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1Advantage Health Resource Guide
Invest in Your HealthAdvantage Health Resource Guide
2 Advantage Health Resource Guide
Our Commitment to a Culture of Health
A few years ago, BAE Systems changed how we thought about health. We adopted a new approach, providing quality medical benefits while promoting biometric screenings, preventive care programs, health coaching and incentives – empowering employees to invest in their health and be educated health care consumers. Now, with lots of hard work by employees and their families – we are becoming healthier.
We know health and wellness is a journey, and BAE Systems is pleased to offer you and your family resources to better manage health care costs, get engaged, and stay motivated on your healthy lifestyle journey.
3Advantage Health Resource Guide
Table of Contents
Welcome ......................................................................................................... 4
The Advantage Health Medical Plan ........................................................... 5
Advantage Health Benefits at a Glance ........................................................ 6
How Your Health Savings Account (HSA) Works .......................................... 7
Wellness Incentives .................................................................................. 8–10
Valuable Cigna Resources ..................................................................... 11–14
Take Charge of Your Benefits ............................................................... 15–17
Prescription Drug Benefits .................................................................... 18–19
Other Benefits Information ......................................................................... 21
Explanation of Benefits .............................................................................. 22
Resources ..................................................................................................... 23
This guide includes information about the resources available to you and your family to help you make the most of your BAE Systems medical benefits through Cigna, and pharmacy benefits through CVS Caremark.
3Advantage Health Resource Guide
4 Advantage Health Resource Guide
Welcome to Your BAE Systems Medical Plan
BAE Systems offers comprehensive medical plans designed to meet the needs of you and your family. Medical coverage is provided through Cigna and prescription drug coverage is provided through CVS Caremark.
Your medical plan includes valuable benefits such as:
• AccesstoCigna’snationwidenetworkofproviders,withnoreferralsnecessary
• Preventivecarecoveredat100%*
• DedicatedCignacustomerserviceandclaimssupport
• Healthcoachingandotherprogramstohelpyoustayhealthy
Preventive care Whenyouseein-networkproviders,eligiblepreventivecareiscoveredat100%withnocopaymentsordeductibles.Preventiveservicesincludeservicessuchasanannualphysicalexamination,breastcancerscreening,coloncancerscreening,androutineimmunizationssuchasflushotsandmore.Preventiveprescriptiondrugs,includingwomen’scontraceptives,arealsocoveredat100%withnoadditionalcosttoyou.Ifservicesaredonetodiagnose,monitor,ortreatasymptomorhealthissueatyourpreventivecarevisit,therewillbeacosttoyou.
*Notallpreventivecareservicesarecovered.Forexample,immunizationsfortravelaregenerallynotcovered.ContactCignaat800.530.1314foracompletelistofcoveredpreventivecareservices.
5Advantage Health Resource Guide
Advantage Health Plan
TheAdvantageHealthmedicalplanemphasizeswellnessandprevention–doingthingstopreventhealthproblemsratherthanjusttreatingthemwhentheyoccur.Bybecominganeducatedhealthcareconsumerandtakingchargeofyourhealth,youcanreduceyourcostsformedicalservicesandimproveyourqualityoflife,nowanddowntheroad.
AlthoughAdvantageHealthhasalargerdeductiblethatmustbemetbeforebenefitsarepaid,thelowerplanpremiumcostshelpoffsetthelargerdeductible.Employeesareencouragedtosavethedifferenceinatax-advantagedHSAthatcangrowovertimelikea401(k)account.*
AdvantageHealthisaqualifiedhigh-deductiblehealthplanpairedwithaHealthSavingsAccount(HSA)thathelpsyousaveandpayforhealthcareexpensesnowandinthefuture.IfyouenrollforanycoveragelevelotherthanEmployeeOnlycoverage,thefamilydeductiblemustbemetbeforebenefitsarepaidforanyindividualfamilymember.
Youandyourcoveredspousecaneachearnupto$500inWellnessIncentivesinyourHSAtospendoneligiblehealthcareexpenses.Youearnincentivesbyparticipatinginwellnessactivitiesdesignedtohelpyouandyourspousemaintainandimproveyourhealth.Seepage8fordetails.
1. Annual deductible
Thisistheamountofeligiblemedicalandprescriptiondrugexpensesyoumustpayeachyearbeforetheplanbeginstopayapercentageofthoseexpenses.
Note:Ifyouenrollyourspouseorchildren,thefamilydeductiblemustbemetbeforebenefitsarepaidforanyindividualfamilymember.
2. CoinsuranceOnceyourdeductibleismet,youandtheplansharethecostofeligibleexpenses.AdvantageHealthwillcover80%ofyoureligiblein-networkexpenses,andyoupay20%.
3. Out-of-pocket maximum
Youreligiblein-networkmedicalandprescriptiondrugexpensescounttowardyourout-of-pocketmaximum.Thisisthemaximumyouwillpayduringtheyear,includingyourdeductibleandcoinsurance.Oncereached,theplanpays100%ofeligiblemedicalandprescriptiondrugexpensesfortherestoftheyear.
How the Advantage Health medical plan works
*HSAcontributionsandearningsarenotsubjecttofederaltaxesandnotsubjecttostatetaxesinmoststates.Afewstatesdonotallowpretaxtreatmentofcontributionsorearnings.Contactyourtaxprofessionalforinformationaboutyourstate.
6 Advantage Health Resource Guide
Advantage Health Benefits at a Glance
In-Network Medical BenefitsPreventive care Youpaynothing;theplanpays100%
Deductible $1,500individual/$3,000family*(applies to both medical and prescription drugs)
Coinsurance After meeting your deductible,youpay20%andtheplanpays80%
Out-of-pocket maximum $3,500individual/$7,500family**(applies to both medical and prescription drugs)
Non-preventive care (doctor’s office visits, specialists, hospitalization, outpatient care, emergency room)
After meeting your deductible,youpay20%andtheplanpays80%
Account HSAfundedbyyouandthecompany
Wellness incentives $500employee/$1,000totalwithspouse
Customer service VisitmyCigna.comorcall800.530.1314
Prescriptions
GenericAfter meeting your deductible,youpay20%andtheplanpays80%(applies to both retail pharmacy and mail order drugs)(deductible does not apply to certain generic preventive drugs***)
Preferred brand name After meeting your deductible,youpay20%andtheplanpays80%(applies to both retail pharmacy and mail order drugs)
Non-preferred brand name After meeting your deductible,youpay20%andtheplanpays80%(applies to both retail pharmacy and mail order drugs)
Specialty medications: Limited to a 30-day supply
After meeting your deductible,youpay20%andtheplanpays80%.DrugsmustbepurchasedfromCVSCaremarkSpecialtyPharmacyoraCVSretailpharmacy.
