What’s New/Changing for COBRA Staff & NBUF

Consistent with the University’s goals of validating and reducing expenses, you will see changes to your medical benefits to achieve cost containment.  Benefit expense represents 19.34% of the University’s unrestricted budget and Human Resources is tasked with containing the ever-rising increase of medical expenses.  In accordance with our guiding principles, the changes for Year 2017 continue to align our benefits with industry standards and best practices while remaining competitive and affordable.  The following are these actions:

Medical Plan Design (PPO Plans)

The specialty copays, deductibles, and out-of-pocket maximums have increased effective January 1, 2017. Also, there is a change to Employee +1 and Employee +2 coverages with regards to how the deductibles and out-of-pocket maximums are applied, referred to as non-embedded.

Specialty Copays (In-network) will increase $5:

 

In-Network

PPO 90/10

$30

PPO 80/20

$35

The deductible is the amount of money you pay before co-insurance is applied.

PPO 90/10

In-Network

Non-Network

Single

$250

$500

Family

$500

$1,000

PPO 802/0

In-Network

Non-Network

Single

$450

$900

Family

$900

$1,800

The out-of-pocket max (OOPM) is the most you will pay for covered services in a plan year. It’s the total you spend on deductibles, copays, and co-insurance.

PPO 90/10

In-Network

Non-Network

Single

$1,500

$3,000

Family

$3,000

$6,000

PPO 80/20

In-Network

Non-Network

Single

$2,500

$5,000

Family

$5,000

$10,000

Non-Embedded deductibles and out-of-pocket maximums for PPO Plans are changing.  To provide consistency between all three medical plans, like the HDHP, both PPO plans will transition to non-embedded deductibles and out-of-pocket maximums (OOPM).

  • What this means:  If you select Employee only coverage, you will utilize the single deductible and OOPM maximum in all three plans. 

Those who elect Employee + 1 or Employee + 2 or more will utilize the family deductible and OOPM maximum in all three plans. 

For more details on the PPO plans, please refer to the Plan Comparison and Anthem Summaries of Coverage and Benefits available on the Human Resources Open Enrollment website.

Medical Plan Design (HDHP)

The HDHP changes include introduction of co-insurance and higher out-of-pocket maximums along with a modification for HDHP will go into effect January 1, 2017.

The deductible is the amount of money you pay before co-insurance is applied.

HDHP

In-Network

Non-Network

Single

$2,000

$4,000

Family

$4,000

$8,000

Co-insurance of 10% is being introduced.

  • How it works: Once the deductible is met, participants will pay 10% of the expenses until the out-of-pocket maximum is reached.

The out-of-pocket max (OOPM) is the most you will pay for covered services in a plan year. It’s the total you spend on deductibles and co-insurance.

The 2017 out-of-pocket maximum (OOPM) amounts are the following:

HDHP

In-Network

Non-Network

Single

$3,000

$6,000

Family

$6,000

$12,000

Premiums (medical, dental and vision)

Healthcare monthly premium increases for VRIP COBRA Staff & Non-Bargaining Faculty.  Click here for the 2017 VRIP Cobra rates.