Welcome to the University of Texas System Employee Benefits Highlights video
for the 2017 - 2018 plan year. In this video we'll review
the UT Benefits plan changes for 2017 - 2018, discuss Annual Enrollment reminders, and
share benefits resources to help you have a successful Annual Enrollment period.
Annual Enrollment begins July 15 and ends at midnight Central time on July 31.
The My UT Benefits electronic portal is used to make enrollment elections.
To access the system visit the Office of Employee Benefits website at:
www.utsystem.com/offices/employee - benefits.
Now, let's take a look at the changes for the 2017 - 2018 plan year.
We are pleased to announce there will be no premium rate increases for any of your
UT Benefits plans, including the UT SELECT Medical plan.
As a reminder, here are the UT SELECT Medical plan out-of-pocket rates that will continue for the upcoming plan year.
The state of Texas and your institution continue to pay the
rest of the premium for your UT SELECT medical and basic group term life coverage.
Effective September 1st dependent children are eligible to stay
enrolled in dental, vision, voluntary life, and voluntary accidental death and
dismemberment (AD&D) coverage up to age 26 regardless of
marital status, just as they can with UT SELECT Medical coverage.
Medical, dental, and vision COBRA coverage will be offered to dependents who are enrolled
in these coverages and age out upon reaching age 26.
We are also pleased to announce there will be no plan design changes or premium rate increases to any
of your optional coverages for this plan year. All out-of-pocket premium
rates will remain the same. Please keep in mind that
for age and salary-based coverage, such as voluntary group term life and short- or long-term disability,
premium rates may change based on your age or salary as of September 1.
Please review the 2017 - 2018 Benefits Cost Worksheet to confirm your
anticipated monthly out-of-pocket costs for premiums.
The UT FLEX Dependent Day Care Reimbursement account (DCRA) contribution limit for this plan year
will remain at $5,000 per family. If you are married and filing separately for
federal income tax purposes, the maximum limit is $2,500. The maximum annual
election for Healthcare Reimbursement Accounts (HCRAs) will increase to $2,600
for the upcoming plan year. If you wish to participate in the UT FLEX
program, you must make your UT FLEX election during Annual Enrollment.
Let's talk about some important reminders and changes with your UT SELECT Medical plan.
In accordance with federal guidelines, the in-network, out-of-pocket maximum limit
for 2017 - 2018 will be $7,150 for an individual
and $14,300 for a family.
This limit includes both medical and prescription out-of-pocket costs,
but does not include balance billing or charges for services not covered by UT SELECT.
Other than the new UT Health Network tier, which will be covered later
in this presentation, there will be no changes to deductibles, co-payments, or
coinsurance applicable under your UT SELECT Medical and Prescription coverage.
To get the best value from your UT SELECT Medical plan use Blue Cross
Blue Shield of Texas PPO providers or providers participating in the new
UT Health Network, which we will talk more about shortly. Network providers are
highlighted in the Blue Cross Blue Shield of Texas provider finder for UT SELECT,
at www.BCBSTX.com/ut/providers. You can also call UT SELECT customer service
at (866) 882-2034 for assistance in finding a provider.
For inpatient and outpatient services
provided by an out-of-network anesthesiologist, radiologist,
pathologist, or emergency room physician, claims will be paid at the out-of-network
benefit level, based on the provider's status. Also be aware that out-of-network providers
may balance bill you for the difference between what they originally charged and
the Blue Cross allowable charge, which can be significant.
We're excited to announce that, effective September 1, a new UT Health Network tier
will offer enhanced benefits under the UT SELECT Medical plan when you
receive services from certain UT providers and at certain UT medical facilities.
Lower co-pays and coinsurance will apply when seeing a participating UT provider
at a participating UT-owned facility. You can also save on provider charges
when treatment is received from a participating UT provider at a non UT-owned facility.
Institutions with both providers and UT-owned hospitals
participating in the UT Health Network include: UT Medical Branch Galveston and
UT Health Northeast at Tyler. Institutions that do not own hospitals,
but have providers participating in the UT Health Network include: UT Health in Houston,
UT Health Science Center San Antonio, and UT Austin's Dell Medical School.
