Helping You Transition to Supplemental Insurance · 2018-11-05 · Helping You Transition to Supplemental Insurance Texas Instruments Retiree Readiness. 2 ... Proprietary and Confidential

© 2018 Willis Towers Watson. All rights reserved.

October 23, 2018

Helping You Transition

to Supplemental InsuranceTexas Instruments Retiree Readiness

2willistowerswatson.com

© 2018 Willis Towers Watson. All Rights Reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.

Via Benefits

Original Medicare Overview

Who We Are

2

1

Via Benefits Process

Collin County and Dallas County Overview

Retiree Reimbursement Account (RRA)

Reimbursement Process

3

4

5

6

Questions and Answers7



Who We Are



Via Benefits Health Insurance Marketplace

OVER

Retirees served across

560+ employees

9out of10

Retirees reported

they would work

with Via Benefits

again1.7million

Founded in

2004

Licensed advisor provides guidance and ongoing advocacy

Personalized options

with plans from a

nationwide network of

insurers

More Choice,

More Flexibility—

Better Value

No fees for our service

This will be our

13th AnnualEnrollment Season

Willis Towers Watson



About Via Benefits

Via Benefits is a private health insurance marketplace that helps individuals, who are

transitioning to Medicare, in the selection of a Medicare supplement plan that fits their

needs and lifestyle

Reasons you should enroll through Via Benefits

If eligible for a Retiree Reimbursement Account (RRA), you MUST enroll through Via

Benefits in order to receive funding

If you have a spouse/dependent on TI group plan, you MUST enroll through Via Benefits

in order to continue their TI group coverage

If your spouse is older than you, even though they won’t get their own RRA,

Via Benefits can help them navigate through Medicare and enrollment



100% Domestic

WorkforceNo Outsourcing!

Our service centers

Monday – Friday, 7:00 a.m. until 8:00 p.m. Central Time

Salt Lake City

Dallas

Phoenix

Operating hours:



PLANS

Medicare Advantage(Part C)

Medicare Supplement(Medigap)

Prescription Drug (Part D)

Plans and insurers

Dental and Vision Plans Available

INSURERS



Original Medicare Overview



CMS — Center for Medicare and Medicaid Services

HHS agency that governs everything Medicare

1-800-MEDICARE



Original Medicare plans

A person that is eligible for Medicare but opts out of Part B

may be subject to a 10% per year Part B penalty*

Medicare Part A

(hospital)

Primary coverage

Premiums — most people

do not pay a monthly Part

A premium

Medicare Part B

(medical/physician)

Primary coverage

Premiums are deducted

monthly from your Social

Security check

*Unless insured by a plan comparable to Medicare.



+

Prescription Drug Plans

(Part D)

Medicare Advantage

with Prescription Drug

coverage (Part C)

+

+

Your future coverage

How Medicare coverage works

Original Medicare

Parts A & B

MAPD Medigap

OR

Additional Coverage

Dental & Vision Plans

Optional Coverage



Medicare Supplement Insurance (Medigap)

Lettered policies

Medicare Supplement Insurance (Medigap) Policies

Benefits A B C D F G K L M N

Medicare Part A coinsurance and

hospital costs (up to an additional 365

days after Medicare benefits are used)

100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

Medicare Part B coinsurance or

copayment100% 100% 100% 100% 100% 100% 50% 75% 100% 100%

Blood (first 3 pints) 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%

Part A hospice care coinsurance or

copayment100% 100% 100% 100% 100% 100% 50% 75% 100% 100%

Skilled nursing facility care

coinsurance100% 100% 100% 100% 50% 75% 100% 100%

Part A deductible 100% 100% 100% 100% 100% 50% 75% 50% 100%

Part B deductible 100% 100%

Part B excess charges 100% 100%

Foreign travel emergency

(up to plan limits)80% 80% 80% 80% 80% 80%

Source: CMS

Out-of-Pocket

limit in 2019

$5,560 $2,780



Upcoming changes to Medicare Supplement Insurance (Medigap):

