Town of Plainfield 2016 Group Health Benefits

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1 Town of Plainfield 2016 Group Health Benefits Prepared by: HJ Spier Co November, 2015

2 New in o You will now have two network options to choose from The Hendricks Regional Health Network Option The Sagamore Health Network Option Both options will offer the same Traditional and HSA options as before o You will receive new ID cards reflecting your network choice Prepared by: HJ Spier 2

3 Introducing The Hendricks Regional Health (HRH) Network o Historically one of the most utilized providers by the Plan s participants o Convenient facilities o Great valueo Less costly provider, equal or greater quality of care o Greater discounts due to more restricted provider listing o If you make this your choice, you will be rewarded by lower premiums Prepared by: HJ Spier 3

4 Introducing The Hendricks Regional Health (HRH) Network o YOU have the option, at enrollment, to choose what s best for you and your family o If you choose the HRH Network, Hendricks Regional Health facilities and physicians will be considered IN NETWORK, with richer benefits o If you choose the HRH Network, you may still access out of network providers, but your benefits won t be as rich o Refer to for a full listing of IN NETWORK providers Prepared by: HJ Spier 4

5 Hendricks Regional Health finding your providers 5

6 Welcome to Your Health Network For Employees of the Town of Plainfield NOVEMBER 2015

HELPFUL RESOURCES General Information (317) 745-4451 Care Coordination (317) 718-8162 Find-a-Doctor (317)

7 HELPFUL RESOURCES General Information (317) Care Coordination (317) Find-a-Doctor (317) 745-DOCS Wellness Clinic (317) VISIT HENDRICKS.ORG/NETWORK for regular updates about physicians and services.

8 PRIMARY CARE Hendricks Regional Health Medical Group offers primary care providers in Avon, Danville, Bainbridge, Brownsburg, Plainfield and Lizton. Nearly all practices are accepting new patients, and some have same-day appointments available. See your network booklet or visit HENDRICKS.ORG/DOCS for a complete list of providers.

9 PRIMARY CARE Meet our newest primary care physicians they are ready to see new patients quickly. Dr. Jamie Ulbrich Family Medicine Dr. Brian Leffler Family Medicine Dr. Laura Nelson Pediatrics and Internal Medicine Dr. Jennifer Allen Internal Medicine Need a Doctor? Call (317) 745-DOCS

10 PRIMARY CARE (CONT.) Meet our newest primary care physicians they are ready to see new patients quickly. Ken Maynard, D.O. Family Medicine Dr. Linda DeCesare Internal Medicine Pediatrics Dr. Joyce Heald Family Medicine Dr. Haley Trambaugh Family Medicine Need a Doctor? Call (317) 745-DOCS

11 SPECIALTIES Anesthesiology Cardiology Dermatology Endocrinology ENT Eye surgery Gastroenterology Hospitalist Care OB/GYN Nephrology Neurology Oncology Ophthalmology Orthopedics Pulmonary Rheumatology Sleep Medicine Sports Medicine Surgery Urology For a complete listing of providers, please visit HENDRICKS.ORG/NETWORK

12 CAMPUSES & SERVICES AVON CAMPUS 8244 East U.S. Highway 36 Services Available Here: Cancer Center Immediate Care Center Laboratory Services Physician Offices Radiology/Imaging Surgical Center

13 CAMPUSES & SERVICES HRH YMCA 301 Satori Parkway Services Available Here: Bierman Autism Center Cardiac Rehabilitation Physician Offices Laboratory Services Physical and Occupational Therapy Radiology/Imaging Wellness Services

14 CAMPUSES & SERVICES THREE BROWNSBURG LOCATIONS: GREEN STREET 1411 South Green Street Services Available Here: Laboratory Services Physician Offices Radiology/Imaging 321 East Northfield Drive Services Available Here: Physician Offices GARNER ROAD 65 E. Garner Road, Suite 100 Services Available Here: Physical and Occupational Therapy NORTHFIELD DRIVE

15 CAMPUSES & SERVICES DANVILLE CAMPUS 1000 East Main Street Services Available Here: Cancer Services Cardiology Services Childbirth Center Dialysis Services Emergency Department Endocrinology Gastroenterology Laboratory Services Mammography Neurology/Sleep Studies Oncology Infusion Center Pediatrics Physical/Occupational Therapy Physician Offices Radiology/Imaging Surgery More

