ut benefits ut benefits for you, for plan year 2014-2015 new … · 2014-07-03 · • changes for...
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UT Benefits for you,Health for UT System.
REVIEW BY JULY 15• Yourcurrentbenefits
• Changesfor2014-2015
• Dependenteligibilityrequirements
• Beneficiarydesignations
• OnlineAnnualEnrollment(AE)resources,includingnewsletter
andvideos
MAKE ELECTIONS JULY 15–JULY 31• Declaretobaccouserornon-userstatus
• Add/dropcoverage
• Add/removedependents
• ReviewonlinesummarywithinMyUTBenefitsimmediately
aftermakingyourelection
FOLLOW UP BY AUGUST 15• Reviewconfirmationstatement
• Uploaddependentdocumentsifrequired
• Submitevidenceofinsurabilityifrequired
ImportantIf you take no action, your current coverage will continue
for the new plan year.
KEEP
ID cards forplansyou
didnotchange
EXPECT
ID cards fornewplans
electedandUTSELECT
MedicalbySeptember1,
2014
ANNUAL ENROLLMENT 2014-2015
UT Benefitsfor Plan Year 2014-2015
NEW Out-of-Pocket Rates for 2014-2015
PLANRETIREE RETIREE &
SPOUSE
RETIREE &
CHILD(REN)
RETIREE &
FAMILY
UTSELECT
Medical*
$0 $227.07
$12.85
increase
$237.49
$13.44
increase
$447.17
$25.31
increase
UTSELECT
Dental
$32.40
$1.54
increase
$61.51
$2.93
increase
$67.80
$3.23
increase
$96.40
$4.59
increase
UTSELECT
Dental
Plus
$55.85
$2.66
increase
$106.06
$5.05
increase
$117.03
$5.57
increase
$166.74
$7.94
increase
UTSELECT
Dental
HMO
$8.89
$0.34
increase
$16.90
$0.65
increase
$18.68
$0.72
increase
$26.67
$1.02
increase
Superior
Vision
$7.00
$0.20
increase
$11.00
$0.24
increase
$11.24
$0.28
increase
$17.84
$0.44
increase
Superior
Vision
Plus
$11.00
$0.20
increase
$17.18
$0.42
increase
$18.40
$0.44
increase
$26.00
$0.60
increase
*Tobacco
Premium
Program
$0 to $90 permonthbasedupontobaccouserstatus
BasicCoveragepackageincludesmedical,prescription,plusthecostof
retiredemployee$6,000BasicLifeinsurance.
New Website!
UTBenefitswww.utsystem.edu/offices/employee-benefits
Retired Employees2014-2015 Benefits Highlights
OFFICE OF EMPLOYEE BENEFITS © 2014 | [email protected]
Office of Employee Benefits | The University of Texas System210 W. 6th Street, Suite B.140E | Austin, TX 78701
070214
UT Benefits for you,Health for UT System.
REVIEW BY JULY 15• Yourcurrentbenefits
• Changesfor2014-2015
• Dependenteligibilityrequirements
• Beneficiarydesignations
• OnlineAnnualEnrollment(AE)resources,includingnewsletter
andvideos
MAKE ELECTIONS JULY 15–JULY 31• Declaretobaccouserornon-userstatus
• Add/dropcoverage
• Add/removedependents
• ReviewonlinesummarywithinMyUTBenefitsimmediately
aftermakingyourelection
FOLLOW UP BY AUGUST 15• Reviewconfirmationstatement
• Uploaddependentdocumentsifrequired
• Submitevidenceofinsurabilityifrequired
ImportantIf you take no action, your current coverage will continue
for the new plan year.
KEEP
ID cards forplansyou
didnotchange
EXPECT
ID cards fornewplans
electedandUTSELECT
MedicalbySeptember1,
2014
ANNUAL ENROLLMENT 2014-2015
UT Benefitsfor Plan Year 2014-2015
NEW Out-of-Pocket Rates for 2014-2015
PLANRETIREE RETIREE &
SPOUSE
RETIREE &
CHILD(REN)
RETIREE &
FAMILY
UTSELECT
Medical*
$0 $227.07
$12.85
increase
$237.49
$13.44
increase
$447.17
$25.31
increase
UTSELECT
Dental
$32.40
$1.54
increase
$61.51
$2.93
increase
$67.80
$3.23
increase
$96.40
$4.59
increase
UTSELECT
Dental
Plus
$55.85
$2.66
increase
$106.06
$5.05
increase
$117.03
$5.57
increase
$166.74
$7.94
increase
UTSELECT
Dental
HMO
$8.89
$0.34
increase
$16.90
$0.65
increase
$18.68
$0.72
increase
$26.67
$1.02
increase
Superior
Vision
$7.00
$0.20
increase
$11.00
$0.24
increase
$11.24
$0.28
increase
$17.84
$0.44
increase
Superior
Vision
Plus
$11.00
$0.20
increase
$17.18
$0.42
increase
$18.40
$0.44
increase
$26.00
$0.60
increase
*Tobacco
Premium
Program
$0 to $90 permonthbasedupontobaccouserstatus
BasicCoveragepackageincludesmedical,prescription,plusthecostof
retiredemployee$6,000BasicLifeinsurance.
