Guide to Benefits Open Enrollment - October 17 - November 4, 2022 Your chance to enroll or make changes for benefits effective January 1, 2023

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Guide to Benefits Open Enrollment - October 17 - November 4, 2022 Your chance to enroll or make changes for benefits effective January 1, 2023
Guide to Benefits
Open Enrollment
   October 17 – November 4, 2022

Your chance to enroll or make changes for benefits effective January 1, 2023
Guide to Benefits Open Enrollment - October 17 - November 4, 2022 Your chance to enroll or make changes for benefits effective January 1, 2023
Get ready to enroll
    From comprehensive health and dental insurance to personal assistant services and pet insurance,
    Boston Scientific offers a wide range of benefits that fit your life. Open Enrollment is your opportunity
    to review all your benefit options and ensure you enroll in the plans that best meet your and your
    family’s needs.

    This year, Open Enrollment is from October 17 through November 4, 2022. A few changes to your
    overall benefits are going into effect in 2023. We continue to add services that we know our
    employees want and need. For example, we are enhancing our telehealth mental and behavioral
    health coverage. With rising health care costs, all medical plan participants will experience per-
    paycheck and other out-of-pocket increases.

    This guide is designed to help you understand what’s changing for 2023 and how to successfully enroll
    in the benefits that can help you stay healthy and thrive, wherever you are in life.

    2023 medical plan per-paycheck rates
    Depending on your medical plan participation in 2023, you can expect the following changes to your
    per-paycheck premium payments, compared to 2022. For dental and vision, your plan premiums will
    generally remain the same or be lower next year.
    Your medical plan options remain:
    • UMR Consumer High-Deductible Health Plan (HDHP) with Health Savings Account (HSA)
    • UMR Base Plan—Preferred Provider Organization (PPO)
    • Kaiser Permanente Core Plan—Health Maintenance Organization (HMO)

      Medical plan premiums for employees earning $75,000 annually, please review BenefitsConnect for full details
     **You must live in the service area to be eligible to enroll in this plan
2   ***Enrollment in any of the domestic partner coverage options requires an enrollment election in employee coverage as well
Guide to Benefits Open Enrollment - October 17 - November 4, 2022 Your chance to enroll or make changes for benefits effective January 1, 2023
Other plan changes you
should know about
UMR plan participants will experience the
following changes to copays, deductibles and/or
out-of-pocket maximums. For a glossary of
common health care terms, go to p. 8.
UMR Consumer HDHP with HSA
• Deductibles will increase to $1,650 for
  employee-only coverage (up from $1,500) and
  $3,300 for employee plus other family
  member(s) coverage (up from $3,000).
• The out-of-pocket maximum will increase to
  $3,500 for employee-only coverage (up from
  $3,000) and $7,000 for employee plus other
  family member(s) coverage (up from $6,000).
In 2023, you will continue to receive the Boston
Scientific HSA contribution of $500 for employee-
only coverage and $1,000 for employee plus any
other family member(s) coverage.

UMR Base Plan (PPO)
• Deductibles will increase to $600 for
  employee-only coverage (up from $500) and
  $1,200 for employee plus other family
  member(s) coverage (up from $1,000).
• The emergency room copay will increase to
  $200 (up from $100).

       Questions about your
       UMR coverage?
       Call MyQHealth at
       1-855-649-3857 (Monday
       through Friday from 8:30 a.m.
       to 10:00 p.m. Eastern time) if
       you have questions about or
       need assistance with your UMR
       medical plan options and
       coverage. It is recommended
       that you call MyQHealth and
       reference your Plan summaries
       to confirm your insurance
       coverage before receiving care.
                                                    3
Guide to Benefits Open Enrollment - October 17 - November 4, 2022 Your chance to enroll or make changes for benefits effective January 1, 2023
Remember these other great benefits
    Voluntary benefits that can                        • Employee Assistance Program (EAP)
    save you money                                      – Five one-on-one counseling sessions per
                                                          issue per year are available to all household
    Voluntary benefits offer group rate discounts
                                                          family members.
    for many everyday products or services you
    may need or are already paying for—and are          – Work-life solutions include help finding
    available through convenient, automatic               child care and elder care, home repair
    payroll deductions. Learn more about the              contractors and relocation services; also
    following options and how they may help save          provides legal and financial resources and
    you and your family money.                            on-demand self-help.
    • Auto, home, renter’s and pet insurance—          Available to you at a reduced cost:
      Simply submit information to quickly receive     • Subsidized backup child care and elder
      a quote and compare rates.                         care through Care.com helps you manage
    • Legal plan—Discounted legal support can            unexpected gaps in existing care plans.
      help with matters related to finances, real      • Telemedicine appointments through
      estate, estate planning, civil lawsuits, elder     Teladoc (UMR members) offer more
      care issues and will preparation.                  affordable and convenient care for non-
    • Identity Theft Protection—Keep your private        emergency situations compared to the
      information safe from fraud with monitoring        emergency room.
      and more.                                         – Available 24/7 for non-emergency general
    • Accident Insurance and Critical Illness             medicine, mental health care and
      Insurance—Protect yourself and your family          dermatology care needs.
      from the financial impact of an unexpected        – In 2023, UMR members will continue to pay
      injury or serious illness.                          the following for behavioral health visits
                                                          through Teladoc or an in-network provider
    Valuable no-cost or reduced-                          on any telehealth platform:
    cost benefits
                                                          - UMR Base PPO members—no copay,
    Also be sure to check out the following                 deductible or coinsurance
    programs and resources designed to support
                                                          - UMR Consumer HDHP members—no cost
    you and your family physically, financially and
                                                            after meeting the annual deductible
    emotionally.
                                                        Please call MyQHealth with any questions
    Available to you at no cost:
                                                        about this coverage.
    • Family-building resources through Maven
      provide on-demand services, whether you’re
      considering expanding your family, need
      early pediatrics for your new baby or
      anything in between.
    • Tutoring services are available (for students
      of all ages) through Tutor.com.
    • Tobacco cessation program through Pivot
      can help you kick the tobacco habit (which is
      healthy for you and your wallet!).

