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towerswatson.com © 2014 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only. 1 Helping You Prepare For Your Upcoming Medicare Enrollment

Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Page 1: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

towerswatson.com © 2014 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only. 1

Helping You Prepare For Your Upcoming Medicare Enrollment

Page 2: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

towerswatson.com © 2014 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only. 2

l  Who We Are

l  Transitions Can Be A Good Thing!

l  OneExchange – For Your Benefit

l  A Deeper Dive – Benefit Advisors, Private Exchange, Optimize Savings, Health Reimbursement for You

l  Next Steps

l  Questions & Answers

Page 3: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

towerswatson.com © 2014 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only. 3

The Transition Process

Simplified Selection

Consultative Process

Ongoing Advocacy

Effortless Enrollment

Page 4: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

towerswatson.com © 2014 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only. 4

Our Service Centers

Salt Lake City, UT

Dallas, TX

Operating hours: Monday-Friday 8am-9pm ET

100% Domestic Workforce

- NO Outsourcing!

Page 5: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

towerswatson.com © 2014 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only. 5

Plans and Partners All Plan Types

Wide selection of plans from leading national / regional carriers

Prescription Drug (Part D)

Medicare Advantage Medicare Supplement (Medigap)

Dental Plans & Vision Plans

Page 6: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

towerswatson.com © 2014 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only. 6

Your Future Coverage

Page 7: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Your Future Coverage

Primary Coverage

Medicare A & B

Additional Coverage (your choice) Medicare Advantage with Prescription Drug (MAPD) OR

Medigap + Prescription Drug

Optional Coverage (your choice)

Dental Plans Vision Plans

Page 8: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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OPTION 1 Medicare Advantage Plan with Prescription Drug Coverage (MAPD)*

* Note that Medicare Advantage plans are generally network based plans.

MEDICARE

ADVANTAGE

Page 9: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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OPTION 2 Medigap Plan + Part D Plan

Note: You may need to pay your first premium when you enroll in coverage.

MEDIGAP PLAN

PART D PLAN

Page 10: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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A Deeper Dive Into Our Process

Page 11: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Your Experience

Announcement & Education

Evaluation & Enrollment

Ongoing Communications

& Advocacy

Page 12: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Education

Pre-existing conditions will not limit your plan selection*

Getting Started Guide

* Except end-stage renal disease.

Make your First Contact call

TOLL FREE

1-844-287-9939 medicare.oneExchange.com/mwv

Page 13: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Education

Prepare for Your Enrollment Consultation l Review Medicare basics l What to expect on your enrollment call

l FAQ’s l Appointment confirmation

Enrollment Guide

Page 14: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Benefit Advisors

l Licensed / Certified / Appointed l OneExchange University™ l Average age 43

l Objective & unbiased

l 100% domestic workforce

Hours of Operation

Monday – Friday 8 am – 9 pm ET

Page 15: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Decision Support Tools

l Prescription Profiler

medicare.oneExchange.com/mwv

24/7 access to your information

Page 16: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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l  Help Me Choose Comparison Tool

Decision Support Tools

Page 17: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Enrollment Process

l Benefit Advisors can discuss coverage options with anyone

l Telephonic enrollment – 2 part process

l 100% of calls are recorded

Page 18: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Selection Confirmation Notice

Page 19: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Health Reimbursement Arrangement

(HRA)

Page 20: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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What Is An HRA? l Tax-free account used to reimburse you for eligible health care

expenses — you pay first and then get reimbursed

l  If you are eligible, MeadWestvaco will make an annual contribution to a Health Reimbursement Account (HRA)

l You may use HRA funding to reimburse yourself for eligible medical, prescription drug, dental premiums ONLY

l Your HRA funding will be available April 1, 2015

2015 HRA will be pro-rated for 9 months (Apr-Dec)

Unused Funds do NOT rollover

Page 21: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Health Reimbursement Arrangement

Reimbursements are up to the amount

available in the HRA

Page 22: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Health Reimbursement Arrangement Reimbursement Options

1.

Automatic Reimbursement

[including recurring premiums]

2. Manual

Reimbursement

Reimbursements are up to the amount

available in the HRA

Page 23: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Medicare Prescription Drug Coverage 2015

Catastrophic Coverage

Coverage Gap

Initial Coverage Deductible

You Pay Full Retail Until Deductible is Met 2015 - $0 to $320

You pay copays for your plan coverage for the first $2960 in actual costs of Medications

You pay 45% of Brand Name and 65% of Generics until your out of pocket costs reach $4700; Pharmaceutical contributions will count towards the $4700 TrOOP

You Pay $2.65 for Generics and $6.60 for Brand Name or 5% - whichever is greater

Only 25% reach Donut Hole

Only 4% reach Catastrophic

Page 24: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Personal Guidance An Ongoing Advocate

l Navigation

l Enrollment

l Prescription changes

l Affordability concerns

l Reimbursement issues

l Late enrollment

l HRA

l Annual plan review

The plans you select continue on year to year. No need to re-enroll in the fall unless you want to make a plan change.

Page 25: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Next Steps

Page 26: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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What You Need To Do: Action Required!

Contact OneExchange 1-844-287-9939

l  Call now to complete your profile and schedule an enrollment appointment

l  You will need your Medicare card, prescription list, and doctor & hospital information

We Are Ready!

Page 27: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Questions

And

Answers

Page 28: Helping You Prepare For Your Upcoming Medicare Enrollment€¦ · Medicare Prescription Drug Coverage 2015 Catastrophic Coverage Coverage Gap Initial Coverage Deductible You Pay Full

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Call Now - We Are Ready

1-844-287-9939