Updated | 5/9/2012 Retiree Choices New Choices Better Value New Coverage New Approach to Health Care Coverage
Feb 24, 2016
Updated | 5/9/2012
Retiree Choices New Choices
Better ValueNew
Coverage
New Approach to Health Care Coverage
What We’ll Cover Today
• Benito Cachinero, SVP, HR, DuPont• Introducing Extend Health• Understanding Supplemental Medicare Insurance• Next Steps• Questions & Answers
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Introducing Extend HealthThe Industry’s Largest Private Medicare Exchange
Who is Extend Health?
• Independent company, dedicated to serving Medicare- eligible retirees
• Partner with 75+ 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
Why Extend Health?
• We are experienced in helping people just like you
• Our services are provided at no cost to you
Plans & Partners
• All Medicare Plan Types
Medicare Advantage Medigap Prescription Drug (Part D)
• Vision • Dental
Select Carrier Partners
You will need to pay your first premium when you enroll…
PART DPLAN
MEDIGAPPLAN
OPTION 1: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 PLANA Part D plan supplements Medigap to provide prescription drug coverage. These plans help pay for your prescription drug expenses.
MEDICAREADVANTAGE
OPTION 2:Medicare Advantage Plan with Prescription Drug Coverage (MAPD)*
MAPD PLANAn 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
Educate
Evaluate/Enroll
Manage
The Process
EducationGetting Started Guide
Gather information Current prescriptions and
preferred physicians Current coverage and health
conditions*
Give us a call toll-free at 1-855-535-7140
Visit us online www.extendhealth.com/dupont
* Pre-existing conditions will not limit your plan selection - except end-stage renal disease
EducationEnrollment Guide
• Prepare for your for enrollment discussion
• Review Medicare basics• Appointment confirmation
letter
Decision Support Tools
• Help Me Choose• Prescription
Profiler
Extend Health’s Benefit Advisors
• 100% domestic workforce• Objective advocacy• Neutral compensation• Extend University• Certified and appointed• Average age 43
Hours of OperationMonday – Friday8 a.m. – 9 p.m. Eastern Time
Call Extend Health Toll-Free at
Evaluate and Enroll
1-855-535-7140
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
Medicare & You
Your Future Coverage
Primary Coverage Medicare Parts A & B
Additional Coverage (Your Choice)
Medigap + Prescription Drug (PDP)
orMedicare Advantage with Prescription Drug (MAPD)
Optional Coverage (Your Choice)
Dental and Vision
Medicare Prescription Drug CoverageFor 2013 (Part D Plan)
Initial CoverageYou pay* Deductible and Co-payments for your plan* Coverage for the first $2,970 in Actual Cost of medications
Coverage Gap – Donut HoleYou pay* 50% of Brand Drugs and 79% of Generics Until out of pocket costs reach $4,750
Catastrophic CoverageYou pay* $2.65 for Generics and $6.60 for Brand Or 5% which ever is greater
Health Reimbursement Arrangement (HRA)
What Is An HRA?
• Tax-advantaged account used to reimburse you for eligible health care expenses
• You must meet DuPont’s eligibility requirements to qualify for HRA
• Your HRA funds will be available January 1, 2013
Who is Eligible?
You are eligible for a Health Reimbursement Arrangement (HRA) account if DuPont currently helps you pay for the cost of your group plan
You received information on your HRA in your announcement package from DuPont
You and your eligible spouse/dependent(s) will have a joint account
Your HRA amount If you have Medical, Rx and Dental coverage or just Medical
and Dental from DuPont TODAY* you’ll receive $1,400 annual allocation (prorated based on the retirees pension adjustment factor)
Participants enrolled in a medical only plan TODAY* will receive $1,200 annual allocation (prorated based on the retirees pension adjustment factor)
Participants enrolled in dental only TODAY* will receive $200 annual allocation (prorated based on the retirees pension adjustment factor)
You must enroll in a plan through Extend Health in order to qualify for your HRA.
Extend Health Benefits Advisors will confirm your HRA amount when you speak with them. *You must maintain coverage through
12/31/2012
HRA Enrollment KitInitial batch mailed in late DecemberOngoing will be mailed prior to beginning of month coverage
beginsConfirms HRA amount Describes eligible expensesIncludes claim and direct deposit request formReminder how to use HRA, where to get support, reminder of
dedicated toll-free line
Health Reimbursement Arrangement (HRA)
DuPont allocates benefit dollars to HRA accounts of eligible participants
Participant HRA
Account
Administered by Extend Health
Participant works through Extend Health to enroll in individual coverage
Participant is reimbursed for healthcare expenses using HRA benefit dollars
Health Reimbursement Account: How It Works
How to File a Paper Claim
Participant pays plan premium
Participant fills out claim form, attaches
proof of payment
Extend Health verifies receipt of
payment and eligibility
Extend Health reimburses customer
EH HRA - Manual Claim Form
How Auto-Reimbursement WorksParticipant pays plan premium to insurance carrier
Insurance carrier forwards receipt of payment to
Extend Health
Extend Health verifies receipt of
payment and eligibility
Extend Health reimburses participant
What is Auto-Reimbursement? Auto-Reimbursement (AR) allows retirees to be automatically
reimbursed for monthly medical and prescription premiums without submitting a claim form or receipt
Auto-reimbursement only applies to premiums paid, not out-of-pocket expenses like copayments, deductibles, coinsurance
AR is NOT available on all plans Due to the timing of Auto-Reimbursement files AR is usually
not the fastest way to get a reimbursement
Next Steps
Before Calling Extend Health
Review Getting Started Guide
Gather Medicare Card, prescriptions, & doctor information
Call Extend Health Toll-Free at 1-888-535-7140
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
Retirees or Covered Spouses Who Are Not Yet Eligible for Medicare• Dependents who are not yet eligible for Medicare do not need to
take any action at this time
• DuPont-sponsored group programs for pre-Medicare retirees and eligible spouses remain available
• Once you or your spouse/dependents become eligible for Medicare, you will have access to the new individual program, including enrollment support offered through Extend Health
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What You Need To Do Action required by current participants in DuPont-sponsored group coverage!• Enroll in Medicare Part B if not already enrolled
• Contact Extend Health• Call 855-535-7140 • Schedule a meeting with a benefit advisor• Learn more about the individual coverage options available to
you • Benefit advisors available:
Monday through Friday (Tip! Call on Thursday or Friday, and not on Monday morning)
8:00 a.m. to 9:00 p.m. Eastern Time
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Questions & Answers