Open Enrollment Update 2004

1
Open Enrollment Update 2004

• Benefits Overview
• For 2004

2
Open Enrollment Goal 2004

• Maintain a competitive offering which provides
  adequate choice and access to those physician
  groups most utilized by the Stanford community
• Emphasize the role of the employee/patient
• Help in choosing the best medical option
• Healthcare consumer education tools
• A resource to help you identify your personal
  health risks
• Programs to support healthy lifestyle changes

3
Whats new in 2004?

• Plan design changes for Triple Option and PPO
• Separate pharmacy plan
• Introduction of Vision Care Program (VSP)
• Partnership between the Stanford University
  benefits department and the Stanford University
  Health Improvement Program (HIP) (offers a Health
  Risk Assessment tool)
• Elimination of the Prudential DMO members moved
  to Delta Preferred Plan
• LTD will be 66 2/3 for all employees

4
Stanford Choice Dollars 2003 vs. 2004

• Increase in Choice Dollars from 2003 to 2004
• 2003 2004
• Employee Only 232.66 277.32
• Employee and Spouse 400.66 477.58
• Employee and Children 343.42 409.32
• Employee and Family 553.30 659.50
• Increase in Choice Dollars 19.1

5
2004 Employee Cost Per paycheck
6
What changes in the PPO?

• Significant Premium Increase
• Plan Design Changes

2004 PPO
2003 PPO
500 Employee
300 Employee
Deductible
1,500 Family
900 Family
Copay
80 in-network
90 in-network
3,500 Employee
2,000 Employee
Out-of-Pocket
maximum
10,000 Family
6,000 Family
7
What changes in Triple Option?

• Premium Increases
• Plan changes in Tier III

2004 Tier III
2003 Tier III
750 Employee
500 Employee
Deductible
2,550 Family
1500 Family
4,000 Employee
2,500 Employee
Out-of-Pocket
maximum
12,000 Family
7,500 Family
8
New Pharmacy Vendor

• Separate pharmacy plan administered
• by Express Scripts
• This applies to all plans except Kaiser
• One drug formulary (list of accepted drugs)
• Separate prescription drug card (in addition to
  medical card)
• Collect aggregate pharmaceutical data to
• Identify health issues and trends
• Proactively develop programs to help employees
  deal with health issues

9
New Vision Care Benefit

• Administered by Vision Service Plan (VSP)
• Employee paid before tax benefit
• Eye exam every 12 months with 10 copay
• Prescription eye glass lenses every 12 months
  with 20 copay
• 120 frame allowance every 24 months
• --------------------------------------------------
  -------------
• Contact lenses allowance of 90 every 12 months

Vision Plan Costs per pay period Employee
only 4.74 Employee and Spouse 7.59 Employee
and Child(ren) 7.74 Employee and Family 12.48
10
Flexible Spending Accounts

• If you currently have a HealthCare or Dependent
  Daycare Account
• Dont forget to re-enroll for 2004. These
  accounts do not roll over to the next year
• Keep your Flex Credit Card to use in 2004
• All claims must be for services delivered during
  2003
• Claims forms must be submitted by April 30, 2004

11
Flexible Spending Accounts

• If you have not participated in the Flexible
  Spending Accounts consider enrolling
• You will save taxes on your healthcare copays,
  deductible and coinsurance amounts
• You will spread your costs over the year
• You can use the Flex Credit Card and there are no
  claim forms
• You can track your account on-line

Check out the tools to estimate your costs and
calculate tax savings
12
How can you help contain costs?

• Choose the best plan by using tools like the
  Educated Chooser or BenefitSU resources
• Did you know that if you are a Triple Option
  member with a PCP at Palo Alto Medical
  Foundation, you could save 84.50 a month for a
  single employee and 244 a month for a family if
  you switched to Pacificare?
• Is the coverage available in tiers 2 and 3 worth
  this much to you?

13
Your role in containing costs

• Take the Health Risk Assessment through HIP
• Identify your personal health risks
• Choose a program and make lifestyle changes to be
  healthier
• Learn to be an Educated Consumer use the web to
  
• Research conditions and alternative treatments
• Research prescription drug alternatives and costs
• Find wellness programs
• Find what questions to ask your doctor

14
Some Resources

• Blue Shield website, Advice Nurse, disease
  management programs
• Health Net, Pacificare, Kaiser - website, Advice
  Nurse, disease management and wellness programs
• Express Scripts website
• Stanford HIP - website, wellness coach, wellness
  programs
• Palo Alto Medical Foundation - website, disease
  management and wellness programs
• Web M. D. - website

15
Open Enrollment Schedule

• November 3-21, 2003
• Extended Open Enrollment Phone Center Service
  Hours
• 7am to 7pm, Monday-Friday
• Last day of Open Enrollment (11/21) open 7am to
  Midnight
• 4 Benefits Fairs
• Free flu shots at all fairs
• 12 Benefits Information sessions scheduled across
  campus
• 10 for employees, 2 for retirees

16
Contact Information

• For information regarding your benefits
• please call us at
• 650-736-2985
• Visit our website at
• http//benefitsu.stanford.edu
• If you have any questions or problems
• With BenefitSU service
• Please contact Charles DeSantis X33120

17
Stanford Healthcare Cost 2003 vs. 2004

• University Costs overall
• 2003 2004 Increase
• 66.5 Million 80 Million 20
• University Portion
• 2003 2004 Increase
• 46.6 Million 56 Million 20
• Employee Portion
• 2003 2004 Increase
• 19.9 Million 24 Million 21