2016 Retiree Guidebook to Open Enrollment

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The 2016 Open Enrollment Guidebook for Retirees provides information on the Open Enrollment process, as well as a summary of health plan changes, events, and FAQs.

Transcript

  • 2016 RETIREE GUIDEBOOK TO BENEFITS OPEN ENROLLMENT

  • THE UNIVERSITY HR SERVICE TEAMWERE HERE TO HELP During Open Enrollment, you may require additional support to help understand your benefits choices. The University HR Service Team, your in-house benefits specialists, receives triple the normal call volume during the Open Enrollment period. Therefore, to ensure continuous high-quality service and fast response times, we have enlisted an off-site service team from Oct. 26 Nov. 13. The auxiliary staff will confidently handle your 2016 benefits questions and process elections over the phone.

    Log into My Benefits on the Cardinal at Work website (http://caw.stanford.edu/ my-benefits): Submit an online form or chat live with a specialist.

    Or Call: 877-905-2985 or 650-736-2985

    Contents

    Start Planning ............................................................................3

    DISCOVER: Whats Happening in 2016 ..................................4

    Whats Staying the Same for Retirees under 65 ..................4

    Whats Changing for Retirees under 65 .................................5

    2016 Benefits Updates for Retirees over 65..........................6

    EXPLORE: 4 Ways to Tour Open Enrollment Information .................................................7

    Benefits Fairs ................................................................................9

    Information Sessions .................................................................9

    FINDING YOUR WAY: Common Questions ........................ 10

    DESTINATION: Cardinal at Work ......................................... 12

  • Start Planning

    Mark your calendar for Open Enrollment, the annual opportunity for you to make health benefits changes and to add or drop coverage for eligible dependents. And, be sure to bookmark the Cardinal at Work website, your new online destination for benefits-related information!

    October 26 through November 13

    Even if youre happy with your elections from last year, its always a good practice to review and confirm that youve signed up for the right plan for you and your family. If you choose not to take action, coverage will either roll over or default into a new plan.* So take the time to review your options; otherwise, youll have to wait until the next Open Enrollment period to make changes, unless you experience a qualified life event (such as getting married, changing job status, etc.).

    * The cost of coverage will reflect the 2016 contribution amounts. Also, if you are not enrolled in Medicare and have a Health Savings Account (HSA), you may set it up directly with HealthEquity, Blue Shields financial partner, or with a financial institution of your choice to set aside tax-deductible funds for future health care expenses.

    What

    When

    Why

    Joe Knox Customer Experience SpecialistStanford Web Services

    ATTENTION

    The Blue Shield PPO is being discontinued, so you may select a new plan during Open Enrollment or be defaulted into the Blue Shield Healthcare + Savings Plan. For more information, see page 5.

    cardinalatwork.stanford.edu | 2016 Retiree Guidebook to Benefits Open Enrollment 3

  • DISCOVERWhats Happening in 2016

    WHATS STAYING THE SAME FOR RETIREES UNDER 65Here are the plans and options Stanford will continue to offer in 2016:

    Health Plan Options

    We know having options is important. In 2016, if you are a pre-65 retiree and not enrolled in Medicare, youll still have several plans to choose from including the Blue Shield EPO, the Blue Shield Healthcare + Savings Plan (formerly the Blue Shield High Deductible Health Plan), as well as the Kaiser HMO and the Stanford Health Care Alliance (SHCA) plan.

    Dental

    Good dental care contributes to your overall health and wellness and will continue to be part of our comprehensive health care benefits.

    Mental Health A healthy body also needs a healthy mind. Youll continue to receive expanded access to out-of-network outpatient mental health providers for the Blue Shield EPO, Blue Shield Healthcare + Savings and SHCA plans.

    BeWell Incentive ProgramTo encourage healthy lifestyle behaviors, the BeWell program will continue to offer retirees the opportunity to participate in limited programs at a reduced cost, including the Stanford Health and Lifestyle Assessment (SHALA).

    4 2016 Retiree Guidebook to Benefits Open Enrollment | cardinalatwork.stanford.edu

  • WHATS CHANGING FOR RETIREES UNDER 65The plan changes for 2016 are comparable to previous annual benefit changes, and include increases to health plan costs; deductibles and out-of-pocket maximums; and co-pays for office visits, prescription drugs and other services. Here are highlights of the changes:

    Changes Details

    Health Plans

    Blue Shield PPO plan is discontinued

    The PPO Plan is being discontinued, so current members will have an opportunity to elect a new plan during Open Enrollment.

    If you choose to do nothing, youll be defaulted into the Blue Shield Healthcare + Savings Plan (formerly the High Deductible Health Plan).

    Kaiser HMO

    This plan is no longer the lowest-price plan.

    Stanford Health Care Alliance (SHCA)

    This plan is now the lowest-price plan.

