HR: Benefits Open Enrollment: April 20-May 1 |
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March 31, 2015, Volume 61, No. 28 |
Benefits Open Enrollment (your annual opportunity to make changes to your healthcare elections) is coming soon. Now is a great time to start considering what healthcare options will work best for you in the new plan year. This year’s Open Enrollment period will run from Monday, April 20 through Friday, May 1.
Plan Changes as of July 1, 2015
Please take note of the following changes for the 2015-2016 plan year. For more details, please visit the Human Resources website at www.hr.upenn.edu/myhr
Prescription Carrier Change
Penn’s prescription drug carrier will change from Express Scripts to CVS/Caremark. You can fill your prescriptions at CVS pharmacies as well as a wide network of non-CVS pharmacies.
You will receive a new ID card and a new member number. Look for your new card in mid-June. To ensure that your claims are processed correctly, it is very important that you present this new card and ID number to your pharmacy. Please be sure to destroy your old card after June 30, 2015.
Maintenance medication and the 90-day retail pick-up option will only be available at CVS pharmacies. You may also use the CVS/Caremark Mail Service pharmacy to receive your maintenance medications at your address of choice.
Effective July 1, 2015, the generic copay minimum and maximum will change from $5 min/$20 max to $7.50 min/$20 max for retail scripts and from $10 min/$40 max to $15 min/$40 max for mail service scripts. The minimum and maximum copay for brands with no generic equivalent will change from $15 min/$75 max to $15 min/$100 max for retail scripts.
You’ll receive more details about the switch to CVS/Caremark in future communications from Penn and CVS/Caremark.
Health Care Flexible Spending Account Limit Increase and Rollover
The Health Care Flexible Spending Account (FSA) limit has increased from $2,500 to $2,550. If you want to increase your FSA savings to the new $2,550 limit, you must do so during Open Enrollment.
Remember, the IRS has relaxed the “use it or lose it” rule. Instead of losing all unspent money in your Health Care FSA at the end of the plan year, you’re able to protect up to $500 by rolling it over to the following year. Note that rolling over funds does not impact your maximum election for the following plan year. Keep in mind that the rollover rule only applies to the Health Care FSA. Participants in the Dependent Care FSA cannot roll over any unused funds.
PennCare Personal Choice
The PennCare/Personal Choice PPO plan deductibles will increase as of July 1, 2015. Under the PennCare tier, the individual deductible will increase from $100 to $125 and the family deductible will increase from $300 to $375. Under the Personal Choice tier, the individual deductible will increase from $250 to $300 and the family deductible will increase from $750 to $900.
As of July 1, 2015, the deductible, copays and coinsurance will count toward the out-of-pocket maximum. Currently, copays do not count toward the maximum.
Keystone HMO
As of July 1, 2015, both the copay out-of-pocket maximum and coinsurance/deductible out-of-pocket maximums will combine to a single out-of-pocket maximum of $1,200 individual/$2,400 family.
Aetna POS II
Laboratory/pathology coverage will change from 20% coinsurance after deductible to a $30 copay.
X-rays/radiology coverage will change from 20% coinsurance after deductible to a $40 (routine) copay or $100 (complex) copay.
MetLife Dental
Effective July 1, 2015, MetLife will provide orthodontic coverage for adults. The out-of-pocket lifetime maximum orthodontia coverage per child and adult will increase from $1,000 to $1,500. Limited dental implant coverage will now be provided at 50% but not to exceed the cost of a bridge.
When Are Changes Effective?
Changes made during Open Enrollment will be effective as of July 1, 2015. New rates for all plans will be reflected in your July 2015 paycheck.
Attend a Fair
Representatives from Penn’s health care insurance providers and administrators will be onsite to share information and answer questions. Learn about medical plans, prescription drug coverage, dental plans, vision coverage, flexible spending accounts (ADP) and the Penn Benefits Center (ADP). Penn’s retirement vendors—TIAA-CREF and Vanguard—will also be onsite to answer questions and provide information about retirement plans.
Fair |
Date |
Time |
Location |
Open Enrollment Fair |
Tuesday, April 21 |
10 a.m.-2 p.m. |
New Bolton Center, Alumni Hall |
Open Enrollment and Wellness Fair |
Wednesday, April 22 |
10 a.m.-2 p.m. |
Houston Hall, Hall of Flags |
Attend a Presentation
Open Enrollment presentations will be held so you can get more information and ask questions. Presentations will begin at the times listed below; they’ll run for 45 minutes, followed by a Q&A session.
Date |
Start Time |
Location |
Monday, April 20 |
noon |
Claudia Cohen Hall, Terrace Room |
Friday, April 24 |
noon |
Claudia Cohen Hall, Terrace Room |
Monday, April 27 |
1 p.m. |
Houston Hall, Bodek Lounge |
Tuesday, April 28 |
noon |
Perelman School of Medicine, BRB |
Thursday, April 30 |
noon |
Claudia Cohen Hall, Terrace Room |
A Focus on Wellness
Penn is offering a new supportive smoking cessation program through our wellness partner, StayWell. The StayWell Tobacco Cessation program can help you get past the cravings to enjoy tobacco-free living.
The StayWell approach combines personalized coaching with nicotine replacement therapy to help you kick the habit once and for all—and it’s completely free and confidential. This research-based program will match you with a qualified health coach for personalized assistance by telephone, mail or online. You’ll also be eligible for up to 12 weeks of nicotine replacement therapy (patches, gum or lozenges), delivered to your front door at no cost to you. The program is available to benefits-eligible faculty and staff. To learn more, call Penn’s StayWell help line at 1 (855) 428-6324, or log on at penn.staywell.com and look for “Smoke Free” under the programs menu.
Making Changes After Enrollment
The choices you make during Benefits Open Enrollment will remain in effect through June 30, 2016, unless you experience a qualifying event. Qualifying events include the birth or adoption of a child, marriage or domestic partnership, divorce or separation, death of a dependent or change in your dependent’s eligibility for benefits. Keep in mind that the IRS limits the types of changes you can make for qualifying events. If you experience a qualifying event, please contact the Penn Benefits Center within 30 days at 1 (888) PENN-BEN or 1 (888) 736-6236) Monday through Friday between 8 a.m. and 6 p.m. EST.
—Division of Human Resources
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