[MUSIC PLAYING IN THE BACKGROUND THROUGHOUT VIDEO]
[Text On Screen – Health Plan Options, Arizona Department of
Administrative Benefits, UnitedHealthcare]
[PHOTO OF A WOMAN READING ON A TABLET]
FEMALE
VOICEOVER: At UnitedHealthcare, your health is important to us,
[ANIMATION
OF THE UNITEDHEALTHCARE LOGO]
and that's
why we want to make sure you understand your options for the coming year.
[Text On Screen – Choosing Coverage with UnitedHealthcare]
You have
two health plan options to choose from, the
Triple Choice Plan and the High Deductible Health Plan with a Health Savings Account.
[Text On Screen – Triple Choice Plan , High Deductible Health
Plan]
Only the high
deductible health plan is eligible for the health savings account,
[Text On Screen – High Deductible Health Plan + HSA]
and when
you open your health savings account, your state agency will help fund your HSA
each pay period.
[Text On Screen – Deposits based on single or family
coverage]
Deposits
will be based on single or family coverage.
[Text On Screen – HSA]
More on
HSAs later in the video.
[Text On Screen – Triple Choice Plan, Lower deductible and
copays, Higher premium]
The Triple
Choice plan has a lower deductible and copays, but has a higher premium.
[Text On Screen – Triple Choice Plan, Lower deductible and
copays, Higher premium, High Deductible Health Plan, Higher deductible, Lower
premium]
The High Deductible
Health Plan with HSA has a higher deductible with a lower premium.
[Text On Screen – Premium, Amount you pay out of paycheck]
The
premium is the amount you pay out of your paycheck to have coverage.
[Text On Screen – Premium, Amount you pay out of paycheck,
Deducible, Amount you spend before the plan pays]
The
deductible is the amount you spend each year before your plan starts to pay.
[Text On Screen – Deductibles]
How do
deductibles work?
[Text On Screen – High Deducible Health Plan with single
coverage]
Let's say
you choose single coverage for the High Deductible Health Plan.
[Text On Screen – High Deducible Health Plan with single
coverage, One your deductible has been met, the plan with start to pay for
eligible expenses]
[GRAPH OF
FAMILY AND INDIVIDUAL DEDUCTIBLE]
Once your
deductible has been met, the plan will start to pay for eligible expenses.
[Text On Screen – High Deducible Health Plan with family coverage,
Entire family deductible has to be met before plan starts to pay]
If you
choose family coverage, the entire family deductible has to be met before the
plan starts to pay.
[Text On Screen – Triple Choice Plan, Tier 1, Tier 2, Tier 3]
With a Triple
Choice Plan, you have three tiers to choose from.
[Text On Screen – Triple
Choice Plan, Tier 1, Tier 2, In-network coverage, Tier 3]
Tier one
and tier two both offer in network coverage.
[Text On Screen – Triple Choice Plan, Tier 1, Tier 2,
In-network coverage, Tier 3, Out-of-network]
Tier three
is out of network.
[Text On Screen – Tier 1, Quality, cost-efficient care, Pay.
Less out-of-pocket, Network hospitals, Urgent cares, Surgical centers]
Tier one
providers designated with the tier one blue dot on our website deliver quality
cost efficient care. You'll pay less out of pocket with tier one providers.
Tier 1 providers also include network hospitals, urgent cares, and surgical
centers.
[Text On Screen – Tier 1, In-network, Tier 2, In-network]
You can
also choose from tier 2 in network providers.
[Text On Screen – Tier 1, In-network, Tier 2, In-network,
Tier 3, Out-of-network, Limited coverage]
If you
choose out of network providers, tier 3, you will have limited coverage and
much higher costs.
[ANIMATION
OF THE UNITEDHEALTHCARE LOGO]
[Text On Screen – Triple Choice Plan Deductibles]
Let's take
a quick look at deductibles for each tier of the Triple Choice Plan.
[DATA
ABOUT INDIVIDUAL VERSUS FAMILY COVERAGE AT EACH TIER]
Here's a
quick comparison of the individual and family deductibles for each.
[DATA
ABOUT INDIVIDUAL VERSUS FAMILY COVERAGE PER INDIVIDUAL IN A FAMILY]
The Triple
Choice Plan keeps track of the individual and family deductibles. The plan
starts paying for an individual once he or she meets the per person deductible.
Once those per person deductibles add up to meet the family deductible, the
health plan starts paying health care expenses for everyone in the family.
[Text On Screen – Triple Choice Plan Deductibles Tier 1, Tier
2]
Amounts
you meet toward your tier 1 deductible apply to your tier 2 deductible, and
amounts you meet toward your tier 2 deductible apply to your tier 1 deductible.
[Text On Screen – Triple Choice Plan Deductibles Tier 1, Tier
2, Tier 3, Separate deductible]
But if you
choose to go out of network and utilize tier 3 benefits you will have to meet
the separate tier 3 deductible.
[Text On Screen – Triple Choice Plan Deductibles, Once you
meet your deducible, your copays will apply]
Once you
meet your deductible, your copays will apply.
