CIGNA’s Healthcare Leadership Program

Transcript CIGNA’s Healthcare Leadership Program

your medical plan options

Plan year: 1/1/2010-12/31/2010

Copay Plan

Lifetime Maximum – Unlimited Emergency Room Copay - $150 Inpatient Hospital Copay - $350 Outpatient Surgery Copay - $200 Outpatient Mental Health/Substance Abuse visits $10 with no visit maximum

Incentive Plan

Outpatient Mental Health/Substance Abuse visits – 85% coinsurance (no deductible) with no visit maximum

What’s Changing?

New CIGNA Choice Fund Health Savings Account (HSA) Open Access Plus

– 520,000 doctors/specialists – 8,800 hospitals/facilities

Deductibles:

$1,300 individual $2,600 family Preventive Care $0 copay/deductible – Covered at 100% Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA

What Is a Health Savings Account (HSA) plan?

Qualified Medical Plan

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Health Savings Account

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Tax Advantaged HSA Plan • A tax advantaged health plan that provides coverage for current medical/pharmacy expenses and allows the option to save for future health expenses. • Combines a Qualified Medical Plan (medical/pharmacy coverage) with a Health Savings Account.

• You, your employer or both can contribute to the Health Savings Account. • Money deposited into the Health Savings Account is generally not taxable.

• You have the option to invest the money into interest-bearing investment vehicles. Interest on these investments is also not taxable.

How does an HSA work?

Individual 100% after $ 3,300/$6,600* Health Coverage 80%/50%* Family 100% after $ 6,600/$13,200 * Health Coverage 80%/50%* Deductible $1,300/$2,600* Deductible $2,600/$5,200* $850 Contribution Employer + Employee $ Contribution $1,700 Employer + Employee $ Fund contributions can be used to pay for current year qualified health expenses or saved to pay for future year health expenses

Am I eligible to participate in a HSA plan?

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Because HSA Plans have special tax advantages, the IRS defines specific rules on participation. To be eligible you:

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Must be enrolled in a qualified HSA medical plan (CIGNA Choice Fund is a qualified medical plan)

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Cannot have any other health coverage

• Not covered by spouse’s medical or pharmacy plan • Not covered through Medicare Part A or Part B • Not covered through a general-purpose Flexible Spending Account (FSA) plan (either Employer’s or Spouse’s) 

Cannot be claimed as a dependent on another person’s tax return

What is the maximum I can contribute annually to the HSA?

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Because HSAs offer special tax advantages, the IRS puts limits on the maximum amount that can be contributed to the account:

Under age 55 and not enrolled in Medicare: (based on a 12 month period)

 up to $3,050 individual coverage*  up to $6,150 family coverage*

Age 55 or older:

 Maximum contribution increases by $1,000 (considered a “catch-up” contribution)   up to $4,050 individual coverage* up to $7,150 family coverage* *Employer and incentive contributions reduce the maximum an employee can contribute by an amount equal to the contribution.

I want to save for the future. What are my HSA saving and investment options?

• $2,000 minimum in HSA to invest • Once the investment account is open, no minimum balance applies • Eight mutual funds from which to choose • Investments can be allocated into one fund or multiple funds • No minimum deposit for any fund • Tax-free growth of interest or investment earnings • Monthly fees apply • Online trading – no fees apply • Track your balance online or with convenient monthly statements Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 17

I want a plan that provides protection from the unexpected. How do you protect me financially?

Medical Plan Highlights Open Access Plus – Copay Plan Single Family

Deductible – what you pay before the plan pays none In-network $500 Out-of-network none In-network $1,000 Out-of network

Open Access Plus – Incentive Plan Single Family

$400 In-network $800 Out-of network $800 In-network $1,600 Out-of-network

Purdue Choice Fund ® with HSA Single

$1,300 In-network $2,600 Out-of-network

Family

$2,600 In-network $5,200 Out-of-network Out-of-pocket maximum none In-network $4,000 Out-of-network none In-network $8,000 Out-of network $1,800 In-network $3,600 Out-of-network $3,600 In-network $7,200 Out-of-network $3,300 In-network $6,600 Out-of-network $6,600 n-network $13,200 Out-of-network HRA contribution from employer Lifetime maximum n/a Unlimited n/a Unlimited n/a Unlimited n/a Unlimited $200 + $650 Unlimited $400 + $1,300 Unlimited Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA

I want a plan that provides protection from the unexpected.

How do you protect me financially?

Prescription Plan Highlights In-Network

Generic Preferred brand Non-preferred brand

Open Access Plus – Copay (Medco) Retail (30-day supply) Home Delivery (90-day supply)

You pay You pay You pay 20% 30% 50% You pay You pay You pay 15% 25% 45%

Open Access Plus – Incentive (Medco) Retail (30-day supply) Home Delivery (90-day supply)

You pay You pay You pay 20% 30% 50% You pay You pay You pay 15% 25% 45%

Purdue Choice Fund with HSA (CIGNA) Retail (30-day supply)

You pay 20% after plan deductible You pay 30% after plan deductible You pay 50% after plan deductible

® Home Delivery (90-day supply)

You pay 15% after plan deductible You pay You pay 25% after plan deductible 45% after plan deductible Generic Preventative medications

Brand Preventative Medications

n/a

n/a

n/a

n/a

n/a

n/a

n/a

n/a

No charge

You pay 30% or 50%, no plan deductible

No charge

You pay 25% or 45%, no plan deductible

Preventative medications are used to prevent any of the following medical conditions: Hypertension, high cholesterol, diabetes, asthma, osteoporosis, stroke, and prenatal nutrient deficiency.