New Website!
UTBenefitswww.utsystem.edu/offices/employee-benefits
Retired Employees2014-2015 Benefits Highlights
OFFICE OF EMPLOYEE BENEFITS © 2014 | [email protected]
Office of Employee Benefits | The University of Texas System210 W. 6th Street, Suite B.140E | Austin, TX 78701
070214
UT Benefits for you,Health for UT System.
REVIEW BY JULY 15• Yourcurrentbenefits
• Changesfor2014-2015
• Dependenteligibilityrequirements
• Beneficiarydesignations
• OnlineAnnualEnrollment(AE)resources,includingnewsletter
andvideos
MAKE ELECTIONS JULY 15–JULY 31• Declaretobaccouserornon-userstatus
• Add/dropcoverage
• Add/removedependents
• ReviewonlinesummarywithinMyUTBenefitsimmediately
aftermakingyourelection
FOLLOW UP BY AUGUST 15• Reviewconfirmationstatement
• Uploaddependentdocumentsifrequired
• Submitevidenceofinsurabilityifrequired
ImportantIf you take no action, your current coverage will continue
for the new plan year.
KEEP
ID cards forplansyou
didnotchange
EXPECT
ID cards fornewplans
electedandUTSELECT
MedicalbySeptember1,
2014
ANNUAL ENROLLMENT 2014-2015
UT Benefitsfor Plan Year 2014-2015
NEW Out-of-Pocket Rates for 2014-2015
PLANRETIREE RETIREE &
SPOUSE
RETIREE &
CHILD(REN)
RETIREE &
FAMILY
UTSELECT
Medical*
$0 $227.07
$12.85
increase
$237.49
$13.44
increase
$447.17
$25.31
increase
UTSELECT
Dental
$32.40
$1.54
increase
$61.51
$2.93
increase
$67.80
$3.23
increase
$96.40
$4.59
increase
UTSELECT
Dental
Plus
$55.85
$2.66
increase
$106.06
$5.05
increase
$117.03
$5.57
increase
$166.74
$7.94
increase
UTSELECT
Dental
HMO
$8.89
$0.34
increase
$16.90
$0.65
increase
$18.68
$0.72
increase
$26.67
$1.02
increase
Superior
Vision
$7.00
$0.20
increase
$11.00
$0.24
increase
$11.24
$0.28
increase
$17.84
$0.44
increase
Superior
Vision
Plus
$11.00
$0.20
increase
$17.18
$0.42
increase
$18.40
$0.44
increase
$26.00
$0.60
increase
*Tobacco
Premium
Program
$0 to $90 permonthbasedupontobaccouserstatus
BasicCoveragepackageincludesmedical,prescription,plusthecostof
retiredemployee$6,000BasicLifeinsurance.
New Website!
UTBenefitswww.utsystem.edu/offices/employee-benefits
Retired Employees2014-2015 Benefits Highlights
OFFICE OF EMPLOYEE BENEFITS © 2014 | [email protected]
Office of Employee Benefits | The University of Texas System210 W. 6th Street, Suite B.140E | Austin, TX 78701
070214
Living WellHealth & Wellness Program
Good Healthfor you and your family.TheUTSELECTLivingWellprogramisoneofyourmostvaluablebenefits.TheLiving
Wellprogramprovidesanopportunityforyoutotakeanactiveroleinyourhealthcare
decisionsandhelpimproveyourqualityoflife.Frominformationaboutpreventingor
managingseriousdiseasetodevelopingapersonalizedhealthimprovementplan,you
willfindpowerfulandeasy-to-usetoolsforyouandyoureligibledependentstotake
chargeofyourhealth.
WE OFFER
HEALTH ASSESSMENTS A15minuteconfidentialonlinehealthassessment,withpersonalizedrecommendationsonhowtoimproveyourhealth.
