YOUR CIGNA CHOICE FUND HEALTH SAVINGS ACCOUNT

Transcription

1 YOUR CIGNA CHOICE FUND HEALTH SAVINGS ACCOUNT Your health plan plus a Health Savings Account PLAN YEAR: January 1, d Offered by: Connecticut General Life Insurance Company or Cigna Health and Life Insurance Company

2 You are one of a kind. And we want to help you live that way. That s why we offer coverage tools resources that will fit with your unique needs and ultimately help keep you healthier 2

3 Your Cigna Choice Fund Health Savings Account is all about you helping you to get the most from your plan and giving you what you need to live a healthier life. 3

4 CIGNA CHOICE FUND HEALTH SAVINGS ACCOUNT (HSA). Open Access Plus: 667,400 doctors/specialists 5,600 hospitals/facilities Deductibles: $2000 individual $4000 family Preventive care: Covered at 100% (in-network) Pharmacy: Retail 30 day supply 0% after deductible. Home delivery 0% after deductible. 4

5 HEALTH SAVINGS PLAN AND YOU Qualified high deductible medical plan Health + Savings = Account Taxadvantaged HSA Plan A tax-advantaged health plan that provides coverage for current health care expenses with the option to save for future health care expenses Combines a qualified high deductible medical plan (medical/pharmacy coverage) with a Health Savings Account You, your employer or both can contribute to the Health Savings Account which is owned by you Money put in the Health Savings Account is generally not taxable* You have investment options with the Health Savings Account * HSA contributions and earnings are not subject to Federal taxes and not subject to state taxes in most states. A few states do not allow pretax treatment of contributions or earnings. Please consult your personal tax advisor or contact your plan administrator for information about your state. 5

6 MAKE THE MOST OF YOUR HSA INDIVIDUAL Contributions (from you or your employer) can be used to pay for qualified health expenses or saved to pay for future health expenses HSA $ YOU $1000 PLAN 100% + YOU 0% PLAN 100% $2000 $2000 * ALL EXPENSES DEDUCTIBLE OUT-OF-POCKET MAXIMUM IN-NETWORK PREVENTIVE CARE IS COVERED BY THE PLAN AT 100% 6

7 MAKE THE MOST OF YOUR HSA FAMILY Contributions (from you or your employer) can be used to pay for qualified health expenses or saved to pay for future health expenses HSA $ YOU $2000 PLAN 100% + YOU 0% PLAN 100% $4000 $4000 * ALL EXPENSES DEDUCTIBLE OUT-OF-POCKET MAXIMUM IN-NETWORK PREVENTIVE CARE IS COVERED BY THE PLAN AT 100% * 7

8 ARE YOU ELIGIBLE TO PARTICIPATE? Because HSA plans have certain tax advantages, the IRS defines specific rules for participation. To be eligible, you: Must be enrolled in an IRS-qualified high-deductible medical plan (high-deductible medical plans offered with Cigna s Choice Fund HSA meet IRS requirements) Cannot have any other health coverage Not covered by spouse s medical or pharmacy plan Not covered through Medicare Part A or Part B Not covered through a general-purpose Flexible Spending Account (FSA) plan (either employer s or spouse s) Cannot be claimed as a dependent on another person s tax return 8

9 YOUR HSA MAXIMUM CONTRIBUTION The IRS has set the following limits for 2014: Under age 55 and not enrolled in Medicare (based on a 12-month period): Up to $3,300 individual coverage* Up to $6,550 family coverage* Age 55 or older: Maximum contribution increases by $1,000 (considered a catch-up contribution) Up to $4,300 individual coverage* Up to $7,550 family coverage* To make the maximum contribution in a calendar year, you must: Meet all requirements to be eligible for HSA contributions on January 1 Remain qualified through December 1 If these criteria are not met, maximum contribution is prorated = if 1/12 maximum contribution for each month then individual is qualified $ *Contributions to your HSA that you receive from your employer and incentives count toward your maximum. 9