My life is busy. How do you help me understand and track my health care expenses?

24/7 Customer Phone Assistance  One toll-free number – on the back of the ID card and Debit Card  Specially-trained Customer Service Representatives answer questions about : • Medical and pharmacy benefits and claims • HSA IRS requirements • HSA transaction activity and balance • Live transfer to JPMorgan Chase for specialized activity (investments, lost debit card, debit card transaction questions) • Direct members to tools available via myCIGNA.com

My life is busy. How do you help me understand and track my health care expenses?

Logged in as: Karen Smith

24/7 Online Health Account Management • Personalized and secure online account tool • Review plan coverage levels • Check available balances • Track claims and payments • Get HSA bank account information • Manage investment accounts via link to JPMorgan Chase

Hello Karen Manage Medical Plan At-A-Glance Account Summary

Karen Smith

Tools to find and compare cost and quality care Manage Bank Account

My life is busy. How do you help me understand and track my health care expenses?

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Explanation of Benefits

Mailed to your home after each claim Shows how and when claims were paid, and how it impacted the funds in your account • •

Account Statement

Mailed to your home quarterly Shows year-to-date deductibles, out-of-pocket expenses, and all claim activity for that quarter Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA

I’m healthy. What will your plan do for me?

• Easy-to use, confidential health assessment gives you an overall health “score” and a personalized report • Online coaching programs to help you maintain a healthy lifestyle • 100% coverage for wellness checkups, immunizations and preventive screenings (varies by plan) • Save money on health and wellness products and services like fitness clubs, eyewear, massage therapy and more • A personal health advocate to help you prepare for office visits, improve your lifestyle and reduce your health risks, explore and choose treatment options, and answer health and coverage questions • Healthy pregnancy education programs with March of Dimes  start. helps every baby get a healthy • Programs to help you better manage stress, quit tobacco or lose weight Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA

I have a serious health condition. What can you do to make my life easier?

• Information and resources help you learn about your condition and treatment options and tips for self-care • Help with coordinating care if you’re admitted to the hospital • Online calculators help you compare medical treatment costs • A dedicated health advocate to help you • manage Your health condition, treatment options and self-care Services to help you find quality Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA

Life is unpredictable. How can you help me when something changes – my health, I move, I’m traveling, I get married?

• Find a doctor whenever you need one, online or by phone • Get same-as-home medical coverage for a temporary relocation • Talk to a health advocate who can help you make decisions about your treatment • Avoid the emergency room for minor injuries – visits to urgent care and retail clinics are covered • Balance the stresses of work and life – online or on the phone – talk to people who can help • Keep your doctor during transitions (if you’re new to CIGNA, your doctor leaves our network) for certain health care conditions Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA

Life is unpredictable.

How can I reach you when I need help?

• Call us anytime day or night – live,

24/7 customer service

• Find information when you need it at myCIGNA.com • We speak many languages

Fund OA Plus HRA

For J.D. Power and Associates Certified Call Center Program SM information, visit www.jdpower.com

Everyone says they are the best. Why should I trust you?

• Voted 2008 Best Managed Care Organization and Best Employee Assistance Program by Business Insurance • Winner of “Innovation in Multicultural Health Care” Award from independent National Committee for Quality Assurance (NCQA) • Top industry rankings for Effectiveness of Care by NCQA • Our customer call centers are certified by J.D. Power and Associates* for providing “an outstanding customer service experience” • Doctors and hospitals ranked us #1 and #2 respectively on our payment, accuracy and efficiency in the annual survey by AthenaHealth *For J.D. Power and Associates Certified Call Center Program SM information, visit www.jdpower.com

I need help enrolling. What help can you provide?

myCIGNAplans.com

• CIGNA Customer Service at 1.800.767.7141 •

www.myCIGNAplans.com

for instructions and helpful tips to build and customize your benefits  User ID: Purdue2010  Password: cigna • Open Enrollment  10/26/2009 to 11/13/2009 Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA

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Plan Comparison Tool

View CIGNA Plan options  Benefit Details  Descriptions Compare cost of plans  CIGNA network discounts  Use demographic to determine utilization or modify to individual circumstances  Includes payroll cost of plans  Includes ability to model HSA contributions Medical and pharmacy cost tools I need help enrolling. What help can you provide?

CIGNA’s Healthcare Leadership Program

Transcript CIGNA’s Healthcare Leadership Program

your medical plan options

Copay Plan

Incentive Plan

+

=

Because HSA Plans have special tax advantages, the IRS defines specific rules on participation. To be eligible you:

Must be enrolled in a qualified HSA medical plan (CIGNA Choice Fund is a qualified medical plan)

Cannot have any other health coverage

Cannot be claimed as a dependent on another person’s tax return

Because HSAs offer special tax advantages, the IRS puts limits on the maximum amount that can be contributed to the account:

Under age 55 and not enrolled in Medicare: (based on a 12 month period)

Age 55 or older:

24/7 customer service

Questions?

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