www.hooswell.com

 Complete your Active Online Health
Assessment by Oct. 31 to earn $240 in
2016.
 If you are participating in the Fall
Fitness Challenge, be sure to finish tracking 52 workouts by Oct. 31 to earn an additional $240.
 Visit www.hooswell.com
for more information.
www.hooswell.com

 Wellness incentives continue to offset employee premiums by as much as
$40 per month ($480 per year)
 Copayments for most Health Plan services remain the same
 Maximum Out-of-Pocket Costs for all UVA Health and Dental Plans remain the same in 2016
 Value and Choice Health Plan incentives remain the same for UVA Primary
Care and Specialist Provider Copayments:
 $15 Primary Care / $30 Specialty Care visits for Choice Health
 $20 Primary Care / $40 Specialty Care visits for Value Health
 Aetna Vision Discount Program same for all health plan members
 Davis Vision Plan remains the same www.hooswell.com

 Choice Health members are moving from paying a copayment to paying deductible and coinsurance for emergency room and outpatient procedures.
 Annual Deductible for Choice Health members will be the same for both UVA
Provider Network and Aetna In-Network; and Cost Sharing for Inpatient
Hospital, Transplant Services, Acute Care for Mental Illnesses, and Outpatient
Hospital Procedures will be the same for both networks as well.
$400 copayment Inpatient Hospital, Transplant, Acute Care
Mental Health, and Skilled Nursing for both
UVA Network & Aetna In-Network
Emergency Room for both
UVA Network & Aetna In-Network
Outpatient Procedures for both
UVA Network & Aetna In-Network
Deductible & 10%
Deductible & 10%
Deductible = $250 Indv. / $500 Family for both UVA Network, and Aetna In-network www.hooswell.com

 Value Health members will pay a deductible for services provided at both
UVA facilities and Aetna In-Network facilities. Those deductibles will be the same within your plan, regardless of provider.
Inpatient Hospital, Transplant, and Acute
Care Mental Health, are now the same for both UVA Network & Aetna In-Network
Deductible & 20%
Deductible = $500 Indv. / $1,000 Family for both UVA and Aetna In-network www.hooswell.com

 Prescription Drug Changes for Choice and Value Health (Catamaran)
 Decrease Employee costs Tier 2 and 3 for Catamaran Mail Order Drugs
 Increase Employee costs Tier 2 and 3 minimum and maximum thresholds for Retail Drugs
 Increase Employee costs for Specialty Drugs (Briova and UVA Specialty
Pharmacy)
 Cover transgender surgery
 2015 monthly $10 tobacco free reward program ends in December. Health plan members still receive support services through Hoo’s Well Tobacco
Cessation programs (visit www.hooswell.com
and select Tobacco Cessation).
www.hooswell.com

Coverage Tier
Employee
EE+Child(ren)
EE+Spouse
Family
Basic
$19 (same)
$24 (same)
$31 ( + $1 )
$59 ( + $1 )
Value
$51 (same)
$85 (same)
$94 ( + $3 )
$153 ( + $3 )
Choice
$99 (
$237 (
+ $9 )
+ $22
$271 ( + $29 )
$476 ( + $48 )
)
 Increase for Value Health & Basic Health , just Employee + Spouse and Family tiers, ranging from $1 - $3 per month
 Increase for Choice Health , all tiers, range $9 - $48 per month
 Above rates do not reflect employee Hoo’s Well rewards earned in 2016
COBRA, retiree, part-time, wage, postdoctoral fellows, housestaff, and research associate benefit rates will be published online www.hooswell.com

Basic
Health Plan
Value
Health Plan
Choice
Health Plan
 Receive in-network, preventive care at no cost and no deductible
 Managed by Aetna with access to the same doctors and networks
 Coverage available for spouses who do not have access to coverage from their own employer, and children up to age 26
 Aetna Vision Discount benefit included
Basic
Health Plan
Value
Health Plan
Choice
Health Plan
 Premiums
 Deductibles
 Costs at the point of care
 See the Medical
Schedule of
Benefits for a detailed comparison of plans www.hooswell.com

