Medicare-Eligible Retiree Meeting

© 2018 Willis Towers Watson. All rights reserved.

October 15, 2019

Medicare-Eligible Retiree Meeting

Texas Instruments Retiree Readiness

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© 2018 Willis Towers Watson. All Rights Reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.

Via Benefits

Key Medicare Updates — What’s Changing

Via Benefits Update

2

1

Donut Hole and Catastrophic Pharmacy Benefit

RRA Reimbursement Process

Questions and Answers

3

4

5



Via Benefits Update



Things you need to KNOW

Medicare Annual Open Enrollment:

Oct. 15 – Dec. 7

Medicare prescription drug coverage

Medicare Advantage

Changes to Medigap plans can be made any time —

but underwriting could be required

When to

make

changes

Contact Via Benefits

Phone number: 1-844-638-4642

Website: https://medicare.viabenefits.com/ti

If you want

to make

changes

or have

questions

https://medicare.viabenefits.com/ti



Things you need to KNOW

Via Benefits can help with

Change in health status

Significant increase in premiums

Medication-related changes

You have moved

Your plan has been canceled

Your primary care physician is no longer in your

plan’s network

Other

reasons to

call

Via Benefits

No action required

If you do not

want to

make plan

changes



Check your coverages

Medicare Annual Open Enrollment:

Oct. 15 – Dec. 7

Check to ensure your current plan is still available

and meets your needs

Check to

ensure your

plan is still

available

Contact Via Benefits

Check to ensure current or new prescriptions are

covered

Use the prescription coverage checkup tool to

determine if there is a better plan available, then

speak with Via Benefits if new policy is needed

Check to

see if your

prescriptions

are covered



Key Medicare Updates —

What’s Changing



High-level look

Medigap Plan C & F: Only accepts new entrants if

you were Medicare eligible prior to 01/01/2020

Distribution of new Medicare cards

Medicare Advantage Open Enrollment Period

What’s

changing?



Reminder: Medigap Plan C & F

Upcoming changes to Medicare Supplement Insurance (Medigap):

January 1, 2020

How this affects you

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Medicare Supplement Insurance (Medigap)Lettered policies

Medicare Supplement Insurance (Medigap) Policies

Benefits A B D G K L M N

Medicare Part A coinsuranceand hospital costs

100% 100% 100% 100% 100% 100% 100% 100%

Medicare Part B coinsurance or copayment

100% 100% 100% 100% 50% 75% 100% 100%

Blood (first 3 pints) 100% 100% 100% 100% 50% 75% 100% 100%

Part A hospice care coinsurance or copayment

100% 100% 100% 100% 50% 75% 100% 100%

Skilled nursing facility care coinsurance

100% 100% 50% 75% 100% 100%

Part A deductible 100% 100% 100% 50% 75% 50% 100%

Part B deductible

Part B excess charges 100%

Foreign travel emergency (up to plan limits)

80% 80% 80% 80%

Source: CMSOut-of-Pocket limit

in 2019

$5,560 $2,780

Medicare

First-Eligible

Before 2020

ONLY

C F

100% 100%

100% 100%

100% 100%

100% 100%

100% 100%

100% 100%

100% 100%

100%

80% 80%



New Medicare Cards

Medicare is replacing SSN with Medicare Beneficiary Identifier (MBI)

MBI is randomly generated

Example: 1EG4-TE5-MK73

Every person with Medicare will get a new MBI number and a new Medicare card

with this number included



Medicare Advantage Open Enrollment Period (OEP)

Provides additional safeguard if you feel you have enrolled in the wrong Medicare

Advantage Plan

The following changes are allowed during this time:

You may switch from their current Medicare Advantage plan to a new Medicare

Advantage plan

You may disenroll from their current Medicare Advantage plan, and return to original

Medicare (only Part A and Part B) and enroll into a stand-alone Prescription drug plan

This new Medicare Advantage OEP will not help if you did not enroll during Annual Open

Enrollment (Oct 5-Dec 7)

Effective in 2019 a new Medicare Advantage Open Enrollment Period

will take place from January 1 – March 31, 2020

March 2020February 2020January 2020

Note: This additional 3-month window does not apply to Medigap Plans (the letter plans)



Donut Hole Updates and

Catastrophic Pharmacy Benefit



Part D Plans

5 Tiers of copays

A prescription drug plan will typically break the

formulary into “tiers.” The tiers correspond to the

copayment or coinsurance the beneficiary will pay

Cost-sharing increases with the tier number

Tier 1 is the least expensive

Tier 4 or 5 is the most expensive

Tier 2 –

Non-preferred generic

Tier 1 –

Preferred generic

Tier 3 –

Preferred brand

Tier 4 –

Non-preferred brand

Tier 5 –

Specialty drugs or injectables

Tier descriptions:

$$

$$

$$

$$

$$

$

$$

$

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Medicare Prescription Drug Coverage 2020

15© 2019 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.

