans: Have the same physician network Cover the same procedures Require the same pre-authorization More expensive doesnt equate to better care 6
  • Slide 7
  • Enroll exclusively online at www.HealthyatTenet.com 7 2011 Employee Contributions 7
  • Slide 8
  • Enroll exclusively online at www.HealthyatTenet.com 8 Medical Plan You pay larger monthly premiums Care Providers Plan pays most of cost when you need care You pay a smaller amount when you need care Health How does it work? Traditional Health Plans (PPO, EPO): Health & Savings Plan: You Emphasize insurance-style coverage Balances savings and insurance- style coverage You Medical Plan You pay smaller monthly premiums HSA You save money in an HSA Care Providers Plan pays part of cost when you need care You can use HSA for your share of qualified medical expenses $ save $ $ save $
  • Slide 9
  • Enroll exclusively online at www.HealthyatTenet.com 9 Health & Savings Plan HDHP and HSA = The Health & Savings Plan Whats the same compared to other Tenet Plans? Comprehensive coverage for health care services Full coverage for preventive services Highest coverage when using a Tenet facility Financial protection from catastrophic illness or injury Tenet pays a significant share of the cost Whats different? How you pay for coverage Premium costs are different Deductible and co- pay/coinsurance amounts are different Health & Savings Plan includes a savings component For 2011 - Tenet provides an HIGHER annual contribution to your HSA of $950 employee only, $1,900 family Wellness Incentives are higher on the HSP Why is this plan the best?
  • Slide 10
  • Enroll exclusively online at www.HealthyatTenet.com 10 EXAMPLE: Family Coverage in Health & Savings Plan PREVENTIVE CARE Many services covered at 100% without co- payment or using HSA HEALTH SAVINGS ACCOUNT Employee Contributions Up to $6,150 per year (Includes $1,900-$2,400 HSA funded by Tenet) PLAN PAYS 100% OF COVERED CHARGES after you reach your annual out-of-pocket maximum ANNUAL DEDUCTIBLE $2,400 (Family) 1 YOUR COINSURANCE 10%-50% (In-Network) 60% (Out-of-Network) ANNUAL OUT-OF-POCKET MAXIMUM $10,400 (In-Network) Your share of the out-of-pocket maximum = $8,000 2
  • Slide 11
  • Enroll exclusively online at www.HealthyatTenet.com 11 Medical: 2011 HSP w/HSA Pay for expenses Now OR Save to Pay For Retiree Medical Health Savings Account (HSA) advantages Tenet contributes to your account Earn 2010 Wellness incentive $250 employee & $250 spouse Carry over remaining money year to year Money in your HSA is yours to keep Earnings on your account grow tax-free* Eligible distributions are never taxed. You may contribute through pre-tax deductions* Up to $3,050 for employee-only coverage Up to $6,150 for coverage that includes dependents Catch-up contributions if age 55 or older (maximum) add $1,000 to above * State taxes may or may not apply. See your tax advisor for more information on the state tax implications on HSAs.
  • Slide 12
  • Enroll exclusively online at www.HealthyatTenet.com 12 Medical: 2011 HSP w/HSA Health & Savings Plan (HSP) considerations Certain preventive coverage paid entirely by plan Not subject to the deductible Certain preventive prescriptions not subject to the deductible For other services, must meet deductible before plan begins paying $1,200 individual, OR $2,400 family Non-preventive Rx is applied to the deductible 12 This is your Retiree Medical Benefit!!!
  • Slide 13
  • Enroll exclusively online at www.HealthyatTenet.com 13 Potential Health Savings Account Growth $1,000$2,000$3,000 After 1 year $1,020$2,040$3,085 After 5 years $5,562$11,621$17,741 After 10 years $13,236$27,886$42,624 After 20 years $39,093$82,696$126,471 Account growth Hypothetical Annual Account Contribution Hypothetical example assumes annual contribution amounts as stated above made on Jan. 1 each year until 1, 5, 10 and 20 year periods. Assumes tax-deferred you receive 2% investment growth on funds in the default account and that once the balance in this account reaches $2,500, excess funds will earn 7%. Assumes compounding in an HSA. Final balances prior to any eligible medical expenses and taxes may be due on distribution. Actual returns will be based on actual returns within the HSA. Source - Fidelity
  • Slide 14
  • Enroll exclusively online at www.HealthyatTenet.com 14 Deductible covered in 2011 Employee Only Deductible HSA Seed *Wellness Opportunity Remaining Deductible Sign-onOngoing 2011$1,200$450$500$250$0- $250 Family Deductible HSA Seed *Wellness Opportunity Remaining Deductible Sign-onOngoing 2011$2,400$900$1,000$500$0 - $500 *2010 Wellness incentive opportunity; funded to HSA in January 2011
  • Slide 15
