Open Enrollment October 14, 2015

Complete your Active Online Health Assessment by Oct. 31 to earn $240 in If you are participating in the Fall Fitness Challenge, be sure to finish tracking 52 workouts by Oct. 31 to earn an additional $240. Visit for more information.

What Stays the Same in 2016  Wellness incentives continue to offset employee premiums by as much as $40 per month ($480 per year)  Copayments for most Health Plan services remain the same  Maximum Out-of-Pocket Costs for all UVA Health and Dental Plans remain the same in 2016  Value and Choice Health Plan incentives remain the same for UVA Primary Care and Specialist Provider Copayments:  $15 Primary Care / $30 Specialty Care visits for Choice Health  $20 Primary Care / $40 Specialty Care visits for Value Health  Aetna Vision Discount Program same for all health plan members  Davis Vision Plan remains the same

Summary of 2016 Changes Choice Health  Choice Health members are moving from paying a copayment to paying deductible and coinsurance for emergency room and outpatient procedures.  Annual Deductible for Choice Health members will be the same for both UVA Provider Network and Aetna In-Network; and Cost Sharing for Inpatient Hospital, Transplant Services, Acute Care for Mental Illnesses, and Outpatient Hospital Procedures will be the same for both networks as well Choice Health Inpatient Hospital, Transplant, Acute Care Mental Health, and Skilled Nursing for both UVA Network & Aetna In-Network $400 copayment Emergency Room for both UVA Network & Aetna In-Network Deductible & 10% Outpatient Procedures for both UVA Network & Aetna In-Network Deductible & 10% Deductible = $250 Indv. / $500 Family for both UVA Network, and Aetna In-network

Summary of 2016 Changes Value Health  Value Health members will pay a deductible for services provided at both UVA facilities and Aetna In-Network facilities. Those deductibles will be the same within your plan, regardless of provider Value Health Inpatient Hospital, Transplant, and Acute Care Mental Health, are now the same for both UVA Network & Aetna In-Network Deductible & 20% Deductible = $500 Indv. / $1,000 Family for both UVA and Aetna In-network

Summary of 2016 Drug & Health Plan Benefit Changes  Prescription Drug Changes for Choice and Value Health (Catamaran)  Decrease Employee costs Tier 2 and 3 for Catamaran Mail Order Drugs  Increase Employee costs Tier 2 and 3 minimum and maximum thresholds for Retail Drugs  Increase Employee costs for Specialty Drugs (Briova and UVA Specialty Pharmacy)  Cover transgender surgery  2015 monthly $10 tobacco free reward program ends in December. Health plan members still receive support services through Hoo’s Well Tobacco Cessation programs (visit and select Tobacco Cessation).

2016 UVA Health Plan Monthly Active Employee Premiums Coverage TierBasicValueChoice Employee$19 (same)$51 (same)$99 ( + $9 ) EE+Child(ren)$24 (same)$85 (same)$237 ( + $22 ) EE+Spouse$31 ( + $1 )$94 ( + $3 )$271 ( + $29 ) Family$59 ( + $1 )$153 ( + $3 )$476 ( + $48 )  Increase for Value Health & Basic Health, just Employee + Spouse and Family tiers, ranging from $1 - $3 per month  Increase for Choice Health, all tiers, range $9 - $48 per month  Above rates do not reflect employee Hoo’s Well rewards earned in 2016 COBRA, retiree, part-time, wage, postdoctoral fellows, housestaff, and research associate benefit rates will be published online

UVA Health Plan: Overview Similarities:  Receive in-network, preventive care at no cost and no deductible  Managed by Aetna with access to the same doctors and networks  Coverage available for spouses who do not have access to coverage from their own employer, and children up to age 26  Aetna Vision Discount benefit included Basic Health Plan Differences:  Premiums  Deductibles  Costs at the point of care  See the Medical Schedule of Benefits for a detailed comparison of plans Basic Health Plan Value Health Plan Choice Health Plan Value Health Plan

Monthly Dental Premiums Coverage TierBasicEnhanced Employee$1 (same)$10 ( + $1 ) EE+Child(ren)$2 (same)$24 ( + $2 ) EE+Spouse$4 (same)$28 ( + $3 ) Family$7 (same)$48 ( + $4 )  Basic Dental premiums remain the same in 2016  Enhanced Dental, premiums increase from $1 - $4 per month  Dental Claims Administrator: United Concordia, For member services or to find a dental provider visit,

