same team, same service medicare’s enrollment period ... · medicare’s open enrollment period...

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In March, we officially changed our name from Towers Watson’s OneExchange to Via Benefits Insurance Services. is rebrand did not occur as a result of a change in management or ownership — it is simply meant to better reflect our commitment to serving you. Same Team, Same Service Contact Us VB-ADVOCATE-FALL-HRA-QUAL-IBM-2018 Go online: My.ViaBenefits.com/IBM Contact by phone: ClientPhoneNumber Hours: Monday through Friday, 8:00 a.m. until 9:00 pm Eastern time Table of Contents Same Team, Same Service Medicare’s Enrollment Period Calendar Should I Change My Plan During Open Enrollment? 6 Reasons to Consider Changing Your Plan Making Changes to Your Plan(s) and Maintaining Your HRA Reimbursement Double Feature Comparing Your Web and Phone Service Options Your Feedback is Important Utilizing the Catastrophic Coverage Special Payments Benefit New Medicare Cards are Coming Part D Prescription Drug Plan News Brief Now We’re Hearing You Better Caregivers Corner Continued on next page You’re receiving this newsletter because we consider you part of the Via Benefits family. Via Benefits Insurance Services (formerly Towers Watson’s OneExchange) assisted you or your dependents in gaining a medical or prescription drug plan. We now hope to help you determine your coverage options for the coming year. Medicare’s Open Enrollment Period runs from October 15 through December 7, 2018. Read on to learn how to use Via Benefits to evaluate your current plan and if you choose, enroll in a new one. 3 things to know about Open Enrollment 1 2 3 Plans renew automatically Shopping online saves time Via Benefits is your trusted resource The Via Benefits Advocate Fall 2018 Medicare Newsletter IBM Edition

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Page 1: Same Team, Same Service Medicare’s Enrollment Period ... · Medicare’s Open Enrollment Period runs from October 15 through December 7, 2018. Read on to learn how to use Via Benefits

In March, we officially changed our name from Towers Watson’s OneExchange to Via Benefits Insurance Services. This rebrand did not occur as a result of a change in management or ownership — it is simply meant to better reflect our commitment to serving you.

Same Team, Same Service

Contact Us

VB-ADVOCATE-FALL-HRA-QUAL-IBM-2018

Go online: My.ViaBenefits.com/IBM

Contact by phone: ClientPhoneNumber

Hours: Monday through Friday, 8:00 a.m. until 9:00 pm Eastern time

Table of Contents

� Same Team, Same Service � Medicare’s Enrollment

Period Calendar � Should I Change My Plan

During Open Enrollment? � 6 Reasons to Consider Changing

Your Plan � Making Changes to Your Plan(s)

and Maintaining Your HRA � Reimbursement Double Feature � Comparing Your Web and

Phone Service Options � Your Feedback is Important � Utilizing the Catastrophic

Coverage Special Payments Benefit

� New Medicare Cards are Coming

� Part D Prescription Drug Plan News Brief

� Now We’re Hearing You Better � Caregivers Corner

Continued on next page

You’re receiving this newsletter because we consider you part of the Via Benefits family. Via Benefits Insurance Services (formerly Towers Watson’s OneExchange) assisted you or your dependents in gaining a medical or prescription drug plan. We now hope to help you determine your coverage options for the coming year.

Medicare’s Open Enrollment Period runs from October 15 through December 7, 2018. Read on to learn how to use Via Benefits to evaluate your current plan and if you choose, enroll in a new one.

3 things to know about Open Enrollment

1

2

3

Plans renew automatically

Shopping online saves time

Via Benefits is your trusted resource

The Via Benefits AdvocateFall 2018 Medicare NewsletterIBM Edition

Page 2: Same Team, Same Service Medicare’s Enrollment Period ... · Medicare’s Open Enrollment Period runs from October 15 through December 7, 2018. Read on to learn how to use Via Benefits

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Open Enrollment Period October 15 – December 7, 2018While no action is required, the Medicare Open Enrollment Period is an opportunity to assess your existing Medicare Advantage or Part D Prescription Drug plan and make changes, if needed. Remember that new coverage begins January 1, 2019. If you’re satisfied with your current coverage, then no action is required; your plan(s) will automatically renew.

General Enrollment Period January 1 – March 31, 2019

During this period, you can sign up for Medicare Part A and/or Part B if you didn’t when you were first eligible.