  • Enroll exclusively online at www.HealthyatTenet.com 15 What is the 2011 employee financial model? PlanEmployee OnlyEmployee and Family HSP with HSA$950$1,900 $800 PPO$0 EPO$0 Employer Contributions to the HSA* (A) Average Employee Out of Pocket Expenses (C) PlanEmployee OnlyEmployee and Family HSP with HSA$750$1,200 $800 PPO$900$1,600 EPO$400$1,200 PlanEmployee OnlyEmployee and Family HSP with HSA$321$1,626 $800 PPO$488$2,414 EPO$1,333$6,746 Employee Premiums (B) Average Employee Net Cost (B) +(C) (A) PlanEmployee OnlyEmployee and Family HSP with HSA$121$926 $800 PPO$1,388$4,014 EPO$1,733$7,946 * Doesnt include added value of wellness incentive 15 $7K savings
  • Slide 16
  • Enroll exclusively online at www.HealthyatTenet.com 16 2011 Wellness Incentives Wellness Incentives 2011 Plan Participation Level Wellness Credits Health Plan HSPOther (including opt-out) EmployeeSpouse (1) EmployeeSpouse (1) Bronze 50 (a)$150 $100$50 Silver 100$250 $200$100 Gold 150 (b)$350 $250$150 Platinum - 200$450 $300$250 Incentive TypeContribution to HSATaxable cash (a) Health Assessment required to achieve bronze level and above (b) Annual physical required to earn gold level and above (1) Only spouses that are covered under one of Tenets medical plans are eligible to receive the wellness incentive. Note: 2011 incentives are earned in 2011 and paid/funded in 2012. The wellness program and incentives are reviewed and updated annually. All employees can join Wellness challenges, issue their own challenges to co-workers, track results and have fun living healthy! California union employees can participate in the HealthyatTenet Wellness Program but are not eligible for the Wellness Incentives. 16
  • Slide 17
  • Enroll exclusively online at www.HealthyatTenet.com 17 Plan Design Changes Work HereReceive Care Here.For your Health, Family and Future Services in a Tenet facility HSP / PPO - plan pays 90% (after deductible in HSP) EPO - $250 / $500 co-pay Improved benefits for CMA physicians (90% instead of 80%) New Non-Tenet 2011 Coverage.If you dont receive care here but could have. Non-Tenet In-Network Services paid at 50% (after deductible) Non-Tenet Out-of-Network Services paid at 40% (after deductible) New for 2011 - If you cant receive care here Emergency, if the service isnt offered at a Tenet facility, or the facility is further than 45 miles from your home Same coverage as if you received care at a Tenet facility!
  • Slide 18
  • Enroll exclusively online at www.HealthyatTenet.com 18 2011 Rx Plan Simplification 2011 Proposed Plan Design Retail 30 Day Supply Generic$5 Formulary Brands35% with $30 min/$100 max Non-Formulary Brands50% with $40 min/$150 max Mail 90 Day Supply Generic$10 Formulary Brands35% with $75 min/$200 max Non-Formulary Brands50% with $100 min/$300 max 18 Out-of-pocket costs are applied to HSP deductible Prescriptions are qualified HSA and HCSA (FSA) expenses
  • Slide 19
  • Enroll exclusively online at www.HealthyatTenet.com 19 Health Care Reform Changes Dependent children under age 26 will be eligible for health care coverage, regardless of student status Special enrollment rights apply to: A dependent child between the ages of 19 up until 26, who you were previously unable to cover in the Tenet medical plans due to student status or age limitations Extended enrollment period through December 8 Enroll online through November 23 rd. After November 23 rd call My Benefits Customer Support Center to add eligible individuals during the extended enrollment period Birth certificate required Over-the-counter medications must be prescribed by a doctor to qualify as eligible expenses under the Health Savings Account or Health Care Spending Account Mental Health Parity Act - Mental health & substance abuse claims will be paid at the same reimbursement level as Tenet Hospitals
  • Slide 20
  • Enroll exclusively online at www.HealthyatTenet.com 20 www.HealthyatTenet.com Look for the Annual Enrollment Banner Quick access to: Whats New Medical Plan Comparison ToolsUse the Medical Expense Estimator to see if the HSP saves you money (it does for employees in almost any situation). HSP VideoExplore the HSP AND EARN 5 WELLNESS CREDITS to start off 2011. HSA Mythbusters FAQsFind quick answers to your benefits questions Enrollment Steps Enrollment Exclusively Online
  • Slide 21
  • Enroll exclusively online at www.HealthyatTenet.com 21 Tips Evaluate your needs for benefits Planning could save you thousands Utilize tools available via HealthyAtTenet Medical Plan Estimator; Health Savings Account Value Modeler Use Tenet Hospitals & outpatient centers to lower your out of pocket expenses Make healthy living a priority! If you or your covered dependent smoke, quit now! Preventive benefits: the most underused and potentially valuable set of benefits we offer Earn your Wellness Incentive Enroll by the deadline! Look for information during the year on SMART PLAN USE
  • Slide 22
  • Enroll exclusively online at www.HealthyatTenet.com 22 Tenet Benefits Strategy Simply the best medical coverage for a lifetime Create a culture of employee health and wellness. engage in understanding and manage your health and your familys Promote employee financial health and savings.for now and the future