2017/18
Open Enrollment
Information/Update
Health Insurance Cost
• US/Mexico Plan Cost
•
•
•
•
Employee – Free
Spouse – $424
Children – $509
Family – $576
NO CHANGES!!
• Mexico Only Plan Cost
•
Family -
• Meets Individual Mandate
• Medical & Dental Only
• Coverage in the US
•
Only Life Threatening
Emergencies
In-Network Information
•
•
•
What does In-Network mean?
1)
2)
Using a doctor and hospital in Arizona
Blue Cross Blue Shield of Arizona providers.
Employee Only
•
•
Deductible = $500
Out of Pocket = $4000
Family
•
•
Deductible = $1000
Out of Pocket = $8000
Out of Network Information
•
What does Out of Network mean?
1)
2)
•
Not Blue Cross Blue Shield of Arizona Providers
Employee Only
•
•
•
Using a doctor out of state
Deductible = $1500
Out of Pocket = Unlimited
Family
•
•
Deductible = $3000
Out of Pocket = Unlimited
In-Network vs. Out of Network
In-Network Example
• $25,000 Surgery
Out of Pocket Cost
20% = $5000
Deductible = $500
$5,500
Out of Network
• $25,000 Surgery
Out of Pocket Cost
Deductible = $1500
Out of Pocket Unlimited
Cost Unknown!!
Out of Pocket Cost
$4000
Win/Win Program
• This program is titled win/win because it is designated to
help the employee save money and it also costs the plan
less.
• If you use any of the hospitals in the win/win program, you
will automatically be eligible for:
•
Up to a maximum of 20% of out of pocket.
**A check will automatically be sent to you in the mail.
Win/Win List of Hospitals
GLENDALE
Arrowhead Community Hospital
(623)561-1000
Banner Thunderbird Medical Center (602)865-5555
SCOTTSDALE
North Valley Surgery Center
GOODYEAR
West Valley Hospital
(623)882-1500
(480)767-2100
Scottsdale Health Care – Hospital Osborne
(480)882-4000
Scottsdale Health Care – Hospital Shea
(480)882-4000
MESA
Banner Desert Medical Center
(480)412-3000
Scottsdale Health Care – Surgery Center
(480)882-4000
Tucson
PHOENIX
Banner Estrella Medical Center
(623)327-4000
Northwest Medical Hospital
Banner Good Samaritan Medical Center
(602)839-2000
Biltmore Surgery Center
(602)490-3661
Gateway Surgery Center
(602)288-4441
Maryvale Hospital Medical Center
(623)848-5000
Paradise Valley Hospital
Phoenix Children’s Hospital
Carondelet Heart Hospital
(602)923-5000
(602)933-1000
St. Joseph’s Outpatient Surgery Center
(602)406-3552
The Orthopedic Surgery Center of Arizona
(602)424-4408
(520)696-2328
(520)742-9000
Tucson Medical Center
(520)327-5461
University Medical Center
(520)694-0111
Imperial Valley
Relevant Healthcare
(855)328-5100
Flex Program Updates
•
•
The amount you flex is pre-taxed.
Meaning they take the amount out of
your paycheck first, then they tax you on
the remaining. The tax is approximately
20%.
Flex can be used for:
1.
2.
3.
4.
5.
•
Dental
Prescriptions
Example:
•
•
•
Medical
•
Vision - **Exams/Glasses/Contacts
If you flex a total of $1100/22 pays = $50 per
pay period
$1100 X 20% = $220 savings
The amount you flex will be available
July 1, 2017
If you do not use all the amount you flexed,
you can (only) roll over $500 for the next
fiscal year.
Babysitting
Max amount you can flex:
•
•
•
•
You will receive a flex card and pin in the
mail for the amount you flexed.
$2500 – Single
$5000 – Married filing jointly
•
The card can only be used in the US.
CuraLinc
• CuraLinc in a FREE employee/immediate family
assistance program.
•
•
You or your immediate family are eligible for up to six (6) free
visits
They will use someone that is a provider in case you would need
more than six (6) visits.
Sick Leave Bank
Employees interested in donating:
•
•
Hourly – have at least 80 hours of annual leave accumulated
Salary – have at least 10 days of annual leave accumulated To
qualify you need:
Can be used by any employee that has:
1.
2.
3.
Donated for that fiscal year
Exceeded their annual/vacation leave
You can have max two (2) request per fiscal year
Open Enrollment
Only during the month of
May you will be able to:
•
Make any changes to your health insurance (Medical, Dental, Vision, Mexico Only Plan,
and/or US Coverage)
•
You cannot make changes to your plan at any other time, unless it’s a qualifying event.
•
Qualifying events are: Marriage, Divorce, Birth of a Child, Loss of Coverage, and/or Court Ordered.
•
Participate in the Flex Program for the 2016/17 FY
•
Donate to the Sick Leave Bank
ANY CHANGES YOU MAKE WILL BECOME
EFFECTIVE JULY 1, 2017.
Automatic Coverage
The following are programs available to all full-time
benefit eligible employees. You do not need to fill out
any forms to use them at any time during the year.
1. Win/Win Program
2. CuraLinc
 Employee and Immediate Family Members
3. Teladoc