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Who should receive Form 1095-C?

Form 1095-C is mailed to benefit-eligible (i.e., average of 30 hours or more per week) faculty and staff who worked all or part of the tax year, to non-Medicare Advantage retirees, to non-Medicare dependents of Medicare Advantage retirees and to recipients of COBRA or Long Term Disability.

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How do I open my account with Optum?

The enrollment process is different for employees and retirees.

For employees: During your enrollment period, by electing to enroll in the HSA, you will authorize the university to open an HSA on your behalf. Optum Bank will mail you a welcome packet to complete the set-up process.

For retirees: Your HSA will be an individual account, so you can choose to open an HSA anywhere that offers them after you’ve enrolled in the qualified Healthy Savings Plan. However, if you’d like an HSA with Optum Bank, contact them directly to open an individual HSA or enroll online at Optum Bank. Find contact information on the plan contacts webpage. Because your HSA will be an individual account (as opposed to a university-sponsored account), you will be responsible for any fees associated with the account.

Find details on the understanding your HSA webpage.

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I received a Health Survey from UHC. Do I need to complete it? Will it affect my coverage or costs?

After your enrollment is effective in one of the university-sponsored UHC Group Medicare Advantage plans, you will receive a Health Survey. The Health Survey is a short questionnaire asking general questions about your health, and responding to the survey allows UHC to identify and recommend wellness and health-improvement programs for which you might qualify. UHC will attempt to reach you two times by phone to complete the survey, or if you wish, you may complete the survey on paper and return it to UHC. This survey is optional and your participation will not affect your coverage or your costs, but we encourage you to complete it as it will help UHC guide you toward programs and information that could be helpful to you.

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When should I receive Form 1095-C?

All employees have the option of receiving an electronic Form 1095-C. If an employee opts for an electronic form by December 31, that person will be able to view and print it from myHR around the middle of January. The University will postmark paper forms by the end of January (or early February if the end of January falls on a weekend) to employees who opt for a paper form. Please allow 10 business days for delivery. Those who opt for an electronic form will not have a paper form generated.

You may not need to wait until Form 1095-C arrives to complete your taxes. UM cannot provide tax advice. To learn more, we recommend you consult a tax advisor or read the IRS' FAQs about this form and whether it is necessary to wait.

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Can I drop my coverage under the university-sponsored UHC Group Medicare Advantage plans?

Yes, you will be able to change your election and opt out of a university-sponsored UHC Group Medicare Advantage plan during Annual Enrollment or at any time during the year. If you drop or cancel your coverage, you will not be able to re-enroll at a later date. 

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How do I opt for an electronic Form 1095-C?

If you have not already opted into receiving electronic 1095-C forms, the University will send you an end-of-the-year email asking you to choose to receive Form 1095-C electronically. Instructions for opting in or out will be included in that email. You must choose to opt in or opt out before midnight, December 31. Also, at any time, you may log into myHR to change opt in/opt out status: Select the “Benefits” tile and in the left-hand menu, scroll down and choose “1095-C Consent.” From there, provide or remove electronic consent. The consent status on file as of December 31 will be the status used for 1095-C generation (electronic or paper form).

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How many hours are student employees allowed to work?

Because education is the primary relationship of students to the university, students should average no more than 28 worked hours per week in a 12-month measurement period (October 4 through October 3). Please refer to Chapter 320.050: Employee Status in the university’s Collected Rules and Regulations and HR Policy 204: Graduate and Undergraduate Student Titles, or your campus specific guidelines (campus policy may be more restrictive). An individual who is expected to average more than 30 hours per week should be placed in a staff or academic title.

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What is an FSA?

Faculty and staff enrolled in the Custom Network Plan or the PPO Plan, as well as faculty and staff who are benefit-eligible but not enrolled in any university medical insurance, can enroll in a Health Care Flexible Spending Account (FSA). Retirees are not eligible for an FSA. An FSA allows money to be deducted from your paycheck on a pre-tax basis to pay for qualifying health care expenses. (Note: Any benefit-eligible faculty or staff member, regardless of the medical plan they are enrolled in, may also use a Dependent Care FSA for child/day care expenses, but this is a separate election.) By reducing your taxable income, a Health Care FSA can save you a substantial amount on a wide range of IRS-qualified medical, dental, and vision expenses that are not covered by your insurance. Contributions to your FSA accounts are exempt from federal and, in some cases, state income taxes.