AN ONLINE PLATFORM Anonlinehealthplatformwithcalorietrackers,mealandexerciseplans,wellnessworkshops,anursehotline,andmuchmore24/7.
REWARDS Receivea$25giftcardonceyoucompleteyourHealthAssessmentandreceiveanannualpreventiveexam.
EMPLOYEE ASSISTANCE TheEmployeeAssistanceProgram(EAP)canhelpyouresolveproblemsthataffectyourpersonallifeorjobperformance.
ANNUAL ENROLLMENT 2014-2015
UT SELECT Medical Plan Design
NO CHANGES Toannualdeductible,coinsurancepercentage,orofficevisitcopaymentamounts
NEW $100 COPAY ForHi-TechRadiology(MRI,CTscan).Maybewaived–seeBVAsectionformoreinformation.
UTSW NETWORK ENDS TheUTSELECTUTSWNetworkpilotendseffectiveAugust31,2014.
Prescription Benefit
NO CHANGES Toannualdeductibleorcopaymentamounts
No Rate or Plan Design Changes for
DEARBORN NATIONAL
GroupTermLife
CNA
LongTermCare
Tobacco Premium Program
TheTobaccoPremiumProgram(TPP)appliesamonthlycostof$30permonthper
individualUTSELECTMedicalparticipant,age16andover,whohasusedtobacco
productsinthepast60days(uptoafamilymaximumof$90/month).Formore
informationabouttheTPP,pleasereviewtheFrequentlyAskedQuestionsontheOffice
ofEmployeeBenefitswebsiteat
www.utsystem.edu/offices/employee-benefits/tobacco-faqs
UT Benefitsfor Plan Year 2014-2015
TheUniversityofTexasSystemurgesallretiredemployeesanddependentstoenroll
inMedicarePartsAandB(inpatientandoutpatientcoverage)whentheybecome
eligibleatage65,orearlieriftheyareeligibleduetoadisabilitysuchasendstage
renaldisease.*Onceeligible,youalsohaveanoptiontoenrollinaMedicarePart
DPrescriptionplanforanadditionalpremium.BecauseUTSELECTprovidesrobust
prescriptionbenefitswhichqualifyascreditableprescriptiondrugcoverage,UTSystem
continuestostronglydiscouragemosteligibleretireesfromenrollinginaPartDplan.
Onlyaverysmallnumberofretireeswhoqualifyfora“low-incomesubsidy”through
MedicareshouldconsiderenrollinginPartD.
Coordination of Benefits
Ifyouareretiredandyou(and/oryourdependent)arealsoeligibleforMedicare,
Medicareisconsideredtheprimarypayerandpaysyourmedicalclaimsfirst;UTSELECT
payssecond.
Retiredemployeesworkinginabenefits-eligiblepositionwillhaveUTSELECT
Medicalasprimary.PleaseconsulttheHandbookforRetiredEmployeesforadditional
informationorspeakwithaBenefitsRepresentativeatyourinstitution.
*MedicaremaybeprimaryforsomeMedicare-eligibleactiveemployeesortheir
spouseswhohavecertainmedicalconditions.ConsultwithyourlocalSocialSecurity
AdministrationofficetolearnwhatillnessesqualifyforMedicarecoveragepriorto
turningage65.
UT SELECT and Medicare
Learnmoreatwww.livingwell.utsystem.edu
Learnmoreatwww.utsystem.edu/offices/employee-benefits/retired-employee-insurance
Benefits Value AdvisorSame treatment. Lower Cost.
BVA Helps you Plan for your Health Care
Differentproviderschargedifferentamountsforthesameservices.Forexample:
KNEE MRI AUSTIN SAN ANTONIO HOUSTON DALLAS
HIGHCOST $4,266 $3,132 $3,090 $2,325
LOWCOST $415 $401 $399 $366
BeginningSeptember1,2014,contactaBlueCrossandBlueShieldofTexas
(BCBSTX)BenefitsValueAdvisor(BVA)tocompareproviderqualityandgeta
costestimate.TheBVAhastheinformationandexpertisetohelpyoufindthe
bestcareforyourmoney.Theycanassistwith:
IMAGING SERVICES X-RAYs,MRIs,CTscans
MATERNITY SERVICES BACK SURGERY
ENDOSCOPY PROCEDURES ...AND MORE!
Make the Most of Your Benefits
JUST CALL THE NUMBER ON THE BACK OF YOUR MEMBER ID CARD
ChoosingqualitytreatmentatareasonablecostsavestheUTSELECT
Medicalplanmoney–keepingyourpremiumsandout-of-pocketcostsaslow
aspossiblewhilemaintainingthevaluablecoverageyoudependon.Early
retirees(non-Medicareeligible)cansavethenew$100copaybycallingaBVA
beforeyourMRIorCTscan.
