Mary Kyle, Deputy Human Resources Director
October 13, 2011
1
Helpful Reminders
employee.phoenix.gov/hr
2
31 Days
• Benefit changes for qualified life events must be
made within 31 days.
• Marriage, divorce, birth, loss of other group coverage,
etc.
• If you forget, you are responsible for the medical,
pharmacy and dental claims the ineligible dependent
incurs.
employee.phoenix.gov/hr
3
Yes, you may re-enroll in City retiree medical
coverage during Open Enrollment if you’ve had
CONTINUOUS, COMPARABLE COVERAGE
since the date you dropped the City’s coverage.
Evidence of continuous, comparable coverage
is required. Speak with a Benefits Analyst for
details.
employee.phoenix.gov/hr
4
• You are eligible for Medicare on the 1st day of the
month you turn 65.
• You are eligible for Medicare if you are
qualified for Social Security Disability Income
(SSDI) for the previous two years. Medicare
enrollment is automatic when disabled.
You must provide a copy of your
Medicare Card to the
Benefits Office.
employee.phoenix.gov/hr
5
FORMS DOCUMENTS
WEBSITE LINKS
employee.phoenix.gov/hr
UPDATES
6
• HR Center
– (602) 262-6608
– Located on the 1st floor of the Personnel Building.
• Benefits Office
– (602) 262-4777
– Located on the 4th floor of the Personnel Building.
• Password Help
– Call (602) 534-4357
employee.phoenix.gov/hr
7
Keep your address updated
8
• Provider networks are leased.
– Provider reimbursement levels are set
• City pays a monthly fee to process claims and
provide other services.
• City is billed for the amount paid to each
doctor, hospital, lab, etc.
– This is paid from the Health Care Benefits Trust
employee.phoenix.gov/hr
9
The total projected cost for medical and
pharmacy coverage in the 2011 – 12
Plan Year for
– Employees
– Retirees
– Covered family members
99.06% is spent directly on claims
employee.phoenix.gov/hr
10
HELP US PROVIDE QUALITY
COVERAGE
• Pharmacy – Use Generics where possible to save
money for you and for the plan
• Use mail order for maintenance medications
• Check retail locations for $4 generic medications
• Visit Urgent Care and Convenience Care Clinics
instead of the Emergency Room when appropriate
• Keep yourself healthy
• Get annual physicals/check-ups
• Get an annual flu shot
employee.phoenix.gov/hr
11
Medical Co-Pays
employee.phoenix.gov/hr
12
Service
Current Co-Pay
Co-Pay as of 8/1/11
PCP Office Visit
$15
$20
Eye Exam
$5
$10
Urgent Care
$40
$45
Emergency Room
$125
$140
Outpatient Surgery
$75
$80
employee.phoenix.gov/hr
13
Prescription Co-Pays
Retail
Mail Order
Co-Pay
Co-Pay
30 Day Supply
90 Day Supply
90 Day
Fill at
Retail
Generic
$10 / 30 day supply
$20 / 90 day supply
$30
Preferred
Name Brand
$25 / 30 day supply
$50 / 90 day supply
$75
Non-Preferred
Name Brand
$40 / 30 day supply
$80 / 90 day supply
$120
Tier
• To save yourself money as well as the plan, use generics where
appropriate
• Mail order saves you money as well as the plan – 2 copays for 3 months
employee.phoenix.gov/hr
14
of medication
CIGNA Pharmacy Management
Replaced CVS/Caremark
employee.phoenix.gov/hr
15
• Effective on August 1, 2011
• For CIGNA and BlueCross/BlueShield plans.
• You should be using your CIGNA
Pharmacy card at this point.
• Contact the onsite Pharmacy Representative
in the Benefits Office for help
employee.phoenix.gov/hr
16
Retiree Medicare Meetings
You are invited to a Medicare Information Meeting
hosted by the City of Phoenix Benefits Office and the
Area Agency on Aging.
Learn about the basics of Medicare from an impartial
subject matter expert. Find out how the City’s coverage
integrates with Medicare.
No R.S.V.P. necessary. Bring your spouse, family
member or friend. We look forward to seeing you there.
employee.phoenix.gov/hr
17
Retiree Medicare Meetings
Tues., October 18
9:30 – 11:30 a.m.
Weds., November 9
9:30 – 11:30 a.m.
Thurs., November 17
9:30 – 11:30 a.m.
Goelet Beuf Senior Center
3435 W. Pinnacle Peak Rd.
Phoenix, AZ 85027
602-534-9743
Washington Activity Center
2240 W. Citrus Way
Phoenix, AZ 85015
602-262-6971
So. Mountain Senior Center
212 E. Alta Vista Rd.
Phoenix, AZ 85040
602-262-4093
We’re sorry if you can’t make it to one of these meetings.
Information will be available online at
http://employee.phoenix.gov/hr/retirees/index.html
employee.phoenix.gov/hr
18
Wellness
• Wellness programs help to control medical
premium costs.
• The City is introducing a Health Risk
Assessment incentive for employees.
• Wellness program options and incentives for
retirees will be reviewed and implemented in
2012.
employee.phoenix.gov/hr
19
QUESTIONS AND COMMENTS?
employee.phoenix.gov/hr
20