It is important to carefully budget your contributions and expenses. The University FSA Health Care Account has a 2.5-month Grace Period (through March 15 of the following year), which allows you extra time to incur expenses to use your flexible spending health care balance after the close of the plan year. The FSA Dependent Care account does not have the extended period of coverage so those expenses must be incurred during the plan year (i.e., by December 31). If you do not use all your contributions within the plan year (including the Grace Period for FSA health care), you forfeit any money left in your account.

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I didn’t receive my Form 1095-C. How can I obtain a reprint?

Form 1095-C will be postmarked for delivery by the US Postal Service by the end of January for each previous tax year. Please allow 10 business days for delivery. Also, you can print a copy through myHR. After navigating to myHR, select the “Benefits” tile and in the left-hand menu, scroll down and select “View Form 1095-C.” From there, you’ll select the year you’d like to view. If you have not received your 1095-C form by mid- to late-February, and do not have access to myHR, please contact the HR Service Center to request a reprint.

Note: You may not need to wait until Form 1095-C arrives to complete your taxes. UM cannot provide tax advice. To learn more, we recommend you consult a tax advisor or read the IRS' FAQs about this form and whether it is necessary to wait.

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Why does having medical insurance require the SSN / TIN of my dependents?

The IRS requires that certain employers, including UM, that are classified as “applicable large employers” (ALEs) provide evidence of every person (employee, spouse, and other dependents) offered medical insurance. UM must provide the Social Security number or another tax identification number for each person.

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Why doesn’t the amount on Form 1095-C match the monthly premium I pay for medical insurance?

Box 15 of Form 1095-C indicates the monthly premium for the least costly insurance plan offered by UM, whether you chose that plan or not, so this amount may not match the actual premium amount deducted from your paycheck.

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Will it affect my future enrollment if I drop coverage under the new university-sponsored plan?

The university-sponsored UHC Group Medicare Advantage plans are employer-sponsored group Medicare Advantage plans; therefore, they do not carry the same limitations as individual Medicare Advantage plans. Because these are group plans, the member has more flexibility in moving from a university-sponsored Medicare Advantage plan back to Original Medicare and may do so without any restrictions or penalty. If a retiree or dependent cancels their university coverage, they will return to Original Medicare and may enroll in an individual Medicare Advantage, Medigap (Medicare Supplement) plan separate from the university. They will also need to enroll in a Part D Prescription Drug Plan separate from the university to avoid paying a penalty.

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Can I enroll in another Medicare Advantage plan if I drop coverage under the new university plan?

Yes. Because this is a group Medicare Advantage plan if a retiree or Medicare-eligible dependent terminates from the university-sponsored Medicare Advantage plan, he/she has a Special Election Period in which he/she can enroll into an individual Medicare Advantage plan.

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Do I have to have health insurance to have an HSA?

Yes. To be eligible to open and contribute to an HSA, you need to be enrolled in a qualified high-deductible health plan (HDHP), per the U.S. Internal Revenue Service. Enrollment in the university’s Healthy Savings Plan qualifies you for an HSA, as long as you also meet the other eligibility requirements, which are specified on the HSA webpage.

You may keep an old HSA with contributions from previous years--including an HSA from a previous employer or from previous years with the university--even if you are not enrolled in a high-deductible health plan. But if you are not currently enrolled in an IRS-approved HDHP, you may not contribute to the old HSA, and you may be charged an administration fee.

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Under the PPACA, how should Graduate Research Assistants (GRAs) track actual hours?

Because the work performed by GRAs is partially for work purposes and partially for educational purposes, there is more work to be done in determining how to track hours for GRAs. More information will be forthcoming as we continue to work with the Graduate Student leadership. At this time, GRAs are not required to record actual hours in the time reporting system.

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Are there resources about if I opt-out of the University-sponsored Medicare Advantage plan?

Each year, all Medicare members receive a “Medicare & You” booklet from Medicare that explains the various Medicare components and guidelines, including plan types. Since the university-sponsored UHC Group Medicare Advantage Plans are group plans, the university retains the ability to renew the plans in future years or return to a Medicare Fee-for-Service arrangement. In addition, each state has a State Health Insurance Assistance Program (SHIP) that can assist Medicare members with understanding their Medicare plan options and benefits. In Missouri, the SHIP program is CLAIM. Visit https://www.missouriclaim.org for more information. For states outside of Missouri, visit https://www.shiptacenter.org/ to find your local SHIP.

Link to this FAQ

Why are there X’s for the Social Security numbers listed on Form 1095-C?

The University has masked part of the Social Security number for privacy purposes. The IRS does not require full Social Security number(s) on the Form 1095C.

