Benefits Open Enrollment: Find Out What's Changing |
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March 26, 2013,
Volume 59, No. 26 |
Benefits Open Enrollment is right around the corner, and we want to give you plenty of time to consider what healthcare options will work best for you in the new plan year. Below is a list of changes for the 2013–2014 plan year, and how you can learn more about this year’s Open Enrollment period.
Aetna Choice POS II Medical Plan
The Aetna Choice POS II plan will be more appealing than ever: deductibles and out-of-pocket maximums are being reduced. For in-network coverage, the deductible will decrease by $200 per individual ($600 per family), while the out-of-pocket maximum will decrease by $800 per individual ($2,400 per family). For out-of-network coverage, the deductible will decrease by $200 per individual ($600 per family), while the out-of-pocket maximum will decrease by $600 per individual ($1,800 per family).
Keystone HMO Medical Plan
Some services under the Keystone HMO plan will now be subject to a deductible and coinsurance. To maintain the low payroll deduction for this plan, the plan design will undergo some adjustments. The familiar copay structure will still be used for office visits and most outpatient services, but other services such as inpatient care will be subject to a 10% coinsurance after a deductible ($100 individual/$200 family). Preventive care will continue to be covered at 100% with no copays or deductible. The plan will have two distinct out-of-pocket maximums: one for copays and one for deductibles and coinsurance. Out-of-pocket maximums protect you by limiting how much you pay out of your own pocket each year.
The copay for radiology procedures will increase. Routine radiology procedures do not require prior authorization (e.g., chest x-ray), while complex radiology procedures do (e.g., MRI, CT scan, PET scan). The copay for routine services will increase from $30 to $40, while the copay for complex services will increase from $60 to $100.
Prescription
Penn’s prescription drug carrier is changing names: Express Scripts/Medco. Medco and Express Scripts have come together as one company. The combined company is in the process of updating its name to Express Scripts on communications, but during the transition you will continue to see the Medco name. The company merger will not affect your prescription benefits in any way. Please continue to use your current Medco ID card and refill order forms, as well as the same website and toll-free number.
Penn Faculty Practice Dental Plan
Several enhancements will be made to the Penn Faculty Practice dental plan, without increasing premiums. There will no longer be a maximum annual benefit specific to implants; instead, they will be covered at 50% subject to the overall annual plan maximum. Occlusal nightguards will be covered at 50%. Coverage for Invisalign will increase. Implants will be covered if the tooth was extracted while the participant was covered by a University plan within the last 60 months.
Dependent Care Flexible Spending Account
The waiting period to participate in the Dependent Care Flexible Spending Account (FSA) will be removed. Currently, eligibility occurs after one year of continuous service and attaining age 21. As of July 1, 2013, benefits-eligible faculty and staff will not have to meet age and service requirements to participate.
Attend an Open Enrollment Fair
Get more information about the 2013–2014 Open Enrollment period at this year’s Open Enrollment Fairs. Representatives from Penn’s healthcare providers and administrators will be on site to share information and answer questions. Learn about medical plans, prescription drug coverage, dental plans, vision coverage, flexible spending accounts and the Penn Benefits Center. At the Open Enrollment and Health Fair at Houston Hall on Tuesday, April 16, you can also take advantage of free health screenings and wellness information on several topics.
Date |
Time |
Location |
Tuesday,
April 16 |
10 a.m.–2 p.m. |
Houston Hall, Hall of Flags |
Thursday, April 18 |
10 a.m.–2 p.m. |
New Bolton Center, Alumni Hall |
For more Open Enrollment information, visit the Human Resources website at www.hr.upenn.edu/myhr/benefits/health/openenrollment
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