Your Vanderbilt Benefit Options for 2004

1
Your Vanderbilt Benefit Options for 2004
2
Open Enrollment October 1 17, 2003
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During Open Enrollment, You Can

• Select medical and dental coverage
• Enroll for Personal Spending Accounts (PSA)
• Sign up for additional accidental death and
  dismemberment insurance (ADD)
• Update your covered dependents
• Learn about benefit options
• Enroll in new Health Incentive Plan (Go for the
  Gold)

4
Addressing RisingHealth Care Costs

• Secured contracts for lowest cost, best value
  health care plan options
• Created new Prescription Drug Program
• Enhanced Dental Benefit with new Program
• Created Incentive Plan to promote healthy
  behaviors Look for information in the Open
  Enrollment packet

5
Medical and Dental Plan Options for 2004

• Blue Cross Preferred
• Blue Cross S
• New for 2004
• CIGNA PPO
• CIGNA Dental Care/CIGNA Dental PPO

6
Your Medical PlanMonthly Cost (effective Jan. 1,
2004)

• Individual Individual Individual
  Spouse/Partner Child(ren) Family
• Blue CrossPreferred 40 120 95 165
• CIGNA PPO 40 120 95 165
• Blue Cross S 20 60 40 80

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Blue Cross Preferred and CIGNA PPO Highlights
VUMC VMG You Pay In-Network You
Pay Individual deductible 0 200 Physician
visit 15 copay 30 copay Preventive care 15
copay 30 copay Emergency room 10 20
after deductible Inpatient hospital 10 20
after deductible Out-of-pocket max.
(Individual) 2,000 2,000 Out-of-Network
coverage You generally pay 40 after 400
individual deductible Payment after 100 copay
copay waived if hospital admission
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Blue Cross Preferred and CIGNA PPO Highlights

• Coverage at Vanderbilt under any plan best
  value
• Enhanced Preventive Care Coverage under AMA
  guidelines
• Emergency Room 100 copay waived if admitted
• Urgent Care 50 copay
• X-ray and Lab services covered with office visit
  when billed together

9
Blue Cross S Plan Highlights

• Features low premiums but
  you pay more for most services
• 300 annual individual deductible
• 40 of most covered services after deductible
• 1,000 copay per hospital admission
• 100 annual deductible for prescriptions

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Blue Cross SHighlights
In-Network You Pay Out-of-Network You
Pay Individual deductible 300 600 Physician
visit 40 after deductible 60 after
deductible Preventive care 15 copay Not
covered Emergency room 40 after deductible
60 after deductible and 100 copay and 100
copay Inpatient hospital 1,000 copay, then 60
after deductible 40 after deductible Out-of-p
ocket max. (Individual) 3,000 6,000
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New Pharmacy Benefit - Caremark

• New Prescription Drug program for ALL options of
  Vanderbilts Health Care Plan
• Separate Drug Card from the Health Care Blue
  Cross or CIGNA cards
• Special discounts provided through the Vanderbilt
  Pharmacy

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Caremark Prescription Drug Costs for 2004

• Retail (31-day supply)
• Generic 15
• Formulary 30
• Non-formulary 45
• Mail-order (90-day supply)
• Generic 30
• Formulary 60
• Non-formulary brand 90
• Note Blue Cross S Plan requires 100 deductible
  before plan pays on prescription drugs

13
Vanderbilt Pharmacy Benefits

• Retail (31-day supply) (90-day supply)
• Generic 10 30
• Formulary 25 60
• Non-formulary 40 90

14
Dental Plan Highlights for 2004

• Dental coverage now CIGNA
• CIGNA Dental Care an HMO type plan
• CIGNA Dental PPO an indemnity plan
• With the Dental Care Plan, all primary care must
  be received in-network
• Locate your dentist on www.cigna.com

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Dental Plan Highlights for 2004

• CIGNA Dental Care Plan
• Affordable Patient Charge Schedule 45
  procedures at no charge
• Increased coverage for preventive and routine
  care
• CIGNA Dental PPO
• Average discount of 35.5 using Nashville Network
  Dentists
• Larger provider network 209 general dentists
  compared to 76 in current offering

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Your MonthlyCIGNA Dental Plan Costs

• Individual Individual Individual
  Spouse/Partner Child(ren) Family
• Dental 9.52 16.17 19.70 24.45
• Dental PPO 23.99 47.54 57.38 80.91

17
Accidental Death Dismemberment Insurance

• You may purchase ADD insurance in increments of
  10,000
• The maximum coverage is 10x your annual pay, up
  to 500,000

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Personal Spending Account Highlights for 2004

• Eligible faculty/staff may contribute to a
  medical or dependent care PSA
• You must re-enroll in your PSA 2003
  elections will not roll over to 2004
• FlexBen Corporation will continue to process PSA
  claims

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What happens if I dont enroll in health care?

• If you are in United Healthcare or Vanderbilt
  Preferred, you will default to INDIVIDUAL Blue
  Cross Preferred
• If you are in Blue Cross Preferred or S Plan,
  your current elections will roll over to 2004

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What happens if I dont enroll for other plans?

• For dental, coverage will be waived
• No Personal Spending Accounts will be set up for
  next year
• Accidental Death Dismemberment enrollment will
  roll over to 2004

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Effective Date

• New benefit elections
• become effective
• January 1, 2004

22
DesignatedDrop-Off Sites

• During Open Enrollment (October 1 17) return
  your completed Open Enrollment form
• to any Designated Drop-Off Site
• Peabody Hill Student Center
• Sarratt Lobby
• Medical Center North Lobby

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DesignatedDrop-Off Sites (continued)

• You may also ask questions and return your
  completed form to a benefits representative at
  the following locations
• 10/3 Open Forum 189 Sarratt (11am - 2pm)
• 10/8 Benefits Fair - Law School (11am 5pm)
• 10/9 Benefits Fair 2701 TVC (7am- 7pm)
• 10/10 Benefits Fair 2701 TVC (7am- 5pm)
• 10/13 Open Forum 202 Light Hall (1pm - 2pm)
• 10/16 112 Sarratt (730am - 4pm)
• 10/17 2701 TVC or 2525 West End (730am - 5pm)
  - Last day
• Tuesdays Thursdays during Open Enrollment -
  Courtyard Café (11am 2pm) or 500 2525 West End

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Enrollment Deadline

• Your completed form must be returned to a
• Designated Drop-Off Site
• by
• 500 p.m. (CST)
• on
• October 17, 2003

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Confirmation Statement

• A confirmation statement showing your benefit
  elections will be mailed to you by November 3,
  2003.
• If you do not receive it by
• November 11, 2003,
• call 615-322-8330

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For Departmental Meeting

• Call 615-322-8303
• to schedule
• departmental meeting of 20 or more
• During Open Enrollment

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For more information

• Visit the
• Human Resources (HR)
• website at
• www.vanderbilt.edu/HRS/hrs

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Thank You

• For your Time and Participation
• in our Benefit Plan

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Go For The Gold For a Health Risk Assessment
December 1, 2002 - November 30, 2003

• Receive 10.00 per month wellness credit
• on your paycheck in 2004!
• Now available online
• at the HEALTH Plus web-site www.vanderbilt.edu/g
  oforthegold
• or call 343-8943