Aetna Medco Health - Rx Delta Dental Spectera Vision

Mercy Medical Center - Clinton

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My Health & Welfare | Enroll Now

Wellness | Medical | Dental | Vision | Life Insurance | Long Term Disability | Flexible Spending

Wellness

NEW!!!! Earn your - "Passport to Health"!

To determine wellness educational needs and program planning, it is essential for all associates enrolling in medical insurance with Mercy Medical Center to complete the PWP (Personal Wellness Profile). All associates that do not carry Mercy medical insurance will also need to complete the PWP for 2008 wellness enrollment. As part of your wellness enrollment you become eligible for a $200 wellness incentive. Click on the link below to complete. Your user ID = Your Employee ID and the password to enter = wellness. Employee IDs are printed on your paycheck.

For details on the screening schedule, click on Mercy's Intranet under wellness/screening schedule or contact the Mercy Medical Center wellness office at (563) 244-5801.

https://wellsuite.com/mmcclinton/pwp/

Planning to add dependents?

In order for new family members to be eligible for coverage under any Trinity Health benefit plan, you are required to provide proof of their dependent status. If you are planning to add family members during annual enrollment, you must submit dependent verification information to Human Resources within 31 days. If you do not submit the required paperwork by the deadline, your newly added dependents will not be enrolled in coverage and you will be required to wait until the next annual enrollment period to enroll new dependents in the plan.

Required Documents

Medical

You have a choice of two medical plan options - PPO Standard Option A and the Personal Care Account (PCA) PPO

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Medical Comparison
PCA PPO Summary Plan Description
PCA PPO Summary
Standard PPO Summary Plan Description
PPO Standard Opton Summary
Preventive Care Overview

Dental

You have the option of electing dental coverage through Delta Dental.

Dental Comparison
Delta Premier Summary
Delta Premier Certificate

Vision

You have the option of electing vision coverage through Spectera Vision.

Spectera Vision Summary
Spectera Vision SPD

Life Insurance

Full-time and Part-time associates have Basic Life Insurance provided at 1x annual salary.

In addition, you have the option to purchase additional coverage for yourself and your dependents in the following increments:

Please Note: some elections may require a Statement of Health. It is your responsibility to complete and return your Statement of Health during the Enrollment Period.

Life Insurance Certificate
Statement of Health Form
Beneficiary Designation Form

Long Term Disability

Associates budgeted 72 or more hours per pay are provided LTD coverage at at 60% of your base pay not to exceed a monthly benefit of $10,000. This income replacement benefit begins after being off of work for 90 days.

Long Term Disability Certificate

Flexible Spending

A Flexible Spending Account (FSA) gives you a way to pay for your out-of-pocket health care and / or dependent care expenses with before-tax dollars.

Click here to help estimate your health care and / or dependent care expenses.

Health Care Spending - you may contribute pre-tax dollars in any amount between $130 and $5,000 annually. Contributions made to the HCSA during the 2008 calendar year will be eligible for reimbursement on services incurred from January 1, 2008 through March 15, 2009. The claim submission deadline will continue to be March 31st. This 2-½ month extension is allowed under new IRS guidelines. Please consider this extension when making your 2008 elections.

Over-the-counter Medications (OTC) - Certain OTC items qualify as "medical care" and are eligible for reimbursement through an HCSA. Examples of such items include asprin, allergy and sinus medications, antacids and more.

Dependent Care Spending - you may contribute pre-tax dollars in any amount between $130 and
$5,000 annually.

Click here for additional information regarding HCSAs and DCSAs.

Streamline Enrollment -If you participate in a medical plan administered by Aetna, you may utilize the streamline enrollment process for any out-of-pocket costs related to your medical claims. Streamline enrollment allows you to receive reimbursement from your Health Care Spending account without submitting a paper claim. To initiate the streamline enrollment process please complete and return the streamline enrollment form to Aetna or sign up through Aenta Navigator.

Direct Deposit - You can elect to have your reimbursements automatically depositied into your checking or savings account by signing up for direct deposit. Simply complete a Direct Deposit Authorization Form and submit your completed form to Aetna.

Aetna Navigator - HCSA participants can track HCSA account statuses through Aetna Navigator, Aetna's member self-service website. Navigator is available 24 hours a day, 7 days a week. Through Aetna Navigator, you can check the status of your HCSA, review your HCSA balance, sign up for Direct Deposit, print claim forms, and much more. Once you enroll in an HCSA, you can register to use Aetna Navigator.

Healthcare Spending Account Claim Form
Dependent Spending Account Claim Form
Over-The-Counter Drug Claim Form
Streamline Enrollment Form
Direct Deposit Authorization Form
Flexible Spending Accounts Summary Plan Description

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My Discounts

In addition to the Trinity Health system-wide discounts, Mercy Medical Center associates are eligible to receive various local discounts.

Mercy Medical Center Discounts