campus visits 2005
DESCRIPTION
Campus Visits 2005. Negotiated Benefits . Health Care Spending Account Program Dependent Care Account Health Insurance (Empire Plan) UUP Benefit Trust Fund Discounted Services. Minimum - $150 Maximum - $3000 Remember use it or lose it - PowerPoint PPT PresentationTRANSCRIPT
Campus Visits 2005
Negotiated Benefits
• Health Care Spending Account Program • Dependent Care Account• Health Insurance (Empire Plan)• UUP Benefit Trust Fund• Discounted Services
Health Care Spending Account Open Enrollment Sept 26 – Nov 10
Minimum - $150
Maximum - $3000• Remember use it or
lose it• July 1, 2004 Over the
counter Medications are an eligible expense
www.flexspend.state.ny.us
1-800-342-8017
Dependent Care Advantage Account Open Enrollment Sept 26 – Nov 10
Dependent Care Account Employer Contributions Effective January 1, 2006
Up to $30,000 $700$30,001 - $40,000 $600$40,001 - $50,000 $500$50,001 - $60,000 $400$60,001- $70,000 $300 Over $70,000 $200
www.flexspend.state.ny.us1-800-358-7202
Eligibility Enhancement
Domestic Partner eligibility improved
• Must be in partnership for 6 months
• One year waiting period for adding a new partner
Empire Plan Changes
Hospital Network Development
• 1/1/05 Paid-in-full benefits for anesthesiology, radiology, and pathology.
Meningitis Vaccine Offered effective 5/25/05
• Covered for ages 11, 12, 17 (vaccines limited)
• High school and college students living in dorms
• Over the age of 19 vaccine is covered only by a participating provider.
Empire Plan Enhancements
Hearing Aid Coverage• 2004 - $1200 total
• 1/1/05 - $1200 per ear
• 1/1/07 - $1500 per ear
Coverage once every 4 years
Children under 12 once every 2 years
Infertility Coverage• 2004 - $25,000 lifetime maximum
• 1/1/05 - $50,000 lifetime maximum
Empire Plan Enhancements
• Mastectomy Prosthetics
• Not subject to deductible and co-pay
• Prosthetics and Orthotics
• Paid in full when obtained through a network provider
• Substance Abuse Annual Maximum
• 2004 - $100,000
• 1/1/05 - Increased to $250,000
Empire Plan Changes
• Disease Management Programs – Cardiovascular, Asthma, and Diabetes
• Urgent Care Facilities - The Joint Committee on Health will work with the State to develop a network of participating Urgent Care Centers
Centers of Excellence Program • Now coverage for transplants and infertility. • As of 1/1/05 Cancer Resource Service includes paid-in-full
coverage. Travel Allowance up to $10,000
Empire Plan Changes
• Discount Provider Network - MultiPlan• Pilot Program 10/04 - 12/06
• Members will have access to a discounted network of participating providers. If a provider does not participate with the Empire Plan, but does partipcate with the discount network the charge will be subject to deductible and coinsurance but will be capped at the discounted allowance. Balance billing will not be allowed.
Empire Plan Changes
Out-of-Pocket Maximum• 1/1/04 - $1901 annually• 1/1/05 - $1486• 1/1/06 - $1548
Emergency Room Co- payment ($35)• 1/1/05 Increase to $50• 1/1/07 Increase to $60
Hospital Outpatient Services ($25) Co-pay• 1/1/05 Increase to $35
Office Visit, Lab, Radiology Co-pay ($12)• 1/1/05 Increase to $15• 1/1/07 Increase to $18
Empire Plan Changes
Prescription Drug • 1/1/05 Three Tier Plan
• Generic
• Preferred Brand Name
• Non-Preferred Brand Name
Empire Plan Changes
30 Day Supply (Retail or Mail-Order)
• Generic - $5 Preferred - $15 Non-Preferred - $30
31 to 90 Day Supply Retail
• Generic - $10 Preferred - $30 Non-Preferred - $60
31 to 90 Day Supply Mail-Order Pharmacy
• Generic - $5 Preferred - $20 Non-Preferred - $55
877-769-7447
Prescription Drug Benefits for 2006Effective January 1, 2006, there will be a new insurance carrier and pharmacy benefits manager Empire Blue Cross Blue Shield and Caremark Rx Inc.
This change will impact the mail order and the Preferred Drug List for 2006.