    SHCAs administrator is changing from Blue Shield to Aetna.

    Plan members will receive new ID cards by January 1, 2016.

    Plan members should check the SHCA website at http://stanfordheathcarealliance.org for a list of in-network providers.

    Blue Shield Healthcare + Savings Plan (formerly the High Deductible Health Plan)

    The Blue Shield High Deductible Health Plan(HDHP) is now called the Blue Shield Healthcare + Savings Plan.

    The plan design hasnt changed, only the name which better aligns with the Health Savings Account (HSA). You may set up an HSA directly with HealthEquity, Blue Shields financial partner, or with a financial institution of your choice to set aside tax-deductible funds to help offset eligible health care expenses.

    This plan pays 80% of covered costs in network and 60% out of network, after youve paid the deductible.

    Deductibles: $1,750 individual; $3,500 family.

    Out-of-pocket maximum expenses: $3,750 individual; $7,500 family.

    Covered Service Charge: Gender Reassignment

    Gender reassignment procedure coverage has been extended to the Blue Shield EPO, Blue Shield Healthcare + Savings and Stanford Health Care Alliance plans. Previously, Kaiser was the only plan to offer this coverage.

    TRAILING STORY LABEL

    cardinalatwork.stanford.edu | 2016 Retiree Guidebook to Benefits Open Enrollment 5

    DISCOVER: WHATS HAPPENING IN 2016

  • Changes Details

    Vision CareVSP Vision Care NEW

    Retirees now have access to vision care which includes annual eye exams, contact lenses and/or frames.

    Health Savings Account (HSA)

    The HSA maximum limit for families is increasing to $6,750.

    Long-Term Care (LTC) Insurance

    Starting October 1, 2015, CNA Insurance Company discontinued LTC coverage and is no longer our LTC insurance provider. Stanfords new LTC insurance provider, Genworth, is not making LTC available to retirees.

    Retirees that elected LTC coverage by Sept. 30, 2015, may continue coverage with CNA, Stanfords former LTC provider.

    For policies purchased by Sept. 30, CNA will continue to manage LTC direct billing and customer service. Please call 800-523-4582 (5 a.m. - 3 p.m. ET) to speak to a representative.

    If you are a current active employee planning to retire, you should consider getting LTC coverage now as LTC insurance will no longer be offered as a benefit once you retire.

    2016 BENEFITS UPDATES FOR RETIREES OVER 65

    Health Plan Options

    Retirees enrolled in Medicare may still choose from the following Medicare Advantage Plans:

    Health Net Seniority Plus

    Kaiser Senior Advantage United Healthcare Group

    Medicare Advantage

    Medicare Supplement Plans including:

    Blue Shield Retiree Medical Plan

    United Healthcare Senior Supplement HealthNet COB

    Vision Care (NEW)

    Vision care benefits through VSP Vision Care will be offered in 2016, which includes annual eye exams, contact lenses and/or frames.

    Long-Term Care (LTC) Insurance

    Starting October 1, 2015, CNA Insurance Company discontinued LTC coverage and is no longer our LTC insurance provider. Stanfords new LTC insurance provider, Genworth, is not making LTC available to retirees.

    Retirees that elected LTC coverage by Sept. 30, 2015, may continue coverage with CNA. Please call 800-523-4582 (5 a.m. 3 p.m. ET) to speak to a representative.

    Dental Good dental care contributes to your overall health and wellness and continues to be part of our comprehensive health care offerings.

    TRAILING STORY LABEL

    6 2016 Retiree Guidebook to Benefits Open Enrollment | cardinalatwork.stanford.edu

    DISCOVER: WHATS HAPPENING IN 2016

  • EXPLOREFour Ways to Tour Open Enrollment Information

    1. Attend a Benefits Open Enrollment Event

    See page 9 for the schedule of fairs and information sessions. For Open Enrollment event updates, visit http://cardinalatwork.stanford.edu/OpenEnrollment.

    cardinalatwork.stanford.edu | 2016 Retiree Guidebook to Benefits Open Enrollment 7

  • 2. Compare Plans Using Online Tools

    Want to take a closer look at the plan options and see how they differ? We have a few tools to help you compare plans:

    Comparison ToolThis tool provides high-level information on plan options allowing you to compare how medical and dental plans cover various services. No authentication is required to view the Comparison Tool.

    Health Plan EvaluatorTo access this robust tool, log into My Benefits (Authentication is required.). The Evaluator tool provides a more detailed estimate on your total out-of-pocket costs based on data you input including plan options, estimated health care claims for yourself and covered dependents, prescription drugs and other key information.

    Contribution Rate SummaryThis tool allows you to review and compare plan costs based on the following plan options:

    Retiree-only

    Retiree + spouse/ registered domestic partner

    Retiree + children

    Retiree + family

    Visit http://cardinalatwork.stanford.edu OpenEnrollment to compare plans today!

