USS Retiree Meeting Deck 8312011_DRAFT TW

Report
Retiree Choices
New Choices
Better Value
New Coverage
Updated | 9/8/2011
What we’ll cover today
•
What is changing and why?
•
What you need to do?
•
Introducing Extend Health
•
Understanding supplemental Medicare insurance
•
Next steps
•
Questions & Answers
2
What’s Changing?
U. S. Steel is changing the way it provides access to health care
coverage for Medicare eligible non-union retirees and dependents
•
Existing group health care coverage for Medicare eligible non-union
retirees and dependents ends on December 31, 2011
•
You have access to personalized decision support for comparing and
enrolling in a robust choice of supplemental Medicare coverage
options
•
Extend Health provides 1:1 services to help you find and enroll in the
coverage that meets your medical and financial needs
3
Why this Approach?
U. S. Steel is committed to providing access to affordable and
quality health care coverage that supplements benefits available
through traditional Medicare
• Private supplemental Medicare insurance market offers access to comprehensive
coverage at lower cost than current group plans
• Nearly half of our non-union Medicare population opt out of group coverage to
purchase insurance in the private market (or other sources)
• Enables each retiree and dependent to choose coverage that best meets their
individual needs
• Retiree participants losing group coverage are not subject to pre-existing
conditions restrictions or underwriting during this enrollement period (except for
end-stage renal disease)
• Provides access to expert decision support resources so you can make informed
health care choices
• Extend Health is the industry leading retiree advocacy service
4
Why Extend Health?
Largest most experienced independent Medicare Coordinator
(private insurance exchange) providing enrollment support in
supplemental Medicare plans
• Expertise – Personalized expert support from licensed benefit
advisors - rigorously trained to help retirees compare and select
coverage
• Experience – Has helped hundreds of thousands of Medicare
eligible retirees transition from group health plans and enroll in
supplemental coverage in the individual market
• Culture – Supports a “No Retiree Left Behind” philosophy for
supporting retirees during enrollment and ongoing advocacy after
retirees are enrolled
• Tools – Simple approach to helping individuals choose and enroll
in a supplemental plan that suits their individual needs
5
How This Affects You
 U. S. Steel and Transtar, Inc. group sponsored coverage for non-union Medicare
participants ends December 31, 2011
 You must select and enroll in plans available in the individual market to maintain
supplemental Medicare insurance coverage and must do so prior December 7, 2011 to
have supplemental Medicare insurance coverage effective January 1, 2012
 Extend Health can help you assess options and enroll in the coverage that’s right for you
What you pay
How you enroll
• Depends on what coverage you choose
• Private supplemental Medicare insurance options generally provide
comprehensive coverage and more affordable premiums than current
group coverage
• You will have more health care coverage options to choose from – you
can enroll through Extend Health or on your own
• You and your Medicare covered dependents enroll separately
• Extend Health provides personalized decision support and enrollment
assistance
Your support
• Extend Health is here to help you understand the costs associated with
your coverage options – premiums, co-payments, deductibles and all
other costs.
6
What You Need To Do
Action required by current participants in
U. S. Steel sponsored group coverage!
•
•
Enroll in Medicare Part B if not already enrolled
Choose new individual supplemental Medicare medical
and/or prescription drug plan(s) if you want supplemental
Medicare and prescription drug coverage in 2012
• Enroll through Extend Health or on your own between
October 17 and December 7
• You and your eligible dependents each need to enroll separately
for coverage
During this enrollment period only, coverage elections
are guaranteed and not subject to underwriting if you
are losing group coverage
7
Retirees or covered spouses who are not
yet eligible for Medicare
• Change generally will not affect non-union retiree participants
who currently are not eligible for Medicare
• U. S. Steel sponsored program for pre-Medicare retirees and
eligible spouses remains available
• 2012 Annual Enrollment period information will be mailed
soon
• Pre-Medicare participants will receive information about
Retiree Choices when the individual becomes Medicare
eligible
8
Introducing Extend Health
The Industry’s Largest Private Medicare Exchange
Who is Extend Health?
• Independent company, dedicated to serving Medicareeligible retirees.
• Partner with 70+ health plan carriers to provide you
coverage to fit your individual needs and budget.
• Objective and Trusted U. S. –based licensed benefit
advisors.
• Focused on helping each participant make an informed
and confident decision.
10
Why Extend Health?
•
We are experienced in helping people just like you
•
Enrolled over 350,000 participants
•
Our services are provided at no cost to you
11
12
Plans & Partners
All Medicare Plan Types
 Medicare Advantage
 Medigap
 Prescription Drug (Part D)
Vision
Dental
Select Carrier Partners
OPTION 1:
Medigap Plan + Part D Plan
MEDIGAP
PLAN
PART D
PLAN
MEDIGAP (Medicare Supplement)
A Medigap plan fills the “gaps” in original Medicare Part A and
Part B coverage (i.e., helps pay the difference between your costs
and the amount original Medicare pays). These plans provide
additional coverage for your doctor visits and hospital stays as
well as other expenses not covered by original Medicare.
PART D PLAN
A Part D plan supplements Medigap to provide prescription drug
coverage. These plans help pay for your prescription drug
expenses.
You will need to pay your first premium when you enroll…
14
OPTION 2:
Medicare Advantage Plan with
Prescription Drug Coverage (MAPD)*
MEDICARE
ADVANTAGE
MAPD PLAN
An MAPD plan provides an all-in-one plan which bundles
your Part A, Part B and prescription drug coverage together
with additional benefits. These plans provide coverage for
your doctor visits, hospital stays, and prescription drug
expenses.
* Note that Medicare Advantage plans are generally
network based plans
15
Medicare Prescription Drug Coverage
For 2012 (Part D Plan)
Initial Coverage
You pay
* Deductible and Co-payments for your plan
* Coverage for the first $2,930 in Actual Cost of medications
Coverage Gap – Donut Hole
You pay
* 50% of Brand Drugs and 86% of Generics
Until out of pocket costs reach $4,700
Catastrophic Coverage
You pay
* $2.60 for generics and $6.50 for brand
Or 5% which ever is greater
16
The Process
Educate
Evaluate/Enroll
Manage
17
Education
Getting Started Guide
 Gather information
 Current prescriptions and
preferred physicians
 Current coverage and health
conditions *
 Give us a call toll-free at
866-715-2358
 Visit us on line
www.ExtendHealth.com/uss
* Pre-existing conditions will not limit your
plan selection - except end-stage renal disease
18
Education
Enrollment Guide
• Prepare you for enrollment
discussion
• Review Medicare basics
• Appointment confirmation
letter
19
Decision Support Tools
• Help Me Choose
• Prescription
Profiler
20
Evaluate and Enroll
Licensed Benefit Advisor
Hours of Operation
Monday – Friday
9 a.m. – 9 p.m.
Eastern Standard Time
•
•
•
•
•
•
100% domestic workforce
Objective advocacy
Neutral compensation
Extend University
Licensed, certified, appointed
Average age 43
Call Extend Health Toll-Free at
1 - 866 - 715 - 2358
21
Enrollment Process

