Page 4 - Guide
P. 4
2017 Benefits Enrollment
PPO Plan HSA Plan
The PPO plan is a traditional plan For 2017, the HSA plan will also experience a few plan changes required
which includes ixed dollar copays by Anthem. Those changes will only impact the beneits for chiropractic
for physician ofice visits and care and durable medical equipment. Please see the detailed Anthem
prescription drugs. summary of beneits for additional information. To better understand the
HSA plan, you must irst realize there are 2 parts to this option:
For 2017, there will be a few plan
changes required by Anthem. 1. It is a full-ledged medical plan that offers you coverage within
Those changes will impact the Anthem’s large network of physicians, hospitals, and facilities. The
beneits for chiropractic care, major difference is everything, except preventive care, is subject to
occupational therapy, durable the plan deductible. Because everything goes toward the deductible,
medical equipment, hospice, and you will pay irst-dollar costs for all physicians’ visits, medical services,
transplants. Please see the detailed and prescriptions until you meet your annual deductible of $1,500 per
Anthem summary of beneits for individual or $3,000 per family.
additional information. 2. It comes with the option of opening a health savings account
(HSA), which is a special bank account only available to people who
On the PPO plan only, you will participate in a qualiied high deductible health plan (QHDHP), like
continue to have the deductible McCormack Baron’s HSA plan. The HSA allows you to pay out-of-
carryover feature. With the pocket expenses with pre-tax dollars. You will own and administer
deductible carryover, expenses your HSA account, and there are no “use it or lose it” restrictions as
you have accumulated towards required with the medical FSA. An HSA allows you to save and roll
your deductible in the last three money over if you do not spend it within the calendar year. In fact,
months of the year—October, if you change health plans or jobs, the money in the HSA account is
November, and December—will yours to keep, so long as, you use it for qualiied expenses. The money
apply to your deductible that starts you contribute to an HSA is tax-free both when you put it in and
over on January 1, 2017. However, when you take it out. Eligible expenses are deined by the IRS. These
the deductible carryover does not expenses include such things as deductibles, coinsurance, prescription
apply to the prescription drug drugs, and lab tests. IRS Publication 502 provides a complete list of
deductible. Also, please note that eligible expenses. A link to this list can be found at www.irs.gov.
if you switch to the HSA plan, the
deductible carryover beneit does 90 Day Retail
not apply to that plan.
Effective January 1, 2017, under Anthem’s prescription drug beneit, you will
have the choice of illing a 90 day script at retail or mail order. If you ill your
90-day script at retail, you will be charged three copays under the PPO plan. If
you ill your 90-day prescription through the mail order program, you will save
one copay and the prescription will be sent directly to your doorstep. Under the
HSA plan, under either option you will pay the full cost of the prescription until
your deductible is met.
4
PPO Plan HSA Plan
The PPO plan is a traditional plan For 2017, the HSA plan will also experience a few plan changes required
which includes ixed dollar copays by Anthem. Those changes will only impact the beneits for chiropractic
for physician ofice visits and care and durable medical equipment. Please see the detailed Anthem
prescription drugs. summary of beneits for additional information. To better understand the
HSA plan, you must irst realize there are 2 parts to this option:
For 2017, there will be a few plan
changes required by Anthem. 1. It is a full-ledged medical plan that offers you coverage within
Those changes will impact the Anthem’s large network of physicians, hospitals, and facilities. The
beneits for chiropractic care, major difference is everything, except preventive care, is subject to
occupational therapy, durable the plan deductible. Because everything goes toward the deductible,
medical equipment, hospice, and you will pay irst-dollar costs for all physicians’ visits, medical services,
transplants. Please see the detailed and prescriptions until you meet your annual deductible of $1,500 per
Anthem summary of beneits for individual or $3,000 per family.
additional information. 2. It comes with the option of opening a health savings account
(HSA), which is a special bank account only available to people who
On the PPO plan only, you will participate in a qualiied high deductible health plan (QHDHP), like
continue to have the deductible McCormack Baron’s HSA plan. The HSA allows you to pay out-of-
carryover feature. With the pocket expenses with pre-tax dollars. You will own and administer
deductible carryover, expenses your HSA account, and there are no “use it or lose it” restrictions as
you have accumulated towards required with the medical FSA. An HSA allows you to save and roll
your deductible in the last three money over if you do not spend it within the calendar year. In fact,
months of the year—October, if you change health plans or jobs, the money in the HSA account is
November, and December—will yours to keep, so long as, you use it for qualiied expenses. The money
apply to your deductible that starts you contribute to an HSA is tax-free both when you put it in and
over on January 1, 2017. However, when you take it out. Eligible expenses are deined by the IRS. These
the deductible carryover does not expenses include such things as deductibles, coinsurance, prescription
apply to the prescription drug drugs, and lab tests. IRS Publication 502 provides a complete list of
deductible. Also, please note that eligible expenses. A link to this list can be found at www.irs.gov.
if you switch to the HSA plan, the
deductible carryover beneit does 90 Day Retail
not apply to that plan.
Effective January 1, 2017, under Anthem’s prescription drug beneit, you will
have the choice of illing a 90 day script at retail or mail order. If you ill your
90-day script at retail, you will be charged three copays under the PPO plan. If
you ill your 90-day prescription through the mail order program, you will save
one copay and the prescription will be sent directly to your doorstep. Under the
HSA plan, under either option you will pay the full cost of the prescription until
your deductible is met.
4