10 HOW YOUR MEDICAL CLAIMS ARE PAID Sick visit to an in-network doctor/hospital/ facility receive discounted rate for Cigna plan. Cigna receives the claim from doctor and processes it based on the HSA-qualified plan deductible, covered expenses and Cigna-negotiated discounts. If auto claim forwarding was elected, Cigna automatically subtracts the amount owed to the doctor from your HSA and pays the doctor. If no auto claim forwarding in place, you have the option to pay the doctor bill using your HSA (debit card/ checkbook/online bill pay/fund transfer) or pay out of pocket. Cigna provides an explanation of benefits or EOB ( receipt ) showing: Doctor s fee, Cigna discount, amount billed, amount deducted from the HSA, amount paid to doctor, remaining HSA balance, and what you saved. Cigna updates quarterly health statement; sends alert or mails to your home, based on preference setting. 10

11 HELPING YOU UNDERSTAND AND TRACK YOUR HEALTH CARE EXPENSES Explanation of benefits (EOB) Clearly shows how and when claims were paid, Receive them in the mail or electronically depending on your preferences Available online at mycigna.com with alerts once each claim is processed Quarterly health statement Shows year-to-date deductibles, all claim activity and out-ofpocket expenses for that quarter Available online you set your notification preferences and can be alerted by after each statement is posted to mycigna.com 11

12 HELPING YOU UNDERSTAND AND TRACK YOUR HEALTH CARE EXPENSES 24/7 customer phone assistance One toll-free number on the back of the ID card and debit card Medical and [pharmacy] benefits and claims HSA IRS requirements HSA transaction activity and balance Live transfer to JPMorgan Chase for investment, lost debit card, and debit card transaction questions Help with tools and resources on mycigna.com 12

13 HELPING YOU UNDERSTAND AND TRACK YOUR HEALTH CARE EXPENSES Your 24/7 online health account management Review personalized plan coverage Check available balances Track claims and payments Get HSA bank account information Manage investment accounts via link to JPMorgan Chase 13

14 meet Karen Single, in her 50s Heart disease; controlling health through medication Looking to save money for future health expenses TOTAL EXPENSES PREVENTIVE CARE IS COVERED BY THE PLAN AT 100% Preventive care $ ER visit PCP visits Generic Rx Brand Rx TOTAL 3, % covered Deductible HSA EMPLOYER $ KAREN $1000 PLAN 100% + KAREN 0% PLAN 100% 100% plan % Karen 0 BALANCE DUE 0.00 $ Deductible: % plan: $1, % Karen: 0.0 $1, $0 HSA BALANCE Case example for illustrative purposes only. 14

15 HOW WE HELP YOU WHEN SOMETHING CHANGES Your health, if you move, if you re traveling Find a doctor, hospital or other health facility whenever you need one, online, by phone or on the go with any web-enabled mobile device* Access to emergency care 24 hours a day, inside or out of the network Talk with a health advocate for information to help you make decisions about your treatment Avoid the emergency room for minor injuries visits to urgent care and retail clinics are covered Balance the stresses of work and life online or on the phone talk with people who can help Keep your doctor during transitions (for example, if you re new to Cigna or your doctor leaves our network) when you are in the middle of treatment for certain health care conditions *Your carrier's standard mobile phone and data usage charges apply. 15

16 MAKING SURE YOU RE GETTING QUALITY CARE! Quality rankings let you compare doctors and hospitals Online resources let you check for dangerous drug interactions Alerts are sent to you and your doctor if we see or anticipate possible gaps in care; for example, if you don t refill a prescription needed to treat a chronic condition Our case managers work with you and your doctors to develop a complete care plan if you are hospitalized with a serious illness or injury 16

17 PROTECTING YOU FINANCIALLY When you choose to see doctors or other health care professionals who participate in the Cigna network, your costs will be lower and your plan will pay a larger share of any covered charges On mycigna.com you can find quality of care information and cost estimates for over 200 medical procedures and treatments before you see a health care professional When you need specific treatment or care, your in-network health care professionals and facilities can provide an estimate. It shows your plan discounts and a real-time snapshot of your deductibles and any other account balances. So, you ll have a good sense of your actual out-of-pocket expenses. 17