$3.60 for Generics

$8.95 for Brand Name

5% whichever is greater

Catastrophic Coverage

(only 4% will reach)

Deductible

25% for Brand Name

25% for Generics

Beneficiary Pays

$0-435

$4020

$6350

Total Cost

Full retail until deductible

is met

Copays for your plan

coverage Initial Coverage

Coverage Gap

(only 25% will reach)

70% manufacturer

discounts count

towards TrOOP



Special Texas Instruments

Catastrophic Coverage

Texas Instruments provides additional

funds to Retiree Reimbursement Account

(RRA) qualified participants that reach

2019 threshold of $5,100 in designated

out-of-pocket prescription drug costs

You must submit proof that the

designated out-of-pocket threshold has

been met

More information about this benefit is

discussed in your RRA Guide

Call Via Benefits at 1-844-638-4642 with

questions

Note: This benefit is only available to RRA qualified participants.



Reimbursement Process



What is a Retiree Reimbursement Account (RRA)

Unused funds

DO roll over

You may use RRA funding to reimburse yourself for eligible medical, prescription drug,

dental, and vision premiums, as well as eligible

out-of-pocket healthcare expenses

TI contributions will be available in January for those who qualify for this benefit

Tax-free account used to reimburse you for

eligible health care expenses — you pay first and

then get reimbursed

If you are eligible, TI will make an annual contribution to a Retiree Reimbursement

Account (RRA), prorated amount for newly eligibleNote:

You must maintain

continuous enrollment

in a medical or

prescription drug plan

through Via Benefits

to receive

TI contributions

Administration governed by IRS Sec 213(d)



Retiree Reimbursement Account (RRA)

How the RRA works

YOU Insurance

Provider

Premium / Eligible 213d

Expenses per IRS

Reimburse(Check or Direct Deposit)

Receipt of Payment

You may be reimbursed up to the amount available in your RRA!



Types of reimbursement

Premiums ONLY

Medical, Prescription Drug, Vision, Dental Premiums

(coverage enrolled through Via Benefits)

Automatic

Reimbursement

Premiums ONLY

Medicare Part B Premium


Recurring

Reimbursement

Premiums AND One-time Claims

Medicare Part B Premium


Claims — medical, pharmacy, dental and vision

Manual

Reimbursement



Automatic premium reimbursement set-up

Recommended option when coverage through Via Benefits

Already enrolled in Automatic Reimbursement

No action needed if keeping current plan

First time using Automatic Reimbursement or switched plans must re-enroll in

Automatic Reimbursement

One-time set up unless make enrollment changes



Recurring premium reimbursement set-up

Apply once for the entire year

Expires 12/31 each year — must re-submit annually

Note: If you are using automatic reimbursement you should not use recurring reimbursement for the same premiums.

There are two separate forms for Medicare Part B premiums and other premiums. These forms are mailed annual in Oct/Nov. Can also be requested via phone or accessed online.



Recurring premium reimbursement Proof of coverage documentation requirements



Manual reimbursement

Premium/one-time claims

One-time reimbursement: premiums and/or medical, pharmacy, dental

and vision claims

Must be submitted each time seeking reimbursement

Note: You must use a manual claim form if making one premium payment to cover the full year.



Manual reimbursement

One-off expense claims — Documentation and proof of payment



Receiving reimbursements options

Checks mailed to home address

Receive within 10 to 15 business days

Mail

Check1

Payment deposited in bank account

Receive in 3 to 5 business days

Direct Deposit

(Recommended)2



Direct Deposit Authorization

Direct Deposit Set-Up

Fax

Online

Mail

Enrollment in direct deposit is highly

recommended!



Managing Your RRA

Telephone

Call the toll-free Via Benefits designated number:

1-844-638-4642

Online

Submit request online:

https://medicare.viabenefits.com/ti

Hours: Mon-Fri 7:00 a.m. – 8:00 p.m. Central Time

General Questions: Select Option 2

Funding Questions: Select Option 3

https://medicare.oneexchange.com/ti



Questions and Answers

Q & A



Thank you!

Call Now, We Are Ready!1-844-638-4642

My.ViaBenefits.com/TI

Medicare Annual Open Enrollment is

October 15 to December 7



2019 vs. 2020

Plan Comparisons for Collin and

Dallas Counties

willistowerswatson.com

Plan Type

2019

Number of Plans

Offered

[73]

2020

Number of

Plans Offered

[87]

2019

Monthly Premium

2020

Monthly Premium

Medicare Advantage 26 30 $0 - $116 $0 - $134

Medicare

Supplement

(Medigap)

