Pre-65 Retirees 2020 Retiree Benefits - 2020 Retiree Open Enrollment - Newport News
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Pre-65 Retirees
2020 Retiree Benefits
2020 Retiree
Open Enrollment
Agenda General Information Pre-65 Health Insurance Other Benefits Plan Rates
General Information
• Open enrollment is November 1 – 29.
• Any rate changes will begin with your December check, with plan changes effective Jan
1, 2020.
• Retirees may not enroll in health or dental after retirement. Open enrollment is an
opportunity to update existing benefits.
• Retirees may terminate health or dental coverage at any time. Once coverage is
terminated, it may not be reinstated.
• If you want to keep the same coverage you had in 2019, no action is needed. You will be
enrolled in the comparable plan under Optima Health.
Pre-65 Health Insurance
2020 Medical Monthly Premiums
Optima Health – Pre-65 Medical
POS 750/35/20% City Pays Retiree Pays*
Single $422.74 $549.74
Single + 1 Child $686.19 $896.00
Single + Spouse $961.88 $1,257.58
Family $1,161.00 $1,497.12
POS 1500/40/20% City Pays Retiree Pays*
Single $422.74 $501.12
Single + 1 Child $686.19 $816.88
Single + Spouse $961.88 $1,146.60
Family $1,161.00 $1,364.19
Equity POS HDHP 2800/20% City Pays Retiree Pays*
Single $422.74 $306.62
Single + 1 Child $686.19 $500.44
Single + Spouse $961.88 $702.72
Family $1,161.00 $832.58
*The retiree premiums published are for qualified NNERF retirees who receive 100% of the City’s
contribution.
More Information on plans and rates can be found at www.nnva.gov/retirement.
Introducing Optima Health
Welcome City of Newport News
Introducing Optima Health
Where to Seek Health Care
Your Benefit Plans
Additional Programs for You
What’s Next?
Information and Resources
Introducing Optima Health
Who We Are
We improve health every day
Our Vision
Be the health plan of choice in the communities we serve
Experienced 500,000 members We’re local… … and national
Where to Seek Health Care
Local Health Care Providers
• 30,000+ providers
• Riverside Health System
• Sentara CarePlex Hospital
• CHKD
• Chesapeake General
• Bon Secours Mary Immaculate
• TPMG
• And more!
Where to Seek Health Care
National Health Care Providers
Seeking Care Outside of the
Service Area:
• Retirees
• Out-of-Area Dependents
• Emergency Travel Assistance
2020 Medical Plans
EQUITY POS HDHP
BENEFIT POS 1500/40/20% POS 750/35/20%
2800/20%
Comparable plan from 2019 Lumenos Health Savings 2700 HealthKeepers POS 1500 KeyCare PPO 750
Network POS with PHCS POS with PHCS POS with PHCS
In Network
$2,800/$5,400
Calendar year deductible (Individual/Family) $1,500/$3,000 $750/$1,500
Includes medical and pharmacy
Out-of-Pocket maximum
(Individual/Family) $4,500/$9,000 $5,000/$10,000 $4,000/$8,000
Hospital Benefits
Inpatient (facility) 20% after the deductible 20% after the deductible 20% after the deductible
Outpatient surgery (facility) 20% after the deductible 20% after the deductible 20% after the deductible
Emergency room
20% after the deductible 20% after the deductible 20% after the deductible
Physician Benefits
Referral required No No No
Preventive care 0% 0% 0%
PCP office visit 20% after the deductible $40 copay $35 copay
Specialist office Visit 20% after the deductible $50 copay $45 copay
Urgent care center 20% after the deductible $50 copay $45 copay
Diagnostic X-ray & lab 20% after the deductible 20% after the deductible 20% after the deductible
Prescription Drug
Subject to the Combined
Pharmacy Specific Deductible Medical/Pharmacy Calendar Year N/A N/A
Deductible
Tier 1/Tier 2/Tier 3/ $15/$50/$85/20% to a maximum
Tier 4 Retail 31-day supply $15/$50/$85/20% to a maximum $15/$50/$85/20% to a maximum
of
of $250 per 31 day supply of $250 per 31 day supply
$250 per 31 day supply
Tier 1/Tier 2/Tier 3/
Tier 4 Mail Order 90-day supply $38/$125/$213/n/a $38/$125/$213/n/a $38/$125/$213/n/aYour Benefit Plans
Prescription Drug Benefits
• Copay vs cost
1. Selected Generic
• Transitioning your prescriptions
2. Selected Brand & Other Generic • Mail order
• Diabetic supplies
3. Non-selected Brand • optimahealth.com
• Open Formulary
