2. YOU SPOKE! WE LISTENED! WE ACTED!
2016 Open Enrollment
YOU SPOKE! WE LISTENED! WE ACTED!

3. Medical Plan Options Current Network Option 1 Option 2 Option 3
Higher Deductible and Out-of-Pocket Maximum
HSA allowed
Limited Network
Lower deductible and Out-of-Pocket Maximum
Copays apply before deductible is met
HSA not allowed by IRS
Can use Medical Flex Spending account
Option 1
Option 2
Option 3

4. 2017 Medical Plan Design… Same Network As Today Option #1 Deductible
$2,500 ($5,000 Family)
Coinsurance after Deductible
100%
Maximum Out-of-Pocket
$3,425 ($6,850 Family)
After reaching deductible you pay the following copays until your maximum out of pocket is reached
Primary Care Visit
$25 after deductible
Specialist Visit
$50 after deductible
Emergency Room
$150 after deductible
Urgent Care
$75 after deductible
Out-Patient Therapy
Rx’s
$10/$35/$65 after deductible

5. 2017 Medical Plan Design… Limited Network Option #2 Deductible
$1,500 ($3,000 Family)
Coinsurance after Deductible
100%
Maximum Out-of-Pocket
$2,500 ($5,000 Family)
After reaching deductible you pay the following copays until your maximum out of pocket is reached
Primary Care Visit
$25 after deductible
Specialist Visit
$50 after deductible
Emergency Room
$150 after deductible
Urgent Care
$75 after deductible
Out-Patient Therapy
Rx’s
$10/$35/$65 after deductible

6. 2017 Medical Plan Design… Limited Network
Option #3 No HSA allowed by IRS
Traditional plan where copays come before deductible
Deductible*
$2,500 ($5,000 Family)
*Member #1 meets $2,500, then rest of family meets the additional $2,500
Coinsurance after Deductible
70%
Maximum Out-of-Pocket
$6,500 ($13,000 Family)
Primary Care Visit
$40
Specialist Visit
$60
Emergency Room
Deductible & Coinsurance of 30%
Urgent Care
$75
Out-Patient Therapy
Rx’s
$10/$35/$65
Other Services

7. 2017 Medical Premiums (FTE .7 up to an FTE 1.0)
**Employees with a wage of $14.50/hour or less
*receive a 10% discount on medical premiums.
Medical Option #1 & Option #2
Medical Option #3
Regular Rates
Subsidized Rates
Without Wellness Reward
With Wellness Reward
Subsidized Rates*
Employee Only
$53.81
$48.43
$56.04
$41.54
$50.44/$35.94
Employee + Spouse
$181.56
$163.40
$164.50
$150.00
$148.05/$133.55
Employee + Children
$168.30
$151.47
$148.35
$133.85
$133.52/$119.02
Employee + Family
$206.04
$185.44
$199.12
$184.62
$179.21/$164.71
NEEDS UPDATED!

8. Selecting a primary care doctor for the LIMITED NETWORK OPTIONS (#2 & #3)
Why it matters
Every team needs a leader. And the primary care doctor you pick will lead your Aetna Whole CHI Health care team* and:
Treat you when you're sick
See you for your annual wellness exam
Direct your care with other doctors and specialists
Advise you and help you find care programs
Better health
Better care
Better cost
*Recommended, but not required.
The Limited Network does not apply to Immanuel’s Lincoln locations.

9. Convenient access throughout the area
DRAFT
Hospitals
Primary care offices
Urgent care facilities
Quick Care facilities
For illustrative purposes only

10. Aetna Whole Health – CHI Health Accountable Care Network hospitals
14 Urgent care facilities
12 Hospitals
2,000+ Specialists
7 Quick Care locations
400+ Primary care providers
Hospital
City
Address
ZIP
Memorial Community Hospital
Blair
810 N 22nd St.
68008
Boys Town National Research Hospital
Boys Town
14000 Hospital Rd.
68010
Alegent Creighton Health Mercy Council Bluffs
Council Bluffs
800 Mercy Dr.
51503
CHI Health Missouri Valley
Missouri Valley
631 N 8th St.
51555
St. Mary’s Hospital
Nebraska City
1301 Grundman Blvd.
68410
Alegent Creighton Health Bergan
Omaha
7500 Mercy Rd.
68124
Alegent Creighton Health Creighton University Medical Center
601 N 30th St.
68131
Alegent Health – Immanuel Medical Center
6901 N 72nd St.
68122
Alegent Health – Lakeside Hospital
16901 Lakeside Hills Ct.
68130
555 N 30th St.
Children's Hospital
8200 Dodge St.
68114
Alegent Health – Midlands Community Hospital
Papillion
11111 S 84th St.
68046
Saunders Medical Center
Wahoo
1760 County Rd. J
68066

11. Resources at your fingertips
Register for your secure member website at Then you can:
Search for doctors, hospitals and more
Check your personal health record and see reminders for important preventive screenings
Use helpful member tools and enroll in special programs
Review your claims and pay your bills
Get discounts on over-the-counter vitamins, herbal and nutritional supplements, massage therapy and more

17. Can’t see your doctor? Use Teledoc®
24/7/365 access to a doctor at Teladoc.com/Aetna
Helps members and their families seek care when their PCP is not available
Increased convenience for general medical needs
Less expensive than seeking routine care at Urgent Care Center or Emergency Room
Services covered include general medical care, behavioral health and dermatology

18. Health Savings Accounts
Immanuel funding = 40%
Employee funding = 60%
$ for $ match up to:
$350 for EE
$1,077 for EE+dependent(s)

19. Transition from Wells Fargo to Optum Bank
The Immanuel group transition date is
You will receive a new Optum Bank HSA debit card sometime mid to late December.
The fees and investments will be the same.
There is nothing you need to do. You can continue to access your HSA account as you always have and use your Wells Fargo HSA debit card to pay for qualified medical, dental & vision expenses thru
Starting you will begin using your Optum Bank HSA card.

20. NEW RESOURCE---Health Advocate
You can call anytime 24/7 for support in helping you decide which medical options work best for your particular situation by:
Checking networks for doctors and specialists
Explaining your share in the cost—out of pocket expense
Making sure your drugs are on the option that works best
Factoring in your dependent children (up to age 26)
You can also visit Health Advocate online at HealthAdvocate.com/members

22. Before you Begin Open Enrollment
Please Verify All Contact Info: SSN; Birth Date; Full Name; Phone #; Etc.

23. How to Begin Open Enrollment
*Prior to Open Enrollment, make sure all your dependent/beneficiaries are up to date.
For Step-by-Step Instructions, Click on the Highlighted Tour Above.

24. Reviewing and Submitting Elections

25. You Can Make Changes in your Elections until 8 a.m. November 21st

26. Final Reminders
November Relias will include a short description of the three Medical Plan options that you must complete.
If you elect the Flexible Spending accounts for Dependent Day- Care or Medical or Limited Medical, you must reapply for calendar year 2017.
Remember to turn claims in for Wellness Reimbursement on the cancer policy--$50 on the Low policy and $100 on the High policy. Outpatient physician reimbursements on Accident policy--$25 on the Low policy and $50 on the High policy.
Everyone will receive new Aetna medical cards near the first of the year.