Annual Enrollment 2020 will be from April 6 until April 24, 2020.
Due to Covid 19, all communications about annual enrollment will be provided electronically or telephonically. We will be offering Zoom meetings to introduce employees to changes for the 20/21 Plan year. Click here for a schedule and links to the sessions. Access to the sessions will require a password which will be sent to you via e-mail early the week of April 6.
Benefit plan rates vary each year depending on our plan spending. For your convenience, in the links below, we have provided the current and upcoming fiscal year rates to help you plan during the annual enrollment period:
We are adding a deductible to the HMO option and coinsurance to the POS option. Our pharmacy plan will be changing to have coinsurance with a minimum and maximum dollar amount for brand-named drugs. Generic drugs will continue to be available for a $10 copay. Click here for more details in English and click here for details En Espanol.
It may have been a year since you visited the benefits portal – maybe you have never been there. If you need a primer or a refresher on how to access and use the benefits portal, click here:
There are several plan design changes for FY 21. We will be adding a deductible to the HMO option, coinsurance to the POS , and coinsurance to the pharmacy plan for brand name drugs. For more details on these changes, click here.
The Out-of-Pocket Maximum on the HMO has changed to $3,500 for individuals and $7,000 for a family. The individual deductible for the Consumer Plan has changed to $2,800. The in-network deductible for the POS will be $750 for an individual and $1,500 for a family.
Beginning July 1, 2020, all 90-day prescriptions (maintenance medications) can only be filled at Walgreen's, CVS, or through Express-Scripts mail order service. You will continue to be able to fill 30-day prescriptions at the larger pharmacy network.
The maximum for the Medical Flexible Spending Account has gone up to $2,750. The maximums for HSA contributions have gone to $3,550 for an individual and $7,100 for family coverage.
Attached, please find the SBCs (Summary of Benefit Coverage) documents for the FY '21 Plan Year. While these documents are helpful in comparing the plans against each other, they are not as helpful in explaining details about the plan options. The documents that explain how the plans work, exclusions, etc. will be available on our website in the new year.
Continuing to make smart choices when you use your health plan helps to save us all money – remember that our plan premiums are directly related to our plan spending!
- Check out the benefits enrollment portal. It contains a plan selection tool that will allow you to fully consider all medical plan options. You can use your own claims information to “do the math” and see how much each plan would cost you in the new year based on that utilization. If you are planning to have more cost (maybe you will be starting a family or having surgery you have been putting off) or less, you can adjust that utilization. The tool will do the math for you, applying the plan design, adding in the premiums, and coming to an annual number. Seeing how much you can save in another plan might help you re-think your choices to one that better fits you. Keep in mind, however, that cost is not the only consideration in selecting a plan. Keep in mind network requirements when you select your plan.
- View the Emergency Room and Urgent Care tab of the Components of Your Medical Plan page to understand the differences between an urgent care center and an emergency room.
- Take the time today to locate the most convenient In-Network emergency room, urgent care center, and walk-in clinic for you. Stay out of the out-of-network centers if at all possible. That is the best way to ensure you don’t end up with unexpected medical bills.
- Save money on prescription drugs by using the mail-order pharmacy service and consider generic alternatives to your brand-name drugs (if available). Learn more by visiting the Prescription Drug Information page.
- Stay up-to-date on your annual preventive exams – this may help or prevent illness, diseases, or other future health problems. Annual preventive services are covered at 100%
- Establish a relationship with your primary care physician – having one physician who helps you maintain your health saves you time and money!
You can use the Aetna DocFind tool to see if your doctor would be covered under a new plan. Click here for a video that shows you how to use this tool.
If you want to leave your benefits exactly as they are today, you do not need to complete annual enrollment. We recommend that you log in to the benefits portal, and confirm your choices, but that is not required. We'd like you to update your beneficiary information if needed, but you don't have to. The only exception is if you want to use a flexible spending account for medical or dependent care expenses. You must renew these each year. This is an IRS requirement.
We have a benefits service center staffed with knowledgeable service representatives who will be glad to help you navigate the new site, answer questions about your benefits, and if you really need it, they will help you enroll. You can reach them at 713-348-2363.
For help with an Aetna plan, please call Aetna Concierge at 1-800-905-7670.
Unfortunately, due to Covid 19, we will not be offering any in-person assistance this year, but we are here to help. We will be offering Zoom sessions to explain the changes to the plan for July 1. For a schedule of these meetings, visit people.rice.edu. There, you can also find the links to the meetings. You will need a password to the meetings. We will send you the password in an e-mail early the week of April 6, 2020.
As always, if you need additional assistance you can e-mail firstname.lastname@example.org.