Link to this FAQ

What is dependent eligibility verification?

Dependent eligibility verification is a process in which an employer asks employees to provide proof that dependents remain eligible for coverage under their insurance plans.

In February of 2017, UM System coordinated with Conduent HR Services to conduct a dependent eligibility verification. To learn more, visit our dependent eligibility verification frequently asked questions

Link to this FAQ

What’s changing with health care reform and/or Patient Protection and Affordable Care Act (PPACA)?

Included in the Patient Protection and Affordable Care Act (PPACA) (health care reform) is a mandate for employers to offer medical coverage to employees who average 30 hours or more across all jobs over a defined measurement period.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

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How are hours quantified for those currently paid for a unit of work?

The use of unit pay should be eliminated if possible because it is difficult to programmatically track actual hours worked for purposes of determining medical insurance eligibility. This includes the practice of processing additional pay forms for one‐time assignments completed by variable-hour employees in a concurrent position. Please contact your campus HR office if you believe you need to continue to use unit pay for any jobs in your area.

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How do I start using the Express Scripts Pharmacy for home delivery?

You can choose one of these easy methods:

  • Call Express Scripts at 877-603-1032, and let them do all the work. For most medications, Express Scripts will be able to contact your doctor and arrange for your first mail-order supply.
  • Ask your doctor for a new prescription for up to a 90-day supply, plus refills for up to one year (if appropriate). Then, have your doctor fax the prescription to the Express Scripts Pharmacy. (Only your doctor can fax your prescriptions.)

For refills remaining on covered medications you take regularly and fill at a retail pharmacy, log into Express-Scripts.com, scroll down the Order Center page to "Transfer your retail prescriptions," and select the medications you'd like to transfer. Express Scripts will do the rest. (If you’re a first-time visitor to the Express Scripts website, please take a moment to register using your member ID number and a recent prescription number.)

[This FAQ provided and written by Express Scripts.]

Link to this FAQ

When will my HSA funds be available for claim reimbursement?

Once you have been enrolled in a Health Savings Account (HSA) for 30 days, the university will deposit your seed money within 7-14 days. Those who enroll during Annual Enrollment can expect to receive the university contribution in the third or fourth week of January. This applies to employees only; retirees do not receive university contributions.

Any funds that you have elected to contribute through pre-tax payroll deduction will be deposited into your HSA within 5-7 days of payroll. Any funds that you contribute outside of payroll deduction are contributed directly to Optum Bank.

Link to this FAQ

Who contributes to the HSA?

The employee/retiree and the employer may contribute a combined amount that equals up to the annual IRS annual limits. An additional catch-up contribution may be made if you are 55 years old or older. See the understanding your HSA webpage for details.

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Who owns the HSA?

The HSA is owned and managed by the employee/retiree. The minute the university's annual contribution is deposited in your account, it is yours to keep, even if you leave the university. (University contributions are made only for active faculty and staff members enrolled in the Healthy Savings Plan.) Likewise, any contributions you make with your own money are yours to keep.

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Will I still be able to drop university coverage and enroll in a Medigap policy at any time?

Once a retiree or dependent is enrolled for the 01/01/2017 effective date, he/she can disenroll from a university-sponsored UHC Group Medicare Advantage plan by contacting the university at any time during the year. This disenrollment will trigger the member to go back to Original Medicare, and they can enroll in a Medigap (Medicare Supplement) plan outside of the university as a secondary coverage. They will also need to enroll in a Part D Prescription Drug Plan separate from the university to avoid paying a penalty. It is important to note that once a retiree or covered dependent chooses to dis-enroll from their university medical coverage, they cannot enroll at a later time. If a retiree chooses to drop or opt-out of university medical coverage, their covered dependent(s) will be also be dis-enrolled at that time.

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For the ExpressScripts Step Therapy program, what do I do if I can’t use the front-line drug?

With step therapy, more expensive brand-name drugs are usually covered as a back-up in the program if:

You’ve already tried the generic drugs covered in your step therapy program
You can’t take a generic drug (for example, because of an allergy)
Your doctor decides, for medical reasons, that you need a brand-name drug

If one of these situations applies to you, your doctor can request an override or a “prior authorization” for you, allowing you to take a back-up prescription drug. Once the override is approved, you’ll pay the appropriate copayment for this drug. If the override isn’t approved, you will either have to pay full price for the back-up drug or take an alternative.

