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Open EnrollmentOctober 14, 2015

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Complete your Active Online Health

Assessment by Oct. 31 to earn $240 in

2016.

If you are participating in the Fall

Fitness Challenge, be sure to finish

tracking 52 workouts by Oct. 31 to

earn an additional $240.

Visit www.hooswell.com for more

information.

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What Stays the Same in 2016 Wellness incentives continue to offset employee premiums by as

much as $40 per month ($480 per year)

Copayments for most Health Plan services remain the same

Maximum Out-of-Pocket Costs for all UVA Health and Dental Plans remain the same in 2016

Value and Choice Health Plan incentives remain the same for UVA Primary Care and Specialist Provider Copayments:

$15 Primary Care / $30 Specialty Care visits for Choice Health

$20 Primary Care / $40 Specialty Care visits for Value Health

Aetna Vision Discount Program same for all health plan members

Davis Vision Plan remains the same

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Summary of 2016 ChangesChoice Health

Choice Health members are moving from paying a copayment to paying deductible and coinsurance for emergency room and outpatient procedures.

Annual Deductible for Choice Health members will be the same for both UVA Provider Network and Aetna In-Network; and Cost Sharing for Inpatient Hospital, Transplant Services, Acute Care for Mental Illnesses, and Outpatient Hospital Procedures will be the same for both networks as well.2016 Choice Health

Inpatient Hospital, Transplant, Acute Care Mental Health, and Skilled Nursing for bothUVA Network & Aetna In-Network

$400 copayment

Emergency Room for bothUVA Network & Aetna In-Network

Deductible & 10%

Outpatient Procedures for both UVA Network & Aetna In-Network

Deductible & 10%

Deductible = $250 Indv. / $500 Family for both UVA Network, and Aetna In-network

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Summary of 2016 ChangesValue Health

Value Health members will pay a deductible for services provided at both UVA facilities and Aetna In-Network facilities. Those deductibles will be the same within your plan, regardless of provider.

2016 Value HealthInpatient Hospital, Transplant, and Acute Care Mental Health, are now the samefor both UVA Network & Aetna In-Network

Deductible & 20%

Deductible = $500 Indv. / $1,000 Family for both UVA and Aetna In-network

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Summary of 2016 Drug & Health Plan Benefit

Changes Prescription Drug Changes for Choice and Value Health

(Catamaran) Decrease Employee costs Tier 2 and 3 for Catamaran Mail Order

Drugs Increase Employee costs Tier 2 and 3 minimum and maximum

thresholds for Retail Drugs Increase Employee costs for Specialty Drugs (Briova and UVA

Specialty Pharmacy)

Cover transgender surgery

2015 monthly $10 tobacco free reward program ends in December. Health plan members still receive support services through Hoo’s Well Tobacco Cessation programs (visit www.hooswell.com and select Tobacco Cessation).

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2016 UVA Health Plan Monthly Active Employee Premiums

Coverage Tier

Basic Value Choice

Employee $19 (same) $51 (same) $99 (+ $9)

EE+Child(ren) $24 (same) $85 (same) $237 (+ $22)

EE+Spouse $31 (+ $1) $94 (+ $3) $271 (+ $29)

Family $59 (+ $1) $153 (+ $3) $476 (+ $48) Increase for Value Health & Basic Health, just Employee + Spouse and Family tiers, ranging from $1 - $3 per month

Increase for Choice Health, all tiers, range $9 - $48 per month

Above rates do not reflect employee Hoo’s Well rewards earned in 2016

COBRA, retiree, part-time, wage, postdoctoral fellows, housestaff, and research associate benefit rates will be published online

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UVA Health Plan: OverviewSimilarities: Receive in-network,

preventive care at no cost and no deductible

Managed by Aetna with access to the same doctors and networks

Coverage available for spouses who do not have access to coverage from their own employer, and children up to age 26

Aetna Vision Discount benefit included

Basic Health Plan

Differences: Premiums

Deductibles

Costs at the point of care

See the Medical Schedule of Benefits for a detailed comparison of plans

Basic Health Plan

Value Health Plan

Choice Health Plan

Choice Health Plan

Value Health Plan

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2016 Monthly Dental PremiumsCoverage Tier

Basic Enhanced

Employee $1 (same) $10 (+ $1)

EE+Child(ren) $2 (same) $24 (+ $2)

EE+Spouse $4 (same) $28 (+ $3)

Family $7 (same) $48 (+ $4) Basic Dental premiums remain the same in 2016

Enhanced Dental, premiums increase from $1 - $4 per month

Dental Claims Administrator: United Concordia, 866-215-2354 For member services or to find a dental provider visit, https://www.unitedconcordia.com/tuctcc/clients.jsp?id=13

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UVA Dental Plan: OverviewSimilarities: Receive in-network, preventive

and diagnostic services covered at 100%

Differences: Basic $1,000 annual maximum Enhanced $2,000 annual

maximum Enhanced includes orthodontic

up to $1,000 lifetime max Enhanced saves you 10% for

major restorative services

Basic Dental Plan

Enhanced Dental Plan Review 2016 Dental Schedules for detailed plan comparisons.