4
Steps for enrolling                                           NEW REQUIREMENT
                                                              FOR ENROLLMENT!

October 17 –                                                  Adding new
November 4, 2022                                              dependents
                                                              IMPORTANT: If you are adding
                                                              one or more new dependents
                                                              to your health care coverage
     Step 1: Prepare                                          (medical/dental/vision) for
                                                              2023, you’ll be required to provide
                                                              documentation verifying their
                      Before you enroll, go to                benefits eligibility. Please note:
                      BenefitsConnect.* There is no
                      login required, so you can access       • You are required to upload
                      the website wherever internet             valid documentation by
                      service is available.                     December 5, 2022.**
• Review Plan summaries, FAQs, bi-weekly rates,               • The YourBenefits enrollment
  vendor contacts and other important Open                      portal will display a list of
  Enrollment materials.                                         acceptable documents.
• Understand the differences between the UMR                  • If you have any questions or
  Consumer HDHP and UMR Base PPO plans.                         need help uploading the
  Your responsibility for the cost of care before               required documentation,
  coinsurance is different between the two plans.               please call the Boston
• Decide who you want to cover under your health                Scientific HR Service Center at
  care benefits.                                                1-800-570-4455.
• Review the OptumRx prescription formulary list              • Health insurance coverage for
  to confirm coverage for your prescriptions.                   dependents will not be active
                                                                until the documentation you
• View recorded webinars of benefit overviews
                                                                provide is approved.
  (also available in Spanish).
                                                              **You have several methods for submitting documentation.
*https://secure.bscbenefitsconnect.com/us/2023Benefits.html

     Check it out!
     ¡Dele un vistazo!
                             Spanish language
                             benefits materials
                             are available on
                             BenefitsConnect.

                                                                                                                         5
Don’t forget
    to designate a                          Step 2: Choose how
    beneficiary!                            you want to enroll
    Open Enrollment is a good
    time to review—and update,         There are two ways to sign up for your 2023
                                       benefits during Open Enrollment:
    if necessary—beneficiary(ies)
    for your Basic Life Insurance      1)   Visit the YourBenefits enrollment portal at
    and Accidental Death and                https://bfprod.bsci.com and enter your BSC
    Dismemberment (AD&D)                    network ID and password. If you don’t know
    Insurance.                              your login credentials, call IT at 1-844-894-
                                            9124. You will need your BSC Employee ID
                                            when you call.

                                       2) Call the Boston Scientific HR Service Center
                                            at 1-800-570-4455, Monday through Friday
                                            from 9 a.m. to 5 p.m. You will need your BSC
                                            Employee ID when you call.

                                            Step 3: Sign up for
                                            your 2023 benefits
                                       • Carefully review all your benefit options, even if
                                         you like your current coverage. It’s the only way
                                         to ensure you don’t miss out on anything!
                                       • Use the available decision-support tools as you
                                         enroll to avoid paying for more coverage than
                                         you need next year.
                                       • Review the information presented as you enroll
                                         to ensure you understand key benefit details.
                                         Also review your selections to confirm you have
    What if you don’t take               the right benefits for you and your family in
    any action during                    2023. Be sure to submit your choices to complete
                                         the enrollment process.
    Open Enrollment?
                                       • Print the Benefit Summary Report showing your
    If you do not take any action,       2023 benefits and keep it for your records. After
    your current benefits selections     enrollment closes, a confirmation statement will
    will carry over to 2023, except      also be mailed to your home.
    for any Flexible Spending
    Accounts (FSAs) and Health
    Savings Account (HSA)
    contributions, which you must
    sign up for each year.

