Health & Welfare Benefits Briefing 2015 Retiree Open Enrollment Medicare. November 5: Bankhead Theater, Livermore November 6: Grand Theater, Tracy

Transcription

1 Health & Welfare Benefits Briefing 2015 Retiree Open Enrollment Medicare November 5: Bankhead Theater, Livermore November 6: Grand Theater, Tracy

2 1. Open Enrollment Dates 2. Who handles your enrollment? 3. Actions to take during Open Enrollment 4. Who is eligible? 5. Dental Plan Overview 6. Vision Access Plan Discounts 7. Legal Plan Overview 8. Medical Plan Overview 9. Health Reimbursement Account (HRA) 10. Donut Hole Medicare Prescription Drug Gap Benefit 11. Contacts 2

3 For Medicare participants (retiree and/or dependents) October 15 December 7, 2014 Matches National Medicare Annual Enrollment period October 20 November 14, 2014 For Kaiser Senior Advantage and Dental plan 3

4 Change to a different medical plan Change to a different dental plan (if you live in California) Suspend your coverage (opt out) Enroll into a plan if you had previously suspended coverage Enroll or cancel eligible family members Enroll or add dependents into ARAG Legal 4

5 Aon Hewitt OneExchange All Dental Plan changes Medical: For Non-Medicare retirees and dependents Medicare supplement plans other than Kaiser Senior Advantage Kaiser Senior Advantage for Medicare retirees and dependents 5

6 Yourself Dependents: Spouse or Domestic Partner Children, stepchildren, adopted children, foster children to age 26 and legal wards to age 18 Verification of eligibility will be requested when first retired or when adding a new dependent 6

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8 Delta Dental PPO Worldwide coverage -- may use any dentist Maximum benefits with Delta Dentists $50 annual deductible $1,700 annual maximum benefit (PPO Dentist) $1,500 annual maximum benefit (other Dentist) DeltaCare USA HMO dental plan Available in California only Must use DeltaCare USA dentists only (except in emergencies) No annual maximum benefit; no deductible 8

9 Performance Measures,, and

10 All retirees and dependents are eligible Discount program if using VSP providers To locate VSP providers: Visit or call VSP Access Plan Discounts Well Vision Exam Glasses Contact Lenses Laser VisionCare Program 20% off through VSP s national network of doctors 20% of complete pair of prescriptions glasses 20% off lens options (e.g. coatings) 20% off prescription sunglasses 15% off contact lens services, excluding materials VSP contracted laser centers provide discounts averaging 15% off laser surgery 10

11 Performance Measures,, and

12 Open to new enrollments in 2015 Enhancements added Identity theft protection Financial education and counseling Elder care education and counseling To enroll, call ARAG Legal directly 12

13 Performance Measures,, and

14 Contact OneExchange to view new options available in your area Kaiser Senior Advantage available only through Aon Hewitt If your current Medicare Supplement plan will not be available in 2015, the plan is required to notify you by September 30 14

15 Must be enrolled in a Medicare plan through OneExchange or with Kaiser Permanente Senior Advantage Tax-free employer funded account Can use monies for eligible expenses such as: Medical plan premiums Prescription drug plan premiums Medical and prescription copays Any unused amount rolls over to the next year HRA amount remains at $2400 for

16 In 2015, when prescription drug costs reach $2,960 between you and the plan, you have reached the donut hole Once in the donut hole costs is based on both The retiree s 50% cost for prescriptions plus The 50% drug manufacturer s discount LLNS donut hole benefit will be $2,350 which represents your 50% of the gap ($4,700). Payment is prorated based on month you entered the Donut Hole 16

17 To be eligible for the Donut Hole special payment you must ben enrolled in a medical plan through OneExchange Does not apply to Kaiser Permanente Senior Advantage 17

18 Aon Hewitt Phone: (866) Website: OneExchange Phone: (866) Website: Kaiser Phone: (877) Website: 18

19 Kaiser HRA Phone: (877) Website: OneExchange HRA Phone: (866) Website: OneExchange Donut Hole Phone: (866)