Page 7 - 2019 Franke Enrollment Guide
P. 7
Franke
2019 MEDICAL, You Are Eligible to Open
TELEMEDICINE, AND an HSA if:
You are enrolled in a qualiied
PRESCRIPTION PLAN You are not covered by your
high deductible health plan
CHOICES spouse’s non-high deductible
health plan or healthcare
Cigna administers Franke’s comprehensive medical plans. Cigna’s network lexible spending account
offers greater access to in-network providers and deeper discounts on You are not eligible to be
services. This will result in lower costs to you and our plan. Cigna also claimed as a dependent on
provides extensive online resources including care, cost, and quality someone else’s tax return
comparison tools.
You are not enrolled in
Medicare, TRICARE, or
Medical Plan Choices TRICARE for life
You have two medical plans from which to choose in 2019. You have not received veterans
administration beneits and are
Open Access Plus Plan not receiving Social Security
The OAP plan has a lower annual deductible than the Choice Fund HSA beneits
plan, but has a higher premium cost.
Cigna 90 Now—Mandatory
Choice Fund HSA Plan for Maintenance
Medications
The Choice Fund HSA plan has a lower per pay period premium cost to you, All maintenance medications listed on
but a higher calendar year deductible and out-of-pocket maximum. All non- the CIGNA 90 Now maintenance drug
preventive medical and prescription services apply toward the deductible list must be filled in a 90-day supply
and out-of-pocket maximum. The Choice Fund HSA plan deductible is and obtained from a CIGNA 90 Now
based on the type of coverage you elect. If you elect to cover a member of network pharmacy or through Cigna’s
your family, the full family deductible must be met before the plan will pay Home Delivery program. You may
for any services. The same is true of the out-of-pocket maximum. Once the receive the first 3 monthly fills at any
full family out-of-pocket maximum is met, you and your covered family retail pharmacy, but must transition
members will receive 100% coverage for the remainder of the calendar year. your prescription to a 90 Now
If you participate in the Choice Fund HSA plan you may set aside pre-tax pharmacy following the 3 monthly fills.
dollars through payroll deduction to add to your HSA account. See page 9. You may view the CIGNA 90 Now—
Maintenance Drug List in the benefits
section of UltiPro.
CVS and Walmart are two of the many
Pre-Certification Requirements retail pharmacies participating in the
Additional pre-certiication requirements must be met for high tech 90 Now network. You may look up
imaging and several other medical procedures. All pre-certiication other participating pharmacies on
requirements will be taken care of for you as long as you seek care
from an in-network Cigna provider. mycigna.com.
7
2019 MEDICAL, You Are Eligible to Open
TELEMEDICINE, AND an HSA if:
You are enrolled in a qualiied
PRESCRIPTION PLAN You are not covered by your
high deductible health plan
CHOICES spouse’s non-high deductible
health plan or healthcare
Cigna administers Franke’s comprehensive medical plans. Cigna’s network lexible spending account
offers greater access to in-network providers and deeper discounts on You are not eligible to be
services. This will result in lower costs to you and our plan. Cigna also claimed as a dependent on
provides extensive online resources including care, cost, and quality someone else’s tax return
comparison tools.
You are not enrolled in
Medicare, TRICARE, or
Medical Plan Choices TRICARE for life
You have two medical plans from which to choose in 2019. You have not received veterans
administration beneits and are
Open Access Plus Plan not receiving Social Security
The OAP plan has a lower annual deductible than the Choice Fund HSA beneits
plan, but has a higher premium cost.
Cigna 90 Now—Mandatory
Choice Fund HSA Plan for Maintenance
Medications
The Choice Fund HSA plan has a lower per pay period premium cost to you, All maintenance medications listed on
but a higher calendar year deductible and out-of-pocket maximum. All non- the CIGNA 90 Now maintenance drug
preventive medical and prescription services apply toward the deductible list must be filled in a 90-day supply
and out-of-pocket maximum. The Choice Fund HSA plan deductible is and obtained from a CIGNA 90 Now
based on the type of coverage you elect. If you elect to cover a member of network pharmacy or through Cigna’s
your family, the full family deductible must be met before the plan will pay Home Delivery program. You may
for any services. The same is true of the out-of-pocket maximum. Once the receive the first 3 monthly fills at any
full family out-of-pocket maximum is met, you and your covered family retail pharmacy, but must transition
members will receive 100% coverage for the remainder of the calendar year. your prescription to a 90 Now
If you participate in the Choice Fund HSA plan you may set aside pre-tax pharmacy following the 3 monthly fills.
dollars through payroll deduction to add to your HSA account. See page 9. You may view the CIGNA 90 Now—
Maintenance Drug List in the benefits
section of UltiPro.
CVS and Walmart are two of the many
Pre-Certification Requirements retail pharmacies participating in the
Additional pre-certiication requirements must be met for high tech 90 Now network. You may look up
imaging and several other medical procedures. All pre-certiication other participating pharmacies on
requirements will be taken care of for you as long as you seek care
from an in-network Cigna provider. mycigna.com.
7