Refill limits on maintenance drugs Afterthreefills,youmustfillmaintenancemedicationsbymailoraCVSPharmacy
Customer service Visitcaremark.com/baesystemsorcall866.236.8236
Health Savings AccountIRS limit $2,950foremployee-onlycoverage/$5,900forfamilycoverage****
Customer service YourSpendingAccount(YSA)Teamat888.900.4223 (Part of the BAE Systems Benefit Center)
Bank UMBHealthcareServices
*Ifyouenrollotherfamilymembers,thefullfamilydeductibleof$3,000mustbemet–notjusttheindividualdeductible–beforebenefitsbeginforanyone.**Forout-of-pocketmaximum,onceonefamilymemberreachestheindividualout-of-pocketmaximum,theplanpaysforthatpersonfortheremainderoftheyear.***Thelistofgenericpreventivedrugscoveredpriortothedeductiblebeingmetcanbefoundatcaremark.com/baesystems.****ThisamountexcludesthemaximumamountofincentivesyoucanearntopreventyoufromovercontributingtheIRSlimit.
7Advantage Health Resource Guide
How Your Health Savings Account WorksHealthSavingsAccounts,orHSAs,arelikepersonalsavingsaccounts,butthefundscanonlybeusedtopaymedicalandprescriptionexpenses.YoucontrolthemoneyinyourHSA.Thefundscanbeusedtopaycurrenteligiblehealthcareexpenses,oryoucaninvestyourmoneytouselater,suchasduringretirement.
Benefits of an HSAHSAs offer triple tax savings*
• Themoneyyousaveistaxdeductible.• Youraccountgrowstax-free.• Youneverpaytaxesonthemoneyyoutakeoutto
payforqualifiedhealthcareexpenses.
The money in your HSA is always yours
• Thereisno“useitorloseit”rule.Youraccountbalanceremainsthereuntilyouaccessthefundstopayforqualifiedexpenses.Youraccountisportable.Thatmeansitbelongstoyouevenifyou:• Changejobsormedicalplans• Retireorstopworking
• Youdecidehowmuchtocontribute.
YousignupfortheHSAduringeachyear’sannualenrollment,andyoucanstart,stop,orchangeyourpayrollcontributionsatanytime.TheamountyoucancontributeisdeterminedbytheIRSandcanchangeeveryyear.
*HSAcontributionsandearningsarenotsubjecttofederaltaxes,however,afewstatestreatthecontributionsastaxableincome.ThoseemployeesresidinginCaliforniaandNewJerseywillhaveapplicablestatetaxeswithheldfromtheircontributionseachpayperiod.EmployerwellnessincentivestotheHSAarealsosubjecttostatetaxesinthesetwostates.
Using Your HSA WhenyouenrollinanHSA,youhaveaccesstoYourSpendingAccount™(YSA),awebsiteinBenefitsNavigatorthatletsyoumanageyourHSAonlineanytime.Youcancheckyourbalance,submitaclaimforreimbursement,checkclaimreimbursementstatus,etc.YouwillalsobeissuedaYSAcardthatallowsyoutoeasilypayforeligibleexpenses.
IfyouhaveanHSA,besuretodownloadtheYSAReimburseMemobileappontoyourmobiledevice.TheReimburseMeappmakesiteasytoaccess,view,andmanageyouraccountfromanywhere.
Afterreceivingmedicalservices,youwillreceiveanExplanationofBenefitsfromCignashowingyourshareoftheprovider’sbill.YoucanuseyourdebitcardtomakeapaymentdirectlyfromyourHSAtotheprovider.
Restrictions on Flexible SpendingAccounts (FSAs)
YoucanparticipateinaLimitedPurposeHealthCareFSAwhilecontributingtoanHSA.ALimitedPurposeFSAcanbeusedtopayonlydentalandvisionexpenses–notmedicalexpenses.
Medicare and TRICARE
IfyouareeligibleorenrolledinMedicareorenrolledinTRICARE,youarenoteligibletocontributetoanHSA.However,youmayhaveotheroptions.ContacttheBenefitCenterformoredetailsat888.900.4223.
Qualified expenses
MakesureyouuseyourHSAonlyforqualifiedexpenses.Youcanfindacompletelistofqualifiedexpensesatwww.irs.gov/publications/p502.IfyouuseyourHSAtopaynonqualifiedexpenses,you’llpaytaxesplusanadditional20%penaltyifyou’reunderage65.
Withdrawals after age 65
Afteryoureachage65orbecomeentitledtoMedicareduetodisability,youmaywithdrawmoneyfromyourHSAfor“nonmedicalpurposes.”Thesewithdrawalswillbesubjecttonormalincometaxes.
8 Advantage Health Resource Guide
Earning Wellness Incentive Awards in Your HSA
BAESystemsanditsplansarecommittedtohelpingyouachieveyourbesthealth.Ifyouthinkyoumightbeunabletoachievethestandardsfortherewardunderthiswellnessprogram,youmayqualifyforanopportunitytoearnthesamereward,butbymeetingadifferentormodifiedstandard.Yourhealthcoachwillworkwithyoutodevelopareasonableand/oraccommodatinggoaltoqualifyfortheincentives.
OR
Complete a biometric screening during your annual physical: $100Abiometricscreeningcanspothealthissuesbeforetheybecomeseriousbymeasuringbloodpressure,bloodglucose,cholesterol,andbodymassindex(BMI).ThesescreeningsareperformedaspartofanannualphysicalexamwhichyourBAESystemsmedicalplancoversatnoadditionalcost.Rememberto
printaWellnessForm,availableatmyCigna.com,totaketoyourphysicalexam.
