The annual election period for making changes to your health insurance and flexible spending accounts begins at noon on Nov. 4, 2015 and continues until midnight on Nov. 19, 2015.
A $500 carryover for an MRA is permitted in the IRS “use it or lose it” rule.
The plan has changed for active participants in the HealthFlex Plan (under 65; not on Medicare) for 2016. The Blue Cross Blue Shield (BCBS) PPO B750 has been discontinued. The plan for 2016 will be BCBS PPO B1000 P1.See a BCBS PPO B1000 P1 plan summary
Deductible is now $1,000 for Single; $2,000 for Family
Out-of-Pocket Maximum (i.e., the maximum amount you would pay as your cost-share during the plan year) now includes medical and behavioral health plus pharmacy expenses. You will no longer have a separate out-of-pocket maximum for pharmacy expenses. You also will see slight changes to pharmacy co-payments for 2016.
Out-of-Pocket limit is now Single $5,000; Family $10,000 (Combines medical, pharmacy, and behavioral health) Please note: Although the total limit decreases from $5,500 (medical $3,500; pharmacy $2,000) to $5,000; your potential out-of-pocket could be higher than 2015. If you primarily used one benefit, then your out-of-pocket expenses could increase. If this is the case, you may want to increase your FSA/Medical Reimbursement Account.
OptumRx – Prescription Drug Provider. As of August 2015, Catamaran is now OptumRx. Visit the OptumRx website
If you are enrolled in the United HealthCare Medicare Advantage Plan there is nothing you need to do during Medicare Open Enrollment and The HealthFlex Annual Election time. Your coverage will continue as is.
United HealthCare will be issuing member kits directly to you. If you have not received your member kit by the end of December, please contact our Willis North America consultants at (800) 640-1898 or patientcare4u.com