MEDICAL DENTAL VISION LIFE INSURANCE MEDICAL Purdue Medical
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MEDICAL DENTAL VISION LIFE INSURANCE
MEDICAL Purdue Medical Plan Coverage § Anthem www. anthem. com
MEDICAL YOUR PLAN OPTIONS
MEDICAL WORKING SPOUSE PREMIUM WAIVER Waiver Form required ONLY if covering spouse who is: • Employed or self-employed outside of Purdue with no access to coverage that meets criteria • Employed or self-employed and takes outside coverage (therefore secondary coverage through Purdue) Completed forms: • Must be uploaded into Benefitfocus
MEDICAL Annual premiums include medical, prescription, and vision
MEDICAL HEALTHSYNC NETWORK Lower plan costs Lower deductibles Lower co-insurance Lower out-of-pocket maximums HEALTHS YNC INNETWORK OUT-OFNETWORK
MEDICAL Medical Plan Coverage In-network Out-of-network
MEDICAL Prescription Drug Coverage
MEDICAL PRESCRIPTION PURDUE PHARMACY PLAN When you enroll in a Purdue medical plan, you receive prescription medications through a CVS Caremark participating retail pharmacy. • Nationwide network of pharmacies • Mail order program for 90 -day supplies Purdue participates in the CVS Value Formulary. • Decreased costs for several prescription drugs • www. cvscaremark. com
MEDICAL Lab Plan Coverage Purdue Health Plan Plus HSA 1 Purdue Health Plan Plus HSA 2 Preventive $0 $0 Non-preventive Deductible, then 20% Deductible, then 25% Preventive $0 $0 Non-preventive Deductible, then 20% Preventive Deductible, then 20% Deductible, then 25% Non-preventive Deductible, then 40% Deductible, then 45% Labs Tier 1 Labs, including Center for Healthy Living Lab (In-network, best pricing option) Tier 2 Labs (In-network) Tier 3 Labs (Out-of-network) Reminder: Purdue Student Health Center and Center for Healthy Living are Tier 1 labs. Need help finding a lab? purdue. edu/hr/benefits/medical/labs
MEDICAL WORKING SPOUSE PREMIUM Does it apply to you? Waiver Form required ONLY if covering spouse who is: Employed or self-employed outside of ü Spouse covered through Purdue as primary coverage Purdue with no access to coverage that ü Employed/self-employed with access to meets criteria group plan Employed or self-employed and takes ü Employer pays at least 50% of employee-only outside coverage (therefore secondary premium coverage through Purdue) Working Spouse Premium added if all apply: ü Spouse opts not to enroll in employer plan • $750 if employee makes under $45, 500 • $1, 500 if employee makes $45, 500 or more Completed forms: Must be uploaded into Benefitfocus
ENROLLMENT Tobacco Cessation Waiver Option Additional premiums for medical, term life, universal life and critical illness are based in part by whether or not you (and your spouse, if covered) have used tobacco in the last 12 months $1, O 00 for employee or spouse, $2, 000 for employee and spouse All employees must confirm status during open enrollment each year Purdue provides FREE tobacco cessation offerings for employees and spouses who are interested in taking steps to improve their health. • Waiver available to remove additional tobacco-user premium for employee and/or spouse.