Meet or exceed biometric targets
Biometricscreeningresultsarewithinahealthyrange.Youearn$200.
Miss one or more biometric targets
Engagewithahealthcoachandmeettwoagreedongoalstoearn$200.
AdvantageHealthpaysbigdividendsthroughWellnessIncentiveAwards.EarningincentiveawardstofundyourHSAreducesyourout-of-pocketcosts.Earningyourincentivesearlierintheyearmeansyourfundsareavailablesooner.Youandyourcoveredspousecaneachearnupto$500inincentivefundsinyourHSAbycompletingthefollowingsteps.
Biometric targets • BMI:lessthan28• Bloodpressure:135/89orlower
• Bloodglucose:115mg/dlorlower• Cholesterol:239mg/dlorlower
9Advantage Health Resource Guide
Earning Additional Wellness Incentive Awards Youcanearnup to $200bycompletingsomeoftheseactivities.Youcanearntheseincentivesatanytimeduringtheyear.
• PersonalHealthAssessment:$50TakeashortonlineassessmentatmyCigna.comandgetyourWellnessScore.YourWellnessScorecomparesyourwellnesstootherpeopleinyouragegroupandsuggestswaystoimproveyourscore.
• Onlinecoachingmodules:$50Cignaoffersonlinetrainingmodulesthatyoucancompletetoearnincentiveawards.Coachingisavailableonawiderangeofsubjects,includingnutrition,exercise,maintainingbalance,controllingasthma,managingdiabetes,andquittingtobacco.YoucanaccessonlinecoachingonmyCigna.com.
• Preventivecancerscreening:$50That’sright–getpaidforhavingaprocedurethatcouldsaveyourlife.Getacolonoscopy,mammogram,cervicalcancerscreening,orprostatescreening,coveredat100%withnodeductible.
• Cignaapps&activities:$100Getconnected,havefun,andearnrewardsbylinkingyourfitnesstrackerorsmartphoneonmyCigna.com.Getpersonalizedrecommendations,trackyourprogress,andhavefunchallengingothers.
• Visionexam:$50 IfyouareenrolledinaVSPvisionplanandgetanannualvisionexam,youwillautomatically*receiveincentivedollars.
• Getasecondopinionformusculoskeletalconditions through Advance Medical: $100AdvanceMedicalgivesyouaccesstoleadingexpertswhenyou’relookingforasecondmedicalopinion.Becausemusculoskeletalconditions(thoserelatedtothehip,joints,shoulder,knee,andneck)arealargesourceofbenefitcosts,youcanautomatically*earnincentiveawardsforseekingtreatmentsupportinformationononeoftheseconditions–evenifyoudon’tfollowtheadvice.Visitadvmed-inc.com/baesystemsorcall888.230.2442.
• Dental exam and oral health risk assessment: $50IfyouareenrolledinDeltaDental,youwillautomatically*earnincentiveawardsforgetting
anoralexamandcompletinganoralhealthriskassessment.
A REGISTERED MARK OF DELTA DENTAL PLANS ASSOCIATION
*Noformrequired.Incentiveawardsmaytakeseveralweekstoappearinyouraccount.
TakingtheDeltaDentalofVirginiaLifeSmileRiskAssessment
1.LogintothememberportalatDeltaDentalVA.com/subscribers.aspx.Note: Ifyouarethespouseoftheemployee,youwillneedtologintoyourspouse’saccounttocompletetheassessment.Youdonotneedtocreateaseparateaccount.
2.Clickonthe“LifeSmileAssessment”linkontheleftsideofthescreenunderneaththeIDcard.
3.ChoosewhichmemberistakingtheLifeSmileriskassessment.Note:Whenyouclickonthenameofthemembertakingtheassessment,theBAESystemsLifeSmilelandingpagewillopeninanewwindow.Ifthepop-upblockeristurnedoninyourbrowser,youwillneedtomakesuretoallowpop-upsonthesitetocontinue.
4.OnceontheLifeSmilelandingpage,clickonthe“EstimateMyDentalScores”tabatthetopandcompletetheself-evaluation.
5.Selectyourstateofresidenceandclick“Continue.”
6.Completetheriskassessment,enteryouremailaddress,andclick“Finish.”Note:Itisimportantthatyouenteryouremailaddresstoensureyoureceiveanemailwithyourriskassessmentscoreandanyotherimportantmessagesaboutyourresults.
7.View/printyourresultsandtakethemwithyoutoyournextdentistappointment.
10 Advantage Health Resource Guide
Tips to make earning your incentives easier
• IfyoucompletedabiometricscreeningonorafterOctober1,2017,youcanusethoseresultsonyourWellnessScreeningFormtoearnyour2018incentive.
• BAESystems’medicalplanscoveranannualexameachcalendaryear.Youdon’thavetowaitafull12monthstogetyournextexam.
• YoumustcompleteyourPersonalHealthAssessmentonorafterJanuary1,2018.
Tips for submitting your Wellness Form
• MakesureyourWellnessScreeningFormhasallfourbiometricscreeningsmeasuresfilledout,andthattheformissignedbyyouandyourdoctor.
• YoucansubmityourcompletedWellnessScreeningFormbyfax,mail,oruploadingitonmyCigna.com.FollowtheSubmitCompletedFormsElectronicallylinklocatedintheRelatedLinkssectionontheIncentiveAwardspage.Submittingtheformyourselfmaybefasterandmoreefficientthataskingyourdoctor’sofficetodoit.
• KeepacopyofyourcompletedWellnessScreeningFormforyourrecords.
Monitoring your incentive progress
Wanttoknowwhatincentivesyouhaveearnedandwhatyournextstepsaretoearnmore?GotomyCigna.com,selectthe“MyHealth”tabandclickon“IncentiveAwards.”
Someincentivestakelongerthanotherstoprocess.• WellnessScreeningFormprocessingcantake
uptotwotothreebusinessdays.
• Cancerscreeningincentivescantakeupto30daysfromthedateCignaprocessestheclaim.
• AdvanceMedical,dental,andvisionincentivescantakeuptothreeweeks.
