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  • Current payroll deductions are: Plan Ind Ind + Sp Ind + Ch Fam Blue Cross Preferred $41 $123 $96 $171 United Healthcare $41 $123 $96 $171 VanderbiltPreferred $30 $98 $79 $140 Blue Cross S $20 $60 $40 $80

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  • Your Vanderbilt Benefit Options for 2004
  • Open Enrollment October 1 – 17, 2003
  • During Open Enrollment, You Can:
    • Select medical and dental coverage
    • Enroll for Personal Spending Accounts (PSA)
    • Sign up for additional accidental death and dismemberment insurance (AD&D)
    • Update your covered dependents
    • Learn about benefit options
    • Enroll in new Health Incentive Plan (Go for the Gold)
  • Addressing Rising Health Care Costs
      • Secured contracts for lowest cost, best value health care plan options
      • Created new Prescription Drug Program
      • Enhanced Dental Benefit with new Program
      • Created Incentive Plan to promote healthy behaviors – Look for information in the Open Enrollment packet
  • Medical and Dental Plan Options for 2004
    • Blue Cross Preferred
    • Blue Cross S
    • New for 2004:
    • CIGNA PPO
    • CIGNA Dental Care/CIGNA Dental PPO
  • Your Medical Plan Monthly Cost (effective Jan. 1, 2004)
    • Individual + Individual + Individual Spouse/Partner Child(ren) Family
    • Blue Cross Preferred $40 $120 $95 $165
    • CIGNA PPO $40 $120 $95 $165
    • Blue Cross S $20 $60 $40 $80
  • Blue Cross Preferred and CIGNA PPO Highlights VUMC & VMG You Pay In-Network You Pay Individual deductible $0 $200 Physician visit $15 copay $30 copay Preventive care $15 copay $30 copay Emergency room 10%* 20% after deductible* Inpatient hospital 10% 20% after deductible Out-of-pocket max. (Individual) $2,000 $2,000 Out-of-Network coverage: You generally pay 40% after $400 individual deductible *Payment after $100 copay – copay waived if hospital admission
  • Blue Cross Preferred and CIGNA PPO Highlights
    • Coverage at Vanderbilt under any plan – best value
    • Enhanced Preventive Care Coverage under AMA guidelines
    • Emergency Room $100 copay waived if admitted
    • Urgent Care $50 copay
    • X-ray and Lab services covered with office visit when billed together
  • Blue Cross S Plan Highlights
    • Features low premiums but you pay more for most services –
      • $300 annual individual deductible
      • 40% of most covered services after deductible
      • $1,000 copay per hospital admission
      • $100 annual deductible for prescriptions
  • Blue Cross S Highlights In-Network You Pay Out-of-Network You Pay Individual deductible $300 $600 Physician visit 40% after deductible 60% after deductible Preventive care $15 copay Not covered Emergency room 40% after deductible 60% after deductible and $100 copay and $100 copay Inpatient hospital $1,000 copay, then 60% after deductible 40% after deductible Out-of-pocket max. (Individual) $3,000 $6,000
  • New Pharmacy Benefit - Caremark
    • New Prescription Drug program for ALL options of Vanderbilt’s Health Care Plan
    • Separate Drug Card from the Health Care Blue Cross or CIGNA cards
    • Special discounts provided through the Vanderbilt Pharmacy
  • Caremark Prescription Drug Costs for 2004
    • Retail (31-day supply)
      • Generic $15
      • Formulary $30
      • Non-formulary $45
    • Mail-order (90-day supply)
      • Generic $30
      • Formulary $60
      • Non-formulary brand $90
    • Note: Blue Cross S Plan requires $100 deductible before plan pays on prescription drugs
  • Vanderbilt Pharmacy Benefits
    • Retail (31-day supply) – (90-day supply)
      • Generic $10 $30
      • Formulary $25 $60
      • Non-formulary $40 $90
  • Dental Plan Highlights for 2004