    3. Review the Common Questions

    See page 10 for the questions and find other benefits resources online.

    4. Log Into My Benefits To Enroll Starting Oct. 26

    Log into My Benefits (http://caw.stanford.edu/ my-benefits) to get started!

    EXPLORE: FOUR WAYS TO TOUR OPEN ENROLLMENT INFORMATION

    8 2016 Retiree Guidebook to Benefits Open Enrollment | cardinalatwork.stanford.edu

  • Open Enrollment Events

    The following events have been scheduled to provide you more information about your retiree health plan options:

    BENEFITS FAIRMeet representatives from more than a dozen Stanford plan providers to learn more about their services.

    Date Time Location

    Wednesday, October 28 11 a.m. 2:00 p.m. Tresidder Memorial Union, Oak Lounge West

    INFORMATION SESSIONJoin our benefits experts in an hour-long session to learn more about 2016 health plans including details of whats changing and whats staying the same.

    Date Time Location

    Wednesday, October 28 11:30 a.m. 12:30 p.m. Tresidder Memorial Union, Oak Lounge East

    WEBINARThis online seminar presented by our benefits experts will walk you through the changes you can expect in 2016.

    Date Time Location

    Tuesday, November 3 11 a.m. 12 p.m. Log into http://stanford.bluejeans.com and enter Meeting ID# 968022205.

    cardinalatwork.stanford.edu | 2016 Retiree Guidebook to Benefits Open Enrollment 9

    EXPLORE: FOUR WAYS TO TOUR OPEN ENROLLMENT INFORMATION

  • FINDING YOUR WAY

    Common Questions

    Q If Im a current Blue Shield PPO member, what steps must I take during Open Enrollment?

    A Because the Blue Shield PPO plan is being discontinued, you have two options:

    1. Review and elect a new plan (Blue Shield EPO, Blue Shield Healthcare + Savings, Stanford Health Care Alliance or Kaiser).

    2. Should you choose not take any action, you will automatically be enrolled in the Blue Shield Healthcare + Savings Plan, which is the high deductible plan. With this plan, you may have a Health Savings Account (HSA), which is an account used to pay for health care costs on a post-tax basis. You may sign up for an HSA by contacting HealthEquity, Blue Shields financial partner, or going through another financial institution of your choice. NOTE: You may only sign up for an HSA if you are not enrolled in Medicare.

    Q Why was the Blue Shield PPO discontinued?A Stanford elected to remove the PPO plan

    choice due to cost. Over the years, the Blue Shield PPO plan has continued to be the most expensive plan offered by the university, for what retirees pay in premiums, as well as what the university pays in administrative costs. Additionally, when looking ahead at the Affordable Care Act (ACA) excise Cadillac tax, to be implemented in 2018, the PPO plan is already too expensive to maintain under the current ACA thresholds.

    Q Why is Kaiser no longer the lowest-price plan?

    A In 2015, Kaiser and SHCA were both priced the same. For the 2016 plan year, Kaisers

    proposed increase was higher than that of SHCA, so the Kaiser plan is no longer the lowest-price option.

    10 2016 Retiree Guidebook to Benefits Open Enrollment | cardinalatwork.stanford.edu

  • Q What are some things I can do to help me save on health care costs?

    A Some actions you can take to help defray costs are:

    Preventive CareTo stay on the healthy track, be sure to take advantage of preventive care, such as annual exams. Preventive care is free under all of the plans as long as you stay in network.

    Choose generic vs. brand name prescriptionsSave money on prescriptions by requesting generic or lower-cost versions of the medicine you need, and by taking advantage of mail-order programs.

    Use urgent care facilities and limit emergency room visitsDont run to the emergency room for needs that are better suited to a doctors office or an urgent care clinic. Also, take advantage of your medical plans advice nurse.

    If you choose the Blue Shield Healthcare + Savings plan, stay in network and sign up for a Health Savings Account (HSA)The HSA allows you to set aside tax-deductible funds for future health care expenses on a post-tax basis. The HSA may be set up directly through HealthEquity, Blue Shields financial partner, or an financial institution of your choice.

    Note: You may only sign up for an HSA if you are not enrolled in Medicare.

    Q As a retiree, do I have access to Stanford Coordinated Care (SCC)?

    A Stanford Coordinated Care (SCC) is designed to provide current pre-65 active employees and their adult dependents support to manage ongoing health conditions. SCC is not fully Medicare

    approved and, therefore, is unavailable to retirees through the offered Medicare plans. Once you transition to a Medicare plan, SCC services are no longer available.

    2016 MEDICAL CONTRIBUTION RATESRetirees will receive a worksheet that outlines what they are eligible for and what it costs from Stanford Benefits in mid-October.

    To view dental, vision and other health plan rates, visit h...

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