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2015-16 Health Benefits
2015-16 BenefitsThis presentation will include an explanation of:
Benefits cost increases Medical plan design changes Medical plan comparisons Employee Monthly Medical plan costs HSA Bank Transition Existing Wellness Resources New programs Benefits Open Enrollment Who to contact
Benefits Cost Increases
2015-2016District
ContributionEmployee
Contribution
Plans $29,250,994 $8,948,468 HSA
Deposit $3,240,484 ___________
Total $32,491,478 $8,948,468
Medical Plan Design Changes
OAP/EPO Plan Current 2015-16
Deductible $350 $500
PCP/Specialist Copay $20/$35 $25/$40
Inpatient Copay $150 $250
Urgent Care/Emergency Room Copay
$35/$100 $50/$200
Prescription deductible $100 $100
Retail Prescription Copay $7/$15/40% to 100%
$7/$25/40% to 100%
Coinsurance 80%/20% 80%/20%
Out-of-pocket maximum $2350/$7050 $4250/$8500
Medical Plan Design Changes
1500 HDHP $2500 HDHP
Current 2015/16 Current 2015/16
Deductible (Individual/Family)
$1500/$3000
$1500/$3000
$2500/$5000
$2500/$5000
Coinsurance (District/Employee)
80%/20% 80%/20% 100%/0% 90%/10%
Out-of-pocket maximum $3000/$6000
$4000/$8o00
$2500/$5000
$3500/$7000
District HSA Contribution $1000 $1000 $1500 $1500
Medical Plan ComparisonsService Cost
Preventive care visits $398
1 Emergency Room visit
$2600
2 Primary care visits $160
3 Specialist visits $450
12 Generic prescriptions
$288
3 Name brand prescriptions
$240
Total Costs for Services
$4136
Meet Karen
o Single, in her 50so Heart disease; o Controlling health
through medication
Medical Plan ComparisonsType of Service Cost of
Services Used by Karen
EPO/OAP Plan $1500 HDHP $2500 HDHP
Employee Cost Employee Cost Employee Cost
Preventive care visits $398 $0 $0 $0
1 Emergency room visit $2600 $1080 $1720 $2510
2 Primary care visits $160 $50 $32 $16
3 Specialist visits $450 $120 $90 $45
12 Generic prescriptions $288 $184 $57.60 $28.80
3 Brand name prescriptions
$240 $75 $48 $24
Annual Payroll Deduction $720 $120 $120
Less District HSA Contribution
-$0 -$1000 -$1500
Total Employee Cost $4136 (Total Cost of Services)
$2229 $1067.60 $1243.80
HSA Bank Transition On October 24, your HSA banking will transition from JPMorgan
Chase Bank to HSA Bank Replacement debit cards will be sent to your homes mid-
October All balances will automatically be transferred to your new card –
there are no blackout dates Begin using the new card on October 24. The Chase card will
be deactivated at the same time You can still access all account information on mycigna.com If you currently have automatic claim payments with Chase
Bank, you will need to re-enroll after HSA bank transition
Existing Wellness Resources Telephonic Coaching – call 1-800-Cigna24 at anytime to work
with a coach to achieve your health and wellness goals. Includes chronic condition management Weight, Tobacco, Stress management Wellness, exercise, nutrition, etc.
Mycigna.com resources: Health Assessment Online Coaching – My health Assistant Apps and activities on mycigna.com Look up benefits, find a doctor/dentist, cost transparency
tools, manage claims, etc.
New Programs
Healthy Pregnancies, Healthy Babies – Voluntary program for pregnant women that provides incentives for following certain guidelines.
Cancer Support Program – Provides care and support for employees and families touched by cancer.
Personal Health Solutions Plus – Ensures that employees and their dependents receive the most appropriate and cost effective inpatient and outpatient care. Precertification required for certain outpatient procedures and services
Benefits Open Enrollment
July 22 – August 12, 2015
All eligible employees must sign-in to confirm their elections
Elections go into effect on October 1, 2015
Benefits Health Fair-July 28-Westwood High School
Who to Contact
Benefits Department -480-472-7222 (ext. 27222)
Michelle Bernal Lorraine WagnerA-K L-Z
www.mpsaz.org/benefitswww.mycigna.com