Availability of Summary Health Information
AsaprovisionoftheAffordableCareAct,allinsurersandgrouphealthplansmust
provideconsumerswithaccesstotheuniformSummaryofBenefitsandCoverage(SBC)
publication.TheSBCdescribeskeyplanfeaturesinamandatedformat,including
limitationsandexclusions.Theprovisionalsorequiresthatconsumershaveaccesstoa
uniformglossaryoftermscommonlyusedinhealthcarecoverage.ToreviewanSBCfor
UTSELECTPPOorOut-of-Areacoverage,visitwww.bcbstx.com/ut.Theglossarycan
beviewedatwww.dol.gov/ebsa/pdf/SBCUniformGlossary.pdf.Youmayrequesta
copyofthesedocuments,freeofcharge,bycalling1-855-756-4448.
Living WellHealth & Wellness Program
Good Healthfor you and your family.TheUTSELECTLivingWellprogramisoneofyourmostvaluablebenefits.TheLiving
Wellprogramprovidesanopportunityforyoutotakeanactiveroleinyourhealthcare
decisionsandhelpimproveyourqualityoflife.Frominformationaboutpreventingor
managingseriousdiseasetodevelopingapersonalizedhealthimprovementplan,you
willfindpowerfulandeasy-to-usetoolsforyouandyoureligibledependentstotake
chargeofyourhealth.
WE OFFER
HEALTH ASSESSMENTS A15minuteconfidentialonlinehealthassessment,withpersonalizedrecommendationsonhowtoimproveyourhealth.
AN ONLINE PLATFORM Anonlinehealthplatformwithcalorietrackers,mealandexerciseplans,wellnessworkshops,anursehotline,andmuchmore24/7.
REWARDS Receivea$25giftcardonceyoucompleteyourHealthAssessmentandreceiveanannualpreventiveexam.
EMPLOYEE ASSISTANCE TheEmployeeAssistanceProgram(EAP)canhelpyouresolveproblemsthataffectyourpersonallifeorjobperformance.
ANNUAL ENROLLMENT 2014-2015
UT SELECT Medical Plan Design
NO CHANGES Toannualdeductible,coinsurancepercentage,orofficevisitcopaymentamounts
NEW $100 COPAY ForHi-TechRadiology(MRI,CTscan).Maybewaived–seeBVAsectionformoreinformation.
UTSW NETWORK ENDS TheUTSELECTUTSWNetworkpilotendseffectiveAugust31,2014.
Prescription Benefit
NO CHANGES Toannualdeductibleorcopaymentamounts
No Rate or Plan Design Changes for
DEARBORN NATIONAL
GroupTermLife
CNA
LongTermCare
Tobacco Premium Program
TheTobaccoPremiumProgram(TPP)appliesamonthlycostof$30permonthper
individualUTSELECTMedicalparticipant,age16andover,whohasusedtobacco
productsinthepast60days(uptoafamilymaximumof$90/month).Formore
informationabouttheTPP,pleasereviewtheFrequentlyAskedQuestionsontheOffice
ofEmployeeBenefitswebsiteat
www.utsystem.edu/offices/employee-benefits/tobacco-faqs
UT Benefitsfor Plan Year 2014-2015
TheUniversityofTexasSystemurgesallretiredemployeesanddependentstoenroll
inMedicarePartsAandB(inpatientandoutpatientcoverage)whentheybecome
eligibleatage65,orearlieriftheyareeligibleduetoadisabilitysuchasendstage
renaldisease.*Onceeligible,youalsohaveanoptiontoenrollinaMedicarePart
DPrescriptionplanforanadditionalpremium.BecauseUTSELECTprovidesrobust
prescriptionbenefitswhichqualifyascreditableprescriptiondrugcoverage,UTSystem
continuestostronglydiscouragemosteligibleretireesfromenrollinginaPartDplan.
Onlyaverysmallnumberofretireeswhoqualifyfora“low-incomesubsidy”through
MedicareshouldconsiderenrollinginPartD.
Coordination of Benefits
Ifyouareretiredandyou(and/oryourdependent)arealsoeligibleforMedicare,
Medicareisconsideredtheprimarypayerandpaysyourmedicalclaimsfirst;UTSELECT
payssecond.
