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7. When will I receive my insurance cards? 12. Can I make changes to my
All cards are received around the 10th of the month coverage is insurance choices during
effect. Note: Cigna does not send Dental ID cards. the calendar year?
8. What is an “Out-of-Pocket Maximum”? Generally, no. In order to
Out-of-pocket maximum is the most you have to pay for covered change your elections after
open enrollment you must
services in a plan year. After you spend this amount on deductible have a qualifying event. These
and coinsurance, your health plan pays 100% of the costs of are events such as marriage,
covered beneits. The out-of-pocket limit doesn’t include your divorce, birth/adoption of a
monthly premiums. child, death of a dependent
Example: the Smith family has an out-of-pocket maximum of or spouse, etc. Email
$12,600; they have a $3,000 deductible and will pay that irst, then FCSBeneits@lcancer.com for
pay coinsurance up to $9,600 for the total out-of-pocket maximum further information.
amount of $12,600. 13. If my employment
9. What is the difference between “In-Network” and “Out-of- terminates with FCS when
Network”? will my insurance coverage
“In-network” healthcare providers have contracted with the end?
insurance plan to accept certain negotiated (i.e., discounted) rates. You All coverage is terminated
will typically pay less with an in-network provider. “Out-of-network” effective with your last day of
providers have not agreed to the discounted rates. If you go out-of- employment with FCS.
network, you will pay a higher percentage of your coinsurance, plus 14. What is a Flexible Spending
there is no control on what an out-of-network provider charges for Account (FSA)?
a claim.
10. When will my medical costs be paid at 100%? An FSA allows you to set aside
a portion of your earnings to
Eligible medical costs will be reimbursed at 100% after you fully pay for qualiied healthcare
satisfy your deductible and meet your out-of-pocket maximums. expenses as established by
11. I understand that the costs employees pay for their health plan the IRS. There are two types
premium are “tax friendly,” what does that mean? of FSA accounts, FSA—
This means your premium deduction is taken from your earnings Healthcare and FSA—Child
before any taxes are deducted. This pre-tax deduction reduces your Daycare/Elder Care. You do
total tax obligation. For example, if your premium payment is $150 not need to be enrolled in
and your tax bracket is 20%, you will pay $30 less in taxes the medical, dental, or vision
($150 × 20% = $30). insurance plans to participate
in these accounts.
Florida Cancer Specialists and Research Institute 33
All cards are received around the 10th of the month coverage is insurance choices during
effect. Note: Cigna does not send Dental ID cards. the calendar year?
8. What is an “Out-of-Pocket Maximum”? Generally, no. In order to
Out-of-pocket maximum is the most you have to pay for covered change your elections after
open enrollment you must
services in a plan year. After you spend this amount on deductible have a qualifying event. These
and coinsurance, your health plan pays 100% of the costs of are events such as marriage,
covered beneits. The out-of-pocket limit doesn’t include your divorce, birth/adoption of a
monthly premiums. child, death of a dependent
Example: the Smith family has an out-of-pocket maximum of or spouse, etc. Email
$12,600; they have a $3,000 deductible and will pay that irst, then FCSBeneits@lcancer.com for
pay coinsurance up to $9,600 for the total out-of-pocket maximum further information.
amount of $12,600. 13. If my employment
9. What is the difference between “In-Network” and “Out-of- terminates with FCS when
Network”? will my insurance coverage
“In-network” healthcare providers have contracted with the end?
insurance plan to accept certain negotiated (i.e., discounted) rates. You All coverage is terminated
will typically pay less with an in-network provider. “Out-of-network” effective with your last day of
providers have not agreed to the discounted rates. If you go out-of- employment with FCS.
network, you will pay a higher percentage of your coinsurance, plus 14. What is a Flexible Spending
there is no control on what an out-of-network provider charges for Account (FSA)?
a claim.
10. When will my medical costs be paid at 100%? An FSA allows you to set aside
a portion of your earnings to
Eligible medical costs will be reimbursed at 100% after you fully pay for qualiied healthcare
satisfy your deductible and meet your out-of-pocket maximums. expenses as established by
11. I understand that the costs employees pay for their health plan the IRS. There are two types
premium are “tax friendly,” what does that mean? of FSA accounts, FSA—
This means your premium deduction is taken from your earnings Healthcare and FSA—Child
before any taxes are deducted. This pre-tax deduction reduces your Daycare/Elder Care. You do
total tax obligation. For example, if your premium payment is $150 not need to be enrolled in
and your tax bracket is 20%, you will pay $30 less in taxes the medical, dental, or vision
($150 × 20% = $30). insurance plans to participate
in these accounts.
Florida Cancer Specialists and Research Institute 33
