Title: Overview of the Options
12007 Benefits
2Open Enrollment
- October 116, 2006
- New benefits start January 1, 2007
- All benefits-eligible employees must submit an
enrollment form - Benefits office must receive your form by 5 p.m.
on October 16
- All benefits-eligible employees must submit an
enrollment form
- All benefits-eligible employees must submit an
enrollment form
Dont wait until the last minute!
32007 Open Enrollment Benefits
- Health Plan Options
- Aetna Standard (default employee-only coverage)
- Aetna Choice
- BlueCross Advantage P
- Dental
- Eye Care
- Short-term Disability
- Personal Spending Accounts
- Accidental Death Dismemberment
4Health Care Plan Monthly Costs
- Employee- Employee Employee
Family Only Spouse/Partner Children - Aetna Standard 38 118 95 163
- Aetna Choice 44 136 110 189
- BlueCross Advantage P 57 177 143 245
Employee-only coverage with Aetna Standard is
the default option
52007 Health OptionAetna Standard
- Considerations
- Lowest-cost-per-month option
- 15 copay for physician visit at Vanderbilt
- Deductible to meet at Vanderbilt
- Higher deductible to meet and higher coinsurance
rate (than the BlueCross Advantage P option)
62007 Health OptionAetna Standard
A doctors visit is 15 at Vanderbilt and 30
in the Aetna network.
72007 Health OptionAetna Standard
- The deductible at Vanderbilt is
- 200 for employee-only, and
- 400 for employee spouse/partner, employee
children, and family coverage.
82007 Health OptionAetna Standard
If the out-of-pocket maximum is met during the
year, the plan would pay 100 of any additional
medical expenses for the year.
9Aetna Standard Caremark Pharmacy Coverage
102007 Health OptionAetna Choice
- Considerations
- 100 coverage for preventive visits
- 100 coverage for VUH/VCH charges
- HRA funded by Vanderbilt
- After HRA is used, high deductible to meet
- VUH/VCH and VMG charges are handled differently
112007 Health OptionAetna Choice
122007 Health OptionAetna Choice
The HRA is a Vanderbilt-funded pool of money that
is used to pay the first 500 (or 1,000) of
medical expenses.
132007 Health OptionAetna Choice
If the HRA is used up, you pay 100 of any
medical expenses, up to the amount of the
deductible.
142007 Health OptionAetna Choice
After the deductible is met, coinsurance rates
apply.
152007 Health OptionAetna Choice
If the out-of-pocket maximum is met during the
year, the plan would pay 100 of any additional
medical expenses for the year.
162007 Health OptionAetna Choice
- Prescription drug costs
- are not paid from the HRA funds
- do not apply toward deductible
- do apply toward out-of-pocket maximum
172007 Health OptionAetna Choice
Any money remaining in the HRA at the end of the
year is rolled to the following year.
182007 Health OptionBlueCross Advantage P
- Considerations
- Highest-cost-per-month option
- 15 copay for physician visit at Vanderbilt
- No deductible to meet at Vanderbilt
- Lower deductible to meet and lower coinsurance
rate (than the Aetna Standard option)
192007 Health OptionBlueCross Advantage P
A doctors visit is 15 at Vanderbilt and 30
in the BlueCross Network.
202007 Health OptionBlueCross Advantage P
- The deductible at Vanderbilt is 0.
- The deductible in Blue Network P is
- 200 for employee-only, and
- 400 for employee spouse/partner, employee
children, and family coverage.
212007 Health OptionBlueCross Advantage P
If the out-of-pocket maximum is met during the
year, the plan would pay 100 of any additional
medical expenses for the year.
22BlueCross Advantage P Caremark Pharmacy Coverage
23What Health Option Is for You?
- Evaluate your priorities
- Check the BlueCross and Aetna networks
- Itemize your health expenses for the past 12
months to help estimate costs for 2007 - Use the online cost estimator on Aetnas Web site
(includes BlueCross Advantage P option)
24What Dental Plan Is for You?
- Dental Care
- lower per month cost
- may have long wait for an appointment, must see
an in-network dentist - Dental PPO
- freedom to visit any dentist or specialist
- waiting periods for some benefits
25Eye Care Plan
- Administered by VSP, through Ameritas
- Optional plan, paid entirely by employee
Turn in Your Form!
26Monthly Eye Care Rates
- Employee Employee Employee
Spouse/Partner Child(ren) Family - VSP Eye Care 6.96 11.48 11.73 18.82
EVERYONE must turn in a form!
27VSP Eye Care Plan
Forms are due 10/16!
28Short-term Disability
- Provided by The Hartford
- Everyone will be accepted during this
one-time-only offer - All future Open Enrollments you are subject to
medical underwriting - Enroll online through link on HR Web site
Everyone will be accepted during this
one-time-only offer
To drop coverage complete form and submit with
OE form
29Short-term Disability
- Benefit subject to pre-existing conditions clause
- Coverage effective date January 1, 2007
- Look-back period for pre-existing conditions
July 1, 2006 - No coverage for pre-existing conditions until
January 1, 2008
302007 Open Enrollment Benefits
- No changes to these benefits
- Dental
- Personal Spending Accounts
- Accidental Death Dismemberment
31Enrollment Deadline
- Forms must be received by 5 pm (Central Time)
- on
- Monday, October 16, 2006
32Designated Drop-Off Sites
- During Open Enrollment (October 116) return
your completed Open Enrollment form to any
Designated Drop-Off Site
- Drop Boxes (secure lock-boxes)
- Peabody Administration
- Sarratt Lobby
- Medical Center North Lobby
- Childrens Hospital Second Floor Lobby
- HR Express
continued
33Designated Drop-Off Sites (continued)
- Benefits Fair
- October 10 RRB Breezeway (10 am7 pm)
- October 11 RRB Breezeway (7 am4 pm)
- October 12 Law School (11 am3 pm)
- Lunchtime QA
- October 3 4 Courtyard Café (11am1 pm)
- October 5 VCH Performance Area (1230230 pm)
- October 6 Sarratt Promenade (11 am1 pm)
- Last Day October 16
- 2525 West End, Suite 531 (8 am5 pm)
- RRB Breezeway (8 am5 pm)
34For More Information
- Visit the Benefits/Open Enrollment section of the
HR Web site - http//hr.vanderbilt.edu/benefits/openenrollment.
htm - or email Benefits Office
- benefits_at_vanderbilt.edu
-
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