BlueCross BlueShieldof Western New York

Daemen CollegeJune 2013 Open Enrollment

Account Executive:Denise Northrop

The Good Life℠

St. Bonaventure University POS 250D (Plans 1 and 2)

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Daemen CollegePOS 206 (Plans 1 and 2)

Register Online at bcbswny.com

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Find a Provider at bcbswny.com

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Traditional Blue POS 206 - Current Plan Highlights

Plan Plan 1 Plan 2

In-Network Deductible N/A $500 Single $1,000 Family

Primary Care Copay $25 $25 after deductible

Specialist Copay $25 $25 after deductible

Emergency Room $50 $50 after deductible

Urgent Care Center $35 $35 after deductibleAmbulance $50 $50 after deductible

Inpatient Hospital – maternity covered in full after deductible

$500/$1,000 $500/$1,000 after deductible

Outpatient Surgery $75 $75 after deductible

Prescription Drugs $10/$50/$100 $10/$50/$100

Mail Order 2.5 Copays per 90 days 2.5 Copays per 90 days

Dependent Coverage To Age 26 To Age 26

Out Of Pocket Maximum N/A N/A

POS 206 - $250 Wellness Card

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Benefit Differential Program Basics• Employee-specific; your personal health information is

kept private

• Your Employer will not know if you completed the steps of Good Life – BlueCross handles this behind the scenes

• Participation-based, not outcome-based

• Participation is optional, but your out-of-pocket expenses will change if you choose not to participate

• At the start of the program, you are automatically enrolled in POS 206 (Plan 1), which has lower out-of-pocket costs

• Eligible for the program on an annual basis

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Step 1: Health screening

Step 2:Health Assessment

Months 1-4 Months 5-7Months 1-4

Step 3:Health coaching

Good Life Timeline

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Complete a Health screening between June 1, 2013 - September 30, 2013• Blood pressure, blood sugar, and

cholesterol checks

• Weight, waist, and height measurements

• Worksite screening – Dates TBD• Physician Verification Form (look

back 6 months 1/1/13)

Two options to complete this step:

Step 1: Health screening

Months 1-4

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Complete the Health Assessment by September 30, 2013

• Complete your health screening first, need numbers for Health assessment

• Health survey that will take 15-20 minutes to complete

• Your Health Assessment results are confidential

Step 2: Health Assessment

Months 1-4

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Complete the Health Coaching between October 1 – December 31, 2013

• Health coaching phone calls to help you reduce lifestyle-related risks such as obesity, smoking, high cholesterol, and hypertension.

• You will receive two to three calls during the four-month program.

Step 3: Health coaching

Months 5-7

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Scenarios

Good Life Scenario 1:Employee completes all steps

Step 1:Health screening

Phase Date Status Plan impact

Enrolled in POS 206(Plan 1) through

May 31, 2014

Step 2:Health Assessment

Step 3:Health coaching

(if applicable)October – December 2013

June – September 2013

June – September 2013

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Good Life Scenario 2:Employee completes step 1 but not 2

Phase Date Status Plan impact

Enrolled in POS 206 (Plan 1)

Not applicableRemain in POS 206 (Plan 2) with the additional$500/$1000 deductible

Moved to POS 206 (Plan 2) with an additional $500/$1000 medical deductible as of October 1, 2013

Step 1:Health screening

Step 2:Health Assessment

Step 3:Health coaching (if

applicable)

June – September

2013

June – September

2013

Not applicable

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Good Life Scenario 3:Employee completes steps 1 and 2, but not step 3

Phase Date Status Plan impact

Enrolled in POS 206 (Plan 1)

Enrolled in POS 206 (Plan 1) through December 31, 2013

Moved to POS 206 (Plan 2) with additional $500/$1,000 deductible as of January 1, 2014

Step 1:Health screening

Step 2:Health Assessment

Step 3:Health coaching

June – September

2013

June – September

2013

October – December

2013

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Good Life Scenario 4:Employee completes steps 1, 2, and 3

Enrolled in POS 206 (Plan 1)

Enrolled in POS 206 (Plan 1) through May 31, 2014

Step 1:Health screening

Step 2:Health Assessment

Step 3:Health coaching

June – September

2013

June – September

2013

October – December

2013

Enrolled in POS 206(Plan 1) through May 31, 2014

Phase Date Status Plan impact

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Questions?