If you have more questions, you can go to StepTherapyFacts.com to watch informative videos or call the Express Scripts Pharmacy at the number on your ID card. (This FAQ answer provided by ExpressScripts.)

Link to this FAQ

How do I find out which prescription drugs are considered “preferred” drugs?

To see if a medication is one of the thousands covered on the preferred drug list for the currently plan year, visit the Express Scripts official website, www.express-scripts.com and select “Price a Medication” from the drop-down menu under “Manage Prescriptions.” If the prescription drug you are looking for is not on the preferred list, talk with your doctor to identify an appropriate alternative that will effectively treat your condition.

(This FAQ answer provided by Express Scripts.)

Link to this FAQ

If I talk to an Employee Assistance Program (EAP) counselor, is it confidential?

Yes. Employee Assistance Program (EAP) services are confidential. All case records and information about services provided to employees by the EAP are maintained in the strictest confidence. Exceptions to confidentiality are as follows:

  • If the EAP is under court order or subpoena compelling disclosure; or
  • If the EAP practitioner has reason to believe that a client is a threat of harm to himself, or other persons; or
  • If the EAP practitioner has reason to believe that a child or vulnerable adult has been subject to abuse or neglect.

In cases of supervisory referral to EAP, the employee is asked to sign a release giving permission for EAP to confirm attendance. This release only authorizes the employee's supervisor to confirm that the employee scheduled an appointment with the EAP and whether or not they attended that appointment. All personal information that is shared within the conversation between the EAP practitioner and employee will remain confidential and is not released to the supervisor of the employee.

Visit the Employee Assistance Program webpage for more information.

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Under the Affordable Care Act, are there any changes for fully benefit-eligible employees?

No, there are no changes for employees who are already fully benefit eligible (.75 full-time equivalency (FTE) and at least a 9 month appointment). The information regarding the Patient Protection and Affordable Care Act (PPACA) measurement period applies to variable hour employees (part‐time) who do not currently receive benefits.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

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What is a “measurement period” under the Patient Protection and Affordable Care Act (PPACA)?

The term “measurement period” indicates a time frame for the employer to look back to determine if an employee met the 30-hour requirement. The university evaluates variable-hour employees only; fully benefit-eligible employees are eligible for medical insurance by definition and therefore do not need measurement.

There are two types of measurement periods: (a) new-hire measurement periods and (b) ongoing measurement periods. See the “medical insurance eligibility” webpage to read the definitions.

The first ongoing measurement period for the University of Missouri (UM) System was October 4, 2013, through October 3, 2014 (12 months). Employees who averaged 30 hours or more over this 12-month period, were offered medical coverage for 2015. The first new-hire measurement period was November 1, 2013, to October 31, 2014.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

Link to this FAQ

Why does the Affordable Care Act (PPACA) ongoing “measurement period” start October 4?

The measurement, administrative, and stability periods have been determined based on current practices. The UM System wants to make sure the stability (coverage) period for variable-hour employees who are eligible for medical insurance mirrors that of the plan year for fully benefit-eligible employees (Jan. 1 – Dec. 31) and provides variable-hour employees the same plan year and annual deductible period as fully benefit-eligible employees.

Please note: The stability period is Jan. 1 – Dec. 31 of each year only for ongoing eligible employees. The stability period for new hires or newly eligible employees varies.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

Link to this FAQ

What is a “stability period” under the Patient Protection and Affordable Care Act (PPACA)?

For the Patient Protection and Affordable Care Act (PPACA), the short answer is that a “stability period” is the period you are guaranteed coverage. Once the UM System offers you medical insurance, you are guaranteed to have coverage for a 12-month stability period provided you enroll for insurance in the first 31 days of your stability period. In other words, you cannot lose your insurance coverage from the UM System even if your average hours worked drop below 30 hours per week, as long as you enroll within the first 31 days and assuming you do not separate from the university.

Keep in mind that you may have to enroll in a medical plan more than once per year when you are first offered insurance. That’s because your new-hire stability period varies, tracking with your new-hire measurement period, but it does not necessarily track with the ongoing measurement period.

The new-hire process is as follows:

Process Measurement Period Administrative Period Stability Period
  12 months when the UM System measures variable-hour employees’ work hours. Beginning and end dates vary based on the date an employee starts work. The UM System reviews the measurement period data and prepares offers to those variable-hour employees qualifying for medical insurance coverage. 12 months following the administrative period in which an eligible employee cannot become ineligible for insurance, assuming they enroll within the first 31 days of the stability period and do not separate from the university.