Medicare Advantage (MA) Open Enrollment Period, or as we call it, the “Test Drive” Period January 1 – March 31, 2019During this period, participants who just enrolled in new Medicare Advantage plans, including Medicare Advantage Drug plans (MAPD), will be able to “test drive” their coverage, and if it doesn’t feel right, make a one-time change to a different MA or MAPD plan. Enrollees will also have the option of dropping their new plan and going back to Original Medicare or purchasing Medicare Supplement (Medigap) with a Prescription Drug Plan (PDP).

Medicare Supplement Insurance and Open EnrollmentIf you have a Medicare Supplement (Medigap) policy, you can enroll anytime during the year. That means if you are happy with your policy currently, it will automatically renew — there’s no need to call us. However, if you do need to make a change, changes to your Medigap coverage may be subject to underwriting, depending on the state in which you live. Via Benefits offers Medigap policies year round. If you do want to make a change, call us. The rules are different in each state. We can help you find out if your state requires underwriting.

INSIDER TIPS

Best Call Times Keep Your Online Profile Up-to-Date Save Time, Go Online

Call Via Benefits Tuesday through Friday, as we have the highest call traffic on Mondays. Avoid calling the Monday after Thanksgiving, which is our busiest day.

It’s a good idea to update your information in your Via Benefits online account. Keeping your personal, prescription drug, and physician information current can reduce time spent on the phone and help you search for new plans when you’re ready to shop.

Listening to health plan details and disclaimers can take up to 5 minutes per plan. Save time and review your options online.

Medicare’s Enrollment Period Calendar

Page 3: Same Team, Same Service Medicare’s Enrollment Period ... · Medicare’s Open Enrollment Period runs from October 15 through December 7, 2018. Read on to learn how to use Via Benefits

Making Changes to Your Plan(s) and Maintaining Your HRA

If you are considering changing your coverage and want to maintain your Health Reimbursement Arrangement (HRA), contact Via Benefits to work with a licensed benefit advisor who will help you evaluate and enroll in a new medical and/or prescription drug plan that meets your needs and budget. To continue qualifying for funding, you must maintain either a medical or prescription drug plan through Via Benefits.

Our Shop & Compare tool allows you to compare multiple plans to help you decide whether you want to change your current plan. Go to My.ViaBenefits.com/IBM and choose Shop & Compare in the top menu to begin.

If you have any questions about your HRA or the above procedures, contact Via Benefits. We’re here to help.

Reimbursement Double Feature

Via Benefits offers two helpful features that make getting reimbursed for your premiums as easy as possible. Signing up for direct deposit and activating Automatic Premium Reimbursement allows you to automate your premium reimbursements, eliminating the need to fill out and mail forms every month. Many insurance plans offered through Via Benefits* have this feature. This means the insurance company sends a receipt of your premium payment to Via Benefits on your behalf, so as long as you have funds in your funding account, Via Benefits will reimburse you.

If you enable direct deposit, Via Benefits can deposit your reimbursement directly into your bank account. You can take advantage of direct deposit with or without enrolling in Automatic Premium Reimbursement.

Call a Via Benefits representative or sign into your Via Benefits online account to see if you can take advantage of this double feature.

*Via Benefits funding accounts are administered by Extend Health, Inc.

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If any of these things have occurred, give us a call and we can help you compare your plan options.

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Change in your health status

Change in your prescription drugs

Significant increase in premiums

Your doctors are no longer in your plan’s network

Your plan has been discontinued

Moved out of your old ZIP code

Should I Change My Plan During Open Enrollment?

If you’re satisfied with your current coverage and do not plan to make changes to it, there is no need to call us. Roughly 98% of people enrolled in Medicare plans through Via Benefits do not change their coverage during Open Enrollment. Be aware that if you make no changes your coverage will automatically renew.

Every fall your insurance company sends you materials, usually called “Evidence of Coverage” (EOC) or “Annual Notice of Change” (ANOC). These materials can help you understand your coverage and any changes being made to your plan(s). Be sure to review the details of your coverage and ensure it still meets your needs for the following year.

You can also go online at My.ViaBenefits.com/IBM and start comparing plans in your area. Plans with prices are posted online in mid-October.

6 Reasons to Consider Changing Your Plan

If any of the following events have occurred in the past year, you might want to explore your Medicare coverage options during Open Enrollment:

Page 4: Same Team, Same Service Medicare’s Enrollment Period ... · Medicare’s Open Enrollment Period runs from October 15 through December 7, 2018. Read on to learn how to use Via Benefits

Comparing Your Web and Phone Service Options

Via Benefits is at your service to help you evaluate your current plan and shop for a new plan. Here’s how shopping online and shopping on the phone for health coverage stack up. Make the choice that works best for you.

