Open Enrollment for UC medical plans is scheduled from 8 a.m. on October 30 to 5 p.m. on November 21. This period is significant due to important changes in medical plans and premium structures. Vice President Cheryl Lloyd has highlighted how UC is addressing rising healthcare costs, urging members to reassess their options. Members should note that their current plans may not be available or optimal for the upcoming year.
Key Changes to Understand Before Open Enrollment
- Introduction of HealthSavings+: The HealthSavings+ plan will replace CORE and the UC Health Savings Plan. It is the lowest premium medical plan offered by UC and includes a Health Savings Account (HSA) with increased contributions from UC — up to $750 for individuals and $1,500 for families.
- Auto Enrollment Warning: Members of CORE and the UC Health Savings Plan who do not choose a new plan during Open Enrollment will be automatically enrolled in HealthSavings+ if eligible.
- Premium Balancing: UC will adjust premiums more equitably across plans to ensure comparable costs for benefits. This leads to potential increases in monthly premiums for Kaiser HMO and CORE members transitioning to HealthSavings+.
- Expanded Dental Coverage: Delta Dental PPO will increase out-of-network coverage from 75% to 80% for certain services, facilitating better access to dental care.
- Changes in Medication Access: Coverage for weight loss medications will be restricted, while infertility services and prescriptions will see expanded benefits for eligible members.
Actions to Take Before Open Enrollment
As Open Enrollment approaches, members should carefully evaluate their healthcare options. The Open Enrollment website will provide extensive details about plan changes and costs, available starting October 27. Utilize ALEX, your virtual benefits counselor, beginning October 29 for personalized comparisons of medical plan premiums and available providers.
Financial Contributions and Support
UC’s financial commitment to employee medical plan costs has increased by 9.5%, now funding 83% of premiums. This heightened support comes along with $55.5 million in subsidies and caps negotiated within bargaining unit contracts.
Overview of HealthSavings+
The HealthSavings+ plan is structured to provide individuals with significant tax benefits through the associated HSA. The assets in the HSA are owned by employees, allowing for flexible use in covering qualified medical expenses with tax advantages.
For those currently enrolled in CORE or the UC Health Savings Plan, automatic enrollment in HealthSavings+ will occur unless changes are made during Open Enrollment. An informed choice can lead to better financial health and more suitable coverage.
Further Assistance
Members are encouraged to engage with resources available during this period. The Open Enrollment packet, scheduled webinars, and local expert guidance can provide vital information tailored to unique situations. For additional questions, reach out to your local benefits office.