The new-hire measurement period varies based on your hire date, but the ongoing measurement period is always October 4 of one year to October 3 of the next year. If you intersect the middle of the ongoing measurement period, then you will receive an offer to enroll in medical insurance more than once per year.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

Link to this FAQ

Do “measurement periods” for the Patient Protection and Affordable Care Act (PPACA) remain the same?

Employers have the ability to change the measurement period under the regulations. At this point, it is not expected that the measurement period will change. However, as we navigate through the first few measurement, administrative, and stability periods, we will continue to evaluate whether this is the most appropriate time period for variable-hour employees and the UM System.

The new-hire measurement period varies based on your hire date, but the ongoing measurement period is always October 4 of one year to October 3 of the next year. If you intersect the middle of the ongoing measurement period, then you will receive an offer to enroll in medical insurance more than once per year.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

Link to this FAQ

How do I submit a claim to Optum for reimbursement through my HSA?

For active employees: Employees manage their HSA accounts through the medical insurance administrator, UnitedHealthcare. After you have created your online account through the myUHC website, you can submit your claims electronically. You may also use your debit MasterCard to pay for qualified medical expenses at the time of purchase or when service is provided.

For retirees: Retirees manage their HSA accounts directly with Optum Bank, or their chosen HSA administrator. If you have an HSA with Optum Bank, you may pay for qualified medical expenses through use of a debit mastercard, online bill payment or direct reimbursement. You may set up an online account or call Optum’s toll-free number, both of which are listed on the plan contacts webpage.

Read more about HSAs on the Understanding your Health Savings Account (HSA) webpage.

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How long will it take to receive my home delivery medications from Express Scripts?

Usually, you’ll receive your medication within eight days after we receive a new prescription and about five days after we receive your refill request.

When ordering a covered medication for the first time through Express Scripts home delivery, please ask your doctor to write two prescriptions:

  • One for up to a 90-day supply to have filled through home delivery.
  • One for a 30-day supply to fill at a participating refill pharmacy while your home delivery prescription is processed and shipped.

[This FAQ provided and written by Express Scripts.]

Link to this FAQ

I have an HSA but I am moving to the PPO plan or Custom Network Plan. What happens to my account?

You can keep your HSA account and use the funds for eligible health expenses in the future, but the university will no longer deposit seed money. Additionally, you will be responsible for paying monthly maintenance fees or any fees that are necessary for closing your account or transferring your funds.

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If I am enrolled in MO HealthNet or other state Medicaid program, how will my coverage coordinate?

Your university-sponsored UHC Group Medicare Advantage plan will be your primary coverage. Your Medicaid coverage will process claims after the Medicare Advantage plan has processed your claims. UHC will cross-over those claims.

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My address is incorrect on Form 1095-C. How do I update it?

You can update your address through myHR. The IRS does not consider an incorrect address reason for a correction, so we are unable to issue a new form. Please use the original Form 1095-C you received.

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What does “variable-hour employee” mean under the Patient Protection and Affordable Care Act?

A variable-hour employee is one who works for the university but is not fully benefit eligible. In the past, the term “part‐time” has most commonly been used.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

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Does the money in my HSA earn interest?

Yes, and tax-free. HSA accounts calculate, compound, and credit interest monthly based on the applicable rate for different tiers of the account balance. View the Optum Bank Health Savings Accounts page.

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How can I avoid running out of medication when I use home delivery?

For your convenience, Express Scripts offers the Worry-Free Fills® program, a service that provides you with automatic refills on eligible medications you take regularly. Your medication will be shipped on the next refill date, prior to when the supply from your current fill would run out. To see whether your medications are eligible and to enroll in the program, call Express Scripts at 877-603-1032 or log into the website at Express-Scripts.com.

[This FAQ provided and written by Express Scripts.]

Link to this FAQ

Personal information is incorrect on my 1095-C form. Who do I contact?

If personal information is incorrect, including name, date of birth or Social Security number, please contact the HR Service Center. The IRS does not consider an incorrect address reason for a correction; please use the original Form 1095-C you received. For other purposes, however, we recommend you update your address in myHR.

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Will my spouse/eligible dependent also be covered under the new university-sponsored plan?

If you and your spouse/eligible dependent(s) are Medicare eligible, then you may elect coverage for yourself and any covered Medicare-eligible dependent(s) under the options for Medicare-eligible members:

  • The university-sponsored Medicare Advantage Base Plan, or
  • The university-sponosred Medicare Advantage Enhanced Plan.

