Health Insurance

HEALTH/DENTAL INSURANCE

OPEN ENROLLMENT INFORMATION

2019-20 HEALTH/DENTAL INSURANCE RATES 2019-20 Health-Dental Insurance Rates

2019-20 Pre-Tax/Flexible Spending Account Form Pre-Tax – Flexible Spending Form 

Health/Dental Plans

Plan Comparison (Upgrades to the ABSOS20/40 plan are highlighted in yellow):  2019-20 Plan Comparison

Base Plan (Upgrades to this plan are a reduction in certain co-pays.  Please see the Plan Comparison link above for those upgrades.):  ABSOS20_40_1KDED(07L)

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:  Dental Insurance

Employee contributions for professional and 12-month staff will be taken in 21 pays.  Employee contributions for 10-month staff, and paraprofessionals choosing 16-pays, will be taken in 16 pays.  

What’s New

There are many benefits that come with your health/dental insurance, so it is important that you create an account with HealthTrust.  Once logged into your HealthTrust account, you will find benefit information such as your plan information, Slice of Life, etc.  You will also find links to SmartShopper, CVS/Caremark, Anthem, Onlife, and Biometric Screenings.  Your Flexible Spending Account claims history can be found by clicking on the FSA Log-in link.  It is also important to create an account with Benefit Strategies to monitor claims and reimbursements.  Click on the links below and follow the process to create your account.

For Health/Dental Insurance, Slice of Life, SmartShopper, CVS/Caremark, and Flexible Spending Account click here:  http://www.healthtrustnh.org

Click here for Directions to Create Your Account with HealthTrust:  HealthTrust Directions  

Important Benefit Strategies Information:  Benefit Strategies FAQs

To create an account with Benefit Strategies to track reimbursements for co-pays and deductibles, click here: http://benstrat.com/login_reimbursements.php

IMPORTANT BENEFIT INFORMATION/CHANGES FROM HEALTHTRUST

  • AWARE RECOVERY CARE – Healing at Home Addiction Treatment.  In addition to Life Resources, HealthTrust has now partnered with Aware Recovery Care to assist with addiction treatment for all insured members.  Click here for full brochure:  Aware Recovery Care
  • FLEXIBLE SPENDING ACCOUNT (FSA) (Effective November 1, 2017):  Here you will find the letter from HealthTrust explaining your FSA services.  It is very IMPORTANT that you read this letter carefully as you do need to create a new account:  FSA Letter from HealthTrust
  • 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 January 1, 2018):  2018 SmartShopper
  • 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

Additional Plan Benefits

While it is very important to create an account with HealthTrust, I have attached additional benefits that accompany your health insurance plan.

   Eyemed                          Anthem Vision Special Offers

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 Model 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: ABSOS25_50_3KDED(07L)

Click here for rates:  Variable Hour 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.

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