Retiredemployeesworkinginabenefits-eligiblepositionwillhaveUTSELECT
Medicalasprimary.PleaseconsulttheHandbookforRetiredEmployeesforadditional
informationorspeakwithaBenefitsRepresentativeatyourinstitution.
*MedicaremaybeprimaryforsomeMedicare-eligibleactiveemployeesortheir
spouseswhohavecertainmedicalconditions.ConsultwithyourlocalSocialSecurity
AdministrationofficetolearnwhatillnessesqualifyforMedicarecoveragepriorto
turningage65.
UT SELECT and Medicare
Learnmoreatwww.livingwell.utsystem.edu
Learnmoreatwww.utsystem.edu/offices/employee-benefits/retired-employee-insurance
Benefits Value AdvisorSame treatment. Lower Cost.
BVA Helps you Plan for your Health Care
Differentproviderschargedifferentamountsforthesameservices.Forexample:
KNEE MRI AUSTIN SAN ANTONIO HOUSTON DALLAS
HIGHCOST $4,266 $3,132 $3,090 $2,325
LOWCOST $415 $401 $399 $366
BeginningSeptember1,2014,contactaBlueCrossandBlueShieldofTexas
(BCBSTX)BenefitsValueAdvisor(BVA)tocompareproviderqualityandgeta
costestimate.TheBVAhastheinformationandexpertisetohelpyoufindthe
bestcareforyourmoney.Theycanassistwith:
IMAGING SERVICES X-RAYs,MRIs,CTscans
MATERNITY SERVICES BACK SURGERY
ENDOSCOPY PROCEDURES ...AND MORE!
Make the Most of Your Benefits
JUST CALL THE NUMBER ON THE BACK OF YOUR MEMBER ID CARD
ChoosingqualitytreatmentatareasonablecostsavestheUTSELECT
Medicalplanmoney–keepingyourpremiumsandout-of-pocketcostsaslow
aspossiblewhilemaintainingthevaluablecoverageyoudependon.Early
retirees(non-Medicareeligible)cansavethenew$100copaybycallingaBVA
beforeyourMRIorCTscan.
Availability of Summary Health Information
AsaprovisionoftheAffordableCareAct,allinsurersandgrouphealthplansmust
provideconsumerswithaccesstotheuniformSummaryofBenefitsandCoverage(SBC)
publication.TheSBCdescribeskeyplanfeaturesinamandatedformat,including
limitationsandexclusions.Theprovisionalsorequiresthatconsumershaveaccesstoa
uniformglossaryoftermscommonlyusedinhealthcarecoverage.ToreviewanSBCfor
UTSELECTPPOorOut-of-Areacoverage,visitwww.bcbstx.com/ut.Theglossarycan
beviewedatwww.dol.gov/ebsa/pdf/SBCUniformGlossary.pdf.Youmayrequesta
copyofthesedocuments,freeofcharge,bycalling1-855-756-4448.
Living WellHealth & Wellness Program
Good Healthfor you and your family.TheUTSELECTLivingWellprogramisoneofyourmostvaluablebenefits.TheLiving
Wellprogramprovidesanopportunityforyoutotakeanactiveroleinyourhealthcare
decisionsandhelpimproveyourqualityoflife.Frominformationaboutpreventingor
managingseriousdiseasetodevelopingapersonalizedhealthimprovementplan,you
willfindpowerfulandeasy-to-usetoolsforyouandyoureligibledependentstotake
chargeofyourhealth.
WE OFFER
HEALTH ASSESSMENTS A15minuteconfidentialonlinehealthassessment,withpersonalizedrecommendationsonhowtoimproveyourhealth.
AN ONLINE PLATFORM Anonlinehealthplatformwithcalorietrackers,mealandexerciseplans,wellnessworkshops,anursehotline,andmuchmore24/7.
REWARDS Receivea$25giftcardonceyoucompleteyourHealthAssessmentandreceiveanannualpreventiveexam.
EMPLOYEE ASSISTANCE TheEmployeeAssistanceProgram(EAP)canhelpyouresolveproblemsthataffectyourpersonallifeorjobperformance.
ANNUAL ENROLLMENT 2014-2015
UT SELECT Medical Plan Design
NO CHANGES Toannualdeductible,coinsurancepercentage,orofficevisitcopaymentamounts
NEW $100 COPAY ForHi-TechRadiology(MRI,CTscan).Maybewaived–seeBVAsectionformoreinformation.
UTSW NETWORK ENDS TheUTSELECTUTSWNetworkpilotendseffectiveAugust31,2014.