UVA Dental Plan: Overview Similarities:  Receive in-network, preventive and diagnostic services covered at 100% Differences:  Basic $1,000 annual maximum  Enhanced $2,000 annual maximum  Enhanced includes orthodontic up to $1,000 lifetime max  Enhanced saves you 10% for major restorative services Basic Dental Plan Enhanced Dental Plan Review 2016 Dental Schedules for detailed plan comparisons. Basic Dental Plan Enhanced Dental Plan

Davis Vision Davis VisionMonthly Premiums Employee$6.29 EE+Child(ren)$11.01 EE+Spouse$11.33 Family$17.62  Davis Vision rates are the same in 2016  Fully-insured, employee paid vision insurance  Program includes: eye examination, spectacle lenses, frames, and contact lenses  To find a Davis Vision provider near you, visit or call for a provider search at: (UVA ‘Control Code’ 4680)

 Full Healthcare FSA available for Value or Choice health plans  Chard Snyder, (800) ,  Pay for un-reimbursed medical expenses with your pre-tax dollars  $240 minimum; $2,500 annual maximum contribution for 2016 FSA  Reelect FSA each year through self-service during Open Enrollment  All monies in your FSA account at the end of the plan year’s grace period (March 15 th ) will be forfeited  Use your debit “Benny Card” or submit paper claim forms to pay for your qualified FSA expenses Healthcare (Full FSA) Flexible Spending Account

 Dependent Care Account funds available only after the money has been deducted from your paycheck and you have incurred the dependent care expense  $240 min; $5,000 annual max for 2016  All monies in your account at the end of the plan year’s grace period (March 15 th ) will be forfeited  Available regardless of health plan option Dependent Daycare Spending Account Can be used for:  Children under 13 who qualify as dependents on your Federal tax return  Before & after school programs  Nursery school, preschool, in-home care  Summer camp (not overnight)  Adult daycare Cannot be used for:  Child support payments  Educational supplies or activity fees  Private school tuition (after preschool)  Overnight camps

Basic Health Option’s Health Savings Account (HSA)  Basic Health Plan (HDHP) members may use for eligible medical, dental, and vision expenses and to help meet high-deductible  Balance rolls forward at the end of each year, earns interest, and goes with you  EMPLOYER: University contributes “seed” money into your HSA based on health plan dependents, marital and family status Seed: $1,000=Emp.; $1,500 =Emp.+Spouse/Child(ren), $2,000 =Family (mid-year enrollees receive prorated amount based on date of enrollment)  EMPLOYEE: Elect voluntary pretax contributions into your HSA account through your paycheck  Annual IRS limits for combined employee + employer pre-tax dollars range from $3,350 to $6,750 in 2016, depending on your health plan dependents, marital and family status

Basic Health Plan’s Limited Dental & Vision FSA  Because the Basic Health Plan is a high-deductible health plan (HDHP), in addition to the HSA you may also choose to open a Limited Dental & Vision FSA  Limited FSA funds may ONLY be used for eligible dental and vision expenses  2016 annual FSA minimum $240; maximum $2,500  Administrated by Chard Snyder, all FSA and HSA programs allow you to access your funds with your debit “Benny Card”  All monies in the Limited FSA account at the end of the plan year’s grace period (March 15 th ) will be forfeited

Open Enrollment Reminders Oct. 5 – Oct. 31 Consider Your Choices:  Review your Health Plan coverage option:  Basic Health  Value Health  Choice Health  Sign Spousal Affidavit (if applicable)  Review your Dental Plan coverage option:  Basic Dental  Enhanced Dental  Review Davis Vision Medical pre-tax account(s):  Health Savings Account (HSA), for Basic Health members, and Limited Dental & Vision FSA  Healthcare Flex Spending (FSA), for Value or Choice Members Dependent Daycare pre-tax account:  Dependent Daycare Spending Account Other Topics to Review :  Participate in a Financial Fitness Checkup  Annual Tax Deferrals (TDSP)  Verify accuracy of your home mailing address and phone number in self-service  Verify your Dependent(s) information (Social Security Numbers, dates of birth)

Open Enrollment Resources