1 Effective January 1 2013 2 What is Changing Reynolds American Inc is changing the way it provides health care benefits to retirees who are eligible for Medicare More choices in health coverage through the individual market ID: 723379
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Slide1
Health Plan Changes for Medicare-Eligible Retirees
1
Effective January 1, 2013Slide2
2
What is Changing
Reynolds
American Inc. is changing the way
it provides
health care
benefits to retirees who are eligible for Medicare
More choices in health coverage through the individual market
In
many cases, coverage available in the individual market costs less than the current group plan through RAI
.
Access to benefit advisors to help with choosing coverage that fits your health-care and financial needs. Slide3
3
Assistance Provided to You
Assistance in choosing individual health coverage
RAI has made an arrangement with Extend Health, Inc. an insurance broker that specializes in individual Medicare supplemental insurance coverage.
Financial Assistance with purchasing medical coverage
Retirees and their dependents who are eligible for Medicare and have been receiving a subsidy from RAI towards the cost of medical coverage will continue to receive financial help when they enroll through Extend Health.
RAI will make an annual contribution into a tax-free account, called the Health Reimbursement Arrangement.Slide4
Introducing Extend Health
The Industry’s Largest Medicare ExchangeSlide5
Independent company
Partner with 75+ health plan carriers
Objective
and
Trusted
US based benefit advisors
Focused on helping each participant make an informed and confident decision
Who is Extend Health?Slide6
Why Extend Health
We are experienced in helping people just
like you
Our services are at
no cost
to youSlide7
Market-Leading Private Sector Clients
175 Employers – 40 Fortune 500 Companies
95%+
Client Retention RateSlide8
Plans & Partners
All
Medicare Plan Types
Medicare Advantage
Medigap
(supplement)
Prescription Drug (Part
D)
Vision
Dental
Select CarriersSlide9
The ProcessSlide10
Gather information
(e.g. prescriptions)
Pre-existing conditions will
not limit your plan selection*
Give us a call:
855-835-3811
www.ExtendHealth.com/
rai
Education
Getting Started Guide
* except end-stage renal disease Slide11
Prepare you for
enrollment discussion
Review Medicare basics
Appointment confirmation
letter
Education
Enrollment GuideSlide12
Decision Support Tools
Help Me Choose
Prescription ProfilerSlide13
Licensed Benefit Advisor
100% domestic workforce
Objective advocacy
Neutral compensation
Extend University
Licensed, certified, appointed
Average age 43
Hours of Operation
Monday – Friday
8
a.m. –
9
p.m.
Eastern Time
Evaluate and EnrollSlide14
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.Slide15
Medicare and YouSlide16
Your Future Coverage
Primary Coverage
Medicare A & B
Additional
Coverage (
Your Choice
)
Medicare Advantage with Prescription Drug (MAPD)
Medigap
+ Prescription Drug
Optional Coverage
(
your choice
)
Dental and VisionSlide17Slide18Slide19
Medicare Prescription
Drug CoverageSlide20
Location Specific plansSlide21
Plan Type
Number of Plans Offered
2012
Monthly Premium
Company
Medicare Advantage
15
$0 - $100
AARP, Humana,
BCBS of NC,
Medigap
/ Medicare Supplement
32
$58 - $191
AARP, Aetna, Humana, BCBS of NC,
American Continental
Part D
19
$15 - $113
AARP, Aetna, BCBS of NC, Cigna, CVS, Humana, Coventry,
WellCare
, Community
CCRx
Plan Availability in Winston/SalemSlide22
Plan Type
Number of Plans Offered
2012
Monthly Premium
Company
Vision
1
$14 per person per month
Annual eye exam: $15
Coverage for eye glasses, lenses and frames
Vision Service Plan (VSP)
Denta
l
2
$19 - $48
$0 - $50 deductible
$1,000 - $1,600 annual maximum
Humana, Delta Dental (Renaissance Dental)
Plan Availability in Winston/Salem
Slide23
$0 per month
$47 per month - network: PPO
Deductible: $0
Doctor co-pay: $15 Specialist co-pay: $
40
Hospital: $195 co-pay days 1-6
Emergency Room: $65 co-pay if not admitted
Rx: $7/$40/$80/33%
Mail order: (90 day discount)
Plan Example
Medicare Advantage PlanSlide24
Medical/Rx $215 ($175 - $40)
$173 –
($137/plan F + $36/
pdp
)
Network: any doctor that accepts Medicare
Deductible: $0
Doctor co-pay: $0 Specialist co-pay: $0
Hospital: $0
Emergency Room: $0 co-pay
Rx: $0 deductible $7/$39/$74/33%
Mail order: (90 day
discount)
Plan Example
Medigap
Plan F and PDP – 70 year old maleSlide25
Auto-Reimbursement
How the Process Works
Health Reimbursement
ArrangementSlide26
What Is An HRA?
Tax-advantaged
account used to reimburse you for eligible
health care expenses
You must meet Reynolds American Inc.’s eligibility requirements to qualify for HRA
Your
HRA
funds will be available January 1, 2013Slide27
Reynolds American Inc. allocates
benefit
dollars to
HRA
account of eligible participant
Participant
HRA Account
Administered by Extend Health
Participant enrolls in a medical plan through Extend
Health to enroll in individual coverage
Participant is reimbursed
for
healthcare
expenses using HRA benefit dollars
Health Reimbursement Arrangement:
How It Works
Slide28
How to File a Paper ClaimSlide29
Extend Health
HRA Claim Form
Remember,
You can be
Reimbursed for
Part B by sending
in your statement Slide30
How Auto-Reimbursement WorksSlide31
Initial AR reimbursement may take up to
3 months
All premiums paid prior to activation of AR will be
reimbursed
at
once
If you need your reimbursement sooner, simply file a paper
claim
Forms and instructions provided in your HRA Welcome
Kit
Once AR is activated, you can expect to receive your reimbursement around the same time each month
Auto-Reimbursement…Slide32
Next StepsSlide33
Next StepsSlide34
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 choice
Ongoing enrollment servicesSlide35
Questions