28 38 $74 - $365 $74 - $312

Part D 19 19 $11 - $140 $13 - $87

Plans Available in Collin County


Plan Type

2019

Number

of Plans

Offered

2020

Number of

Plans

Offered

2019

Monthly

Premium

2020

Monthly

Premium

Vision 2 3 $14 - $17 $14 - $17

Dental 9 12 $22 - $59 $22 - $59




Benefit 2019Cost

2020Cost

Premium $0 $0

Network HMO HMO

Deductible $0 $0

Doctor Copay $0 $0

Specialist Copay $20 $35

Hospital $300 per day 1-6 $200 per day 1-6

Emergency Room $90 $90

RX – DeductibleRetail Co-Pay Tiers

$195 (Except T1 & T2)0 / 0/ 47 / 100 / 29%

$00 / 5 / 35 / 75 / 33%

Mail Order Co-Pay Tiers 0 /0 / 136/ 300 / 29% 0 / 0 / 70 / 150 / 33%


Medigap Plan F + Prescription Drug Plan

(Based on 75 year old male)

Benefit 2019Cost

2020Cost

Premium $218 $218

Network N/A N/A

Deductible $0 $0

Doctor Copay $0 $0


Hospital $0 $0


2019 Drug Plan Cost 2020 Drug Plan Cost

Premium $25 $21

Rx – DeductibleRetail Co – Pay Tiers

$1003 / 13 / 42 / 42% / 31%

$3600 /1 / 141 / 38% / 26%

Mail Order Co-Pay Tiers 0 / 33 / 105 / 42% / 31% 0 / 3 / 141 / 38% / 26%


Plan Type

2019

Number of Plans

Offered

[75]

2020

Number of Plans Offered

[89]

2019Monthly Premium

2020Monthly Premium

Medicare Advantage 28 32 $0 - $116 $0 - $134

Medicare Supplement(Medigap)

28 38 $74 - $365 $74 - $312

Part D 19 19 $11 - $140 $13 - $87

Plans Available in Dallas County


Plan Type

2019

Number

of Plans

Offered

2020

Number of Plans Offered

2019Monthly Premium

2020Monthly Premium

Vision 1 3 $14 $14 - $17

Dental 9 12 $22 - $59 $22 - $59




Benefit 2019Cost

2020Cost

Premium $0 $0

Network HMO HMO

Deductible $0 $0

Doctor Copay $0 $0


Hospital $300 per day 1-6 $200 per day 1-6


RX – DeductibleRetail Co-Pay Tiers

$195 (Except T1 & T2)0 /0 / 47 / 100 / 29%

$00 / 5 / 35 / 75 / 33%

Mail Order Co-Pay Tiers 0 / 0 / 136 / 300 / 29% 0 / 0 / 70 / 150 / 33%


Medigap Plan F + Prescription Drug Plan- Dallas County

(Based on 75 year old male)

Benefit 2019Cost

2020Cost

Premium $218 $218

Network N/A N/A

Deductible $0 $0

Doctor Copay $0 $0


Hospital $0 $0


2019 Drug Plan Cost 2020 Drug Plan Cost

Rx – DeductibleRetail Co – Pay Tiers

$1003 / 13 / 42 / 42% / 31%

$3600 / 1 / 141 / 38% / 26%

Mail Order Co-Pay Tiers 0 /33 / 105 / 42% / 31% 0 / 3 / 141 / 38% / 26%



Retiree Reimbursement Account

(RRA)



Managing Your RRA — Online

Go to https://medicare.viabenefits.com/ti




Reimbursements can be submitted through

the mail or online

RRA Claims

Submission Process



Automatic premium reimbursement set-up

Online

Enroll online through https://medicare.viabenefits.com/ti:

As you review available plans through the Via Benefits site, you will see which plans

“Support Auto Reimbursement”

Be sure to enroll in Automatic Reimbursement when you proceed with your plan selection




Recurring premium reimbursement

Accessing Online Form

Apply once for the entire year

Expires 12/31 each year —

must re-submit annually

Step 1: Visit https://medicare.viabenefits.com/ti

Step 2: Log into your Via Benefits online account

Step 3: Click Funds & Reimbursements

Step 4: Click Reimbursement Center

Step 5: Enter recurring reimbursement information

Step 6: Upload required supporting documentation

Step 7: Confirm information is correct and submit




Manual Premium Reimbursement

Accessing Online Form

One-time reimbursement: premiums and/or

medical, pharmacy, dental and vision claims

Must be submitted each time seeking reimbursement

Step 1: Visit https://medicare.viabenefits.com/ti

Step 2: Log into your Via Benefits online account

Step 3: Click Funds & Reimbursements

Step 4: Click Reimbursement Center

Step 5: Enter recurring reimbursement information

Step 6: Upload required supporting documentation

Step 7: Confirm information is correct and submit




Setting up for Recurring Premium Reimbursement

Online

1. Expense Type

2. One-Time or Monthly

3. First Payment’s Coverage

(Month and Year)

4. Monthly Premium Amount

5. Number of Monthly

Payments

6. Be sure that the

documentation provided

matches the amounts and

dates being requested



Steps for submitting a Manual Reimbursement

Online

1. Expense Type

2. Expense Begin Date

3. Expense End Date

4. Amount

5. Be sure that the

documentation provided

matches the amounts and

dates being requested

Medicare-Eligible Retiree Meeting

Documents

Transcript of Medicare-Eligible Retiree Meeting