16 CAMPUSES & SERVICES PLAINFIELD 1100 Southfield Drive Services Available Here: Aquatic Therapy Immediate Care Center Laboratory Services Mammography Occupational Medicine Physical and Occupational Therapy Radiology/Imaging

17 CAMPUSES & SERVICES BAINBRIDGE 1152 East U.S. 36 Services Available Here: Diabetes Services Physician Offices LIZTON 1045 Wyatt Way Services Available Here: Physician Offices

18 URGENT CARE Two Immediate Care Centers: AVON 8244 East U.S. 36 (317) PLAINFIELD 1100 Southfield Drive (317) HOURS Monday Saturday: 8 a.m. 8 p.m. Sunday: 12 noon 6 p.m. Check wait times before you go at HENDRICKS.ORG.

EMERGENCY DEPARTMENT 1000 East Main Street in Danville (317) 745-3450 Our state-of-the-art

19 EMERGENCY DEPARTMENT 1000 East Main Street in Danville (317) Our state-of-the-art Emergency Department is designed and staffed to treat even the most urgent medical situations.

20 LAB SERVICES DANVILLE CAMPUS (317) Open Monday-Friday 7 a.m. - 6 p.m. Open Saturday 8 a.m. - 3 p.m. AVON CAMPUS (317) Open Monday-Friday 8 a.m. - 5 p.m. AVON YMCA (317) Open Monday-Friday 8 a.m. - 5 p.m. BROWNSBURG CAMPUS (317) Open Monday-Friday 8 a.m. - 5 p.m. PLAINFIELD CAMPUS (317) Open Monday-Friday 8 a.m. - 5 p.m. FIVE ACCREDITED LOCATIONS

21 RADIOLOGY/IMAGING DANVILLE CAMPUS (317) Open Monday-Friday 7 a.m. - 6 p.m. Saturday, 7 a.m. - 1 p.m. AVON CAMPUS (317) Open Monday-Friday 8 a.m. - 5 p.m. AVON YMCA CAMPUS (317) Open Monday-Friday 8 a.m. - 5 p.m. BROWNSBURG CAMPUS (317) Open Monday-Friday 8 a.m. - 5 p.m. PLAINFIELD CAMPUS (317) Open Monday-Friday 8 a.m. - 5 p.m. FIVE ACCREDITED LOCATIONS

22 WHY CHOOSE HENDRICKS? Hendricks Regional Health has achieved Magnet status and is accredited by Healthcare Facilities Accreditation Program (HFAP) One of only 16 U.S. hospitals recognized in the top five percent for Outstanding Patient Experience for eight consecutive years by Healthgrades Five-star Healthgrades rating in 2015 for treatment of Chronic Obstructive Pulmonary Disease (COPD)

23 WHY CHOOSE HENDRICKS? Women s Choice Award in 2015 as an America s Best Hospitals for Obstetrics, Breast Centers and Patient Experience Accredited Stroke Center, Chest Pain Center, Sleep Disorders Center and by the Commission on Cancer Breast Imaging Center of Excellence State and national recognition as a healthy employer and fit-friendly worksite

24 Employee Health Center Plainfield Location 709 Stafford Road Plainfield, IN Brownsburg Location 3720 Hornaday Road Brownsburg, IN Ph: Medical Staff: M.D. On-Site Weekly Nurse Practitioner Registered Nurse Medical Assistant

25 Employees can be seen at no cost for any of the following services Primary care services typically expected from a family physician. Basic Episodic Care (flu, colds, aches, pains) Preventive care Physicals Health coaching Immunizations Disease management Diabetes Asthma heart disease Care management Labs & Onsite Pharmacy

26 How are appointments scheduled? You can schedule an appointment by calling the Center directly: or through the online patient portal. Same day appointments are available daily. WHY APPOINTMENT ONLY? VS

27 CONVENIENCE FACTORS: Easy appointment scheduling with Same day appointment availability Little to no wait times Less than 5 minutes Average! Friendly and knowledgeable staff Ample time to discuss your health with the provider On-Site Medication Dispensing Over 80 common generic medications provided at All services, labs and medications provided at no cost!