4. Specialty • Preventive Rx at $0Additional Programs for You
Virtual Visits with MDLIVE
• Smart Phone, Tablet or Computer
• Live Video
• Board Certified Doctor
• Cost of $25 for POS 750 & POS 1500
• Cost of $39 for Equity HDHPWhat’s Next Your New ID Card Coins Coinsurance OV Office visit SOV Specialist office visit ED Emergency Department CITY OF NEWPORT NEWS UCC Urgent Care Center DX1 Diagnostic tests DX2 Advanced Imaging OP Outpatient Surgery IP Inpatient RxDed Prescription Drug Deductible Ded or Dd Deductible AD After Deductible Rx Prescription Drug
What’s Next
Mark Your Calendars
October
Check out the optimahealth.com/nnva site
Attend a meeting
November Make changes by November 29
December
Receive your new member ID card
Confirm any transition of care with your doctor
January Show your new ID card to your doctorsInformation and Resources Register Online
Information and Resources Optima Health Mobile App Schedule MDLIVE virtual visits View coverage Access ID cards View claims Find providers Search prescription drug list Access wellness programs
Information and Resources
Important Contacts for Your Transition
Optima Health City
optimahealth.com/nnva www.nnva.gov/retirement
1-800-229-1199 or 757-552-7110
8 a.m.– 6 p.m. 757-926-3929
Monday-Friday
members@optimahealth.com retirement@nnva.govOther Benefits
Dental Benefits
Dental Benefits
Coverage remains with Delta Dental
No changes to deductibles or co-insurance
PPO + Premier Premiums
Provider Listing & Mobile App Available at:
www.deltadentalva.com
PPO + Premier Retiree Pays*
Single $11.35
Single + 1 $21.15
Family $34.00
*The retiree premiums published are for qualified NNERF retirees who receive 100% of the
City’s contribution.
More Information on plans and rates can be found at www.nnva.gov/retirementVision Benefits
www.vsp.comVision Benefits
Coverage remains with VSP Vision Retiree Pays
Expanded Choice network (Sam’s Club & Walmart in network) Single $7.50
Free Exam ($60 for contacts) Single + 1 $11.60
$10.00 copay for lenses Family $20.00
Benefit details provided at www.vsp.com
$150.00 allowance for frames or $130.00 allowance for
contacts lens and frame replacement once every calendar
yearFitness Center Memberships
Fitness Center Memberships
JANUARY 1, 2020 – RATES
YMCA Retiree Pays
Single $30.00 Fitness Centers
Single + Spouse $50.00 Onelife Fitness
Single+ Children $53.00 Riverside Wellness Center
Family $58.00 YMCA
One Life Fitness Retiree Pays Not offered through Open Enrollment
Single $25.00 Retirees who wish to enroll, make changes to
Single + Spouse $50.00
existing membership tiers, or cancel membership
must visit the fitness centers directly.
No action is needed for retirees who wish to
Riverside Wellness
Retiree Pays continue their current fitness center payroll
& Fitness Center
Single $28.00 deduction for 2020.
Single + Spouse $56.00New Retiree Perk
2020 Retiree Enrollment Forums Denbigh Community Centers Tuesday – 10/15/2019 Information Sessions: 10:00AM & 2:00PM Friday – 10/25/2019 Wednesday – 11/6/2019 Midtown Community Center Wednesday – 10/23/2019 Tuesday – 10/29/2019 Information Sessions: 10:00AM & 2:00PM Thursday – 11/7/2019
Humana Enrollment Forums
Are you already 65 or turning 65 soon? If so, please attend one of our Humana Presentations!
Denbigh Community Centers
Wednesday – 11/13/2019 Information Sessions: 10:00AM & 2:00PM
Midtown Community Center
Thursday – 11/14/2019 Information Sessions: 10:00AM & 2:00PMPre-65 Retirees
2020 Retiree Benefits
Questions ???References and Resources
Medical Plan – Pre-65 Optima Health www.optimahealth.com 757-552-7110
800-229-1199
Humana www.humana.com 866-396-8810
Medical Plan – Post-65 Center for Medicare & Medicaid
www.medicare.gov 800-633-4227
Services
Dental Plan Delta Dental of Virginia www.deltadentalva.com 800-237-6060
Vision Plan VSP www.vsp.com 800-877-7195
457 Retirement Plan ICMA-RC www.icma.org 800-669-7400
Life Insurance CIGNA www.cigna.com 800-36-CIGNA
Social Security Retirement Social Security Administration www.ssa.gov 800-772-1213
Enrollment Finance Department www.nnva.gov/retirement 757-926-3929You can also read
