Health Insurance

HEALTH/DENTAL INSURANCE

OPEN ENROLLMENT INFORMATION

2021-22 HEALTH/DENTAL INSURANCE RATES: 21-22 Insurance Rates

 2021-22 Pre-Tax/Flexible Spending Account Form:  FSA Enrollment Fillable Form 2021

Health/Dental Plans 2021-22

Click on this link to hear the Open Enrollment Presentation from HealthTrust:  Open Enrollment Presentation 

There are many benefits that come with your health/dental insurance, so it is important that you create an account with HealthTrust, click here for directions:  Create a Secure SEP Account

In addition, this link will take you to all your HealthTrust benefits:  SAU #01 – Benefits

INSURANCE PLANS

Base Plan:  ABSOS20_40_1KDED(07L)

As part of the Base Plan, the ConVal School District reimburses for Co-pays and Deductibles through a Health Reimbursement Account (HRA) with Benefit Strategies. Please click here for the HRA – FAQs:  2021 HRA FAQ – SAU 1

Secondary Plan:  AB15IPDED(07L)

Tier 3:  BC3T10(07L)

The Prescription Drug Plan is the same for all three health insurance plans:  Prescription Drug Plan

Dental (Dependent children are not eligible until 2 years of age):  Dental Insurance

ADDITIONAL INFORMATION

  • Grand Rounds Medical Advocacy Program:

  • ConvenientMD — You can use ConvenientMD for x-rays – ConvenientMD Now Accepting X-Ray Orders, and to complete your Biometric Screening Form – 2018 Biometric Health Screening Authorization Form – ConvenientMD
    • IMPORTANT – ConvenientMD Financial Policy – An active credit/debit card will be requested by the front desk staff and will be securely kept on file for any future potential patient responsibility after insurance.  Any co-pays required as part of your insurance plan will be charged at the time of service.  If you do NOT have a credit/debit card, ConvenientMD also accepts cash and checks.  They require a $75 payment at the time of service in order to cover potential future patient responsibility after insurance.  Please click here for complete policy:  ConvenientMD Patient Financial Policy
  • CVS MAINTENANCE CHOICE:  AN ENHANCED WAY TO FILL LONG-TERM PRESCRIPTIONS – You may now go to your local CVS Pharmacy to fill prescriptions.   Please click here for additional information:  Maintenance Choice – CVS
  • SMARTSHOPPER ENHANCED SERVICES (Effective October, 2019):  SmartShopper Incentive Chart – 2019
  • SLICE OF LIFE ENHANCEMENTS:
    • Simpler — fewer forms to complete and fewer rules
    • More engaging — participants choose the healthy activities you want to do on your Personal Wellness Journey and HealthTrust rewards you for your healthy choices
    • More robust — more choice and greater rewards than before — up to $475 in cash rewards plus a free wearable fitness tracker.
  • HEALTHTRUST TECH TOOLS – Click here for information on Mobile Apps, creating log-ins, finding providers, etc.:  HealthTrust Tech Tools

CHIPRA NOTICE

The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) provides specific provisions that you should be aware of.  Click her for notice: CHIPRA Notice

Important Information Regarding Improper Billing for Mammograms

Improper Billing for Mammograms

Variable Hour Employees (Employees Averaging 130 Hours/Month)

Health Plan for Eligible Substitutes:  2020-ABSOS25_50_3KDED(07L)

Click here for rates:  ABSOS25-50 Rates

Summary of Benefits and Coverage (SBC) Distribution

The federal healthcare reform law, known as the Patient Protection and Affordable Care Act (PPACA), requires employer group health plans to provide enrolled and otherwise eligible individuals with a uniform, easy-to-read “Summary of Benefits and Coverage” (SBC) describing the benefits and limitations of coverage under each plan option.
As part of this federally mandated requirement, the Summary of Benefits and Coverage for all ConVal Health Insurance Plans can be found by clicking the link below.  Be advised that you can request a paper copy of this information by contacting Denise McLenon between the hours of 8:00 a.m. and 3:30 p.m., Monday-Friday.

https://convalsd.net/hr/benefit-information/health-insurance/summary-of-benefits-and-coverage/