1 2013 Plan Year Benefits Open Enrollment. 2 Medical Insurance Healthier Lifestyles = Savings for Everyone! New Preventative Services effective 1/1/2013.

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Presentation transcript:

Plan Year Benefits Open Enrollment

2 Medical Insurance Healthier Lifestyles = Savings for Everyone! New Preventative Services effective 1/1/2013 Covered at 100% when a PPO Provider is used Subject to certain age and frequency limitations

3 Medical Insurance Preventive Service for Adults (men and women) ONE routine office visit per calendar year Routine screenings, such as Cholesterol Diabetes Blood pressure PSA Colorectal cancer screenings Fecal occult blood testing Sigmoidoscopy Colonoscopy Barium Enema Routine Immunizations Obesity and Diet screening and counseling

4 Medical Insurance Additional Preventive Services for Women (including pregnant women) Well Woman office visits Prenatal care for female employees, spouses, and dependent children Various screenings, such as PAP Mammogram Osteoporosis Human papilloma virus Gestational diabetes Contraceptive methods and counseling Breast feeding counseling, support, and supplies

5 Medical Insurance Preventive Services for Children and Adolescents Routine office visits 9 visits first two years of life 1 visit per year age 2 – 6 (based on birth year) 1 visit per calendar year age 7 through 18 Various screenings obtained during routine office visits, such as Visual acuity Oral health Hearing Obesity Hematocrit or hemoglobin Lead poisoning Routine Immunizations, including HPV vaccine for males and females

6 Prescription Drugs For those locations Using Prim , our mail-order prescription drug program: Since January Employees and dependents saved over $71,000 Flowers Foods saved over $338,000 Total Savings = Over $400,000!

7 Prescription Drugs Controlled Substances will no longer be considered maintenance drugs and will NOT need to be purchased through Prim . Adderall Benzedrine Codeine Concerta Demerol Dexedrine Fentanyl Hydrocodone Oxycodone Pentobarbital Percodan Ritalin Many Others

8 Tobacco Cessation Tobacco use is the leading preventable cause of disease, disability, and death in the United States. If you are still a tobacco user, enroll today! Hours a Day / 7 Days a Week FREE Screenings FREE Cessation Therapy FREE Nicotine Therapy

9 Eligibility Beginning in 2013, we will allow medical coverage for adult dependent children (up to age 26), even if they have other coverage available through their own employer or their spouse’s employer.

10 Employee Life Insurance Standard Insurance Company Life Services Toolkit: Now available to everyone covered by our Life Insurance Plan Travel Assistance Services include a full range of medical, travel, legal and emergency transportation services when you travel more than 100 miles from home or internationally on trips up to 180 days. Funeral Planning & Concierge Service This benefit offers personalized assistance with all funeral-related matters, both before and during your need, including local funeral home price comparisons and the negotiation of final funeral service costs with the funeral home your family chooses.

11 Employee Life Insurance Digital Identity Archive To help make retrieving your online information easy in the future, this benefit provides a secure website for recording, storing, and updating items like usernames and passwords. The information can be accessed by your designated person as needed, anytime after your death. Online Estate Planning You’ll have access to an online library of legal forms including a will that enables you to prepare, view, print, notarize, and store documents in a secure place. Standard Insurance Company Life Services Toolkit: Now available to everyone covered by our Life Insurance Plan

12 Employee Life Insurance Standard Insurance Company Life Services Toolkit

13 Cancer & Specified Disease Insurance The plan covers cancer and 31 other diseases (AllState covered 29). There is no pre-existing waiting period-You will have coverage from day one, even if you currently have cancer or one of the other diseases. Humana will provide coverage up to age 99 (AllState coverage ended at age 65). Any current employee can enroll now and be covered – No health questions asked (even if diagnosed with one of the diseases). Any new employee can enroll when first eligible and be covered – No health questions asked (even if diagnosed with one of the diseases). Late enrollees will be required to provide Evidence of Insurability.

14 Cancer & Specified Disease Insurance Coverage Level Weekly Rates Low PlanHigh Plan Individual$2.18$5.00 Family$4.89$10.98

15 Cancer & Specified Disease Insurance Important Notes If you currently have AllState coverage, that plan will terminate on December 31, 2012 unless you let AllState know that you want to keep it. You can keep that plan and convert it to direct bill, AND elect to purchase the new Humana benefit through payroll deduction. EVERYONE that wishes to purchase the new Humana plan will need to complete an enrollment form - even if you were previously covered under the Allstate plan. Online enrollment is not yet available for this benefit, so we have created pre-populated enrollment forms for everyone. You must complete the form and turn it in to HR if you want the new Humana plan.

16 Online Enrollment This year, you will be able to make any necessary changes to your benefits from a kiosk, workstation, or from your home computer.

17 Online Enrollment Benefits Confirmation Form This form shows your benefit coverage as of 1/1/2013. If you do not make any changes, these are the benefits that you will have in If you have an FSA, it is not shown. You must re-enroll each year. Cancer & Specified Disease Coverage is not shown. You must re-enroll in the new Humana plan by completing an enrollment form.

18 Online Enrollment Employee Acknowledgement Form If you do not want to make any changes, you may sign your form and turn it in today. If you do not want to make any changes, it is not necessary for you to log in to FLOconnect for Open Enrollment. Whether you make changes or not, this form must be turned in by December 1.

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25 Reminders Remember You have the month of November to make any changes. Forms are due no later than December 1. If you do not need to make any changes, you may simply sign your acknowledgement form and turn it in. You must complete a paper enrollment form for the new Humana Cancer & Specified Disease Plan.

Plan Year Benefits Open Enrollment