Your Healthcare Options Valencia Community College

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Your Healthcare Options Valencia Community
College

• Annual Enrollment 2007

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Status of Employer-Sponsored HealthcareWhat
problems are we trying to solve?
Health Insurance Costs vs. Other Economic
Measures
Source Kaiser/HRET Survey of Employer-Sponsored
Health Benefits 2003.

• Healthcare cost increases are significantly
  outpacing other areas of the economy
• Significant increases in the foreseeable future

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Goals for Our Long-Term Healthcare Strategy

• Moving Ahead
• Reduce trend/inflation over 3- to 5-year
  timeframe
• Re-educate faculty and staff about health care
  costs share quality information
• Encourage healthy behaviors support good health
  decisions
• Create a more affordable benefit plan
• Enable employees to accumulate savings (for
  health care in retirement)

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Whats New for 2007?
NEW
NEW
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2007 Medical Plans
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The New Plan A BlueOptions PPOMove to
Performance-based Network Blue

• Plan benefits
• Most features remain exactly the same as
  BlueChoice PPO
• Hospital benefits generally better
• Simpler out-of-pocket maximum everything but
  prescription copays count toward meeting it
• Anticipated overall premium savings of 10-15
  over current BlueChoice PPO
• Providers you still have freedom of choice
• Use the performance-based network
• Select providers outside network
• Enjoy ongoing access to BlueCard while traveling

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BlueOptions PPOThree Incentives to Use Network
Doctors

• Lower cost for care because of BCBSFs upfront
  negotiations with providers
• Direct claim filing by provider
• No balance billing you dont have to pay
  provider amounts above BCBSFs allowable amount

Network Blue
Traditional
Out-of- Network
PPC Network
Cost of Care
Lowest
Highest
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Plan A BlueOptions PPOHospital Tiering A
Different Approach to Hospital Benefits
Average facility cost for two-day network
hospital stay in Florida 8,500

• Mostly teaching hospitals
• Also applies to Florida hospitals outside
  NetworkBlue, but in BCBSF Traditional Network

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Plan D The New HRA Plan

• Customized PPO Plan
• Same network as Plan A (Network Blue)
• Same covered services supplies
• Higher deductible
• Coinsurance rather than copayments

HRA Plan Customized PPO Health Reimbursement
Arrangement NetworkBlue

• Health Reimbursement Arrangement (HRA)
• Personal account funded by the
• college, tax-free to you
• 500 for EE only
• 1,000 for EE 1 dependent
• 1,500 for EE dependents

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How Plan D WorksSingle Staff Member Illustrative
Plan
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Plan D Your Personal HRA Account
You have immediate access from day 1 of plan
year to your full annual HRA allotment
Qualified medical expenses only
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Plan D Your Personal HRA Account
You have immediate access from day 1 of plan
year to your full annual HRA allotment
Sign up for Automatic Reimbursement
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Plan D More About Your Personal HRA
Money carries forward and builds year to year
No limit on accumulation can use for qualified
expenses any time even if you have changed
medical plans
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Plan D More About Your Personal HRA
If you leave the College

• At age 62 or older with at least 6 years of
  service
• or
• At any age with 30 years of service or more
• You may tap into any remaining HRA dollars to pay
  for future healthcare expenses

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Plan D More About Your Personal HRA
If you leave before reaching either of those age
and service milestones (62 6 or 30 YOS)
You lose unused dollars You may be able to
continue medical coverage through COBRA and
continue using your account balance until COBRA
ends
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Choosing a Medical Plan for 2007
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Selecting a Health PlanKey Considerations
Start your own Decision Checklist now

• What medical care are you and your family likely
  to need in 2007?
• Are your doctors and/or hospital participate in
  the network? How much difference will that make
  in your cost?
• How do the plans cover specific types of care and
  services?
• Whats your projected total cost for healthcare
  under each option cost of care cost of
  coverage?
• Do you need answers to other questions?

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Selecting a Health PlanAnticipating Your Medical
Care Needs

• Think about what you and your covered dependents
  will need in the coming year
• Use your actual care over the last year as a
  starting point
• Review your Explanations of Benefits from BCBSFL
• Go online to MyBlueService and look at your claim
  history

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Selecting a Health PlanFind a physician check
your physicians participation

• Check for Providers in Your Area
• Easy as 1, 2, 3
• Go to www.bcbsfl.com
• Click on Provider Directories
• Under Plans, choose

BlueOption (Network Blue) for Plan A
BlueOption (Network Blue) for Plan D
Health Options Inc. (HOI) for Plan B
Preferred Patient Care (PPC) for Plan E
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Selecting a Health Plan Comparing Deductibles
and Out-of-Pocket Maximums
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Selecting a Health Plan Comparing
BenefitsPreventive Care Benefits
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Selecting a Health Plan Comparing Emergency
Room Visits
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Selecting a Health Plan Comparing Family
Physician and Specialist Visits
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Selecting a Health Plan Comparing
BenefitsPrescription Drugs
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Selecting a Health Plan Comparing Hospital
Facility Charges
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Plan A and Plan EHospital Benefit Comparison
Plan E Current BlueChoice PPO 300 annual
deductible plus 1,640 (20 of remaining 8,200)
1,940
Average facility cost for two-day network
hospital stay in Florida 8,500

• Mostly teaching hospitals
• Also applies to Florida hospitals outside
  NetworkBlue, but in BCBSF Traditional Network

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Selecting a Plan Consider Your Total Cost for
Healthcare
Tools to Help You Choose Health Plan Cost
Comparison Tool Treatment Cost Estimator both
available on the MyBlueService web site
Cost of Care
Cost to Buy Coverage

• Deductibles
• Copays
• Coinsurance

Payroll deductions to pay for your dependents
medical coverage
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Selecting a PlanYour Cost to Buy Coverage for
2007

• Employee coverage
• No cost to you
• Paid in full by the college

• Dependent coverage
• Paid by you
• Cost based on plan you select and who you cover

Note College may insert rate chart here once
rates approved for year
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Selecting a Plan Health Plan Cost Comparison Tool
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Selecting a PlanGetting Answers to Your Questions

• Package mailed to you at home from BCBSFL in
  early October
• Plan summaries
• Enrollment highlights
• Online at www.bcbsfl.com on MyBlueService
• Call-in resources at BlueCross BlueShield of
  Florida
• Your HR Department

Customer Service 800-255-4908 Monday Thursday
8 AM 9 PM Friday 9 AM 9 PM
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Enrolling for 2007
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Enrolling for 2007OPEN ENROLLMENT October 2
November 8, 2006

• You must select a plan even to keep what you
  have today
• Online Web enrollment through www.bcbsfl.com
• To enroll, you log in to Member Enrollment using
  your MyBlueService login ID
• If you dont have a login ID, register at
  www.bcbsfl.com to get one
• Once youre in Member Enrollment
• Customized to you your plans, costs, personal
  information

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Questions