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The Via Benefits website is available 24/7Call to make an appointment with a licensed benefit advisor

We don’t like to keep you waiting, so call Tuesday through Friday as Mondays are often the busiest

Your plan comparison is created by a licensed benefit advisor who is trained to assist you

Provide vocal verification of your identity

Disclaimers are played in their entirety and need a vocal affirmation that you agree

Via Benefits is always ready to answer your questions or help you enroll in a new plan.

Our website is immediately available at your convenience

You conduct the research and choose your plans at your own pace

Log into your secure account and get started right away

Disclaimers are quick to review and agree to

If you do have questions, you can always call to speak to an advisor during your search online

Online On the phone

Go online: My.ViaBenefits.com/IBM Call: ClientPhoneNumber

If you have questions and feel confident navigating the web, visit our Help Center at ViaBenefits.custhelp.com. You’ll find answers there to a wide range of questions regarding Medicare premiums, funding, reimbursement, maintaining your account and more.

Page 5: Same Team, Same Service Medicare’s Enrollment Period ... · Medicare’s Open Enrollment Period runs from October 15 through December 7, 2018. Read on to learn how to use Via Benefits

Your Feedback is Important

Striving to give you the best experience possible is a key part of our mission at Via Benefits. For this reason, we provide every IBM retiree a post-call survey opportunity for any call lasting 5 minutes or longer. Here are the average results from the past 10 months of retiree experience surveys:

Utilizing the Catastrophic Coverage Special Payments Benefit

The Catastrophic Coverage Special Payments Benefit is for retirees from IBM with high prescription drug expenses. This benefit provides additional funds to reimburse you for prescription drug out-of-pocket expenses once you meet the catastrophic coverage threshold.

In order to qualify for the Catastrophic Coverage Special Payments Benefit, you must enroll and remain enrolled in a medical plan through Via Benefits.

If the total drug cost for your prescription drugs exceeds the annual IBM Catastrophic Level during a calendar year, IBM will provide an additional reimbursement in addition to any HRA funding you receive. Once the IBM Catastrophic Level is exceeded, this benefit will cover 100% of the actual eligible prescription drug expenses incurred by you or your eligible dependents for the remainder of the calendar year.

For 2019, the IBM Catastrophic Level is $100,000 in total drug cost. This includes deductibles, coinsurance and copays that you pay as well as payments made by the plan or other pharmaceutical manufacturers toward the cost of your prescription drugs. Your Medicare Prescription Drug (Part D) Plan will send you a monthly prescription plan summary statement that will show your total drug cost.

Eligible prescription drug expenses are limited to prescription drug copays and a coinsurance payments incurred at the time or after the IBM Catastrophic Level is exceeded. Prescription drug plan premiums are not eligible for reimbursement, nor are claims reimbursed from any other source.

If your total drug cost reaches the IBM Catastrophic Level, contact Via Benefits at ClientPhoneNumber to request information on accessing these funds. You may submit claims for reimbursement from this benefit up

85.2% of IBM retirees who worked with Via Benefits reported being satisfied with our services

92.8% of IBM retirees were satisfied with the individual support staff they worked with over the phone

“The representative who helped me out was great,” reports Stephen, an IBM retiree we spoke with in June. “He was extremely knowledgeable and I am hopeful that the remedial actions he explained to me will resolve my reimbursement issues. I cannot stress enough how well he did his job.”

Another IBM retiree, Dominick, reported a great interaction in January. “I had a question regarding reimbursement,” he remarked, “Audrey took the time to help me understand the process. I am no longer confused thanks to Audrey. I had another question about Medicare Part B reimbursement. Audrey took time to look into the matter and directed me to IBM and provided me with the phone number. She took the time to explain the reimbursement process, and she never got frustrated with all my questions. Audrey was amazing.”

We use the results and comments from surveys like these to help improve our processes, communications, and customer support training initiatives. Over the long term, these results also help us in making important decisions in our technology investments.

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to 180 days after the end of the calendar year.

Page 6: Same Team, Same Service Medicare’s Enrollment Period ... · Medicare’s Open Enrollment Period runs from October 15 through December 7, 2018. Read on to learn how to use Via Benefits

New Medicare Cards are Coming

The Centers for Medicare and Medicaid Services (CMS) began issuing new Medicare cards in May 2018 and will continue to mail them by geographic area until April 2019. In an effort to prevent fraud, fight identity theft, and keep taxpayer dollars safe, the CMS has removed Social Security numbers (SSN) from the cards.

