Post on 29-Dec-2015
transcript
Password Reset
Pharmacy Benefits Manager
• State Employees’ Prescription Drug Plan administered by Medco– All health plans (except CHP and FHCP Medicare Advantage)
– Plan benefits the same– Mail order requirements the same for PPO Plan– Preferred Drug List and Maintenance Drug List– Transfer prescriptions– Limited Network – Walgreens out of network
Medco
• www.medco.com/sofrxplan (now)• Toll-free (877) 531-4793• Welcome kit• Medco ID cards• www.medco.com (starting January 1)
Procurement Results
• One HMO per county in most counties• Single pharmacy benefits manager (Medco)• Reduce costs – $400 million over two years
How HMO Changes Affect You
• Eligibility– Employees – live or work county– Retirees – live county
How HMO Changes Affect You
• Mapping if your HMO is going away– One HMO option – new HMO– More than one HMO option – PPO Plan
• Plan benefits stay the same• Most providers in more than one network– Show new member ID card in January– Nominate out-of-network providers with new
HMO
Premium Information
• Employee health insurance premiums the same• Retiree HMO rates changing in December – see personalized
benefits statement• Dental plan rates increasing for:
CompBenefits Network Plus Prepaid
CIGNA Dental Prepaid CompBenefits Preferred Plus PPO
2011 2012 2011 2012 2011 2012
Employee Only $21.90 $23.00 $26.32 $27.38 $29.50 $30.98
Employee + Spouse $43.18 $45.34 $47.32 $49.22 $54.58 $57.32
Employee + Child/Children $51.48 $54.06 $55.68 $57.92 $60.98 $64.04
Employee + Family $65.76 $69.06 $67.56 $70.26 $88.56 $92.98
Other Changes
• HSA contribution limits increasing– Individual $3,100– Family $6,250
• Alta now CIGNA Health and Life Insurance Company (CHLIC)
Take TIME!
Take ACTION!