January 1, 2020

How this affects you

Turning 65

on or before

December 31, 2019

Turning 65

on or after

January 1, 2020

Able to enroll in Medigap Plan C & F Able to enroll in all available Medigap

Plans except plan C & F

Part B deductible coverage benefit All plans will require you to pay Part B

deductible



Part D Plans

5 Tiers of copays

A prescription drug plan will typically break the

formulary into “tiers.” The tiers correspond to the

copayment or coinsurance the beneficiary will pay

Cost-sharing increases with the tier number

Tier 1 is the least expensive

Tier 4 or 5 is the most expensive

Tier 2 –

Non-preferred generic

Tier 1 –

Preferred generic

Tier 3 –

Preferred brand

Tier 4 –

Non-preferred brand

Tier 5 –

Specialty drugs or injectables

Tier descriptions:

$$

$$

$$

$$

$$

$

$$

$



Medicare Prescription Drug Coverage 2019

*TROOP stands for true out-of-pocket costs.

Full cost until deductible

is metDeductible

25% for Brand Name

37% for Generics

Coverage Gap

(only 25% will reach)

$3.40 for Generics

$8.50 for Brand Name

5% whichever is greater

Catastrophic Coverage

(only 4% will reach)

Beneficiary Pays

$0 – $415

$3,820

$5,100

Total Cost

70%

manufacturer

discounts

count towards

TrOOP*

Copays for your plan

coverageInitial Coverage



Special Texas Instruments

Catastrophic Coverage

Texas Instruments provides additional

funds to RRA qualified participants that

reach 2019 threshold of $5,100 in

designated out-of-pocket prescription

drug costs

You must submit proof that the

designated out-of-pocket threshold has

been met

More information about this benefit is

discussed in your Retiree Reimbursement

Account (RRA) Guide

Call Via Benefits at 1-844-638-4642 with

questions

Note: This benefit is only available to RRA qualified participants.



Via Benefits Process



Enrollment process

Two-Step Process

Step 1: Review and Select Plan(s)

with a Licensed Benefit Advisor

Assists retirees with evaluating and selecting insurance

coverage — conducts a “needs analysis” to understand

the specifics of what the retiree wants from an insurance

plan (Benefit Advisors are non-commissioned)

Available: Monday through Friday,

7:00 AM until 8:00 PM Central Time

100% of calls are recorded

Step 2: Complete Carrier Application(s) for Selected Plan(s)

with an Application Data Processor

Conducts the application process — confirms personal

information and selected plan(s), completes the CMS

(Centers for Medicare and Medicaid Services) required

disclosures and obtains retiree telephonically signing the

application (voice signature)



When you’ll need

to take action Age

64

64

& 3 months

64

& 6months

64

& 9months

Age

65

Introduction Letter from Via Benefits

Included in our communication services,

this letter is sent on the retiree’s 64th

birthday. Familiarizes the retiree with

Via Benefits and encourages them to

call with questions.

Outlines the service Via Benefits

provides and reminds the retiree of

what to expect next.

Via Benefits “Refresher” Postcard

Offers information about the

forthcoming Enrollment Guide and

encourages recipients to make an

enrollment appointment and enroll

in Medicare Part B.

Via Benefits Appointment Letter

Provides detailed information on

Medicare and preparation tips for the

enrollment call

Enrollment Guide

Outbound Calls to Schedule

Enrollment Appointments



What you pay

Depends on the plan you choose

Eligibility for an Retiree Reimbursement Account can help offset costs

Choose right level of coverage for you and your spouse individually

Summary

How you enroll

You enroll directly through Via Benefits

You and your Medicare-eligible spouse enroll in separate plans

How to prepare for the call

Go online: https://medicare.viabenefits.com/ti, review plan options, pre-

populate prescription profiler

Have Medicare card, prescription(s), doctor(s), and hospital

information available

Allow about 1½ hours to complete the enrollment

https://medicare.viabenefits.com/ti



Summary

How you pay

Depending on the plan you select, you may have to pay your first

month’s premium during enrollment

Send your premium payment to your insurance company

How we support you

Via Benefits will be your partner as you make this decision and enroll

in plans

Via Benefits will provide ongoing support — at no cost to you

What happens to my dependents who are not Medicare

eligible?

