Page 5 - Open Enrollment Guide Sample
P. 5
5
Medical Plan Changes Medical
In an effort to contain cost and sustain our medical programs, we How to Search for a
continue to offer the PPO and HSA plan options for our team members Provider
to choose from. This guide illustrates a high level summary of each Go to www.anthem.com
plan design and more speciic details about how to use the HSA plan
effectively. These consumer-driven plans empower each of us to become Click on “Find a Doctor” on the
more involved in the decisions that impact our healthcare expenses. right hand side of the screen
For members residing outside the
This year, [Client] will be making the following changes. [City] Metropolitan area, when
selecting a network, select the
The HSA plan’s deductible and out-of-pocket maximum is increasing, State of [State] from the drop
please review the chart on page 14 for more details down list, click the PPO network,
The PPO plan is implementing a pharmacy out-of-pocket maximum and choose the Blue Access
Choice (PPO) plan name
as required by law, please review the chart on page 14 for more details
The Centers of Excellence (Blue Distinction and Blue Distinction +) For members residing within the
[City] Metropolitan area, rather
program is making the following enhancements to hip and knee than selecting the PPO plan,
replacements: click on ALT NET and under plan
PPO plan: deductible waived and covered at 100% name select Blue Access Choice
(St. Louis)
HSA plan: covered at 100% after deductible For members residing outside of
Lodging beneit provided when travel exceeds 75 miles from the State of [State], select your
home address state from the drop down list, and
choose the National PPO (Blue
More details available on page 15 Card PPO) as your Plan Name
The plan will no longer cover the following drugs: Ella, Plan B, ID Cards
Mirena, and ParaGuard There is one ID card for both the
The HSA plan will use Health Equity as our bank administrator Medical and Prescription Drug plans.
partner in 2015 New ID cards will be going out
We now offer a Telemedicine program through LiveHealthOnline; regardless if enrollment changes are
made.
more information available on page 10
2016 Open Enrollment
Medical Plan Changes Medical
In an effort to contain cost and sustain our medical programs, we How to Search for a
continue to offer the PPO and HSA plan options for our team members Provider
to choose from. This guide illustrates a high level summary of each Go to www.anthem.com
plan design and more speciic details about how to use the HSA plan
effectively. These consumer-driven plans empower each of us to become Click on “Find a Doctor” on the
more involved in the decisions that impact our healthcare expenses. right hand side of the screen
For members residing outside the
This year, [Client] will be making the following changes. [City] Metropolitan area, when
selecting a network, select the
The HSA plan’s deductible and out-of-pocket maximum is increasing, State of [State] from the drop
please review the chart on page 14 for more details down list, click the PPO network,
The PPO plan is implementing a pharmacy out-of-pocket maximum and choose the Blue Access
Choice (PPO) plan name
as required by law, please review the chart on page 14 for more details
The Centers of Excellence (Blue Distinction and Blue Distinction +) For members residing within the
[City] Metropolitan area, rather
program is making the following enhancements to hip and knee than selecting the PPO plan,
replacements: click on ALT NET and under plan
PPO plan: deductible waived and covered at 100% name select Blue Access Choice
(St. Louis)
HSA plan: covered at 100% after deductible For members residing outside of
Lodging beneit provided when travel exceeds 75 miles from the State of [State], select your
home address state from the drop down list, and
choose the National PPO (Blue
More details available on page 15 Card PPO) as your Plan Name
The plan will no longer cover the following drugs: Ella, Plan B, ID Cards
Mirena, and ParaGuard There is one ID card for both the
The HSA plan will use Health Equity as our bank administrator Medical and Prescription Drug plans.
partner in 2015 New ID cards will be going out
We now offer a Telemedicine program through LiveHealthOnline; regardless if enrollment changes are
made.
more information available on page 10
2016 Open Enrollment