Coverage Tier Basic Enhanced
Employee $1 (same) $10 ( + $1 )
EE+Child(ren) $2 (same) $24 ( + $2 )
EE+Spouse
Family
$4 (same)
$7 (same)
$28 (
$48 (
+ $3
+ $4
)
)
 Basic Dental premiums remain the same in 2016
 Enhanced Dental , premiums increase from $1 - $4 per month
 Dental Claims Administrator: United Concordia, 866-215-2354
For member services or to find a dental provider visit, https://www.unitedconcordia.com/tuctcc/clients.jsp?id=13 www.hooswell.com

Basic Dental Plan
Enhanced Dental Plan
Basic Dental Plan
Enhanced Dental Plan
 Receive in-network, preventive and diagnostic services covered at 100%
Review 2016 Dental Schedules for detailed plan comparisons.
 Basic $1,000 annual maximum
 Enhanced $2,000 annual maximum
 Enhanced includes orthodontic up to
$1,000 lifetime max
 Enhanced saves you 10% for major restorative services www.hooswell.com

 Davis Vision rates are the same in 2016
 Fully-insured, employee paid vision insurance
 Program includes: eye examination, spectacle lenses, frames, and contact lenses
 To find a Davis Vision provider near you, visit www.davisvision.com
, or call for a provider search at: 1-800-804-6115
( UVA ‘Control Code’ 4680)
Davis Vision Monthly
Premiums
Employee $6.29
EE+Child(ren) $11.01
EE+Spouse $11.33
Family $17.62 www.hooswell.com

 Full Healthcare FSA available for Value or Choice health plans
 Chard Snyder, (800) 982-7715, www.chard-snyder.com
 Pay for un-reimbursed medical expenses with your pre-tax dollars
 $240 minimum; $2,500 annual maximum contribution for 2016 FSA
 Reelect FSA each year through self-service during Open Enrollment
 All monies in your FSA account at the end of the plan year’s grace period (March 15 th ) will be forfeited
 Use your debit “Benny Card” or submit paper claim forms to pay for your qualified FSA expenses www.hooswell.com

 Dependent Care Account funds available only after the money has been deducted from your paycheck and you have incurred the dependent care expense
 $240 min; $5,000 annual max for 2016
 All monies in your account at the end of the plan year’s grace period (March
15 th ) will be forfeited
 Available regardless of health plan option
Can be used for:
 Children under 13 who qualify as dependents on your Federal tax return
 Before & after school programs
 Nursery school, preschool, in-home care
 Summer camp (not overnight)
 Adult daycare
Cannot be used for:
 Child support payments
 Educational supplies or activity fees
 Private school tuition (after preschool)
 Overnight camps www.hooswell.com

 Basic Health Plan (HDHP) members may use for eligible medical, dental, and vision expenses and to help meet high-deductible
 Balance rolls forward at the end of each year, earns interest, and goes with you
 EMPLOYER: University contributes “seed” money into your HSA based on health plan dependents, marital and family status
Seed: $1,000=Emp.; $1,500 =Emp.+Spouse/Child(ren), $2,000 =Family
(mid-year enrollees receive prorated amount based on date of enrollment)
 EMPLOYEE: Elect voluntary pretax contributions into your HSA account through your paycheck
 Annual IRS limits for combined employee + employer pre-tax dollars range from $3,350 to $6,750 in 2016, depending on your health plan dependents, marital and family status www.hooswell.com

 Because the Basic Health Plan is a high-deductible health plan
(HDHP), in addition to the HSA you may also choose to open a
Limited Dental & Vision FSA
 Limited FSA funds may ONLY be used for eligible dental and vision expenses
 2016 annual FSA minimum $240; maximum $2,500
 Administrated by Chard Snyder, all FSA and HSA programs allow you to access your funds with your debit “Benny Card”
 All monies in the Limited FSA account at the end of the plan year’s grace period (March 15 th ) will be forfeited www.hooswell.com

 Review your Health Plan coverage option:
 Basic Health
 Value Health
 Choice Health
 Sign Spousal Affidavit
( if applicable )
 Health Savings Account (HSA), for Basic
Health members , and Limited Dental & Vision
FSA
 Healthcare Flex Spending (FSA), for Value or
Choice Members
 Dependent Daycare Spending Account
 Review your Dental Plan coverage option:
 Basic Dental
 Enhanced Dental
 Review Davis Vision
 Participate in a Financial Fitness Checkup
 Annual Tax Deferrals (TDSP)
 Verify accuracy of your home mailing address and phone number in self-service
 Verify your Dependent(s) information (Social
Security Numbers, dates of birth) www.hooswell.com

www.hooswell.com