PRICE COMPARISON TOOLS Medical and Prescription § Anthem Care and Cost Finder www. anthem. com § CVS Caremark www. cvscaremark. com § RX Savings Solutions www. rxsavingssolutions. com
DENTAL Purdue Dental Plan Coverage § Anthem www. anthem. com
DENTAL 2020 PREVENTIVE DENTAL COVERAGE Benefits-eligible employees and dependents are eligible to receive preventive dental coverage through Anthem Dental at no additional cost Coverage includes • Two cleanings • A fluoride treatment (up to age 19) • Standard X-rays • Full-month panoramic X-rays (every five years) • Up to a $500 person maximum benefit • Includes Anthem Dental discounts for all procedures completed by an Anthem Dental in-network dentist
DENTAL 2020 Dental Insurance Coverage Summary Dentist Network Point of Service Plan (Option 1) Standard Plan (Option 2) PPO Network Out-of-Network PPO Network Out-of. Network Diagnostic & Preventive Svcs. 100% 0% Bitewing Radiographs – Bitewing Xrays 100% 50% with no Purdue med. plan 100% 0% Simple Extractions 60% 50% 0% Oral Surgery 50% 40% 50% 0% Minor Restorative Svcs. (ex. , fillings) 60% 50% 0% Endodontics (ex. , root canals) 50% 40% 25% 0% Major Restorative Svcs. (ex. , crowns) 40% 30% 25% 0% 50% 40% Orthodontics (to age 19) – (ex. , braces) Lifetime max. orthodontic coverage Deductible- No deductible for diagnostic and preventive services, emergency palliative, bitewing X-rays, or orthodontics Annual maximum person? Can I go to any dentist? $500 person $50/person per calendar yr. $75/person per calendar yr. Not covered $25/person per calendar yr. limited to max. deductible of $75/family per calendar yr. $1, 000 Yes No For a more detailed description of the plans or to search for a provider visit: www. purdue. edu/hr/Benefits/current. Employees/dental. Vision/dental
DENTAL 2020 Annual Dental Premiums PPO Point of Service Preventive Plan Coverage Only Option 1 PP 0 Standard Plan Option 2 Employee Only $0 $254. 76 $104. 40 Employee & Child(ren) $0 $633. 00 $245. 04 Employee & Spouse $0 $518. 16 $213. 48 Employee & Family $0 $965. 16 $384. 12 - Any dental coverage, including the no-cost preventive plan, must be elected during the enrollment process - Preventive benefit applies to in-network providers only under the Standard Plan (Option 2) - All employees who elect coverage will receive dental cards - For more information visit: www. purdue. edu/hr/Benefits/current. Employees/dental. Vision/dental. html
VISION Purdue Vision Plan Coverage § Vision Service Plan (VSP) www. vsp. com
VISION In-Network Vision Plan Coverage Eligible Copay Well. Vision Eye Exam Lenses* Frames Contacts * Instead of Glasses Once every calendar year Once every other calendar year Once every calendar year $5 $10 Up to $60 (for contact lens fitting & evaluation) Prescription Glasses $5 (frames and/or lenses) • • Benefit Allowance Covered 100%, after copay • $150 retail frame $200 feature frame 20% savings on amount over allowance $130 The costs of extras (i. e. tints, special treatments, or special frames) will be paid Employees may be eligible for a second pair of computer glasses. For more information by participant. https: //www. purdue. edu/hr/Benefits/vision *Polycarbonate lenses are available at no extra charge for participants under
LIFE INSURANCE Term Life Insurance and Accidental Death & Dismemberment § Securian www. purdue. edu/hr/Benefits/life_acci dent. html
LIFE INSURANCE TERM LIFE INSURANCE • Basic Employee Term Life • Purdue provides an amount equal to one and a half of your annual budgeted salary • Additional term life options • Additional Employee Term Life • You may elect one to eight times your annual salary, not to exceed $2, 000 (this is in addition to the basic term life Purdue provides) • Spouse Term Life • Coverage available in $10, 000 increments • Coverage cannot exceed the lesser of $200, 000 or the employee’s total life insurance coverage amount • Child Term Life • Coverage of $10, 000 or $20, 000 • One rate covers all eligible children IMPORTANT! Designate your beneficiary Avoid payment delay or benefit not paying to person(s) you intend. Benefits are payable to your beneficiary in the event of your death from any cause. Continuation options may be available if you leave Purdue, contact HR.
LIFE INSURANCE ACCIDENTAL DEATH & DISMEMBERMENT (AD&D) Pays for death or losses resulting from an accident on or off the job in addition to Term Life Insurance. • Basic Employee coverage • Purdue provides coverage of $15, 000 • Additional AD&D options IMPORTANT! Designate your beneficiary Avoid payment delay or benefit not paying to person(s) you intend. • Additional Employee AD&D • Coverage available in $10, 000 increments, up to $1, 000 • Spouse AD&D • Coverage available in $10, 000 up to $300, 000 • Child AD&D • Coverage available in $10, 000 increments up to $50, 000 • One rate covers all eligible children Continuation options may be available if you leave Purdue, contact HR.
LIFE INSURANCE Additional Benefits with Securian üBasic services available at no cost üBeneficiary financial counseling üIndependent financial counseling services üIdentity theft resolution üLegal services including simple wills üTravel assistance
NEED ASSISTANCE? Contact our HR Service Center for one-on-one assistance. Call: 765 -494 -2222 Email: hr@purdue. edu Secure email: purdue. edu/hrhelp Visit us: Kurz Purdue Technology Center 1281 Win Hentschel Blvd. , Suite 1100 West Lafayette, IN 47906 *Appointments are strongly encouraged for both locations to ensure
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