Page 7 - 2018 Franke Enrollment
P. 7
Franke
2018 Medical, Telemedicine, You Are Eligible to Open an
HSA if:
and Prescription Plan Choices You are enrolled in a qualiied high
X
Cigna administers Franke’s comprehensive medical plans. Cigna’s network deductible health plan
offers greater access to in-network providers and deeper discounts on X You are not covered by your
services. This will result in lower costs to you and our plan. Cigna also spouse’s non-high deductible health
provides extensive online resources including care, cost, and quality plan or healthcare lexible spending
account
comparison tools.
X You are not eligible to be claimed as
Medical Plan Choices a dependent on someone else’s tax
return
You have two medical plans from which to choose in 2018. X You are not enrolled in Medicare,
TRICARE, or TRICARE for life
Open Access Plus Plan
X You have not received veterans
The OAP plan has a lower annual deductible than the Choice Fund HSA administration beneits and are not
plan, but has a higher premium cost. receiving Social Security beneits
Choice Fund HSA Plan Cigna 90 Now—Mandatory
The Choice Fund HSA plan has a lower per pay period premium cost to for Maintenance Medications
you, but a higher calendar year deductible and out-of-pocket maximum. All maintenance medications
All non-preventive medical and prescription services apply toward the listed on the CIGNA 90 Now
deductible and out-of-pocket maximum. The Choice Fund HSA plan maintenance drug list must be illed
deductible is based on the type of coverage you elect. If you elect to in a 90-day supply and obtained
cover a member of your family, the full family deductible must be met from a CIGNA 90 Now network
before the plan will pay for any services. The same is true of the out-of- pharmacy or through Cigna’s Home
pocket maximum. Once the full family out-of-pocket maximum is met, Delivery program. You may receive
you and your covered family members will receive 100 percent coverage the irst 3 monthly ills at any retail
for the remainder of the calendar year. pharmacy, but must transition your
prescription to a 90 Now pharmacy
If you participate in the Choice Fund HSA plan you may set aside following the 3 monthly ills.
additional pre-tax dollars through payroll deduction to add to your HSA
account. See page 9. CVS and Walmart are two of the
many retail pharmacies participating
in the 90 Now network. You
NEW—Pre-Certification Requirements may look up other participating
Additional pre-certiication requirements must be met for high tech imaging pharmacies on mycigna.com.
and several other medical procedures. All pre-certiication requirements will
be taken care of for you as long as you seek care from an in-network Cigna
provider.
7
2018 Medical, Telemedicine, You Are Eligible to Open an
HSA if:
and Prescription Plan Choices You are enrolled in a qualiied high
X
Cigna administers Franke’s comprehensive medical plans. Cigna’s network deductible health plan
offers greater access to in-network providers and deeper discounts on X You are not covered by your
services. This will result in lower costs to you and our plan. Cigna also spouse’s non-high deductible health
provides extensive online resources including care, cost, and quality plan or healthcare lexible spending
account
comparison tools.
X You are not eligible to be claimed as
Medical Plan Choices a dependent on someone else’s tax
return
You have two medical plans from which to choose in 2018. X You are not enrolled in Medicare,
TRICARE, or TRICARE for life
Open Access Plus Plan
X You have not received veterans
The OAP plan has a lower annual deductible than the Choice Fund HSA administration beneits and are not
plan, but has a higher premium cost. receiving Social Security beneits
Choice Fund HSA Plan Cigna 90 Now—Mandatory
The Choice Fund HSA plan has a lower per pay period premium cost to for Maintenance Medications
you, but a higher calendar year deductible and out-of-pocket maximum. All maintenance medications
All non-preventive medical and prescription services apply toward the listed on the CIGNA 90 Now
deductible and out-of-pocket maximum. The Choice Fund HSA plan maintenance drug list must be illed
deductible is based on the type of coverage you elect. If you elect to in a 90-day supply and obtained
cover a member of your family, the full family deductible must be met from a CIGNA 90 Now network
before the plan will pay for any services. The same is true of the out-of- pharmacy or through Cigna’s Home
pocket maximum. Once the full family out-of-pocket maximum is met, Delivery program. You may receive
you and your covered family members will receive 100 percent coverage the irst 3 monthly ills at any retail
for the remainder of the calendar year. pharmacy, but must transition your
prescription to a 90 Now pharmacy
If you participate in the Choice Fund HSA plan you may set aside following the 3 monthly ills.
additional pre-tax dollars through payroll deduction to add to your HSA
account. See page 9. CVS and Walmart are two of the
many retail pharmacies participating
in the 90 Now network. You
NEW—Pre-Certification Requirements may look up other participating
Additional pre-certiication requirements must be met for high tech imaging pharmacies on mycigna.com.
and several other medical procedures. All pre-certiication requirements will
be taken care of for you as long as you seek care from an in-network Cigna
provider.
7
