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C ITY OF S COTTSDALE H EALTHCARE B ENEFIT P LANS FY 16-17.

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Presentation on theme: "C ITY OF S COTTSDALE H EALTHCARE B ENEFIT P LANS FY 16-17."— Presentation transcript:

1 C ITY OF S COTTSDALE H EALTHCARE B ENEFIT P LANS FY 16-17

2 OAP IN-NETWORK PREMIUMS

3 OAP P REMIUMS

4 OAP + HSA PREMIUMS

5 CHANGES Removed deductible and co-insurance from Urgent Care visit on OAP Plan Increased deductibles on HSA plan to $1,300/$2,600

6 W HICH PLAN IS BEST FOR YOU ?

7 W HAT TO C ONSIDER Do you just use the plan for your annual wellness checkups? Do you primarily use the plan for doctor visits? Do you have any planned surgeries coming up? Are you contributing to the FSA? If not, have you considered starting to?

8 P LAN TO P LAN C OMPARISON #1 No deductible $1,524 annual premiums for single $5,592 annual premiums for family Co-pays at time of service In-Network benefits only $750/$1500 deductible $888 annual premiums ($636 savings for single) $3,972 annual premiums ($1,620 savings for family) After deductible, plan pays 90% In-and-Out-of-Network Out-of-Pocket max OAP IN-NETWORKOAP

9 P LAN TO P LAN C OMPARISON #2 No deductible $1,524 in annual premiums for single $5,592 in annual premiums for family Co-pays at time of service In-Network benefits only $1,300/$2,600 deductible $552 in annual premiums ($972 savings for single) $3,528 in annual premiums ($2,064 savings for family) After deductible, plan pays 90% In-and-Out-of-Network OAP IN-NETWORKOAP + HSA

10 H EALTH S AVINGS A CCOUNT A DVANTAGES Single employees can save up to $3,350 per year Save $500 - $840 in taxes per year Families can save up to $6,750 per year o Save $1,000 - $1,700 in taxes per year Keep the money forever Invest like a 401k/457 Triple tax savings – money is put in tax-free, earns tax-free interest and withdrawals are tax- free!

11 D ENTAL AND V ISION P LAN R ATES

12 D ENTAL P LANS

13 VSP E NHANCED V ISION P LAN No Changes

14 PHARMACY OPTIONS

15 M AIL O RDER You can usually receive 3 months of your maintenance drug for the price of 2 months or less Obtain a prescription for mail order drugs from your physician Obtain a mail order drug form from Human Resources or on Cigna’s web site: www.mycigna.com

16 3-T IER P RESCRIPTION F ORMAT Tier 1 – Generic - Same active ingredients as their brand counterparts for a lower cost. Tier 2 – Name Brand – If you choose a brand name drug over an available generic drug, you will pay the generic co- pay plus the difference in cost between the generic drug and the brand name drug. Tier 3 – Non-Formulary – Medications that generally have generic alternatives and/or one or more preferred brand options within the same drug class. Use the Prescription Drug Quote tool on myCigna.com to price a medication and see the lower cost options available to you. There are several drug classes where significant savings can be gained by encouraging use of more cost-effective drugs

17 D IABETIC M ONITOR Diabetic Monitor – Cigna offers a new convenient diabetic monitor for FREE. The OneTouch is a preferred brand monitor on your Cigna Pharmacy Plan and can offer you savings that are not available with non-preferred brands. To order a OneTouch® System at no charge: Cigna Home Delivery Pharmacy Mail to: P.O. Box 1019, Horsham, PA 19044-8019 For questions: 1-800-238-4778

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