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.
New overage dependent child definition for 2010:
Your dependent child may be eligible to be on your health
coverage through the end of the year they turn 26. Please
click
here for more information.
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 your 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
2010
Open Enrollment Booklet and Plan Highlights
Medical
NEW!!!!
Effective July 1, 2010 Trinity Health and its Ministry
Organizations transitioned from Medco, our previous pharmacy
benefit manager (PBM), to CVS Caremark. This change
applied only to associates who are covered under a self-insured
medical plan (that is, Blue Cross Blue Shield of Michigan,
or Aetna). It does NOT apply to fully insured plans (Blue
Care Network (BCN), Priority Health HMO, etc.).
Visit www.caremark.com
for more information.
Medical Plans
You have a choice of two medical plan options - Standard
PPO Option B and the Personal Care Account (PCA) PPO
Find an Aetna
Participating Provider
Use the plan comparison tool to Estimate
My Plan Costs
Standard PPO Option B
Standard
PPO Summary Plan Description
Standard
PPO Option Summary
Preventive
Care Overview
Caremark
Summary of Material Modification - Effective 7/1/2010
Summary of
Material Modification - Transplants
Personal Care Account PPO
A high deductible (PPO) plan, with a personal care account
funded by Trinity Health. The Personal Care Account (which
is funded by Trinity Health) is used to fund a portion of
the deductible. Once the PCA is exhausted, the remaining amount
of the deductible must be met before the regular co-insurances
and co-pays apply. Preventative services are 100% covered.
Unused PCA funds may be carried over from year to year.
Personal
Care Account PPO SPD | Personal
Care Account PPO Summary
Preventive
Care Overview
Caremark
Summary of Material Modification - Effective 7/1/2010
Summary of
Material Modification - Transplants
Dental
You have the option of electing dental coverage through Delta
Dental.
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 2010 calendar year will be eligible
for reimbursement on services incurred from January 1, 2010
through March 15, 2011. 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 2010 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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