My Medical Benefits

2014 New Plan Options for Active Members and Non-Medicare Retirees

In addition to offering more options for 2014, the Plan provides members with opportunities in two of the options to lower premiums and receive Affordable Care Act (ACA) preventive care services and medications covered at 100%, which means no charge to you. Click here for a presentation for members outlining all of the new plan options. A number of 2014 Benefit Information Webinars have been held during the month of October. If you haven't had time to attend one of these sessions, you can view it here.

2014 New Plan Options

  • Enhanced 80/20 Plan: the current Standard 80/20 Plan with a new name, enhanced benefits and incentives to encourage decisions that are good for your health. New features include:
    • Affordable Care Act (ACA) preventive care services and medications covered at 100%, which means no charge to you.
    • Wellness premium credits to reduce the subscriber only premium when:
      • Subscriber completes a Health Assessment
      • Subscriber attests that he/she and spouse (if applicable) does not smoke, or commits to a smoking cessation program
      • Subscriber selects a Primary Care Provider (PCP) for self and all covered dependents
    • Additional wellness incentives:
      • $15 copay reduction for utilizing the PCP (or someone in that practice) listed on your ID card
      • $10 specialist copay reduction for utilizing a Blue Options Designated Specialist
      • $0 inpatient hospital copay for utilizing a Blue Options Designated Hospital
  • Consumer-Directed Health Plan: a new option that includes a high deductible health plan, a Health Reimbursement Account (HRA) and incentives to encourage decisions that are good for your health. Features include:
    • Affordable Care Act (ACA) preventive care services and medications covered at 100%, which means no charge to you.
    • CDHP Preventive Medication List ($0 deductible)
    • Wellness premium credits to reduce the subscriber only premium when:
      • Subscriber completes a Health Assessment
      • Subscriber attests that he/she and spouse (if applicable) does not smoke, or to being in a smoking cessation program
      • Subscriber selects a Primary Care Provider (PCP) for self and dependents
    • Additional wellness incentives
      • $15 added to the HRA when the PCP (or someone in that practice) listed on the ID card is seen
      • $10 added to the HRA when a Blue Options Designated Specialist is seen
      • $50 added to the HRA when a Blue Options Designated Hospital is utilized for inpatient services
  • Traditional 70/30 Plan: the current Basic 70/30 Plan with a new name but no other changes

2014 Plan Comparison Chart

Decision Guide

If you do not choose an option by Nov. 15, 2013, you and any enrolled dependents will be enrolled in the Traditional 70/30 Plan for 2014.

You will begin receiving important information in the mail beginning in August. Please read it carefully. Click here to view the first mailer that Active/Non-Medicare Retiree members will be receiving.

If you are a COBRA member, click here for your mailer.

Once you choose your benefit plan, you may not elect to switch plans until the next Open Enrollment period. The coverage type you select, for example, employee only, will remain in effect until the next benefit plan year, unless you experience a qualifying life event. Qualifying life events include changes such as marriage, birth, death and retirement.

Enrollment Information

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