Wellness Incentive Tips
10 Advantage Health Resource Guide
11Advantage Health Resource Guide
Valuable Cigna Resources
myCigna.com – An Easy Way to Access Your Health Information and Resources
myCigna.comcanhelpyoumakethemostofyourCignabenefits–whetheryou’reathome,atwork,oronthego.myCigna.comiscompletelypersonalized,soit’seasytofindwhatyou’relookingfor.
• Findin-networkdoctorsandothermedicalproviders• Manageandtrackclaimsandincentives• Estimatecostsformedicalservices• Comparequalityofcareratingsfordoctorsand
hospitalsinyourplan’snetwork• OrderIDcards/printatemporaryIDcard• Accessavarietyofhealthandwellnesstools
andresources,includingarticles,videos,productdiscounts,andonlinecoachingprograms
The myCigna® App – A little App with big features
You’rebusierthanever.AtCigna,wegetthat.So,wecreatedatooltohelpmakeyourlifeeasier.ThemyCigna App*givesyouasimplewaytopersonalize,organizeandaccessyourimportanthealthinformation–onthego.Itputsyouincontrolofyourhealth,soyoucangetmoreoutoflife.
TheappgivesyouaccesstotheCignadirectoryofproviders,hospitals,labs,andfacilities,withmapsforinstantdrivingdirections.Inaddition,youcan:
• QuicklyviewIDcardsthatyoucanprint,email,orscanfromyoursmartphone
• Viewandsearchpastclaimsandtrackyourdeductibleandcoinsurance
• Seethecostforproceduresandfacilitiesrightfromyourphone
*ThedownloadinganduseofthemyCignamobileappissubjecttothetermsandconditionsoftheAppandtheonlinestoresfromwhichitisdownloaded.Standardmobilecarrieranddatausagechargesapply.
Our dedicated Cigna customer service teamBAESystemshaspartneredwithCignatoestablishadedicatedcustomerserviceteamforouremployeesandtheirfamilies.Thisteamisreadytoassistyoubyprovidingdetailsonyourmedicalbenefits,addressingclaimsandbillingquestions,andtrackingincentivecompletion.YoucanreachtheCignadedicatedteamat800.530.1314from9amto7pmEST,MondaythroughFriday.BepreparedtoprovideyourCignaIDnumberorSocialSecuritynumbersoyourcallcanbetransferreddirectlytothededicatedteamduringthesehours.Cigna’sregularcustomerservicerepresentativesareavailable24hoursaday,sevendaysaweek,365daysayear.
11Advantage Health Resource Guide
12 Advantage Health Resource Guide
Valuable Cigna Resources
*AmwellandMDLIVEareindependentcompanies/entitiesandarenotaffiliatedwithCigna.ServicesareprovidedexclusivelybyAmwellandMDLIVEandnotbyCigna.Providersaresolelyresponsibleforanytreatmentprovided.Notallprovidershavevideochatcapabilities.Videochatisnotavailableinallareas.Amwell/MDLIVEservicesareseparatefromyourhealthplan’sprovidernetworkandmaynotbeavailableinallareas.
Working with a health coach isnotintendedasareplacementformedicalcarefromyourdoctor.Coachingisintendedtohelpyougetthemostfromyourappointmentswithyourdoctor,andtoofferadditional,ongoingpersonalsupporttohelpyouliveahealthylife.Allinteractionswithyourhealthcoachareconfidential.
Free24-hourHealthInformationLineSM
It’s2amandsomeoneinyourhouseissick.Insteadofrushingtotheemergencyroomforalongwaittoseeadoctor,youcantalkwithanursetoseeifthetripisnecessary.Whetheryou’redealingwithahighfeveroranunexpectedallergicreaction,nursesareavailabletoprovideguidanceanddirectyoutothemostappropriatetypeofcare.YoucanreachtheHealthInformationLinebycalling800.530.1314,24hoursaday,sevendaysaweek.Inanemergency,dial911orvisitthenearesthospital.
Health coaching
Youwillhaveaccesstopersonalhealthcoachestohelpyouandyourfamilymaintainorimproveyourhealthandaddresshealthrisks.Yourhealthcoachwillhelpyoudevelopanactionplanthattakesadvantageofavailablehealthandwellnessresources.
Basedonyourneeds,yourcoachcanoffer:
• Help making lifestyle changes.Examplesincludesmokingcessation,weightmanagement,andstressmanagement.
• Support for managing chronic conditions.Yourcoachcanhelpyougetthebestcarefromyourdoctoranddevelopaplantobettermanagechronicconditionsandidentifiedrisks.
• Access to an integrated personal health team.Basedonyourneeds,yourcoachcanconnectyouwithotherprofessionalswhospecializeinvariousareassuchasnutrition,exercise,cardiaccare,weightmanagement,stressmanagement,andpsychology.
Cigna Telehealth Connection
WithCignaTelehealthConnection,youcanconnectwithaboard-certifieddoctorwhen,whereandhowitworksbestforyou–viavideoorphone–withouthavingtoleavehomeorwork.Getthecareyouneed–includingmostprescriptions(whenappropriate)–forawiderangeofminorconditions.Atelehealthvisitcostsjust$42.Afteryoureachyourdeductible,youpayonlytheapplicablecoinsuranceontheper-visitcharge.
Registerforoneorbothtelehealthproviderssoyou’rereadywhenandifyouneedcare.*
Amwell®
• AmwellforCigna.com• 855.667.9722
MDLIVE®
• MDLIVEforCigna.com• 888.726.3171
13Advantage Health Resource Guide
Valuable Cigna Resources
13Advantage Health Resource Guide
Employee Assistance Program
TheEmployeeAssistanceProgram(EAP)offersyouandmembersofyourhouseholduptoeightfree,confidential,in-personvisitswithalicensedprofessionalcounselor.Thisbenefitisinadditiontothementalhealthcoverageavailableunderyourmedicalplan.TheEAPcanhelpyouidentifysolutionsandresourcesformanyoflife’schallenges,includingchildcare,seniorcare,familyissues,substanceuse,legalissues,andidentitytheft.Forassistance,contactCigna24hoursaday,sevendaysaweek,at800.530.1314ormyCigna.com.
