WELCOME SHARKS! LET’S TALK ABOUT OPEN ENROLLMENT
Open Enrollment February 10, 2020 through February 21, 2020 Open Enrollment web page available at Benefits Fair February 18, 2020 10 am to 3 pm 3424 University Park Plaza https://www.nova.edu/hr/benefits/Open%20Enrollment%202020.html
Pet Assure with PetPlus ICUBAcares Pharmacist Advocates Rally program enhancements Phone number & email confirmation for PRIZE! What’s New for April 2020! ICUBA Single Sign-On to all vendors Surgery Plus Teladoc Health Management resources Guarantee Issue up to $300,000 during BCBS mobile app and tools Employee Assistance Program BCBS Medical Plans Optum Prescription Plan Aetna Behavioral Health Humana Dental Plans EyeMed Vision Plans Open Enrollment only ICUBA creates the best access to care New ICUBA Group Aflac Benefits Hospital Indemnity Low increase to Medical Premium Single Sign-On to the ICUBA Portal through Sharklink Accident New Voluntary Life Insurance Critical Illness Here’s a Shark Bite o f our review today ……… Same Great Benefits Continue … • • • ➢ ➢ ➢ • ➢ ➢ ➢ ➢ ➢ ➢ ➢ • • • ➢ • • • • • •
Single Sign-On through Sharklink
NSU offers 3 medical insurance plans through ICUBA administered by BlueCross BlueShield . Each medical $150 HRA Premium Monthly Election Tier Coverage $4K/$8K PPO Monthly Premium $554 Employee Only +Dual Enrolled $100 $889 +Family $100 $450 from NSU $97.00 $100 $100 electing into the Dual Enrolled tier . Dual Enrolled NSU families aggregate the entire family to determine deductibles and out-of-pocket expense maximums, Married employees who cover themselves & eligible dependent children may combine the Employee Only tier and the Employee plus Child(ren) tier by Medical Premium $150 $313 +Dual Enrolled $615 $50 +Family $100 $219 +Child(ren) $100 $598 +Spouse +Child(ren) $702 insurance plan includes Prescription Pharmacy benefits from OptumRx & Behavioral Health coverage from from NSU $100 $1,000 +Spouse $50 $257 Employee Only HRA $738 Premium Monthly Election Tier Coverage Premier PPO Monthly Premium Aetna. +Child(ren) $100 +Spouse Monthly $50 $102 Employee Only from NSU HRA Premium Election Tier +Family Coverage Preferred PPO Monthly Premium $150 $996 +Dual Enrolled $100 $1,278 eliminating the additional cost of these expenses that would be incurred with an Employee Only & Family election.
Medical Plan Highlights In-Network Benefits In-Network Benefit Summary Comparison Preferred PPO Premier Copay PPO $4,000/$8,000 Ded PPO Deductible (Individual/Family) $2,500/$5,000 $2,500/$5,000 $4,000/$8,000 Coinsurance 20% 20% 30% Out-of-Pocket Maximum (Individual/Family- medical copays, deductibles & coinsurance) $4,000/$8,000 $4,000/$8,000 $5,350/$10,700 Physician Office Visits 20% $25 Copay $35 Copay Specialist Office Visits 20% $50 Copay $70 Copay Urgent Care Center $30 Copay $50 Copay $70 Copay Outpatient Therapy - PT, ST and OT 20% $30 Copay $40 Copay Emergency Room Services (Copay waived if admitted) $300 Copay $300 Copay $500 Copay Durable Medical Equipment and Prosthetic Appliances 20% AD* 20% AD* 30% ALD** Hospital Inpatient 20% AD* 20% AD* 30% AD* 0% - Quest 0% - Quest 0% - Quest Independent Clinical Labs (free standing facilities and office visits) 20% - Outpatient Setting 20% - Outpatient Setting 30% - Outpatient Setting Mental Health & Substance Abuse Inpatient 30% AD* 20% AD* 20% AD* Outpatient $35 Copay 20% $25 Copay Blue Distinction Total Care PCP $0 Teladoc (1-800-Teladoc) $5 Copay Convenient Care Clinics $10 Copay Preventive Care 0% Outpatient Diagnostic Imaging (MRI, MRA, CAT Scan, PET Scan) Up to $500 Copay Ambulance $250 Copay * After Deductible ** After Limited Deductible: $2,000 of the $4,000 Individual Deductible
No Cost Benefits Emergency transportation Specialist physician office visits Inpatient rehabilitation Advanced imaging (MRI, CT, PET) Occupational, physical and speech therapy Chiropractic services Teladoc No Deductible Benefits Convenient care clinic Skilled nursing rehab Urgent care Prosthetic appliances Private duty nursing Primary care physician office visits Emergency room Outpatient facility charges Outpatient mental health/substance abuse Durable medical equipment Hearing aids Home health care Hospital delivery expenses for maternity Hospital expenses Hospital or out-patient surgery (unless through SurgeryPlus) In-patient mental health/substance Maternity visits Prescription drugs abuse treatments ICUBAcares pharmacy assistance Deductible Major Services Only Blue Distinction Total Care Physician Visits In-network annual wellness exams Medically necessary preventive services Medically necessary labs performed at Quest Diagnostics surgeries Colonoscopies EAP services for ALL employees Medical Plan - Eliminating Barriers to Care Bone mineral density tests SurgeryPlus non-emergent Immunizations Ultrasound (except breast) TMJ X-ray Mammograms & ultrasound of the breast • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Use your HRA funds • to offset out-of- pocket healthcare expenses!