Prescription Benefit
NO CHANGES Toannualdeductibleorcopaymentamounts
No Rate or Plan Design Changes for
DEARBORN NATIONAL
GroupTermLife
CNA
LongTermCare
Tobacco Premium Program
TheTobaccoPremiumProgram(TPP)appliesamonthlycostof$30permonthper
individualUTSELECTMedicalparticipant,age16andover,whohasusedtobacco
productsinthepast60days(uptoafamilymaximumof$90/month).Formore
informationabouttheTPP,pleasereviewtheFrequentlyAskedQuestionsontheOffice
ofEmployeeBenefitswebsiteat
www.utsystem.edu/offices/employee-benefits/tobacco-faqs
UT Benefitsfor Plan Year 2014-2015
TheUniversityofTexasSystemurgesallretiredemployeesanddependentstoenroll
inMedicarePartsAandB(inpatientandoutpatientcoverage)whentheybecome
eligibleatage65,orearlieriftheyareeligibleduetoadisabilitysuchasendstage
renaldisease.*Onceeligible,youalsohaveanoptiontoenrollinaMedicarePart
DPrescriptionplanforanadditionalpremium.BecauseUTSELECTprovidesrobust
prescriptionbenefitswhichqualifyascreditableprescriptiondrugcoverage,UTSystem
continuestostronglydiscouragemosteligibleretireesfromenrollinginaPartDplan.
Onlyaverysmallnumberofretireeswhoqualifyfora“low-incomesubsidy”through
MedicareshouldconsiderenrollinginPartD.
Coordination of Benefits
Ifyouareretiredandyou(and/oryourdependent)arealsoeligibleforMedicare,
Medicareisconsideredtheprimarypayerandpaysyourmedicalclaimsfirst;UTSELECT
payssecond.
Retiredemployeesworkinginabenefits-eligiblepositionwillhaveUTSELECT
Medicalasprimary.PleaseconsulttheHandbookforRetiredEmployeesforadditional
informationorspeakwithaBenefitsRepresentativeatyourinstitution.
*MedicaremaybeprimaryforsomeMedicare-eligibleactiveemployeesortheir
spouseswhohavecertainmedicalconditions.ConsultwithyourlocalSocialSecurity
AdministrationofficetolearnwhatillnessesqualifyforMedicarecoveragepriorto
turningage65.
UT SELECT and Medicare
Learnmoreatwww.livingwell.utsystem.edu
Learnmoreatwww.utsystem.edu/offices/employee-benefits/retired-employee-insurance
Benefits Value AdvisorSame treatment. Lower Cost.
BVA Helps you Plan for your Health Care
Differentproviderschargedifferentamountsforthesameservices.Forexample:
KNEE MRI AUSTIN SAN ANTONIO HOUSTON DALLAS
HIGHCOST $4,266 $3,132 $3,090 $2,325
LOWCOST $415 $401 $399 $366
BeginningSeptember1,2014,contactaBlueCrossandBlueShieldofTexas
(BCBSTX)BenefitsValueAdvisor(BVA)tocompareproviderqualityandgeta
costestimate.TheBVAhastheinformationandexpertisetohelpyoufindthe
bestcareforyourmoney.Theycanassistwith:
IMAGING SERVICES X-RAYs,MRIs,CTscans
MATERNITY SERVICES BACK SURGERY
ENDOSCOPY PROCEDURES ...AND MORE!
Make the Most of Your Benefits
JUST CALL THE NUMBER ON THE BACK OF YOUR MEMBER ID CARD
ChoosingqualitytreatmentatareasonablecostsavestheUTSELECT
Medicalplanmoney–keepingyourpremiumsandout-of-pocketcostsaslow
aspossiblewhilemaintainingthevaluablecoverageyoudependon.Early
retirees(non-Medicareeligible)cansavethenew$100copaybycallingaBVA
beforeyourMRIorCTscan.
Availability of Summary Health Information
AsaprovisionoftheAffordableCareAct,allinsurersandgrouphealthplansmust
provideconsumerswithaccesstotheuniformSummaryofBenefitsandCoverage(SBC)
publication.TheSBCdescribeskeyplanfeaturesinamandatedformat,including
limitationsandexclusions.Theprovisionalsorequiresthatconsumershaveaccesstoa
uniformglossaryoftermscommonlyusedinhealthcarecoverage.ToreviewanSBCfor
UTSELECTPPOorOut-of-Areacoverage,visitwww.bcbstx.com/ut.Theglossarycan
beviewedatwww.dol.gov/ebsa/pdf/SBCUniformGlossary.pdf.Youmayrequesta
copyofthesedocuments,freeofcharge,bycalling1-855-756-4448.
