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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
  • Presentation File

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

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