Surgeon Quality Knee throughout your healthcare journey You have access to a dedicated care advocate ENT Cardiac Bariatric GYN Gastroenterology General Surgery Spine Wrist & Elbow Foot & Ankle Financial Incentive Hip Shoulder Full-Service Concierge applicable. You have access to the elite S+ Surgeons of Excellence Network. The surgeons are: criminal records WAIVED , so your procedure is at NO COST to you; and travel benefits are INCLUDED , if Your DEDUCTIBLE and COINSURANCE are Medical Plan - No Cost SurgeryPlus (855) 200 – 2119 Call your Care Advocate for more information Covered Surgical Procedures ✓ Licensed ✓ Board certified ✓ Fellowship trained ✓ Screened for malpractice, sanctions & • • • • • • • • • • • •
Medical Plan - No Deductible Teledoc infection used as an alternative to Urgent sure you share your Teladoc records with your PCP! Ear infection Urinary tract infection Upper respiratory Nasal congestion ongoing relationship Restrictions apply - number of annual consults and severity of condition for consultation – available nationwide, excluding Arkansas. Take a doctor with you - 1-800-TELADOC Single Sign-On through MyHealthToolkit! Telemedicine and Video Consultations available anytime – when your doctor is unavailable, when you have no time for an appointment, when you are on vacation, when your child is away at college! Members must establish an account prior to seeking treatment; Company: ICUBA Teladoc physicians are a national group of NCQA qualified physicians, contracted with Teladoc. with a PCP and be Care. Please make to supplement an No controlled substances, psychiatric or Sinus problems Pink eye Bronchitis Allergies Flu This benefit is meant Cough lifestyle drugs guidelines Appropriate prescribing following CDC Member convenience through e-prescribing • • • • • PRESCRIPTIONS AS NEEDED TOP DIAGNOSES • • • • • • • • • • • • • 9
Co-Pay Tier RX Out-of-Pocket diabetic supplies including meters, lancing devices, lancets, test strips, control solution, needles, and syringes; prescribed Aspirin for adults, prescribed generic folic acid and generic prenatal vitamins for pregnancy, and prescribed generic statins (if eligible). Maximum Prescription Drug FREEBIES! In-network Rx copays will be applied toward an individual maximum out-of-pocket of $2,000 Prescribed N/A 30-day Co-Pay $75 (Retail Only) 90-Day saves $$$! (Retail & Mail) Preferred Generics at NSU Pharmacy $0 $0 (available on-site only, no mail order) Preferred Generics $5 $10 Non-Preferred Generics $10 $20 Preferred Brands $40 $80 Non-Preferred Brands $75 $150 Specialty (BriovaRx)* Medical Plan - No Deductible Pharmacy Benefit and $4,000 for family .
requirement? These are all great reasons to call Free Pharmacist Advocate Program • Do you have side effects from a new medication? • Do you need help obtaining a prior authorization? • Do you need help understanding the step-therapy • Do you want to save money by switching to a generic? ICUBAcares Rally Incentive: If you are a candidate for a qualified medication change, the ICUBAcares team will assist with your transition to a medication less costly to the plan and reward once complete. Call for a prescription check-up to find out more!
Aetna provides the behavioral health benefits available through your medical insurance coverage Medical Plan - No Deductible Behavioral Health Benefits Dial 877-398-5816 Press 2 - Behavioral Health Talkspace is an online therapy platform that makes mental healthcare more convenient and accessible by connecting users with licensed therapists 1. Call Resources for Living for authorization 2. Register at talkspace.com/rfl 3. Organization Name is your Employer/School
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