18 PLANNING FOR YOUR MEDICAL EXPENSES Open Access Plus High Cigna Choice Fund with HSA Single Family Single Family Deductible $1000 $2000 $2000 In-network $4000 In-network Out-of-pocket maximum $4000 $8000 $2000 In-network $4000 In-network HSA contribution from employer n/a n/a $1000 $2000 Lifetime maximum Unlimited Unlimited Unlimited Unlimited *If you choose to receive care outside of your plan s network, only covered expenses will be applied to your deductible subject to your plan s Maximum Reimbursable Charge provisions. 18

19 PLAN FOR YOUR PRESCRIPTION EXPENSES Open Access Plus Cigna Choice Fund H S A In-network Retail (30-day supply) Home Delivery (90-day supply) Retail (30-day supply) Home Delivery (90-day supply) Generic You pay 20% up to a max of $12 You pay 20% up to a maximum of $20 You pay 0% after ded. You pay 0% after ded. Cigna-preferred brand You pay 25% subject to a minimum of $15 and maximum of $45 You pay 25% subject to a minimum of $40 and a maximum of $120 You pay 0% after ded You pay 0% after ded. Non-preferred brand You pay 30% subject to a minimum of $30 and a maximum of $90 You pay 30% subject to a minimum of $75 and a maximum of $225 You pay $0% after ded. You pay 0% after ded. Out-of-network Retail 40% Home Delivery not covered. Retail (30-day supply) Home Delivery (90-day supply) 19

20 YOUR HSA SAVING AND INVESTMENT FEATURES $2,000 minimum in HSA to invest Once the investment account is open, no minimum balance applies Several mutual funds to choose from Investments can be put into one fund or multiple funds No minimum deposit for any fund Tax-free growth of interest or investment earnings* Online trading no fees apply Track your balance online or with convenient monthly statements $ *HSA contributions and earnings are not subject to Federal taxes and not subject to state taxes in most states. A few states do not allow pretax treatment of contributions or earnings. Please consult your personal tax advisor or contact your plan administrator for information about your state. 20

21 WHAT YOUR PLAN CAN DO FOR YOU IF YOU RE HEALTHY Easy-to-use, confidential health assessment gives you an overall health score and a personalized report Online coaching programs help you maintain a healthy lifestyle 100% coverage for in-network wellness checkups, immunizations and preventive screenings Save money on health and wellness products and services like fitness clubs, eyewear, massage therapy and more A personal health advocate can help you prepare for office visits, improve your lifestyle and reduce your health risks, explore and choose treatment options, and answer health and coverage questions Healthy pregnancy education programs with the March of Dimes helps every baby get a healthy start Programs to help you better manage stress, quit tobacco or lose weight 21

22 WHAT YOUR PLAN CAN DO FOR YOU IF YOU HAVE A SERIOUS HEALTH CONDITION Our coaching services like CoachRx and TheraCare are available for you if you need assistance with your health condition. Our coaches can provide information and resources to help you learn about your condition, treatment options and tips for selfcare. They can also help with: Coordinating care if you are admitted to the hospital. Identify barriers to adherence to therapy and help you remember to take your medications as prescribed by your doctor. We can help by setting up reminders via text, or phone call. We can also work with you to manage side effects and identify if there are lower-cost options available A dedicated health advocate to help you manage your health condition, treatment options and self-care Easily refill drug orders, track shipments and get in touch with a pharmacist at any time on our Cigna Home Delivery Pharmacy page Our Prescription Drug Price Quote Tool can help you by easily comparing real-time drug pricing specific to your plan. The tool will also identify when there is a lower-cost option available to you Services to help you find quality day care, eldercare even pet care when your health condition prevents you from doing everyday activities 22

23 SAVING YOU TIME mycigna.com Print forms or print/order ID cards Check your coverage and explanation of benefits Track claims, payments and deductibles Sign up for online coaching programs Keep track of your health history and records with a secure online personal health record Find in-network doctors, hospitals, specialists and labs Learn about common health problems and treatment options Compare treatment and procedure costs Find cost and quality ratings for doctors and hospitals Switch a prescription to Cigna Home Delivery Pharmacy with one easy phone call and have your medications delivered to your door Talk with a trained nurse when you can t reach your doctor day or night No claim forms needed in-network 23