Check with your institution's employee or nursing clinics to verify
whether they are participating in the UT Health Network. Currently, UT Health Network benefits
are not available for services received from hospitals or providers affiliated with
MD Anderson Cancer Center, UT Rio Grande Valley,
or UT Southwestern Medical Center. Your standard UT SELECTMedical
in-network benefits will continue to apply for these providers and locations.
Let's take a look at the benefits of the UT Health Network tier.
When a member visits a UT physician (at a UT-owned or non UT-owned facility),
the member pays a $20 copay per visit for primary care or a $25 copay per visit to a specialist.
If the member visits a participating an employee clinic, a $10 copay will apply.
For inpatient and outpatient services received from a UT physician at a UT-owned facility,
the regular $350 deductible will apply,
along with a reduced 10% coinsurance on physician and facility charges, and
a $0 inpatient hospital copay. The $100 copay
for outpatient services will still apply. For inpatient and outpatient services
received from a UT physician at a non UT-owned facility,
the regular $350 deductible will apply, along with a reduced, ten percent
coinsurance on physician charges, the regular twenty percent coinsurance for
facility charges, and a $100 copay per day. You do not need to enroll in
anything new to access these benefits. All UT SELECT Medical participants are
eligible to receive benefits under this new tier. Benefits will apply based on
the participation of the UT physician and UT-owned facility in the UT Health Network.
Because of the new UT Health Network tier, new UT SELECT Medical ID Cards
will be issued for all participants by September 1.
For more details please visit the OEB website at: www.utsystem.edu/offices/employee-benefits.
As you prepare for Annual Enrollment, here are a few reminders...
On our before July 15th review your current benefit elections.
Take a few moments to review these changes for the new plan year.
Review the dependent eligibility requirements. Confirm your beneficiary designations are up to date
for your UT Benefits insurance plans or retirement accounts
as well as any external plans and accounts.
Additional information about these topics is
available on the OEB website, where you can find the Special Annual Enrollment edition
of our "A Matter of Health" newsletter, educational videos, and other details.
Here is a look at the UT Benefits Coverage Option letter.
This notice announces the Annual Enrollment period, includes your PIN, your current
coverage elections, your dependents, and your benefits options for the new plan year.
Employees that participate in the UT Benefit plan will receive this
notice via email or US mail by July 15th.
Beginning on July 15th, you may log into My UT Benefits to make your benefits elections.
Take a moment to declare your tobacco status, even if you have done so previously.
You may enroll in new coverage, make changes to your existing coverage,
and add or remove dependents from your UT Benefits coverage.
If you want to participate in the UT FLEX program, you must make your elections during Annual Enrollment.
A confirmation notice will also be sent within 24 hours of your election
by email or mail, depending on your preferences.
Reviewing this notice gives you a second chance to verify your elections are accurate.
This notice will include reminders and a summary of your elections.
To ensure you receive all OEB communication in a timely manner,
please review your email preferences and settings to avoid delivery delay.
As follow-up, you should review your confirmation notice or benefits summary in My UT Benefits
to ensure your elections are accurate. If you added dependents to your coverage
or made benefit elections that required completion of an Evidence of Insurability (EOI),
you must submit all forms and documentation by August 15th.
It is important to know, if you don't complete these follow-ups, your related
benefit elections will not be placed for the new plan year.
Once again, if you want to have a UT FLEX Health Care or Dependent Day Care Reimbursement Account
for the new plan year you must enroll during Annual Enrollment.
As you prepare for the new plan year, keep all ID cards for plans you did not change.
By September 1, a new UT SELECT Medical ID card will be mailed to all new and continuing participants.
Also, expect to receive ID cards if you elected a new type of coverage
or changed to a different dental or vision plan.
To learn more about the UT Benefits program and access various resources, publications, and the video library,
please visit the OEB website at: www.utsystem.edu/offices/employee-benefits.
For questions regarding your benefits enrollment and options for the new plan year,
feel free to contact your institution's HR or Benefits Office.
If you have any questions, you can contact the UT System Office of Employee Benefits via email
at benefits@utsystem.edu.
On behalf of the Office of Employee Benefits, we wish you another successful year with the University of Texas System.
Thank you.
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