    • Dental coverage now CIGNA:
      • CIGNA Dental Care– an HMO type plan
      • CIGNA Dental PPO – an indemnity plan
    • With the Dental Care Plan, all primary care must be received in-network
    • Locate your dentist on www.cigna.com
  • Dental Plan Highlights for 2004
    • CIGNA Dental Care Plan
      • Affordable Patient Charge Schedule – 45 procedures at no charge
      • Increased coverage for preventive and routine care
    • CIGNA Dental PPO
      • Average discount of 35.5% using Nashville Network Dentists
      • Larger provider network – 209 general dentists compared to 76 in current offering
  • Your Monthly CIGNA Dental Plan Costs
    • Individual + Individual + Individual Spouse/Partner Child(ren) Family
    • Dental $9.52 $16.17 $19.70 $24.45
    • Dental PPO $23.99 $47.54 $57.38 $80.91
  • Accidental Death & Dismemberment Insurance
    • You may purchase AD&D insurance in increments of $10,000
    • The maximum coverage is 10x your annual pay, up to $500,000
  • Personal Spending Account Highlights for 2004
    • Eligible faculty/staff may contribute to a medical or dependent care PSA
    • You must re-enroll in your PSA; 2003 elections will not roll over to 2004
    • FlexBen Corporation will continue to process PSA claims
  • What happens if I don’t enroll in health care?
    • If you are in United Healthcare or Vanderbilt Preferred , you will default to INDIVIDUAL Blue Cross Preferred
    • If you are in Blue Cross Preferred or S Plan, your current elections will roll over to 2004
  • What happens if I don’t enroll for other plans?
    • For dental, coverage will be waived
    • No Personal Spending Accounts will be set up for next year
    • Accidental Death & Dismemberment enrollment will roll over to 2004
  • Effective Date
    • New benefit elections
    • become effective
    • January 1, 2004
  • Designated Drop-Off Sites
    • During Open Enrollment (October 1 – 17) return your completed Open Enrollment form
    • to any Designated Drop-Off Site:
    • Peabody Hill Student Center
    • Sarratt Lobby
    • Medical Center North Lobby
  • Designated Drop-Off Sites (continued)
    • You may also ask questions and return your completed form to a benefits representative at the following locations:
        • 10/3 – Open Forum – 189 Sarratt (11am - 2pm)
        • 10/8 – Benefits Fair - Law School (11am – 5pm)
        • 10/9 – Benefits Fair – 2701 TVC (7am- 7pm)
        • 10/10 – Benefits Fair – 2701 TVC (7am- 5pm)
        • 10/13 – Open Forum – 202 Light Hall (1pm - 2pm)
        • 10/16 – 112 Sarratt (7:30am - 4pm)
        • 10/17 – 2701 TVC or 2525 West End (7:30am - 5pm) - Last day
        • Tuesdays & Thursdays during Open Enrollment - Courtyard Café (11am – 2pm) or #500 2525 West End
  • Enrollment Deadline
    • Your completed form must be returned to a
    • Designated Drop-Off Site
    • by
    • 5:00 p.m. (CST)
    • on
    • October 17, 2003
  • Confirmation Statement
    • A confirmation statement showing your benefit elections will be mailed to you by November 3, 2003.
    • If you do not receive it by
    • November 11, 2003,
    • call 615-322-8330
  • For Departmental Meeting
    • Call 615-322-8303
    • to schedule
    • departmental meeting of 20 or more
    • During Open Enrollment
  • For more information
    • Visit the
    • Human Resources (HR)
    • website at
    • www.vanderbilt.edu/HRS/hrs
  • Thank You
    • For your Time and Participation
    • in our Benefit Plan
  • “ Go For The Gold” For a Health Risk Assessment December 1, 2002 - November 30, 2003
    • Receive $10.00 per month wellness credit
    • on your paycheck in 2004!
    • Now available online
    • at the HEALTH Plus web-site: www. vanderbilt . edu / goforthegold
    • or call 343-8943