Basic Dental Plan

Enhanced Dental Plan

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2016 Davis Vision

Davis Vision

Monthly Premiums

Employee $6.29

EE+Child(ren)

$11.01

EE+Spouse $11.33

Family $17.62

Davis Vision rates are the same in 2016

Fully-insured, employee paid vision insurance

Program includes: eye examination, spectacle lenses, frames, and contact lenses

To find a Davis Vision provider near you, visit www.davisvision.com, or call for a provider search at: 1-800-804-6115 (UVA ‘Control Code’ 4680)

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Full Healthcare FSA available for Value or Choice health plans

Chard Snyder, (800) 982-7715, www.chard-snyder.com

Pay for un-reimbursed medical expenses with your pre-tax dollars

$240 minimum; $2,500 annual maximum contribution for 2016 FSA

Reelect FSA each year through self-service during Open Enrollment

All monies in your FSA account at the end of the plan year’s grace period

(March 15th) will be forfeited

Use your debit “Benny Card” or submit paper claim forms to pay for your

qualified FSA expenses

Healthcare (Full FSA) Flexible Spending Account

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Dependent Care Account funds available only after the money has been deducted from your paycheck and you have incurred the dependent care expense

$240 min; $5,000 annual max for 2016

All monies in your account at the end of the plan year’s grace period (March 15th) will be forfeited

Available regardless of health plan option

Dependent Daycare Spending Account

Can be used for:

Children under 13 who qualify as

dependents on your Federal tax return

Before & after school programs

Nursery school, preschool, in-home care

Summer camp (not overnight)

Adult daycare

Cannot be used for:

Child support payments

Educational supplies or activity fees

Private school tuition (after preschool)

Overnight camps

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Basic Health Option’s Health Savings Account (HSA)

Basic Health Plan (HDHP) members may use for eligible medical, dental, and vision expenses and to help meet high-deductible

Balance rolls forward at the end of each year, earns interest, and goes with you

EMPLOYER: University contributes “seed” money into your HSA based on health plan dependents, marital and family status Seed: $1,000=Emp.; $1,500 =Emp.+Spouse/Child(ren), $2,000 =Family (mid-year enrollees receive prorated amount based on date of enrollment)

EMPLOYEE: Elect voluntary pretax contributions into your HSA account through your paycheck

Annual IRS limits for combined employee + employer pre-tax dollars range from $3,350 to $6,750 in 2016, depending on your health plan dependents, marital and family status

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Basic Health Plan’s Limited Dental & Vision FSA

Because the Basic Health Plan is a high-deductible health plan (HDHP), in addition to the HSA you may also choose to open a Limited Dental & Vision FSA

Limited FSA funds may ONLY be used for eligible dental and vision expenses

2016 annual FSA minimum $240; maximum $2,500

Administrated by Chard Snyder, all FSA and HSA programs allow you to access your funds with your debit “Benny Card”

All monies in the Limited FSA account at the end of the plan year’s grace period (March 15th) will be forfeited

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Open Enrollment RemindersOct. 5 – Oct. 31

Consider Your Choices: Review your Health Plan

coverage option: Basic Health Value Health Choice Health

Sign Spousal Affidavit (if applicable)

Review your Dental Plan coverage option:

Basic Dental Enhanced Dental

Review Davis Vision

Medical pre-tax account(s): Health Savings Account (HSA), for Basic

Health members, and Limited Dental & Vision FSA

Healthcare Flex Spending (FSA), for Value or Choice Members

Dependent Daycare pre-tax account: Dependent Daycare Spending AccountOther Topics to Review: Participate in a Financial Fitness

Checkup Annual Tax Deferrals (TDSP) Verify accuracy of your home mailing

address and phone number in self-service

Verify your Dependent(s) information (Social Security Numbers, dates of birth)

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Open Enrollment Resources

www.hr.virginia.edu/oe