Empire Plan Changes
Benefit Trust Fund
•Dental•Vision•Scholarship•Life Insurance
Dental
CIGNA DHMO Must use Primary-Care Dentist No Annual Maximum Reasonable Co-payments on major services Most preventive and restorative services are ‘No Charge”
CIGNA PPO All members are automatically enrolled in the PPO Par Provider - you pay your percentage up to the network allowance Non-Par Provider - you pay your percentage and any amount that exceeds the network
allowance You may change from DHMO to PPO each month (by the 14th of the month for a 1st
effective date) Contact CIGNA at 800-481-1213 to enroll. Dental Maximum raised to $2500Effective 4/1/05
• Designated Customer Services Associates• Designated Claims Representatives • Designated Network Managers (Nominate your Dentist)• UUP Website will list all newly contracted providers each quarter
Vision Benefits
Vision Enhancement Effective October 1, 2005
• Exam and glasses every 12 months
• Contact Lenses $25-$45 co-payment
• Enhancements: No Charge to the members• Premier Frames• Blended Segment Bifocal Lenses• Progressive Lenses• UV Coating • Scratch Resistant Treatment • Polycarbonate Lenses
• Lasik Eye Surgery, $200 per eye• Paperless Voucher System• Medically Necessary Program• Coverage for disposable contact lenses
Scholarship Program
• Dependent children who are enrolled in the fund and are eligible for coverage.
• Earn at least 12 undergraduate credit hours toward degree requirements for the semester
• Grade-point average of 2.0 or higher for the semester (as shown on the official transcript)
• Credits earned at a state-operated SUNY school (e.g., does not include SUNY community colleges)
• Apply with in 60 days after the ending date of the semester
• $500 per semester up to a maximum of 8
Life Insurance
$6000 Provided by UUP for Active Members
$1000 Provided by UUP for Retiree Members
Beneficiary Card Survivor Support
Program
Last Will and Testament
Opportunity Plus
UUP’s endorsed 403(b) program
Enhancements:• Financial Counseling• Legal Service Plan• Term Life Insurance• Survivor Support
UUP’s Discounted Services
• Verizon Wireless• Sprint • BJ’s Wholesale Club• Bally Total Fitness• Enterprise Rent – A- Car• Carlson Wagonlit Travel
Exclusive for SUNY Employees
This exclusive offer is for new and existing Verizon Wireless Accounts.
19% discount off Verizon Wireless rate plans of $35 or higher No activation fee on a two year agreement 25% discount off regular priced accessories Free phone requires a 2 year agreement• Offer not available in stores• Contact Jim Spring at 518-469-7007 or
UUP
Members & Retirees
This exclusive offer is for new and existing Sprint Customers
15% off your monthly service fee
Offer only available through Sprint Representative: Jeanne Pinckney (518) 221-5434 or [email protected]
WELCOMES ALL “UUP” MEMBERS WITH A WELCOMES ALL “UUP” MEMBERS WITH A SPECIAL MEMBERSHIP OFFER JUST FOR SPECIAL MEMBERSHIP OFFER JUST FOR YOUYOU
4 Great Reasons to Join or Renew4 Great Reasons to Join or Renew
Get $15 off BJ’s $40 Annual Get $15 off BJ’s $40 Annual Membership Fee Membership Fee
Get $15 off BJ’s $75 Rewards Get $15 off BJ’s $75 Rewards Membership FeeMembership Fee
An additional 3 FREE Months of An additional 3 FREE Months of Membership Membership
FREE Second Membership CardFREE Second Membership Card
BALLY TOTAL FITNESSExclusive offer for UUP Members
Pay as you go options• $50 down / $28 a month for local area clubs
• $50 down / $33 a month for all club access
• $50 down / $50 a month Sports Club Membership
Paid in full options • $299 all club access
• $499 Sports Club nationwide access
Contact Esther Mermelstein at 212-563-2907
• UUP Members now have discounted rates with Enterprise Rent- A- Car
• Business or Personal Use• Pick – up from your home or office • Rates include unlimited miles with in New York State• Tool free number • 24 hour Road Assistance• Corporate ID 24H8222
Please visit the UUP website at www.uupinfo.org for your discounted rates.
UUP Members & Retirees
Exclusive TravelDiscounts for UUP Members
January 7, 2006
7 Night Caribbean Cruise on “Voyager of the Seas”
Amenities: One backpack per state room and Bon Voyage Gift Basket
UUP Members Price - $ 664
General Public - $914
January 21, 2006
7 Night Caribbean Cruise on “Navigator of the Seas”
Amenities: One backpack per state room and Bon Voyage Gift Basket
UUP Members Price - $714
General Public - $814
January 22, 2006
7 Night Caribbean Cruise on “Millennium”
Amenities: One garment bag and Bon Voyage Gift Basket
UUP Members Price - $750
General Public - $900
Here at UUP it’s all about our Members
Questions???
Please contact the
UUP Benefit Trust Fund at800-887-3863 or 800-UUP-FUND.
Regina Kane
Tamara Cooper
Karen Dombrowski
Sue Tocco – Member Benefits Specialist
Lynn Gaseidnes
Joyce Montgomery