Benefit Advisors can
discuss coverage options
with anyone – need to
speak to the participant to
complete the enrollment.

Once you have made a
coverage selection,
enrollment is conducted via
telephone.

100% of calls are recorded.
22
Medicare & You
23
Your Future Coverage
Primary Coverage
Medicare Parts A & B
Additional Coverage (Your Choice)
Medigap + Prescription Drug (PDP)
or
Medicare Advantage with
Prescription Drug (MAPD)
Optional Coverage (Your Choice)
Dental and Vision
24
Next Steps
Before calling Extend Health
Review Getting Started Guide
Gather Medicare Card,
prescriptions, & doctor information
Call Extend Health Toll-Free at
1-866-715-2358
26
Post Enrollment Customer Service
• Advocacy and support services.
— Toll Free number to contact Extend Health
representative.
— Direct support for claims issues, appeals and network
questions.
• Renewal process – ability to pick new coverage for future
years – not locked into this year’s coverage choice forever.
— Enrollment elections are generally for a one year
period.
• Ongoing enrollment services as retiree or spouse turns age
65.
27
Some additional thoughts about making
your choice
• Things to consider
–
–
–
–
Cost
Benefits
Where you live during the year
Choices
• Doctor
• Hospital
• Pharmacy
– Prescription drug usage
– Convenience
28
What you need to do – three steps
1. Contact Extend Health – offers one-stop-shopping
for all benefit advisory and advocacy services
• Choice to use Extend Health is yours to make
2. Evaluate and select the medical and prescription
drug coverage that best meets your needs
3. Enroll in plan(s) selected and make arrangement for
premium payment
29
Questions & Answers

similar documents