If you are Medicare eligible but your spouse/eligible dependent is not Medicare eligible (e.g., is under age 65), then you may elect coverage for yourself under the options for Medicare-eligible retirees (see above) and coverage for your spouse/eligible dependent under the options for non-Medicare-eligible members:

  • The Retiree Health PPO, or
  • The Healthy Savings Plan, a qualified high-deductible health plan,

If you are not Medicare eligible but your spouse/eligible dependent(s) is Medicare eligible, then you may elect coverage for yourself under the options for non-Medicare-eligible members and coverage for your spouse/eligible dependent(s) under the options for Medicareeligible members.

If your dependent has previously dropped the university medical coverage provided to you as a retiree, they cannot re-enroll at this time.

Link to this FAQ

How can I check the status of my prescription order?

Orders are usually processed by Express Scripts and mailed within 48 hours of receipt. Please allow eight days from the day you mail in your prescription. You can check on the status of your order by logging into Express-Scripts.com and selecting “Check Order Status” from the drop-down menu under “Manage Prescriptions.” Or you can call Member Services and use the automated system. If you’re a first-time visitor, take a moment to register. Have your member ID number handy.

[This FAQ provided and written by Express Scripts.]

Link to this FAQ

How will the out-of-pocket-maximum work if my spouse and I both enroll in a Medicare Advantage Plan?

If you and your spouse are Medicare eligible and enroll in one of the new Medicare Advantage plans, you will each have a separate annual out-of-pocket maximum. This means that amounts you pay out of pocket for your care will only count toward your annual out-ofpocket maximum and not your spouse’s. Similarly, amounts you pay out-of-pocket for your spouse’s care will only count toward your spouse’s annual of-of-pocket maximum. CMS does not allow out-of-pocket maximums to coordinate for a family in Medicare Advantage plans.

Link to this FAQ

Can I invest the money in my HSA?

Yes. Similar to an IRA, you may invest a portion of your account balance in mutual funds. Optum offers investment opportunities available through their Mutual Funds webpage.

Link to this FAQ

How can I find out how much my medication costs with Express Scripts home delivery?

Log in at Express-Scripts.com, select “Price a medication” from the menu on the left side of the screen, and follow the instructions to enter your medication name. You can also call Express Scripts at 877-603-1032.

[This FAQ provided and written by Express Scripts.]

Link to this FAQ

How do breaks in service impact the PPACA measurement period?

The Patient Protection and Affordable Care Act (PPACA) regulations state that breaks in service greater than 26 weeks require employees to begin a new measurement period. To comply with this, if an employee has a break in service of more than 26 weeks (excluding FMLA and Military Leave), the employee record should be terminated and then the individual should be rehired at a later time if needed.

If an employee is rehired after a break in service longer than 26 weeks, they will be placed into a new measurement period. If the break in service is not expected to last longer than 26 weeks, then the individual should be placed on an appropriate leave (short work break). When an employee has a break in service of less than 26 weeks, they will be placed back into the same measurement/coverage period that they were in at the time of their break began. It is understood that this could create additional I‐9 verification and criminal background checks.

Link to this FAQ

How will the out-of-pocket-maximum work between the Medicare Advantage plan and other plans?

If you are enrolled in one of the university-sponsored UHC Group Medicare Advantage plans, amounts that count toward the deductible and out-of-pocket maximum in that plan will not apply toward the deductible and out-of- pocket maximum in the Retiree Health PPO Plan or the Healthy Savings Plan in which your spouse/eligible dependent is enrolled. Similarly, amounts that count toward the deductible and out-of-pocket maximum for your spouse/eligible dependent in the Retiree Health PPO Plan or the Healthy Savings Plan will not apply toward the deductible and out-of-pocket maximum in the new Medicare Advantage plans.

Link to this FAQ

How do I pay for my Express Scripts home delivery prescriptions?

You can pay by check, e-check, money order, or credit card. If you prefer to use a credit card, you have the option of joining Express Scripts’ automatic payment program by calling 800-948-8779 or by enrolling online. If you currently use a credit card for your home delivery prescriptions, you’ll need to contact Express Scripts with your credit card information, as this information can’t be transferred.

E-check is another term for electronic fund transfer. When you pay for home delivery prescriptions with e-check, your copayments are conveniently deducted from your checking account. Plus, there’s a 10-day grace period between the time your order is sent and when the amount is deducted from the assigned checking account. (The amount that is being deducted will be included in the prescription information that accompanies your order.)

[This FAQ provided and written by Express Scripts.]

Link to this FAQ