28 28

HSA TAX FREE $$$ TAX FREE Contributions up to (for 2016):

deductible for eligible, in network expenses Single $3,350 (Town

contribution is allowed for those 55 and over.

29 What is an HSA? High Deductible Health Plan HDHP" Health Care Savings Account HSA TAX FREE $$$ TAX FREE Contributions up to (for 2016): Deductible Single $2,600 Family $5,200 Plan Pays 100% after deductible for eligible, in network expenses Single $3,350 (Town pays $1,000) Family $6,750 (Town pays $2,000) A $1,000 Catch Up contribution is allowed for those 55 and over. Employee owns $ in HSA account $ s Carry Over from year to year Prepared by: HJ Spier Can use on eligible medical, dental and vision expenses 29

Advantages of Tax Free Status $30,000 Income $30,000 Income $8,400

Payroll Tax FSA or HSA $1,750 Pre Tax Deposit $19,850 Groceries

expenses, you pay more in income taxes than is necessary Prepared

30 Advantages of Tax Free Status $30,000 Income $30,000 Income $8,400 Payroll Tax $21,600 Take home pay $28,250 Taxable Income $7,910 Payroll Tax FSA or HSA $1,750 Pre Tax Deposit $19,850 Groceries $1750 Medical Expenses If you use after tax money to pay for medical expenses, you pay more in income taxes than is necessary Prepared by: HJ Spier $20,340 Take home pay $20,340 Groceries +$490 $1750 Medical Expenses 30

31 For employees who remain under the Traditional Medical Plan The Flexible Spending Account (FSA) is a method of paying for medical, dental and vision expenses with pre tax dollars, however there are details that need to be considered Use it or Lose it you may rollover up to $500 of any unused balance in your account from year to year. Any unused amount in excess of $500 is forfeited Your election is irrevocable you may not change or cancel your election without a qualifying event The pre tax contribution for Healthcare is limited to $2,550 Dependent Care: Maximum election of $5,000 per household ($2,500 if married & filing separate) Prepared by: HJ Spier 31

32 The Elect Rx Personal Prescription Drug Importation Option The Elect Rx Personal Importation Program has proven to be a valuable benefit for plan members who need to take a brand drug as part of a medication regimen. o Traditional plan members benefit by the $0 Co Pay o HD plan members benefit by prices of brand drugs that are 40% to 75% cheaper o While Elect Rx expenses count towards the HDHP deductible, they are NOT considered eligible HSA expenses. Check the Elect Rx formulary or call customer service ( ) to see if your brand drug is covered. Prepared by: HJ Spier 32

33 Online Open Enrollment Note: when indicating the amount you want deducted for the FSA or HSA, complete either the Annual or Per Payroll amount, not both. Prepared by: HJ Spier 33

34 If you have Questions, feel free to call our Benefits Consultants. They will gladly answer your questions via phone or in person. Jeff Fox Caitie Fox Prepared by: HJ Spier 34

35 Additional Information Prepared by: HJ Spier 35

36 Legal Requirements of HSA s Participant must only be enrolled in an HSA qualified health plan Generally a participant cannot be covered by a Flexible Spending Account (FSA). (Neither the employee nor the spouse can have an FSA) Participant cannot be enrolled in Medicaid or Tricare Once enrolled in Medicare, you are no longer eligible to deposit new money into an HSA Distributions for non qualified expenses are taxable and subject to a 20% tax penalty. Participant is responsible for reporting such expenditures to IRS Prepared by: HJ Spier 36

37 Sagamore finding your providers o Click here (FOR MEMBERS / CONSUMERS) 37

Sagamore finding your providers o www.sagamorehn.

38 Sagamore finding your providers o Click here (CUSTOMIZED PROVIDER DIRECTORY) 38

39 Sagamore finding your providers o Click here (Click Here) 39

40 Sagamore finding your providers o Click here (SAGAMORE Plus) 40

IT S MORE THAN A TAG LINE HERE AT THE IOWA CLINIC.

IT S MORE THAN A TAG LINE HERE AT THE IOWA CLINIC. Primary Care Services // Family Medicine // Internal Medicine // Pediatrics // Urgent Care Specialty Care Services // Allergy // Audiology/Hearing Technology // Cardiology // Cardiothoracic Surgery //