Cigna Healthy Pregnancies, Healthy Babies® Program
Healthybabiesstartwithhealthypregnancies.WiththeCignaHealthyPregnancies,HealthyBabiesprogram,expectantparentsreceivethesupporttheyneedtostayhealthyduringandafterpregnancy.Byparticipatinginthisprogramyoucanearnupto$250inwellnessincentiveawards.Tolearnmore,visitmyCigna.comorcall800.615.2906.
Servicesinclude:• 24-houraccesstoexpertsupport• Alibraryofhealthinformation• Apregnancynewsletterandaparentingmagazine• Resourcesforexpectantfathers• Apersonalizedpregnancycalendar
Cigna Healthy Rewards® Program*
WiththeHealthyRewardsprogram,youcansaveonweightmanagementprograms,chiropracticservices,acupuncturetreatments,naturalsupplements,andmore.UsingtheHealthyRewardsprogramiseasy.Noreferralsorclaimformsareneeded.Allemployeesareeligible,andifyou’reaCignacustomer,you’reautomaticallyenrolled.Formoreinformation,visitmyCigna.com,selecttheMy Healthtab,choosePrograms & ResourcesandselectDiscount Programs – Healthy Rewards.
Your Personal Health Record
Keepingtrackofyourhealthinformationcanbechallenging.Cignamakesiteasytokeepyourmedicalhistoryatyourfingertips.StoreallyourhealthinformationinyourPersonal Health Record (PHR)andaccessitsecurely24hoursadayfrommyCigna.com.
WhenyouchoosetohaveyourCignalabresultsandmedicalclaimsdataautomaticallystoredinyourPHRyoucanviewthedetailsofreportedconditions/diagnoses(includingthenameofthephysicianthatsubmittedyourinformation).YouwillalsobeprovidedwithalinktoamedicallibraryofrelatedhealthcontentandresourcesforeachPHRentrytoofferyousupportandguidance.Youcanalsouploadimportantdocumentsandscannedimages,andenteradditionalinformationsuchasallergiesandover-the-countermedications.Then,nexttimeyouvisityourdoctor,faxoremailacopyofyourPHRSummary,orprintitoutandtakeitwithyou.YourPHRisprovidedinagreementwithWebMD®,aleaderinthehealthinformationindustry.
*SomeHealthyRewardsprogramsarenotavailableinallstates.Ifyourplanincludescoverageforanyoftheseservices,thisprogramisinadditionto,notinsteadof,yourplanbenefits.HealthyRewardsprogramsareseparatefromyourmedicalbenefits.A discount program is NOT insurance, and you must pay the entire discounted charge.
14 Advantage Health Resource Guide
Additional Resources
Free Expert Medical Opinion from Advance Medical
Beingdiagnosedwithaseriousmedicalconditionisstressfulandoftenconfusing.ExpertMedicalOpinion,administeredbyAdvanceMedical,canhelp.ExpertMedicalOpinionoffersasecondopiniononmedicalcasescoveringarangeofconditions.Withonecall,youareconnectedtoaphysiciancasemanagerwhowillserveasyourpersonaladvocatetotalkaboutyoursituation,gatheryourmedicalrecords,arrangetohaveyourcasereviewedbyexpertsacrossthecountry,andansweryourquestions.
You’llreceiveacomprehensivereportofyourcaseteam’srecommendationsthatyoucanreviewwithyourpersonaldoctor.Thisbenefitiscompletelyvoluntaryandfreetoemployeesandtheirfamilies.Tolearnmore,call888.230.2442 orvisitadvmed-inc.com/baesystems.
We support your good health Since2015,employeesandtheirspouseshavelostmorethan20,000poundswhileparticipatingintheNaturallySlimprogram–acommon-sense,10-weekonlineweightlossprogram.BAESystemsoffersthisprogramsoyoucandiscoverthesecretstolosingweightwhileenjoyingthefoodsyoulove.Programswillbeannouncedthroughouttheyear.
14 Advantage Health Resource Guide
15Advantage Health Resource Guide
Cigna Tools to Help you Take Charge of Your Benefits
Choose doctors with the Cigna Care Designation
TheCignaCareDesignationhelpstakesomeoftheguessworkoutofchoosingadoctor.Usingstandard,industry-acceptedmeasuresandinformation,Cignadoesanevaluationofitsnetworkdoctorsin18ofthemostcommonspecialties,includingthreeprimarycarespecialties.Cignaresultsshowdoctorswhohaveaprovenhistoryofachievinggoodqualityoutcomeswhilealsobeingcosteffective.DoctorswithtopresultsearntheCignaCareDesignation.
Find in-network doctors and facilities
TheFind a Doctor tabatthetopofmyCigna.comprovidesseparatesearchpathsfordoctorsandfacilities.Italsoallowsyoutosearchforcommonproceduresandshowscostranges.
Search Location: Looking For: (Name, keyword, etc.)
A - Z
HOSPITALORFACILITYDOCTOR PROCEDURE
Find a...
Usemycurrentlocation
Popular SearchesChiropractorDermatologistFamilyDoctorGastroenterologistGeneralPracticeDoctorInternalMedicineDoctorOB-GYNPediatricianPrimaryCarePhysician(PCP)PhysicalTherapist
OFFEREDTHROUGH
Talk with a doctor anytimeConnectwithanationwidenetworkofBoardCertifiedphysiciansthroughsecurevideoorphone.
LEARNMORE
SEARCH
Find Immediate CareIstheEmergencyRoom(ER)yourbestoption?Youmayfindfasterandmoreaffordablecare.
EXPLOREALTERNATIVES
Compare locations. Your choices can impact your wallet.