6
Important resources
Remember to visit the BenefitsConnect website anytime during the year to review benefits
information and share it with your family members.
You also have direct access to the following vendors of Boston Scientific’s benefits programs—both
online and by phone. If you need assistance with anything that’s not listed below, visit
BenefitsConnect*, select Quick Links in the upper right and then Vendor Contacts.
*https://secure.bscbenefitsconnect.com/us/index.html

  Key vendor contacts

                        Vendor                                   Telephone                  Website/Email

  HR Service Center—For enrollment assistance          1-800-570-4455              hrconnectusbenefits@bsci.com
                                                       Monday – Friday,
                                                       9 a.m. – 5 p.m.

  MyQHealth (UMR members)—Medical plan                 1-855-649-3857              www.bscmyqhealth.com
  questions, claims support, in-network doctor         Monday – Friday,
  search and other health coverage questions           8:30 a.m. – 10:00 p.m. ET

  Teladoc—Telemedicine for UMR members                 1- 800-835-2362             www.teladoc.com

                                                                                   Single sign-on to your account
                                                                                   through MyQHealth

  OptumRx—Prescription drug benefit for UMR            1-844-368-8737              Create your Member Account at
  members                                                                          www.optumrx.com
                                                                                   Single sign-on to your account
                                                                                   through MyQHealth

  GuidanceResources—Employee Assistance                1-866-812-5303              www.guidanceresources.com
  Program (EAP)                                                                    Company ID: EB3414X

  Delta Dental—Dental benefits                         1-800-872-0500              www.deltadentalma.com

  EyeMed—Vision benefits                               1-866-723-0514              www.eyemedvisioncare.com

  Chard Snyder—Flexible Spending                       1-800-982-7715              www.chard-snyder.com/bsc.html
  Accounts (FSAs)
                                                                                   General questions and
                                                                                   FSA claim submissions:
                                                                                   askpenny@chard-snyder.com

  HealthEquity—Health Savings Account (HSA)            1-877-694-3938              www.healthequity.com

  Sedgwick—Leave of Absence (LOA)                      1-855-811-5701              www.mySedgwick.com/BSCI

  Maven—Family-building resources                      N/A                         http://mavenclinic.com/join/bsci1

                                                                                                                       7
Key health care terms
To help you better understand your health insurance, here’s a list of the commonly used health care
terms and definitions. For health plan coverage questions, contact MyQHealth.

Annual Deductible—The              Dependent—For medical/             Out-of-Pocket Maximum—
amount you’re required to          dental/vision purposes, this       The most you’ll have to pay
pay annually before your           includes: your legal spouse,       for covered services in a
health plan also begins to         same or opposite-sex               plan year. After you spend
pay for the cost of your care      domestic partner, your             this amount on deductibles,
or certain covered services.       children under age 26, your        copays and coinsurance,
Deductibles do not apply to        domestic partner’s children        your plan will pay 100% of
preventive care services.          under age 26, your                 the costs of covered
                                   unmarried children over age        services for the rest of the
Beneficiary—The person/            25 (who were insured under         year. There are separate
party you designate to             the applicable Plan on or          in-network and out-of-
receive your Basic Life and        before the age of 25 and           network out-of-pocket
AD&D and (if selected)             cannot support themselves          maximums. Always try to
Voluntary Life and AD&D            due to a physical/mental           obtain care from an in-
proceeds in the event of           disability and who meet            network provider and at an
your death.                        individual Plan                    in-network facility. The
Coinsurance—The                    requirements for continued         out-of-pocket maximum
percentage of the cost of a        coverage) and any other            doesn’t include your
covered health care service        children who qualify as your       monthly premium payments
or prescription drug that          dependents under the U.S.          or what you pay for services
you’ll pay after meeting           federal tax code.                  your plan doesn’t cover.
your deductible.                   Formulary—A list of                Preventive Care—Routine,
Copay—The set dollar               prescribed medications or          preventive health care as
amount you’ll pay for a            other pharmacy care                defined by the Affordable
covered health care service        products, services or              Care Act (ACA), which
at the time you get care or        supplies covered by the            include annual exams and
when you pick up a                 plan. Medications are listed       immunizations. Please note
prescription drug.                 by categories or classes and       some services may not be
                                   are placed into cost levels        considered preventive when
                                   known as tiers. It includes        they are used to diagnose
                                   both brand and generic             or treat an illness or injury.
                                   prescription medications.
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