CCP North America 2013 Benefits Overview - Brenau Update
Brenau University 2015 Benefits Overview November 11th, 2014 Benefits Effective Date: January 1, 2015 Aetnas Benefits Overview Benefit 2015 Plans Medical Primary Care Physician Referrals are not required. 100% Preventive Care Visits Dental Vision Remains the same and still includes 90th percentile for
out of network benefits Aetna will provide administration of the Vision Benefits Aetnas Benefits Overview Benefit 2015 Plan Basic Life & AD&D, Supplemental Life and Long Term Disability Plan attributes remain unchanged, however Aetna will administrator the benefits. Brenau Medical Employee Contributions (Per Pay Period) Enrollment Tier
Weekly Premiums Monthly Premiums EE Only $ 22.00 $96.00 EE + Spouse $ 153.00 $664.00 EE + Child(ren) $ 102.00 $441.00
Family $ 232.00 $1004.00 Brenau University Dental Employee Contributions (Per Pay Period) Enrollment Tier Weekly Premiums Monthly Premiums EE Only $ 8.98 $38.91
EE + Spouse $ 18.39 $79.68 EE + Child(ren) $ 18.07 $78.29 Family $ 28.72 $124.45 Aetna POS Medical POS 100% Coinsurance In Network / 70% Out of Network In Network
Out of Network Deductible: $1,000 Single / $2,000 Family Deductible: $2,000 Single / $4,000 Family Out of Pocket Maximums (Include Deductible & Copays) $6,350 Single / $12,700 Family Out of Pocket Maximums (Include Deductible & Copays) $10,000 Single / $12,000 Family Preventive Care: 100% No Deductible Preventive Care: 60% After Deductible
Physician Visit $25 Copay Specialist Visit $35 Copay Physician Visit & Specialist 60% After Deductible Urgent Care $50 Copay ER Copay $100 Copay Urgent Care 60% After Deductible ER Copay $100 Copay Hospital (In and Out Patient) 80% After Deductible Hospital (In and Out Patient) 60% After Deductible Unlimited Lifetime Maximum Aetna Dental Benefits In Network Benefit
(Negotiated PDP Fee) Out of Network Benefit (Reasonable and Customary R&C) 90th Percentile Type A Preventive Care 100% After Deductible 100% After Deductible Type B Basic Restorative 80% After Deductible 80% After Deductible
Type C Major Restorative 50% After Deductible 50% After Deductible Annual Deductible per covered Member/Family $50 / $150 $50 / $150 Calendar Year Maximum (per covered Member) $1,000
$1,000 Basis of Network Reimbursement Orthodontic Lifetime Aetna Vision Benefits Basis of Network Reimbursement In Network Benefit Out of Network Benefit Exam (Once every 12 months) $20 copay Up to $25 Reimbursement
$20 copay $20 copay $20 copay $15 Reimbursement $30 Reimbursement $60 Reimbursement $130 allowaance; additional 20% off balance over allowance $90 Reimbursement $130 allowance; additional 20% off balance over allowance $130 allowance $0 copay $90 Reimbursement
$90 Reimbursement $200 Reimbursemet Lenses Single Bifocal Trifocal & Lenticular (Once every 12 months) Frames (Once every 24 months) Contact Lenses Coventional Disposable Medically Necessary Aetna Member Resources (Information Available) Aetna Navigator member website DocFind online provider directory Simple Steps To A Healthier Life
Personal Health Record Plan For Your Health Member Services Informed Health Line Aetna Online Self Tools ~ Navigator Access to Aetnas internet resources DocFind Coverage Policy Bulletins Rx formulary and Pharmacy benefits Online Mail Order Information on products Estimate The Cost of Care tool Member self-service Secure personalized information Enriched credible health content and hospital information for registered members Push technology e-mail notifications
Contacts to member services via state-of-the-art contact management tool Health History Report Aetna Mobile App DocFind, Claims, PHR and more. Mobile web iPhone app - Over 2.9 million unique visitors -Over 260K downloads -- Over 17 million page views and growing
-- Available for iPhone, iPod or iPad Android App - Over 66K downloads - Available for all Android 2.0+ OS Phones Features functionality View coverage and benefits I want to Find a Doctor or Facility Claims Coverage & Benefits Personal Health record ID Card Information
Price a Drug 12 Features functionality View ID card info I want to Find a Doctor or Facility Claims Coverage & Benefits Personal Health record ID Card Information Price a Drug 13 Features functionality Apps deliver an engaging Apps deliver an engaging user-experience and often user-experience and often
use device-specific use device-specific functions of smartphones functions of smartphones such as: such as: GPS location awareness for map use GPS location awareness and turn-by-turn directionsfor map use and turn-by-turn directions Integration with other applications on device (.i.e address book) 14 Aetnas Ancillary Coverages Disability. What is it?
Could this happen to you? What is a disability? You are limited from working in your occupation as a result of: Illness or Injury Many people use disability leave for: Surgery
A medical problem like a heart attack or stroke Cancer treatment A disability could last for weeks, months or even longer Could you pay your bills for months without a paycheck? Most people cant afford it.1 Would you: Be able to access money you have saved?
Borrow from friends or family? Run up credit card debt? Would other insurance help? Most often it does not. Medical insurance doesnt replace lost income Workers compensation only covers job-related issues Social Security disability only helps if your disability is terminal or is expected to last at least a year. 1 How much coverage can you get? Benefit amount Executive employees: Your monthly long term disability benefit amount equals 60% of your basic monthly earnings, up to $14,000 to age 65. All other employees: Your monthly long term disability benefit
amount equals 60% of your basic monthly earnings, up to $10,000 to age 65. This benefit is paid for by Brenau University. What else do I need to know? Your coverage begins 01/01/2015 There is an elimination period of 90 days. Basic Life Insurance & AD&D This benefit is paid for by Brenau University All employees are eligible for Basic Life insurance and AD&D 2.5 x salary to maximum of $500,000 Basic Dependent Life Spouse $2,000 and Child(ren) $1,000
Accelerated Death Benefit included under the Basic and Supplemental Life programs AD&D coverage is equal to 100% of your basic life benefits AD&D pays for accidental death or dismemberment in addition to your Basic Life benefit Supplemental Life Insurance & AD&D This benefit is available on a voluntary basis and paid for by employees Employee may choose to elect a benefit in increments of $10,000 up to maximum of $300,000 (or 5x your annual salary) Guarantee issue amount lesser of 3 x salary or $100,000 Spouse increments of $10,000 to a maximum of $100,000(not to exceed employee amount) Guarantee issue amount of $20,000 Child increments of $2,000 to a maximum of $10,000 & is all GI
Flexible Spending Account (FSA) Beneficial tool for saving money on health care. Pay for qualified medical/dental expenses using pre-tax dollars. $2,550 maximum contribution for Medical FSA Reimburse for Dependent Care expenses up to $5,000 Contribute money via payroll deductions Distributions are tax-free 90 days after Dec. 31, 2015 to file for Thank You!
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