Living WellHealth & Wellness Program
Good Healthfor you and your family.TheUTSELECTLivingWellprogramisoneofyourmostvaluablebenefits.TheLiving
Wellprogramprovidesanopportunityforyoutotakeanactiveroleinyourhealthcare
decisionsandhelpimproveyourqualityoflife.Frominformationaboutpreventingor
managingseriousdiseasetodevelopingapersonalizedhealthimprovementplan,you
willfindpowerfulandeasy-to-usetoolsforyouandyoureligibledependentstotake
chargeofyourhealth.
WE OFFER
HEALTH ASSESSMENTS A15minuteconfidentialonlinehealthassessment,withpersonalizedrecommendationsonhowtoimproveyourhealth.
AN ONLINE PLATFORM Anonlinehealthplatformwithcalorietrackers,mealandexerciseplans,wellnessworkshops,anursehotline,andmuchmore24/7.
REWARDS Receivea$25giftcardonceyoucompleteyourHealthAssessmentandreceiveanannualpreventiveexam.
EMPLOYEE ASSISTANCE TheEmployeeAssistanceProgram(EAP)canhelpyouresolveproblemsthataffectyourpersonallifeorjobperformance.
ANNUAL ENROLLMENT 2014-2015
UT SELECT Medical Plan Design
NO CHANGES Toannualdeductible,coinsurancepercentage,orofficevisitcopaymentamounts
NEW $100 COPAY ForHi-TechRadiology(MRI,CTscan).Maybewaived–seeBVAsectionformoreinformation.
UTSW NETWORK ENDS TheUTSELECTUTSWNetworkpilotendseffectiveAugust31,2014.
Prescription Benefit
NO CHANGES Toannualdeductibleorcopaymentamounts
No Rate or Plan Design Changes for
DEARBORN NATIONAL
GroupTermLife
CNA
LongTermCare
Tobacco Premium Program
TheTobaccoPremiumProgram(TPP)appliesamonthlycostof$30permonthper
individualUTSELECTMedicalparticipant,age16andover,whohasusedtobacco
productsinthepast60days(uptoafamilymaximumof$90/month).Formore
informationabouttheTPP,pleasereviewtheFrequentlyAskedQuestionsontheOffice
ofEmployeeBenefitswebsiteat
www.utsystem.edu/offices/employee-benefits/tobacco-faqs
UT Benefitsfor Plan Year 2014-2015
TheUniversityofTexasSystemurgesallretiredemployeesanddependentstoenroll
inMedicarePartsAandB(inpatientandoutpatientcoverage)whentheybecome
eligibleatage65,orearlieriftheyareeligibleduetoadisabilitysuchasendstage
renaldisease.*Onceeligible,youalsohaveanoptiontoenrollinaMedicarePart
DPrescriptionplanforanadditionalpremium.BecauseUTSELECTprovidesrobust
prescriptionbenefitswhichqualifyascreditableprescriptiondrugcoverage,UTSystem
continuestostronglydiscouragemosteligibleretireesfromenrollinginaPartDplan.
Onlyaverysmallnumberofretireeswhoqualifyfora“low-incomesubsidy”through
MedicareshouldconsiderenrollinginPartD.
Coordination of Benefits
Ifyouareretiredandyou(and/oryourdependent)arealsoeligibleforMedicare,
Medicareisconsideredtheprimarypayerandpaysyourmedicalclaimsfirst;UTSELECT
payssecond.
Retiredemployeesworkinginabenefits-eligiblepositionwillhaveUTSELECT
Medicalasprimary.PleaseconsulttheHandbookforRetiredEmployeesforadditional
informationorspeakwithaBenefitsRepresentativeatyourinstitution.
*MedicaremaybeprimaryforsomeMedicare-eligibleactiveemployeesortheir
spouseswhohavecertainmedicalconditions.ConsultwithyourlocalSocialSecurity
AdministrationofficetolearnwhatillnessesqualifyforMedicarecoveragepriorto
turningage65.
UT SELECT and Medicare
Learnmoreatwww.livingwell.utsystem.edu
Learnmoreatwww.utsystem.edu/offices/employee-benefits/retired-employee-insurance
Benefits Value AdvisorSame treatment. Lower Cost.