Colonoscopy
EstimatedCosts
$955 - $2,632
Youmayowe...............$457-$1,035
Searchnow
Knee Arthroscopy
EstimatedCosts
$4,523 - $12,213
Youmayowe...........$1,1170-$3,197
Searchnow
You searched For PCP | Near Getbetter, NH Plan OOAP, DPPO - Search Out-of-Network
Search Results
We found 500 Doctors
REFINERESULTS | RESET
78 Doctors Found In-Network
Sortby:CIGNACareDesignation
Doe, John, MD96 DoctorsHwyGetbetter, NH 00004(XXX) XXX-XXXX
View all practice locations
Doe, Jr. John, MD201 DoctorsHwyGetbetter, NH 00004(XXX) XXX-XXXX
View all practice locations
2.5 MilesView map
CIGNA Care Designations
Quality Designations
Specialty: Obstetrics and Gynecology
Cost Efficiency Rating
View procedures and cost information
6.6 MilesView map
CIGNA Care Designations
Quality Designations
Specialty: Obstetrics and Gynecology
Cost Efficiency Rating
View procedures and cost information
Getbetter,NHChange
ViewList|ViewMap
Indicates doctor with Cigna Care Designation
Clicking on Quality Designations will display the designation achieved
Qualitydesignations,cost-efficiencyandotherratingsreflectapartialassessmentofqualityandcost-efficiencyandshouldnotbethesolebasisfordecision-making.Theyarenotaguaranteeofthequalityofcarethatwillbeprovidedtoindividualpatients.Youareencouragedtoconsiderallrelevantfactorsandconsultwithyourphysicianwhenselectingaprovider.Providersareindependentcontractorssolelyresponsibleforcaredelivered.TheyarenotagentsofCigna.
16 Advantage Health Resource Guide
Locateaqualityfacilityfor high-tech imaging
ForMRI,CT,orPETscanimagingservices,CignarequiresproviderstoprecertifycoveragewitheviCorebeforebenefitsarepaid.eviCorehasaccesstoanationalnetworkofapprovedradiologycenters.Besuretodiscussyouroptionswithyourdoctor.Youmaysavemoneybasedonwhereyoureceiveservice.Forhelplocatingthemostappropriatefacilitytomeetyourneeds,contactCignaat800.530.1314.
Cigna Tools to Help you Take Charge of Your Benefits
16 Advantage Health Resource Guide
Manage your health care costs
Youhavesignificantinfluenceoveryourmedicalexpenses.Usein-networkproviderstotakeadvantageoflowercostsandhigherbenefits,andmakesmartchoicestosavemoney.
• Fortreatmentofminorillnessesorinjuries,visitanurgentcarefacilityinsteadofanemergencyroom.
• Askyourdoctortoprescribegenericdrugswheneverpossible.
• UsethecostandqualitytoolsonmyCigna.com tohelpdeterminethemostcost-effectiveplacetoreceivetreatment.
• RequestasecondmedicalopinionfromAdvanceMedical.
17Advantage Health Resource Guide
Cigna’s Estimate Health Care Costs tab at the top of myCigna.com shows what the plan will pay and what you will pay for certain conditions.* It gives you the cost information you need to make decisions.
UpperGIEndoscopy(withBiopsy)
Doctor:Rosenthal,GayleM,MDCIGNACareDesignation
Compare your costs because they can very significantly from one location to another.
Lowest:$1,226ElmhurstOutpatientSurgeryCenter
Highest: $ 2,093ElmhurstMemorialHospital
Estimated Out-of-Pocket Cost Tip:Useaccountfundstopayout-of-pocketexpenses $ 1,226 Estimated Out-of-Pocket Cost
Tip:Useaccountfundstopayout-of-pocketexpenses $ 2,093
ComparecostswhereDr.Rosenthalperformsthisprocedure:
ElmhurstOutpatientSurgeryCenter-$1,226
ComparecostswhereDr.Rosenthalperformsthisprocedure:
ElmhurstMemorialHospital-$2,093
Dr.Rosenthal,GayleM,MD’sPrimaryProcedureDr.Rosenthal,GayleM,MD’sAdditionalProcedureElmhurstOutpatientSurgeryCenterOtherProfessionalServicesOther
$107$0
$606$513
$0
Total cost before applying coverage $ 1,226
Dr.Rosenthal,GayleM,MD’sPrimaryProcedureDr.Rosenthal,GayleM,MD’sAdditionalProcedureElmhurstMemorialHospitalOtherProfessionalServicesOther
$107$0
$1,797$189
$0
Total cost before applying coverage $ 2,093
Total Cost Breakdown
PlanPaysCignapays85%afterdeductiblesmet
$0$
Your Coverage: Who Pays?
Total Cost Breakdown
Deductible-YouPayRemaining$4,480
Coinsurance-YouPayYoupay15%
Copay
$1,226$0
$0
Estimated out-of-pocket costs $ 1,226
HealthReimbursementAccountcouldpay...AvailableBalance:$1,180AUTO PAY ON:Claimsarebeingpaidautomatically.
$1,180
Use account funds to pay out-of-pocket expenses
Estimated out-of-pocket using HRA funds $ 46
PlanPaysCignapays85%afterdeductiblesmet
$0$
Your Coverage: Who Pays?
Deductible-YouPayRemaining$4,480
Coinsurance-YouPayYoupay15%
Copay
$2,093
$0
$0
Estimated out-of-pocket costs $ 2,093
HealthReimbursementAccountcouldpay...AvailableBalance:$1,180AUTO PAY ON:Claimsarebeingpaidautomatically.
$1,180
Use account funds to pay out-of-pocket expenses
Estimated out-of-pocket using HRA funds $ 913
BACKTOTHESEARCHRESULTS STARTOVER
Cigna Tools to Help you Take Charge of Your Benefits
Imageusedforillustrativepurposesonly.Actualcostswillvary.
*ThecostestimatescontainedintheDirectoryaredesignedtohelpyouandyourfamilybetterunderstandhowmuchyoucouldpayforthevarioushealthcareservicesyou’vesearchedfor.Theyarenotyourfinalcostandshouldnotbereliedontomakefinaldecisionsaboutwhathealthcareyoureceive.Cignaworkshardtohelpensurecostinformationisasuptodateandrelevantaspossible,butwecannotguaranteeorwarrantaccuracy.Theamountyouwillowecouldbedifferentbasedonavarietyoffactorsbeyondourcontrol(yourplandesign,yourcoverage,claimsyoumayhaveinprocess,thedoctororotherprovider,yourout-of-pocketcoststodate,yourplandeductible,moneyavailableinyourhealthcareaccounts[ifapplicable],wheretheserviceisprovided,etc.).Theseareestimates.
18 Advantage Health Resource Guide
Fill 90-day prescriptions
Formedicationsthatyoutakeonaregularbasis,askyourdoctortowriteyourprescriptionfora90-daysupply.
