AMS/GSS HEALTH &AMS/GSS HEALTH & DENTAL PLANDENTAL PLAN · AMS/GSS HEALTH &AMS/GSS HEALTH & DENTAL...

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AMS/GSS HEALTH & AMS/GSS HEALTH & DENTAL PLAN DENTAL PLAN PRESENTATION TO AMS COUNCIL PRESENTATION TO AMS COUNCIL January 2013

Transcript of AMS/GSS HEALTH &AMS/GSS HEALTH & DENTAL PLANDENTAL PLAN · AMS/GSS HEALTH &AMS/GSS HEALTH & DENTAL...

Page 1: AMS/GSS HEALTH &AMS/GSS HEALTH & DENTAL PLANDENTAL PLAN · AMS/GSS HEALTH &AMS/GSS HEALTH & DENTAL PLANDENTAL PLAN ... GSS. WHY A GROUP PLAN? ... AMS Council Jan 2013.ppt [Compatibility

AMS/GSS HEALTH &AMS/GSS HEALTH & DENTAL PLANDENTAL PLANPRESENTATION TO AMS COUNCILPRESENTATION TO AMS COUNCIL

January 2013

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Your Health & Dental Plan - Quick Facts

Established by referendum in

2000

One of the largest AMS Services –

34,22234,222Over $6 Million $6 Million

in Health & Dental 2000 34,22234,222

students enrolledClaims

675675 students enrolled

dependants

Managed by HDPC. Joint collaboration between AMS +

GSSdependants GSS

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WHY A GROUP PLAN?Health & Dental Plan Presentation

WHY A GROUP PLAN?

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I di id l I PlIndividual Insurance Plans

ExpensiveExpensiveUp to 5 times the cost of a student Plan

DiscriminatoryDifferential treatment according to age and sexDifferential treatment according to age and sex

Not AccessibleNot AccessibleExclude individuals with pre-existing conditions

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What’s Covered?What s Covered?

Health VisionHealth• prescription drugs• vaccinations

health p actitione s

Vision• eye exams• contact lenses and/or

eyeglasses• health practitioners• medical equipment, etc.

eyeglasses• laser eye surgery

Travel• vacations

Dental• cleanings and checkups

• exchange/internships• trip cancellation• trip interruption

g p• fillings• root canals• gum treatments, etc.

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WHO ISHealth & Dental Plan Presentation

WHO IS STUDENTCARE.NET/WORKS?

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Who are we?

• Founded by students in 1996

• Leading provider of student Plans in Canada• Leading provider of student Plans in Canada

• Over 65 partner associations in 5 provinces

• Representing over 550,000 students

• Student centred organization• Student-centred organization

• Student clients, student employees

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What do we do for you?

Consultant• Negotiation support with

InsurerPl S t U

Administrator• Member Services Centre• On campus Office

• Plan Set-Up• Strategy• Reporting

• Communications• Opt-Out / Enrolment• Data Transfer

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Communication & Awareness

Print• 8,400 Info flyers sent to campus for distribution• The Ubyssey: ads placed throughout the year• Plan reference guides mailed to students in Sept

Web & Email• AMS/GSS & UBC websites: plan information and fees• Email reminders and follow ups sent in Sept & Jan • ihaveaplan ca: one-stop resource for students

In Person

ihaveaplan.ca: one stop resource for students

• Participation in campus events (FarmAde, orientation)• Presentations to international, co-op, exchange depts., p, g p• On-campus office and staff assisting students

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Networks: The Best Deal in Town

Additional complementary coverage

Di t di t t t d tDirect discount to students

Over 350 providers in the Lower Mainland & overOver 350 providers in the Lower Mainland & over 1500 across Canada

Easy to find using Google Maps search tool

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Health-Care Networks

Example of Dental Network

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PLAN STATS & FINANCIALHealth & Dental Plan Presentation

PLAN STATS & FINANCIAL HIGHLIGHTS

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Change-of-Coverage Statistics

Online Opt-Out Process

5.3 minutes: average time for UBC student to opt out

91 4% of all opt outs were completed online (that’s 2745

Online opt outs & Proof of Coverage submissions enable students to save

91.4% of all opt outs were completed online (that s 2745 students)

Online opt outs & Proof of Coverage submissions enable students to save time & be sustainable

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Studentcare Service SnapshotEmail:

5% Other:Web:6%

• Between Aug. 1 – Oct. 31, 2012,

5% Other: .01%

6%

g , ,studentcare.net/works resolved over 7500 cases

Walk in:Telephone:

49%

Walk in: 40%

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Health Claims Highlights: 2011-2012M di l Aid / E i t

Paramedical16%

Out of Province2%

Medical Aids / Equipment5%

Vision Care14%

16%Other1%

Drugs62%

$2,693,606 Total Health Claims

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More Savings with Fair PharmacareBC Government program that assists lowBC Government program that assists low income residents with cost of prescription

drugsWhat is Fair Pharmacare?

Guide high plan users to sign up for program to offset costs from student Plan

t tIntegration with your Plan

to government.

S f l i l t ti 15% i15% iSuccessful implementation: 15% savings 15% savings in prescription drug category with costs

offset to governmentThe Results?

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Dental Claims Highlights: 2011/2012

Diagnostic19%

Endodontics4%

Periodontics7%

Oral Surgery14%

Preventive28%

Restorative28%

$3,525,966 Total Dental Claims

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Your Best Resource:

Toll free: 1.877.795.4421In person: SUB RM 61; Lower LevelIn person: SUB RM 61; Lower Level

Online: ihaveaplan.ca

Here’s to a healthy and productive 2013!Here s to a healthy and productive 2013!

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Plan RationaleLimits of provincial

health care

E blcare

Enable students to

afford needed

Limits of

health services

student finances