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Overview of the Options

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Title: Overview of the Options


1
2007 Benefits
  • Overview of the Options

2
Open 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!
3
2007 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

4
Health 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
5
2007 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)

6
2007 Health OptionAetna Standard
A doctors visit is 15 at Vanderbilt and 30
in the Aetna network.
7
2007 Health OptionAetna Standard
  • The deductible at Vanderbilt is
  • 200 for employee-only, and
  • 400 for employee spouse/partner, employee
    children, and family coverage.

8
2007 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.
9
Aetna Standard Caremark Pharmacy Coverage
10
2007 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

11
2007 Health OptionAetna Choice
12
2007 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.
13
2007 Health OptionAetna Choice
If the HRA is used up, you pay 100 of any
medical expenses, up to the amount of the
deductible.
14
2007 Health OptionAetna Choice
After the deductible is met, coinsurance rates
apply.
15
2007 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.
16
2007 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

17
2007 Health OptionAetna Choice
Any money remaining in the HRA at the end of the
year is rolled to the following year.
18
2007 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)

19
2007 Health OptionBlueCross Advantage P
A doctors visit is 15 at Vanderbilt and 30
in the BlueCross Network.
20
2007 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.

21
2007 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.
22
BlueCross Advantage P Caremark Pharmacy Coverage
23
What 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)

24
What 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

25
Eye Care Plan
  • Administered by VSP, through Ameritas
  • Optional plan, paid entirely by employee

Turn in Your Form!
26
Monthly 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!
27
VSP Eye Care Plan
Forms are due 10/16!
28
Short-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
29
Short-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

30
2007 Open Enrollment Benefits
  • No changes to these benefits
  • Dental
  • Personal Spending Accounts
  • Accidental Death Dismemberment

31
Enrollment Deadline
  • Forms must be received by 5 pm (Central Time)
  • on
  • Monday, October 16, 2006

32
Designated 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
33
Designated 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)

34
For 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

35
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