• Youhavethechoicetofillyour90-dayprescriptionataCVSPharmacy,aCVSPharmacywithinTargetorthroughconvenienthomedelivery.
• Notonlyisfillinga90-daysupplyconvenientforyou,butthecostoffillinga90-daysupplyistypicallylessthanthecostoffillingthree30-daysupplies.
Review the Preventive Medication DrugList
ThePreventiveMedicationTherapyListincludesmedicationsthathelppreventchronichealthconditions,suchashighbloodpressure,whentakenregularly.IfyoutakeagenericmedicationthatisonthePreventiveMedicationTherapyList,youwillonlypaythecoinsuranceamount,evenifyouhavenotyetmetyourannualdeductible.
Here’showtofindthePreventiveTherapyDrugListoncaremark.com/baesystems.
Lookattheright-handsideofthepage,intheDrug Listssection,forthelinktotheGenerics Only Preventive Drug List.
Your Prescription Drug Benefits
Your prescription drug benefits are administered by CVS Caremark. TolocateaCVSCaremarknetworkretailpharmacyinyourarea,checkprescriptioncosts,orgetstartedwithmailorder,visitcaremark.comorcallaCustomerCarerepresentativetoll-freeat866.236.8236,24hoursaday,sevendaysaweek.
AboutUs|ContactUs
LearnMoreAboutYourPlanOptionsOurgoalistomakesureyoutakeadvantageofallyourprescriptionsavingsoptions.Learnaboutthesavingsavailableunderyourprescriptionplan.
CorePlusHealthPlan
HealthPlusPlan
EssentialHealthPlan(I&SSectorOnly)
AdvantageHealthPlan(I&SSectorOnly)
CheckDrugCostsHowmuchwillyoupay?Findadrugcostbasedonyourbenefitplanandprescriptiondosage.
CorePlusHealthPlanFamilyCoverage–CheckDrugCost
EssentialHealthPlanFamilyCoverage(I&SSectorOnly)–CheckDrugCost
AdvantageHealthPlanFamilyCoverage(I&SSectorOnly)–CheckDrugCost
CorePlusHealthPlanIndividualCoverage–CheckDrugCost
EssentialHealthPlanIndividualCoverage(I&SSectorOnly)–CheckDrugCost
AdvantageHealthPlanIndividualCoverage(I&SSectorOnly)–CheckDrugCost
HealthPlusPlan–CheckDrugCost
SignUpforEmails
Enteryouremailaddressintheboxbelowtostayup-to-datewithCaremark.com.
EnterEmail
Submit
DrugLists
GenericsOnlyPreventiveDrugListAdvancedControlSpecialtyPerformanceDrugListAdvancedControlSpecialtyFormulary
DrugLists
GenericsOnlyPreventiveDrugListAdvancedControlSpecialtyPerformanceDrugListAdvancedControlSpecialtyFormulary
19Advantage Health Resource Guide
Save Time - Manage Prescriptions on the GoUse Caremark.com and the CVSCaremarkApp
Caremark.comandtheCVSCaremarkappallowyouto:
• Refillyourexistingprescriptions,andcheckyourorderstatus.
• Setupyourordersforautomaticrefills.• Getnotifiedwhenyourorderisready.• Seewhichmedicationsarecovered,
andtheircosts.• Learnaboutanycostsavingsopportunities
availabletoyou.
Track your annual health care costs
Tomakeiteasytounderstandwhereyoustandwithyourannualhealthcarecosts,clickDeductible Statusonthetopofyourhomepage.
Youwillseethetotalexpensesyouhaveincurredtowardyourdeductibleandout-of-pocketmaximumatanypointintheyear.ThiswillincludebothprescriptionsandmedicalclaimsthathavebeenfiledwithCigna.*
Deductible Status
Pharmacy Locator
Check Drug Cost & Coverage
Homeverage Prescriptions Plan & Benefits Health Resources
Your Family is paying toward a deductible.
Cardholder + Dependants Deductible
$68.91
$0 $4,000
You are paying toward your max out-of-pocket.
Individual Max Out-of-Pocket
$68.91
$0 $4,500
*Beadvisedthatwhilethedeductibleandout-of-pocketmaximumtrackerincludeprescriptionandmedicalclaims,youwillnotbeabletoseeyourmedicalclaimdetailhere.ToreviewyourmedicalclaimspleaselogintoyourmyCigna.comaccount.
20 Advantage Health Resource Guide20 Advantage Health Resource Guide
21Advantage Health Resource Guide
Other Important Benefits Information
21Advantage Health Resource Guide
Covering your dependents
Ifyouaddanewdependenttoyourcoverage,youwillbeaskedtoverifythattheyareaneligibledependent.YouwillreceivecommunicationsfromtheBenefitCenteradvisinghowtocompletethis.Pleaserememberthateligibledependentsareallowedtobecovereduntilage26.Theircoveragewillterminateattheendofthemonthinwhichtheyturnage26.
IfyoucoverdependentsunderyourBAESystemsmedicalplan,youmustindicatewhetherthecompany-sponsoredplanistheironlymedicalplanoriftheyhaveothercoverage.Thisisanannualrequirement.IfCignareceivesadependentclaimofmorethan$500,itwillnotpaytheclaimuntilitreceivescoverageverification.
Toverifyifdependentshaveadditionalmedicalcoverage,callCignaat800.530.1314orvisitmyCigna.com,clickProfileatthetop,thenselectUpdate Other Insurance InfounderManage My Coverage,andupdateyourdependents’insuranceinformation.Thisprocesshelpsensurethattheplanpaysonlyvalidclaims.
Out-of-network claims
YourmedicalplanallowsyoutovisitdoctorsandotherproviderswhodonotparticipateintheCignanetwork.However,whenyoureceivenonemergencycareoutsidethenetwork,yourshareofthecosts–includingdeductiblesandcoinsurance–willbesignificantlyhigherthanwhatyouwouldpayforin-networkcare.
Whenyoureceiveout-of-networkcare,there’salimittotheamounttheplanwillreimburse.Forexample,yourdoctormightcharge$100fortreatment,butthemostyourplanwillpayis$80.Thisamountiscalledthemaximumreimbursablecharge,andyouareresponsibleforpayinganychargesabovethisamount.Thesechargesdonotapplytoyourdeductibleorout-of-pocketmaximum.
