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2017 whats new ppv2 · after you have already met your deductible: • Generic ‐$4.00 •...
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Transcript of 2017 whats new ppv2 · after you have already met your deductible: • Generic ‐$4.00 •...
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Walk‐in Flu Vaccination Clinics
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BENEFITS OPEN ENROLLMENT 2017
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BENEFITS OPEN ENROLLMENT 2017
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WHAT’S NEW FOR 2017• GVSU Standard PPO Plan
– Increase in Faculty/Staff per pay period premium contributions– Orthognathic surgery benefit covered at 50%
• GVSU High Deductible PPO Plan– Annual deductible will increase to: single ‐ $2,000 and dual/family ‐
$4,000– No per pay period premium contributions
• Looking ahead to 2018 GVSU High Deductible PPO Plan – Introducing a pharmacy copayment on each prescription that you fill
after you have already met your deductible: • Generic ‐ $4.00• Preferred Brand Name ‐ $20.00• Non‐Preferred Brand Name ‐ $40.00
– The pharmacy copayment is capped, so the most you will be responsible to pay each year after you have met your deductible is $250 for single coverage and $500 for dual/family coverage
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WHAT’S NEW FOR 2017
• CVS Retail 90 Program – additional option for filling your ongoing maintenance medications – You can get a 90 day fill at your local pharmacy– For faculty and Staff members enrolled in the GVSU Standard
PPO Plan the following copayments will apply:• $12 – Generic, $60 – Brand/Formulary, $120 – Brand/non‐Formulary
– Mail order option remains in place
• Ongoing CVS pharmacy drug formulary changes• Communication to you and your provider
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WHAT’S NEW FOR 2017• Delta Dental
– No change in coverage amounts– No change in faculty/staff contributions
• EyeMed Vision– No change in current rates– Rates guaranteed through 12/31/2020– Be sure and compare it to the no cost PriorityVision option
• Flexible Spending Account Limit– PPACA (Healthcare Reform) limits the maximum annual amount for
health related expenses is $2,500– No change to dependent care limit of $5,000
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GVSU PLAN COMPARISON CHART
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PAYROLL DEDUCTIONS 2017
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2017 MUST PAY/MIGHT PAY COMPARISON
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YOUR HEALTH SAVINGS ACCOUNT
• If you are enrolled in the GVSU High Deductible PPO Plan you must make a new HSA deposit election for 2017 using the eBenefits open enrollment system– Consider saving a little extra! ‐ Triple tax benefit ‐ No use it or lose it
• 2017 annual HSA contribution limits– $3,400 for single ‐ $6,750 for a family– plus an additional $1,000 catch‐up for those age 55 and older
• United Bank – mutual fund investment option
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Emotional and Financial Wellness
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OTHER THINGS YOU NEED TO KNOWEligible Dependents
Legally married spouse
Household member
Each dependent child
Medical Plans – up to the last day of the month of 26th birthday or; full-time student through age 27
Dental Plan - covered through the end of the day preceding child’s 19th birthday, or; full-time student through age 27
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OTHER THINGS YOU NEED TO KNOW
Life Events - 30 Day Notification Period• Change in marital status• Birth or adoption• Change in place of residence or work• Change in Household Member status• Change in status of dependent• Death of dependent• Refer to www.gvsu.edu/healthwellness/ for details
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OTHER THINGS YOU NEED TO KNOW
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OTHER THINGS YOU NEED TO KNOWMedical Plan Benefit Coverage
– Spine Centers of Excellence SCOE for spine and back surgery• Must visit with a SCOE physician before seeking surgical treatment
– Automobile Insurance and our medical plans• The GVSU Standard PPO and GVSU High Deductible PPO Plans do not pay for illness or injuries received in an automobile accident in Michigan or any other state with no‐fault insurance.
– Household Member• Supreme Court Ruling removes additional taxation for same‐sex spouses with a valid marriage license
• Non‐married Household Members remain subject to additional taxation and contributions
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OTHER THINGS YOU NEED TO KNOW
Are you getting close to your 65th birthday?– Active faculty and staff members and their spouses that turn age 65 are not required to enroll in Medicare on their 65th birthday.
• Medicare has a special rule; as long as you continue to have coverage through GVSU you do not need to enroll in Medicare until you actually retire. Once you retire you will be able to enroll in Medicare without any penalty or waiting period.
– For more information visit our new Retiree Benefits web site at: https://www.gvsu.edu/healthwellness/retiree‐benefits‐41.htm
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OTHER THINGS YOU NEED TO KNOWHave you started your social security benefits?
– If you start receiving Social Security benefits while you’re still employed, you’ll be automatically enrolled in Medicare Part A and this will make you ineligible to make ongoing contributions to your HSA.
– If you become enrolled in Medicare during the year, your maximum HSA contribution is limited to a pro rata amount.
– You still own the HSA funds you’ve accumulated, though, and can use them for qualified medical out‐of‐pocket expenses.
– If you’re enrolled in any part of Medicare, and you’re not eligible to make contributions to an HSA, you can still be enrolled in the GVSU High Deductible PPO Plan
– For more information visit our new Retiree Benefits web site at: https://www.gvsu.edu/healthwellness/retiree‐benefits‐41.htm
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CONSUMER TOOLS-MYHEALTH
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BENEFITS OPEN ENROLLMENT 2017
Oct 4th through Oct 12th Oct 18th through Nov 1st Oct 18th through Oct 27th
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CONTACT INFORMATION
• Online Info: http://www.gvsu.edu/healthwellness/
Enrollment & Eligibility Information
• Human Resources Office–JHZ 1090
• Phone: (616) 331-2220
• Email: [email protected]
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