Monday, February 1, 2010

Medical Plans

Open Enrollment is the time you can:

  • Enroll in another UT-Battelle offered medical plan
  • Enroll in a medical plan if you currently do not have coverage under a UT-Battelle offered medical plan
  • Add, drop, or update information on your eligible dependents
  • Change your level of coverage (for example, Single to Family)

Medical Plan Choices for 2008

All eligible employees have the choice of the CIGNA Open Access or the CIGNA Point of Service (POS) plan.
  • The medical plans remain the same as the plans that are currently offered.
    • Complete the Mayo Clinic Health Risk Assessment (HRA) and you may be eligible to receive an incentive of a $20 monthly reduction in your 2008 medical premiums. See the HRA section of this Guide for details.
  • Premiums for all employees in both plans will increase for 2008.
  • Four medical procedures not previously included under either medical option may now be covered as of January 1, 2008 if deemed medically necessary by CIGNA. They are:
These changes to Expenses Not Covered are the same for both medical plans.
  • Both plans include the VSP Signature Choice vision plan. The vision benefit is the same in both plans.
  • Prescription drug benefits are provided by Medco for both medical plans in 2008.
  • Both the Open Access and POS plans:
    • Utilize the CIGNA Tennessee Seamless provider network
    • Cover children through age 23
    • Offer the PHAP /  Disease Management program from Matria
    • Offer online access to www.myCIGNA.com  to view health-related information, benefit coverage information and claims status
    • Offer online access to www.Medco.com to order medications, compare brand-name and generic drugs, access formulary information, and view your prescription history

Open Access

The Open Access plan design for 2008 is the same as the current plan,. The plan features an annual deductible, co-pays, and co-insurance. You are not required to have a PCP although it is recommended that you select one physician who will coordinate your medical care. Referrals are not necessary in order to see a specialist. The pharmacy program, administered by Medco, provides a prescription drug plan with retail and cost-saving home delivery options.

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