BVA Helps you Plan for your Health Care
Differentproviderschargedifferentamountsforthesameservices.Forexample:
KNEE MRI AUSTIN SAN ANTONIO HOUSTON DALLAS
HIGHCOST $4,266 $3,132 $3,090 $2,325
LOWCOST $415 $401 $399 $366
BeginningSeptember1,2014,contactaBlueCrossandBlueShieldofTexas
(BCBSTX)BenefitsValueAdvisor(BVA)tocompareproviderqualityandgeta
costestimate.TheBVAhastheinformationandexpertisetohelpyoufindthe
bestcareforyourmoney.Theycanassistwith:
IMAGING SERVICES X-RAYs,MRIs,CTscans
MATERNITY SERVICES BACK SURGERY
ENDOSCOPY PROCEDURES ...AND MORE!
Make the Most of Your Benefits
JUST CALL THE NUMBER ON THE BACK OF YOUR MEMBER ID CARD
ChoosingqualitytreatmentatareasonablecostsavestheUTSELECT
Medicalplanmoney–keepingyourpremiumsandout-of-pocketcostsaslow
aspossiblewhilemaintainingthevaluablecoverageyoudependon.Early
retirees(non-Medicareeligible)cansavethenew$100copaybycallingaBVA
beforeyourMRIorCTscan.
Availability of Summary Health Information
AsaprovisionoftheAffordableCareAct,allinsurersandgrouphealthplansmust
provideconsumerswithaccesstotheuniformSummaryofBenefitsandCoverage(SBC)
publication.TheSBCdescribeskeyplanfeaturesinamandatedformat,including
limitationsandexclusions.Theprovisionalsorequiresthatconsumershaveaccesstoa
uniformglossaryoftermscommonlyusedinhealthcarecoverage.ToreviewanSBCfor
UTSELECTPPOorOut-of-Areacoverage,visitwww.bcbstx.com/ut.Theglossarycan
beviewedatwww.dol.gov/ebsa/pdf/SBCUniformGlossary.pdf.Youmayrequesta
copyofthesedocuments,freeofcharge,bycalling1-855-756-4448.
UT Benefits for you,Health for UT System.
REVIEW BY JULY 15• Yourcurrentbenefits
• Changesfor2014-2015
• Dependenteligibilityrequirements
• Beneficiarydesignations
• OnlineAnnualEnrollment(AE)resources,includingnewsletter
andvideos
MAKE ELECTIONS JULY 15–JULY 31• Declaretobaccouserornon-userstatus
• Add/dropcoverage
• Add/removedependents
• ReviewonlinesummarywithinMyUTBenefitsimmediately
aftermakingyourelection
FOLLOW UP BY AUGUST 15• Reviewconfirmationstatement
• Uploaddependentdocumentsifrequired
• Submitevidenceofinsurabilityifrequired
ImportantIf you take no action, your current coverage will continue
for the new plan year.
KEEP
ID cards forplansyou
didnotchange
EXPECT
ID cards fornewplans
electedandUTSELECT
MedicalbySeptember1,
2014
ANNUAL ENROLLMENT 2014-2015
UT Benefitsfor Plan Year 2014-2015
NEW Out-of-Pocket Rates for 2014-2015
PLANRETIREE RETIREE &
SPOUSE
RETIREE &
CHILD(REN)
RETIREE &
FAMILY
UTSELECT
Medical*
$0 $227.07
$12.85
increase
$237.49
$13.44
increase
$447.17
$25.31
increase
UTSELECT
Dental
$32.40
$1.54
increase
$61.51
$2.93
increase
$67.80
$3.23
increase
$96.40
$4.59
increase
UTSELECT
Dental
Plus
$55.85
$2.66
increase
$106.06
$5.05
increase
$117.03
$5.57
increase
$166.74
$7.94
increase
UTSELECT
Dental
HMO
$8.89
$0.34
increase
$16.90
$0.65
increase
$18.68
$0.72
increase
$26.67
$1.02
increase
Superior
Vision
$7.00
$0.20
increase
$11.00
$0.24
increase
$11.24
$0.28
increase
$17.84
$0.44
increase
Superior
Vision
Plus
$11.00
$0.20
increase
$17.18
$0.42
increase
$18.40
$0.44
increase
$26.00
$0.60
increase
*Tobacco
Premium
Program
$0 to $90 permonthbasedupontobaccouserstatus
BasicCoveragepackageincludesmedical,prescription,plusthecostof
retiredemployee$6,000BasicLifeinsurance.
New Website!
UTBenefitswww.utsystem.edu/offices/employee-benefits
Retired Employees2014-2015 Benefits Highlights
OFFICE OF EMPLOYEE BENEFITS © 2014 | [email protected]
Office of Employee Benefits | The University of Texas System210 W. 6th Street, Suite B.140E | Austin, TX 78701
070214