Please note there is no charge for the new Medicare cards, nor any refunds or reimbursements associated with the reissue. Furthermore, Medicare will never call you and ask you for bank account information or to verify your Social Security number. For more information, visit the CMS website (CMS.gov).

Via Benefits is here to support you during this transition period. Until we are certain all retirees have received their new Medicare cards, Via Benefits will accept both new and existing Medicare numbers. When your new Medicare card arrives, we encourage you to update your Medicare number with Via Benefits. You can do this by logging into your Via Benefits account or by calling us at ClientPhoneNumber. We also suggest you destroy your old card after your new one arrives to help mitigate identity theft.

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Part D Prescription Drug Plan News Brief

Coverage Gap Update

� The Initial Coverage Limit (ICL) will increase from $3,750 to $3,820 in 2019. That means once the total cost of your prescriptions reaches $3,820 (in 2019), you will enter the coverage gap, also known as the “donut hole.” You will exit the coverage gap when the total cost of your prescriptions reaches $5,100, which is the 2019 True Out-of-Pocket threshold (TrOOP).

� While in the coverage gap, Part D enrollees will receive a 75% discount on the total cost of their brand name drugs, which includes a 70% discount paid by the drug manufacturers and a 5% discount paid by their Medicare Part D plan. Part D beneficiaries in the coverage gap will receive a 63% discount on generic drugs in 2019.

� The coverage gap has been narrowing each year since the Affordable Care Act was passed in 2010. The gap will stabilize in 2020. From that year on, beneficiaries will pay 25% of the cost of all their prescriptions while in the coverage gap.

� Minimum cost-sharing in the Catastrophic Coverage Phase will increase to the greater of 5% or $3.40 for generic drugs, and the greater of 5% or $8.50 for all other drugs in 2019.

� For 2019, the maximum Initial Deductible for Part D plans will increase by $10 to $415.

Page 7: Same Team, Same Service Medicare’s Enrollment Period ... · Medicare’s Open Enrollment Period runs from October 15 through December 7, 2018. Read on to learn how to use Via Benefits

Granting Caregivers Permission to Access Your Account and Funding

If you would like a friend or loved one to help you with your health care decisions, you have several options to give them access to your account.

Making your caregiver an Authorized Representative grants them permission to access your Via Benefits account. It’s in your best interest to do this because if something should happen to you, your Authorized Representative can help to settle your affairs. There are two levels of privileges:

� Limited: Allows sharing of protected health information with the Authorized Representative but prevents the Representative from making changes to the account. This is for informative purposes only.

� Full: Allows sharing of protected health information and allows the Authorized Representative to submit any required documentation on your behalf. This is important if the Representative will manage funding.

To make someone a limited or fully Authorized Representative on your account, call Via Benefits to start the process.

Power of Attorney Permissions

Giving someone Power of Attorney (POA) grants them a higher level of permission on your account. While Authorized Representatives can direct funding, a Financial Power of Attorney gives someone the power to make health plan enrollment decisions on your behalf.

Via Benefits cannot help you obtain Power of Attorney. Please seek legal advice if you need to establish this type of authorization. Once established, notify Via Benefits.

If you are a caregiver and have assumed ownership of a deceased retiree’s affairs, we suggest contacting Via Benefits by phone so that we may assist you in preparing for the future.

Caregivers Corner

You can access our privacy policy at my.viabenefits.com/about/privacy-policy. If you have questions or concerns about our privacy policy, please contact us at my.viabenefits.com/help.

Contact UsGo online: My.ViaBenefits.com/IBM

Contact by phone: ClientPhoneNumber

Hours: Monday through Friday, 8:00 a.m. until 9:00 pm Eastern time

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Page 8: Same Team, Same Service Medicare’s Enrollment Period ... · Medicare’s Open Enrollment Period runs from October 15 through December 7, 2018. Read on to learn how to use Via Benefits

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Information Center2105 West 2300 SouthSalt Lake City, UT 84119

PRST FIRST CLASSU.S. POSTAGE

PAIDSALT LAKE CITY, UT

PERMIT # 766

Electronic Service Requested

For Retireesof IBM

The Via Benefits AdvocateFall 2018 Medicare NewsletterIBM Edition