24 ENROLL TODAY. IT S EASY. Call our toll-free hotline 24/7/365 Pre enrollment line Visit the H S A banking link to open your account, your employer cannot add any money if you do not open the account. Complete the form and turn in by 11/15/2013 If you have a current JP Morgan bank account, Cigna will automatically roll over any unused funds. Make sure you open a new account prior to 1/1/2014. Be sure to use the EXACT spelling of your name. If you do not open an account, you cannot receive any employer funds or rollover your funds. 24

25 ENROLLING. HOW WE CAN HELP. Before opening the account, JPMorgan Chase will: Verify your identity (required by the Federal Government) using information provided in the HSA application and enrollment form Notify you if additional documentation is needed to verify your name, social security number or address JPMorgan Chase will send your HSA information and a debit card within 7 10 days of the start of the plan year or the verification of identity (whichever is later) ID cards are mailed from Cigna Debit cards are mailed separately from JPMorgan Chase JPMorgan Chase cannot open an HSA until it is able to satisfy the requirements of the Federal government. 25

26 To Open your Health Saving Bank Account Go to: roll/app/bank/welcome.do Enrollment ID: GreatPlainsConference Password: Cigna Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel Cigna 26

27 LANDING PAGE After reviewing the steps to open your HSA bank account, click on Begin. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel Cigna 27

28 LOG IN Enter your Social Security Number, Date of Birth, Mailing Address Zip Code, Open Enrollment ID and the scrambled words and numbers, then click Log In. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel Cigna 28

29 ELECTRONIC DISCLOSURE AND CONSENT AGREEMENT Review and click on Accept to accept the Agreement Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel Cigna 29

30 TERMS AND CONDITIONS Review and click on Accept to accept the Terms and Conditions of the HSA bank account Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel Cigna 30

31 BANK APPLICATION Enter your name, phone number and address. You can choose to turn Automatic Claims Forwarding (ACF) on. This will automatically forward any eligible claims from your medical plan to your HSA account for payment. You can change your choice at any time when you log on to mycigna.com. Now is also when you can make some decisions about your HSA. You can choose whether you would like to order a checkbook to use to pay for expenses from your HSA. *An additional charge may apply. You can choose to order another debit card for a spouse, dependent or someone else. When you re done, click on Next. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel Cigna 31

32 REVIEW ADMINISTRATIVE FEES You can review the fees associated with your account. Click on Accept after you review. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel Cigna 32

33 REVIEW ADMINISTRATIVE FEES You can review the fees associated with your account. Click on Accept after you review. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel Cigna 33

34 REVIEW & SUBMIT YOUR HSA BANK APPLICATION Review all the information you filled in. If you need to go back and change something, click on Change this information. If everything is correct, click on Submit Application. Then, print out a copy of the bank application for your records. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel Cigna 34

35 Product Disclosures Rates will vary by plan design including the amount of plan deductibles, coinsurance, and out-of-pocket and lifetime maximums. Rates may vary based on age, gender, geographic location and the plan deductible selected. All insurance policies and general service agreements have restrictions, exclusions, limitations, reductions of benefits and terms under which the policies or agreements may be continued in force or discontinued. Terms and conditions of coverage are set forth in the plan documents - the insurance certificate, plan booklet, policy, contract and/or summary plan description. Cigna, the Tree of Life logo, GO YOU and Cigna Choice Fund are registered service marks of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company (CGLIC), Cigna Health and Life Insurance Company (CHLIC), Tel-Drug, Inc., Tel-Drug of Pennsylvania, L.L.C., Cigna Onsite Health, LLC, Cigna Behavioral Health, Inc., Cigna Health Management, Inc., and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. In Arizona, HMO plans are offered by Cigna HealthCare of Arizona, Inc. In California, HMO and Network plans are offered by Cigna HealthCare of California, Inc. In Connecticut, HMO plans are offered by Cigna HealthCare of Connecticut, Inc. In North Carolina, HMO plans are offered by Cigna HealthCare of North Carolina, Inc. All other medical plans in these states are insured or administered by CGLIC or CHLIC. Cigna Home Delivery Pharmacy refers to Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. In Texas, Open Access Plus plans are considered Preferred Provider plans with certain managed care features. All models are used for illustrative purposes only d 07/ Cigna. Some content provided under license.