Page 34 - 2020FCSBenefitsGuide
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7. When will I receive my 9. What is the difference between “In-Network” and “Out-of-
insurance cards? Network”?
All cards are received around “In-network” healthcare providers have contracted with the
the 10th of the month insurance plan to accept certain negotiated (i.e., discounted) rates. You
coverage is effect. Note: Cigna will typically pay less with an in-network provider. “Out-of-network”
does not send Dental ID cards. providers have not agreed to the discounted rates. If you go out-of-
8. What is an “Out-of-Pocket network, you will pay a higher percentage of your coinsurance, plus
Maximum”? there is no control on what an out-of-network provider charges for
Out-of-pocket maximum is a claim.
the most you have to pay for 10. When will my medical costs be paid at 100%?
covered services in a plan year. Eligible medical costs will be reimbursed at 100% after you fully
After you spend this amount satisfy your deductible and meet your out-of-pocket maximums.
on deductible and coinsurance, 11. I understand that the costs employees pay for their health plan
your health plan pays 100% premium are “tax friendly,” what does that mean?
of the costs of covered
beneits. The out-of-pocket This means your premium deduction is taken from your earnings
limit doesn’t include your before any taxes are deducted. This pre-tax deduction reduces your
monthly premiums. total tax obligation. For example, if your premium payment is $150
and your tax bracket is 20%, you will pay $30 less in taxes
Example: the Smith family has ($150 × 20% = $30).
an out-of-pocket maximum
of $12,600; they have a $3,000 12. Can I make changes to my insurance choices during the
deductible and will pay that calendar year?
irst, then pay coinsurance up Generally, no. In order to change your elections after open enrollment
to $9,600 for the total out- you must have a qualifying event. These are events such as marriage,
of-pocket maximum amount divorce, birth/adoption of a child, death of a dependent or spouse,
of $12,600. etc. Email FCSBeneits@lcancer.com for further information.
13. If my employment terminates with FCS when will my insurance
coverage end?
All coverage is terminated effective with your last day of employment
with FCS.
14. What is a Flexible Spending Account (FSA)?
An FSA allows you to set aside a portion of your earnings to pay for
qualiied healthcare expenses as established by the IRS. There are two
types of FSA accounts, FSA—Healthcare and FSA—Child Daycare/
Elder Care. You do not need to be enrolled in the medical, dental, or
vision insurance plans to participate in these accounts.
34 2020 Benefits Guide
insurance cards? Network”?
All cards are received around “In-network” healthcare providers have contracted with the
the 10th of the month insurance plan to accept certain negotiated (i.e., discounted) rates. You
coverage is effect. Note: Cigna will typically pay less with an in-network provider. “Out-of-network”
does not send Dental ID cards. providers have not agreed to the discounted rates. If you go out-of-
8. What is an “Out-of-Pocket network, you will pay a higher percentage of your coinsurance, plus
Maximum”? there is no control on what an out-of-network provider charges for
Out-of-pocket maximum is a claim.
the most you have to pay for 10. When will my medical costs be paid at 100%?
covered services in a plan year. Eligible medical costs will be reimbursed at 100% after you fully
After you spend this amount satisfy your deductible and meet your out-of-pocket maximums.
on deductible and coinsurance, 11. I understand that the costs employees pay for their health plan
your health plan pays 100% premium are “tax friendly,” what does that mean?
of the costs of covered
beneits. The out-of-pocket This means your premium deduction is taken from your earnings
limit doesn’t include your before any taxes are deducted. This pre-tax deduction reduces your
monthly premiums. total tax obligation. For example, if your premium payment is $150
and your tax bracket is 20%, you will pay $30 less in taxes
Example: the Smith family has ($150 × 20% = $30).
an out-of-pocket maximum
of $12,600; they have a $3,000 12. Can I make changes to my insurance choices during the
deductible and will pay that calendar year?
irst, then pay coinsurance up Generally, no. In order to change your elections after open enrollment
to $9,600 for the total out- you must have a qualifying event. These are events such as marriage,
of-pocket maximum amount divorce, birth/adoption of a child, death of a dependent or spouse,
of $12,600. etc. Email FCSBeneits@lcancer.com for further information.
13. If my employment terminates with FCS when will my insurance
coverage end?
All coverage is terminated effective with your last day of employment
with FCS.
14. What is a Flexible Spending Account (FSA)?
An FSA allows you to set aside a portion of your earnings to pay for
qualiied healthcare expenses as established by the IRS. There are two
types of FSA accounts, FSA—Healthcare and FSA—Child Daycare/
Elder Care. You do not need to be enrolled in the medical, dental, or
vision insurance plans to participate in these accounts.
34 2020 Benefits Guide
