Open Enrollment Highlights

Make the most of your benefits in 2019

Included in this article is a brief summary of benefit changes for 2019. Be sure to take action before November 16 to get the most out of your 2019 benefits. Use your Open Enrollment guide and the Open Enrollment website to learn more about changes to your 2019 benefits. Still have questions? Attend an informational session, webinar, or contact askHR at (812) 856-1234 or askHR@iu.edu

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Medical Plans

In addition to the changes listed below for each plan, changes to the prescription benefit plan in the next section affect all health plans.

Anthem PPO $500 Deductible

  • The out-of-pocket maximum for in-network prescriptions will increase to $5,500 for employee-only coverage and $8,600 for all other coverage levels.

Anthem PPO HDHP

  • The in-network deductible will increase to $1,500 for employee-only coverage and $3,000 for all other coverage levels. The in-network out-of-pocket maximum will increase to $3,000 for employee-only coverage and $6,000 for all other coverage levels.
  • The out-of-network deductible will increase to $3,000 for employee-only coverage and $6,000 for all other coverage levels. The out-of-network out-of-pocket maximum will increase to $6,000 for employee-only coverage and $12,000 for all other coverage levels.

IU Health High Deductible Health Plan (IU Health HDHP)

  • No changes.

ID Cards

Check your home mail for new ID cards:

  • All Anthem medical plan participants will receive a new ID card by the end of December 2018.
  • IU Health HDHP participants who change coverage levels will receive a new card.
  • If you changed your coverage level for your IU Health HDHP, you will receive a new card.
  • If you have an HSA or TSB Healthcare account with Nyhart, and your benefit card expires in 2018, you’ll receive a new one before January 1, 2019.

Tobacco-free Affidavit

Don’t forget that completing the Tobacco-free Affidavit each year can save you up to $50 per month in health plan premiums if you and your spouse are both tobacco-free. The affidavit is part of your online Open Enrollment process, located at the bottom of the medical plan election page. Need help quitting? Call (866) 784-8454 or visit Quit For Life

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Prescription Benefit

CVS Caremark continues as IU’s Prescription Benefit Manager. Be sure to review the changes to the drug formulary, as they may affect a medication you or your family member is prescribed. Two changes effective January 1, 2019 include:

  • One-Touch lancets and test strips for use in One-Touch blood glucose meters will no longer be a preferred brand. Accu-Chek lancets and test strips for use in Accu-Check blood glucose meters will be the only preferred brand products available. If someone on your plan is affected by this change, they may be eligible to receive a free Accu-Check blood glucose meter. Call the Caremark Diabetic Meter team at 1-877-418-4746 for details.
  • Anti-obesity medications will be covered—they may require clinical guidelines be met and prior authorization be on file before they’re filled.

As a reminder, the drug formulary may change throughout the year and Caremark makes every effort to inform affected members when there is a change. A good practice is to verify your medications are covered before filling them and to check the formulary periodically throughout the year.

cell phone iconYou can use Caremark.com or the CVS Caremark app on your smartphone to help you manage your prescriptions, check the formulary, find pharmacies, check and compare prices, scan for refills, and keep track of your medications.
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Health Savings Account (HSA) & Tax Saver Benefits (TSB)

Since the Internal Revenue System (IRS) has increased HSA and TSB Healthcare Reimbursement Account maximum contribution limits for 2019, it’s a good time to review your contributions and make the best use of tax savings benefits that can save you and your family money. If you have an HSA and/or TSB, check the expiration dates on your IU Benefit VISA/debit cards. If they expire in 2018, watch your home mail for new ones.

HSA

  • The annual IRS contribution maximums will increase to $3,500 for employee-only coverage and $7,000 for all other coverage levels.
  • There are no changes to the university’s contribution to the HSA in 2019:
    • IU Health HDHP–the university’s contribution will be $1,600 for employee-only and $3,200 for all other coverage levels.
    • Anthem PPO HDHP–the university’s contribution will be $1,300 for employee-only and $2,600 for all other coverage levels.

Tax Saver Benefit (TSB) Healthcare Reimbursement Account

  • The IRS maximum contribution limit will increase to $2,650.

Tax Saver Benefit (TSB) Dependent Care Reimbursement Account

  • No changes.
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Dental Plan

There are no changes for the Dental Plan this year, but remember that for each member who receives at least one preventive cleaning/exam per calendar year, their annual benefit will increase by $100 the following year. This benefit began in 2018, so if you’re keeping your teeth healthy with an annual cleaning/exam, your benefit will have increased by $100 this year (up to a maximum benefit of $1,500). 

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Special Enrollment Opportunity:
Long Term Disability (LTD) Insurance

This year, eligible employees can take advantage of a special, one-time opportunity to enroll in or increase their level of coverage in LTD Insurance. Outside of this one-time opportunity, evidence of insurability will be required if employees wish to enroll, elect a new coverage option that includes a shorter benefit waiting period or the Annuity Contribution Benefit, or re-elect coverage.

See all the details about your 2019 benefits options in the Open Enrollment guide and at the Open Enrollment website. The last day to make benefit elections is November 16.