A note about state surcharges
IfyoureceivemedicaltreatmentinLouisiana,Massachusetts,Michigan,NewYork,orVermont,astate-mandatedsurchargewillbeappliedtothetotalcostofclaimsforinpatientandoutpatienthospitalservices,diagnosticservices,andtreatmentcentercare.
22 Advantage Health Resource Guide
Reviewing Your Explanation of Benefits
The Summary page gives an overview of the ways your benefits are working foryou–quicklyseewhatwas submitted, what’s been paid, and what you owe.
Identifiesiftheproviderparticipatesinyourplan’snetwork(“in-network”)ortheyareout-of-network.
Identifiesiftheclaimrelatestotheprimarysubscriberoracovereddependent.
Dateofserviceandprovidernamearebothlistedforeasierreference.
Theamountyouowedoesnotreflectanyamountyoumayhavealreadypaid.
Thisreflectsthetotalvalueofyourplan–theamountyousavedbyvisitinganin-networkhealthcareproviderorfacility,andtheamountpaidbyyourplan.
TheCignaclaimsprocessingsystemgeneratesanExplanationofBenefits,orEOB,foreverymedicalclaimyouincur.TheEOBincludesabreakdownofthecostsassociatedwiththecareyoureceived.Itwillshow:
• Thetotalamountbilledbyyourprovider• AnydiscountnegotiatedbyCigna• Whattheplanpaidfortheservice• Howmuchyouowetheprovider
Whenyoureceiveabillfromyourprovider,matchyourprovider’sbillwiththeappropriateEOBforthedateofservice.
YourEOBsareavailableonlineatmyCigna.com,oryoucanreceivepaperEOBsbymail.
22 Advantage Health Resource Guide
Nameoftheprimarysubscriber.
23Advantage Health Resource Guide
Resources
For additional questions or support please contact the resources below.
*ThissitecanonlybeaccessedthroughtheBAESystemsnetwork.
Cigna
800.530.1314 9am – 7pm ESTBAE Systems dedicated team Monday through Friday Customer service representatives available 24 hours a day, 365 days a year myCigna.com
• Questionsonpreventivecare• ConnectwithahealthcoachorClinicalCaseManager• 24/7HealthInformationLinefortriageandguidance• TelephonicandwebcammedicaltreatmentthroughMDLIVEandAmwell• Accesstocare,helpingtolocatedoctors,hospitals,andotherhealthcareproviders• Resolvehealthcarebillingandclaimissues• Preauthorizations• AnsweringquestionspertainingtoHealthSavingsAccount(HSA)andincentivesfor
employeesintheAdvantageHealthmedicalplan• Guidanceinmedicalclaimsappealsprocessandassistanceinfilingappeals
BAE Systems Benefit Center
888.900.4223 8am – 8pm ESTMonday through Friday benefitsnavigator.baesystems.com
• LoginaccesstoBenefitsNavigator• Benefiteligibilityquestions• Beneficiaryelections• Employeetransferbenefitquestions• FlexibleSpendingAccount(FSA)
questions• HealthSavingsAccount(HSA)
enrollmentandquestions• Lifeinsurancequestions
(conversionand/orportability)• CompleteMedicareEnrollmentForms
• NewHireBenefitEnrollment• QualifiedChangeinFamilyStatus,
LifeEvents(adding/removingadependent)• SummaryPlanDescription(SPD)or
PlanDocumentquestions• Vacation/PTOBuyPlanenrollment
andquestions• COBRAquestionsandassistance• Retireemedicaleligibility• 401(k)accountinformationand
assistance
CVS Caremark866.236.8236 Customer service representatives available 24 hours a day, 365 days a year caremark.com
• Generalquestionsaboutprescriptionsandbenefits• Checkprescriptioncosts• Priorauthorizationfornon-formularyprescriptions• Learnaboutswitchingtoagenericorpreferredbrandprescription• Locatenetworkpharmacies• Ordering90-daysupplyofmaintenancemedicationthroughmailorder
BAE Systems Resource Center855.223.4782 8am – 8pm ESTMonday through Friday
resourcecenter.baesystems.com*
• Payrollsupport:directdeposit,taxwithholdingupdates,paycheckorW2reprints,PTOaccrualinquiries
• HRsupport:personalinformationupdate,leaves,hires/terminations,adhocreportrequest,PeopleSoftchanges,recruitingsupport
• Expensereports
24 Advantage Health Resource Guide
BAE Systems, Inc.1300 Wilson Blvd., Suite 700Arlington, Virginia 22209
www.baesystems.com
AllemployeesandcovereddependentsparticipatinginamedicalplanthroughCignawillbeeligibleforthecomprehensivehealthandwellnessbenefitsdescribedinthisbrochure.
Thisisonlyabriefoverview.Itisnotintendedtoaddressallplanfeaturesthatmayapplytoyou.Ifthereisanyconflictbetweenthelanguageinthisbrochureandthelanguageintheplanlegaldocuments,thelanguageintheplanlegaldocumentswillgovern.Inaddition,thisoverviewcreatesnorightsbetweenyouandBAESystems.Anyparticipantrightsaresolelyasdescribedintheplanlegaldocuments.WhileBAESystemsexpectstocontinueitsbenefitplans,theseplansaresubjecttochangeandmaybediscontinuedatanytime,atthesolediscretionofBAESystems.BenefitprovisionsvaryamongBAESystemsbusinesses;thus,ifyoutransferwithinBAESystems,yourbenefitsmaychange.
BAESystemsmedicalplansarefundedbyBAESystemsandadministeredbyCignaHealthandLifeInsuranceCompany.AllCignaproductsandservicesareprovidedexclusivelybyorthroughoperatingsubsidiariesofCignaCorporation,includingCignaBehavioralHealth,Inc.andCignaHealthandLifeInsuranceCompany.TheCignaname,logo,andotherCignamarksareownedbyCignaIntellectualProperty,Inc.Allpicturesareusedforillustrativepurposesonly.17147631/18©2018Cigna.Somecontentprovidedunderlicense.Copyright©BAESystems2018.Allrightsreserved.