[Text On Screen – Triple Choice Plan Deductibles, Copays are
the same Tier 1, Tier 2]
Copays are
the same for tier 1 and tier 2 providers.
[Text On Screen – Coinsurance]
Now, let's
look at coinsurance.
[GRAPH
REPRESENTING COINSURANCE, OUT-OF-POCKET MAXIMUM VERSUS DEDUCTIBLE]
Coinsurance
is the percentage the plan pays for covered health services once you reach your
deductible, but before you reach your out of pocket maximum,
[Text On Screen – The most you’ll pay for network services
during the year]
the most
you'll pay for network services during the year.
[Text On Screen – High Deductible Health Plan, 10%
coinsurance after meeting your deductible]
On the High
Deductible Plan, you'll pay 10% for network services after meeting your
deductible.
[Text On Screen – High Deducible Health Plan Triple Choice
Plan, 50% coinsurance Out-of-network or Tier 4 providers]
On the High
Deductible Health Plan and Triple Choice Plan, you'll pay 50% coinsurance for
out of network or tier three providers.
[GRAPH
REPRESENTING COINSURANCE, OUT-OF-POCKET MAXIMUM VERSUS DEDUCTIBLE]
For both
plans, eligible healthcare expenses are covered at 100% once the out of pocket
maximum has been met.
[ANIMATION
OF THE UNITEDHEALTHCARE LOGO]
Here's a
quick comparison of the out of pocket maximums for the High Deductible Health
Plan and for the Triple Choice Plan.
[Text On Screen – High Deducible Health Plan, Triple Choice Plan]
[DATA COMPARING
HIGH DEDUCTIBLE HEALTH PLAN VERSUS TRIPLE CHOICE PLAN IN TERMS OF OUT-OF-POCKET
MAXIMUMS]
The High
Deductible Health Plan comes with a health savings account, or HSA.
[Text On Screen – High Deductible Health Plan + HSA]
Think of
it like a bank account that lets you put money aside, tax free, to help save
and pay for eligible healthcare expenses.
[Text On Screen – Funds can be invested when you meet an
account minimum]
HSA funds
can be invested when you reach a certain account minimum.
[Text On Screen – Earnings or interest grow tax-free]
Any
earnings or interest grow tax free. The money in the account rolls over from
year to year, and it's always yours to keep,
[ANIMATIONS
OF MONEY, CLOUDS, AND A HOT AIR BALLOON]
[Text On Screen – Yours to keep!]
even if
you change health plans, retire, or leave service with the state of Arizona.
[Text On Screen – Pay for health care expenses, Medical,
Dental, Vision, Pharmacy]
[GRAPHICS
REPRESENTING MEDICAL (STETHOSCOPE), DENTAL (TOOTH), VISION (EYEGLASSES),
PHARMACY (PRESCRIPTION BOTTLE)]
You can
use the money in your HSA to pay for healthcare expenses you have now, that
includes eligible medical, dental, vision, or pharmacy expenses,
[Text On Screen – Or save it]
or you can
save the money and use it for healthcare expenses in the future, even in
retirement.
[ANIMATION
OF MONEY GOING INTO A PIGGY BANK]
[Text On Screen – Your state agency will help fund your HSA]
Don't
forget, when you open a health savings account, your state agency will help
fund your HSA each pay period.
[Text On Screen – Despoils based on single or family coverage]
Deposits
will be based on single or family coverage.
[Text On Screen – You may contribute]
You may
also contribute to your HSA.
[ANIMATION
REPRESENTING IRS LIMITS]
Every year
the IRS places limits on how much can be contributed to your health savings
account.
[Text On Screen – IRS Contribution Limits]
Please
consult your materials for limits this year.
[Text On Screen – Preventive care]
Now, preventive
care. Both the High Deductible Health Plan and the Triple Choice Plan
[Text On Screen – High Deductible Health Plan, Triple Choice
Plan]
[Text On Screen – 100% coverage For routine preventive care
in the network]
offer 100%
coverage for routine preventive care in the network.
[Text On Screen – Annual wellness exam, Flue shot, Mammogram]
[GRAPHICS
REPRESENTING ANNUAL WELLNESS EXAM (STETHOSCOPE), FLUE SHOT (SYRINGE), MAMMOGRAM
(MAMMOGRAM)]
Those are
things like an annual wellness exam, a flu shot, or a mammogram, all important
steps to staying healthy.
[ANIMATION
OF THE UNITEDHEALTHCARE LOGO]
[ANIMATION
REPRESENTING A DOCTOR]
We know
there's a lot to consider when choosing the health plan that works best for you
and your family.
[ANIMATION
OF A CUSTOMER SERVICE REPRESENTATIVE]
If you
have any questions, we're here to help.
[Text On Screen – 1.800.896.1067]
Just call this
number to speak with a UnitedHealthcare Specialist.
[Text On Screen – Health Plan Options, Arizona Department of
Administrative Benefits, UnitedHealthcare, State of Arizona 1.800.896.1067
uhcvirtual.com/stateofaz, This video includes general information about your
medical benefits plan. This summary is not a plan document under which the plan
is maintained and administered. Any discrepancies between the information and
your plan documents will be governed by the plan documents.]
[END MUSIC]