Isn't nice to live in an area where you have access to quality healthcare? As the health system grows so does the number of in-system providers/services.
In Area Designation
With a Clinical Integration Independent Practice Association (IPA for short) of over 9,000 + doctors/healthcare providers (up a few thousand since 2012) the health system is truly spreading its wings. In-system providers are now present on eastern Long Island. Coram, Port Jefferson, Selden and even Wading River are just a few of the newly designated "in area" residences for 2014. These areas were declared within the primary service area due to the amount of providers within a 2 to 10 mile radius of that zip code. In-system providers include primary care physicians, obstetrician/gynecologists, pediatricians, and specialists. Need a doctor? Now you can find a North Shore-LIJ In-System Provider within 10 miles of your home sweet home.
Thursday, November 14, 2013
Out-of-Pocket Maximum for 2014
Did you do a double take on page 4 of the Benefits Guide?
Third column down on both Value and Buy-Up Plans reads Annual Out-of-Pocket $6,350 for an Individual and $12,700 for a Family. Gee didn't that say "none" in 2013? Don't be alarmed by the number ... It's not that there were no out-of-pocket expenses for in-system copays in 2013 it's just that there was no requirement for specified maximums. Due to Healthcare Reform in 2014, maximum out-of-pocket expenses now must now be specified. $6,350 is the maximum out-of-pocket you can spend on your in-system copays for yourself and $12,700 is the maximum you can spend on your in-system copays for your family.
Who Figures This Stuff Out?
Rest assured these figures were derived by Actuaries, not the Benefits Team. Actuaries analyze the financial cost of risk and uncertainty. They use mathematics, statistics and financial theory to assess the risk that an event will occur and help businesses develop policies that minimize the cost of that risk.
There! Don't you feel better knowing that?
Third column down on both Value and Buy-Up Plans reads Annual Out-of-Pocket $6,350 for an Individual and $12,700 for a Family. Gee didn't that say "none" in 2013? Don't be alarmed by the number ... It's not that there were no out-of-pocket expenses for in-system copays in 2013 it's just that there was no requirement for specified maximums. Due to Healthcare Reform in 2014, maximum out-of-pocket expenses now must now be specified. $6,350 is the maximum out-of-pocket you can spend on your in-system copays for yourself and $12,700 is the maximum you can spend on your in-system copays for your family.
Who Figures This Stuff Out?
Rest assured these figures were derived by Actuaries, not the Benefits Team. Actuaries analyze the financial cost of risk and uncertainty. They use mathematics, statistics and financial theory to assess the risk that an event will occur and help businesses develop policies that minimize the cost of that risk.
There! Don't you feel better knowing that?
Tuesday, November 12, 2013
Wellness Pledge Advantage
Your health and wellness is an important piece of the North Shore-LIJ strategy to be a leader in preventive care for our communities and all employees. The newest Wellness Pledge for 2014, a video which was designed to engage you and your family in the health system's proactive thinking on health awareness, is a direct link to another Pledge, the Health Assessment Pledge. The creation of both Pledges stems from the true passion of our own wellness experts, Dr. Jennifer Mieres, SVP of Community and Public Health and Dr. Jacqueline Moline, VP of Population Health.
- If you have not gotten the opportunity to watch the Wellness Video, visit HealthPort>Quick Links>iLearn. The health system's Learning Management System will guide you through the Wellness Module and Video.
- If you have not gotten the opportunity to fill out your Health Assessment, visit myuhc.com, register and login, click on Health Assessment on the far right side. The HA is housed in a secure portal through UnitedHealthcare and keeps your health information 100% confidential.
Both Pledge actions will credit your 2014 paycheck $260 each, as long as you comply before December 2. Yes, that's right ... it pays to be healthy!
Wednesday, November 6, 2013
Better Late Than Never
It is a well known fact that a good percentage of employees do not chose to participate in Flexible Spending Accounts because they are afraid they may lose the pre-tax dollars they put aside come the end of the year. Well rest easy - each year the health system gives its FSA participants a three month grace period for their healthcare account. This gives you the opportunity to spend what's leftover in 2013 rather than losing it in 2014.
Use It or Lose It Rule
For those organizations that do not offer such a generous grace period - the U.S. Treasury recently announced a modification to its "Use It or Lose It" ruling. This modification now allows participants to rollover $500 of unused dollars into 2014. Keep in mind, This rollover does not pertain to North Shore-LIJ Flex Spending participants due to the grace period already in place.
North Shore-LIJ Grace Period
The health system's generous 3 month grace period allows you to deplete your account in its entirety and does not limit you to only $500. This extension gives you the opportunity to purchase most eye-related products, orthopedic and surgical supports, blood pressure monitors, dentures and so much more.
So go ahead and be consumer savvy - put aside those pre-tax dollars during 2014's Open Enrollment, you've got nothing to lose!
Healthcare FSAs allow you to set aside a minimum of $150 and a maximum of $2,500 per year to pay for expenses not covered in your medical plan, such as co-pays and other out-of-pocket costs. This account will come to you in the form of a Debit card giving you convenient access to your funds.
Dependent Care FSAs allow you to set aside a minimum of $150 and maximum of $5,000 per year to pay for dependent care expenses for children under the age of 13, disabled adults or elder care.
Use It or Lose It Rule
For those organizations that do not offer such a generous grace period - the U.S. Treasury recently announced a modification to its "Use It or Lose It" ruling. This modification now allows participants to rollover $500 of unused dollars into 2014. Keep in mind, This rollover does not pertain to North Shore-LIJ Flex Spending participants due to the grace period already in place.
North Shore-LIJ Grace Period
The health system's generous 3 month grace period allows you to deplete your account in its entirety and does not limit you to only $500. This extension gives you the opportunity to purchase most eye-related products, orthopedic and surgical supports, blood pressure monitors, dentures and so much more.
So go ahead and be consumer savvy - put aside those pre-tax dollars during 2014's Open Enrollment, you've got nothing to lose!
Healthcare FSAs allow you to set aside a minimum of $150 and a maximum of $2,500 per year to pay for expenses not covered in your medical plan, such as co-pays and other out-of-pocket costs. This account will come to you in the form of a Debit card giving you convenient access to your funds.
Dependent Care FSAs allow you to set aside a minimum of $150 and maximum of $5,000 per year to pay for dependent care expenses for children under the age of 13, disabled adults or elder care.
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