Covered dependents will stay on the TI plans, provided you purchase

a medical or prescription policy through Via Benefits



Collin County and

Dallas County Overview



Plans for Collin County

Plan Type

Number of

Plans Offered

(73)

2019

Monthly

Premium

Carriers

(subject to change)

Medicare Advantage 26 $0 - 160

AARP UHC, Aetna, Amerigroup, AllWell,

BCBS of TX, Cigna, UHC, Scott & White,

WellCare

Medicare Supplement

(Medigap)28 $74 - $365

AARP UHC, BCBS of TX, Cigna,

Amerigroup, Humana Connect, Humana

Part D 19 $11- $140AAARP UHC, Aetna, BCBS of TX, Express

Scripts, Humana, WellCare, SilverScripts



Plans for Dallas County

Plan Type

Number of

Plans Offered

(75)

2019

Monthly

Premium

Carriers

(subject to change)

Medicare Advantage 28 $0 - $116

Humana, AARP UHC, Cigna, BCBS of

Texas, Aetna, Scott & White, Amerigroup,

AllWell, UHC, WellCare

Medicare Supplement

(Medigap)28 $74 - $365

BCBS of Texas, AARP UHC, Humana,

Cigna, Humana Connect, Amerigroup

Part D 19 $11 - $140

AARP Part D UHC, Express Scripts,

SilverScript, BCBS of TX, Humana, Aetna,

WellCare



Retiree Reimbursement Account

(RRA)



TI’s ongoing financial support

If you currently qualify for a TI subsidy of your premiums, you will continue to receive that

support

Pre-65 Retirees Post-65 Retirees

Receive a

discounted premium

Receive a

contribution to a Retiree

Reimbursement Account (RRA)



What is a Retiree Reimbursement Account (RRA)

Unused funds

DO roll over

You may use RRA funding to reimburse yourself for eligible medical, prescription drug,

dental, and vision premiums, as well as eligible

out-of-pocket healthcare expenses

TI contributions will be available in January for those who qualify for this benefit

Tax-free account used to reimburse you for

eligible health care expenses — you pay first and

then get reimbursed

If you are eligible, TI will make an annual contribution to a Retiree Reimbursement

Account (RRA), prorated amount for newly eligibleNote:

You must maintain

continuous enrollment

in a medical or

prescription drug plan

through Via Benefits

to receive

TI contributions

Administration governed by IRS Sec 213(d)



Retiree Reimbursement Account (RRA)

How the RRA works

YOU Insurance

Provider

Premium / Eligible 213d

Expenses per IRS

Reimburse(Check or Direct Deposit)

Receipt of Payment

You may be reimbursed up to the amount available in your RRA!



Reimbursement Process



Enroll in a medical or prescription drug

plan through Via Benefits before your

enrollment period ends to have access

to your RRA

You must remain enrolled through

Via Benefits each year to continue to

have access to your RRA or forever

forfeit rights to your RRA

Funding Guide

Qualify for your health reimbursement arrangement



Types of reimbursement

Premiums ONLY

Medical, Prescription Drug, Vision, Dental Premiums

(coverage enrolled through Via Benefits)

Automatic

Reimbursement

Premiums ONLY

Medicare Part B Premium


Recurring

Reimbursement

Premiums AND One-time Claims

Medicare Part B Premium


Claims — medical, pharmacy, dental and vision

Manual

Reimbursement



Automatic premium reimbursement set-up

Recommended option when coverage through Via Benefits

First time using Automatic Reimbursement

May result in a delay of 2 to 3 billing cycles

One-time set up unless make enrollment changes

Enroll via Phone:

Step 1: When selecting a plan with the Via Benefits Benefit Advisor, ask which plans are

eligible for Automatic Reimbursement

Step 2: Indicate to the Benefit Advisor that you wish to enroll in Automatic Reimbursement

