Mercy Medical Center - Clinton
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Wellness | Medical
| Dental | Vision
| Life Insurance | Long
Term Disability | Flexible Spending
Wellness
"Passport to Health"
To monitor and assess the health status of our population,
it is essential for all associates enrolling in medical insurance
with Mercy Medical Center to complete the online HRA (Health
Risk Assessment).
Completing the online HRA:
1. Log on to the Aetna Navigator at www.aetnanavigator.com
with your User Name and Password. If you have not accessed
the website before, you can complete the registration process
by selecting “First Time User” using your Member
ID number or Social Security Number.
2. Once you have logged on, click the “Take
Action on Your Health” link in the top navigation
bar.
3. Then, select “Simple Steps”
from the left-hand navigation bar to access the Simple Steps
to a Healthier Life HRA.
4. Be sure to have your health information
(including lab results from your health screening) readily
available when you begin the on-line assessment.
Attention PCA PPO Members:
If you are enrolled in the Personal Care Account (PCA) and
complete the HRA, there will be a $25 added to your account.
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 of new hire or status change date. 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 - Standard
PPO Option A and the Personal Care Account (PCA) PPO
Find an Aetna
Participating Provider
Use the plan comparison tool to
Estimate My Plan Costs
Medical
Comparison
PCA PPO
Summary Plan Description
PCA
PPO Summary
Standard
PPO Summary Plan Description
Standard PPO Option Summary
Preventive
Care Overview
Preventative
Care Summary Modification
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 two vision benefits through
United Healthcare(UHC) Vision. (Formerly known as Spectera
Vision).
UHC
High Vision Summary
UHC
Standard Vision Summary
UHC
Vision Benefit Booklet
UHC High Vision
SPD
UHC Standard
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:
| For
Yourself |
For
Your Spouse |
For
Your Child(ren) |
1x annual salary
2x annual salary
3x annual salary
4x annual salary
5x annual salary |
$10,000
$20,000
$50,000
$100,000 |
$2,000
$5,000
$10,000
$20,000 |
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
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 2009 calendar year will be eligible
for reimbursement on services incurred from January 1, 2009
through March 15, 2010. 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 2009 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
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
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