Enroll via Online: https://medicare.viabenefits.com/ti:

Step 1: As you review available plans through the Via Benefits site, you will see which

plans “Support Auto Reimbursement”

Step 2: Be sure to enroll in Automatic Reimbursement when you proceed with your plan

selection




Recurring premium reimbursement set-up

Apply once for the entire year

Expires 12/31 each year — must re-submit annually

Form:

Download via online portal or request

via phone

Complete the form

Provide supporting documentation as

instructed on the back of the form

Submit the form and supporting

documentation to Via Benefits by fax or

mail

Online:

Visit: https://medicare.viabenefits.com/ti

Log into your Via Benefits online account.

Funds & Reimbursements,

Reimbursement Center

Enter recurring reimbursement

information

Upload required supporting

documentation

Confirm information is correct and submit

Note: If you are using automatic reimbursement you should not use recurring reimbursement for the same premiums.

There are two separate forms for Medicare Part B premiums and other premiums. These forms are mailed annual in Oct/Nov. Can also be requested via phone or accessed online.




Manual reimbursement

Premium/one-time claims

One-time reimbursement: premiums and/or medical, pharmacy, dental

and vision claims

Must be submitted each time seeking reimbursement

Form:

Download via online portal or request

via phone

Complete the form

Provide supporting documentation as

instructed on the back of the form

Submit the form and supporting

documentation to Via Benefits by fax or

mail

Online:

Visit: https://medicare.viabenefits.com/ti

Log into your Via Benefits online account.

Funds & Reimbursements,

Reimbursement Center

Enter recurring reimbursement

information

Upload required supporting

documentation

Confirm information is correct and submit

Note: You must use a manual claim form if making one premium payment to cover the full year.




Receiving reimbursements options

Checks mailed to home address

Receive within 10 to 15 business days

Mail

Check1

Payment deposited in bank account

Receive in 3 to 5 business days

Direct Deposit

(Recommended)2



Direct Deposit Authorization

Direct Deposit Set-Up

Fax

Online

Mail

Enrollment in direct deposit is highly

recommended!



Managing Your RRA — Online

Go to https://medicare.viabenefits.com/ti

https://medicare.oneexchange.com/ti



Managing Your RRA

Telephone

Call the toll-free Via Benefits designated number:

1-844-638-4642

Online

Submit request online:


Hours: Mon-Fri 7:00 a.m. – 8:00 p.m. Central Time

General Questions: Select Option 2

Funding Questions: Select Option 3




Questions and Answers

Q & A



Thank you!

Call Now, We Are Ready!1-844-638-4642

My.ViaBenefits.com/TI



Automatic premium reimbursement set-up

Online

Enroll online through https://medicare.viabenefits.com/ti:

As you review available plans through the Via Benefits site, you will see which plans

“Support Auto Reimbursement”

Be sure to enroll in Automatic Reimbursement when you proceed with your plan selection




Recurring premium reimbursement

Accessing Online Form

Apply once for the entire year

Expires 12/31 each year —

must re-submit annually

Step 1: Visit https://medicare.viabenefits.com/ti

Step 2: Log into your Via Benefits online account

Step 3: Click Funds & Reimbursements

Step 4: Click Reimbursement Center

Step 5: Enter recurring reimbursement information

Step 6: Upload required supporting documentation

Step 7: Confirm information is correct and submit




Manual Premium Reimbursement

Accessing Online Form

One-time reimbursement: premiums and/or

medical, pharmacy, dental and vision claims

Must be submitted each time seeking reimbursement

Step 1: Visit https://medicare.viabenefits.com/ti

Step 2: Log into your Via Benefits online account

Step 3: Click Funds & Reimbursements

Step 4: Click Reimbursement Center

Step 5: Enter recurring reimbursement information

Step 6: Upload required supporting documentation

Step 7: Confirm information is correct and submit


Documents

Helping You Transition to Supplemental Insurance · 2018-11-05 · Helping You Transition to Supplemental Insurance Texas Instruments Retiree Readiness. 2 ... Proprietary and Confidential