USA Health and Dental Plan

你的美国福利委员会(FBC)推荐，和美国董事会 乔·邦纳总统批准了，员工保险费每月增加2美元 个人保险和每月7美元的家庭保险 current USA Choice plan for the 2023 plan year. The USA Select plan will have no increase in premiums for the 2023 plan year.

Medical Benefit Changes and Enhancements:

• 为了帮助应对不断上涨的医疗费用，我们正在实施共同支付结构 to some benefits for the USA Health Network, in the USA Choice & USA Select Plans. 自2023年1月1日起，当您使用这些福利时，以下将有共同支付:
  • 内科医生、物理治疗、职业治疗和语言治疗共付15美元 
  • $150 Outpatient Surgery copayment
  • $200 Emergency Room copayment/waived if admitted
• ABA治疗福利-我们增加了ABA治疗的年度福利限制!
  • Ages birth – 9: $40,000
  • Ages 10 – 13: $30,000
  • Ages 14 – 18: $20,000
• 丰富的预防保健-我们增加了额外的预防保健服务，如果 您或您的受保人已被诊断患有特定疾病:
  • Coverage for Blood Pressure Monitor
  • Peak Flow Meter testing if you or your covered dependents have asthma 
  • 国际标准化比率(INR)测试，如果你有某些肝脏或血液疾病
  • Additional Lipoprotein LDL testing if you have heart disease 
  • 如果你有糖尿病，额外的糖化血红蛋白检测和视网膜病变筛查
• Introducing Virta: Virta is a treatment that safely reverses type 2 diabetes & prediabetes without the risks, cost or side effects of medications or surgery. If you or your spouse is enrolled 在医疗计划中，患有前驱糖尿病或2型糖尿病的人可以享受这项福利 at no additional cost! To get started go to www.virtahealth.com/join/bcbsalabama and apply.
• Dental Annual Maximum Increase: 我们将把每人每年牙科费用的最高限额从1,250美元提高到1,500美元 on your dental plan!
• VSP Vision -新福利:我们很高兴通过以下途径提供自愿性视力福利 VSP! 

USA Choice Plan - Base Premiums (employee hired before 1/1/2013)
单人保险的保费为每月124美元(不含非烟草保险每月174美元) wellness incentive) 家庭保险费将为每月415美元(不含非烟草保险每月465美元) wellness incentive) 大学每月对美国选择计划的贡献-基本保费将 increase to $584 for single and $1,255 for family coverage

美国选择计划-标准保费(2013年1月1日或之后聘用的员工)
单人保险每月144美元(不包括非烟草健康保险每月194美元) incentive) 家庭保险为每月479美元(不包括非烟草健康保险每月529美元) incentive) 大学每月对美国选择计划的缴款-标准保费将 increase to $564 for single and $1,191 for family coverage

健康和牙科保险的保险费提前一个月支付，雇员自行支付 双周领薪雇员的供款在头两个发薪日平均分配 of the month. 雇员供款免征联邦、州和联邦税收 加入保费转换计划(自动登记).

Wellness Incentive

美国选择计划和美国选择计划实施了戒烟计划 to help participants stop the use of tobacco. The program includes a wellness incentive 这将使员工每月保费分摊额减少50美元，如果两名员工 and covered spouse do not use tobacco products. As a current USA health insurance member, if you are not receiving the wellness incentive and 您和您的受保配偶都不使用烟草制品(也没有吸烟) least six months), you must complete the Tobacco Declaration Form.  目前接受健康激励的员工不需要采取任何行动.

美国选择计划和美国选择计划致力于帮助您实现您的目标 best health. 参加健康激励计划可获得奖励 to all employees. If you think you may be unable to meet the standard for the reward 在此计划下，您可能有机会获得相同的奖励 different means. Contact the Human Resources Department for additional information.

The USA Choice Plan and the Select Plan 以及其他计划信息可以在校园人力资源和网站上找到 USA Health Human Resources.

University of South Alabama
USA Choice Plan - Plan Benefits
USA Select Plan - Plan Benefits
Glossary of Health Coverage and Medical Terms

Human Resources office addresses

 

2023 Prime Formulary - Six Tier Prescription Drug List

Amazon Pharmacy Home Delivery Services

美国选择计划和美国选择计划药房每年的免赔额为每人100美元 individual (maximum of 3 per family).

美国精选计划和美国精选计划的共同支付结构

• Generic (preferred) COPAY $10
• Generic (non-preferred) COPAY $10
• Preferred Brand Name COPAY $50
• Non-Preferred Brand Name COPAY $75
• Specialty (preferred) COPAY $150
• Specialty (non-preferred) 50% COINSURANCE

员工有资格参加美国选择计划或美国选择计划 Plan based solely on hours of service. The Affordable Care Act requires an offer of 每周服务30小时或130小时的员工 per month on average. The Plans may defer the offer of coverage if the employee is 确定为“可变工时”，在这种情况下，符合福利资格的状态将 使用12个月的测量周期和相应的12个月的覆盖范围来确定 period in compliance with the Affordable Care Act.

Eligible Employees include:

• 一种雇员，有特定的约会，没有终止日期，长期占据 有预算的职位，每周至少工作30小时.
• 入职日期在2013年1月1日或之后的雇员 每周服务30小时或平均每月服务130小时.

符合条件的雇员也可以登记他们的合法配偶，这是国家承认的 of Alabama, and children under age 26. Coverage with the selected Plan will begin 在受雇第一天之后的第一个月的第一天，视情况而定 及时向人力资源部提出申请并支付所需员工的工资 contribution.

所选计划的承保范围将于下一个月的第一天开始 入职第一天，视情况及时向人力资源部提出申请 department and payment of any required employee contribution.

“美国选择计划”和“美国选择计划”的保费在任何联邦、 State or Social Security taxes are withheld. Your gross income is reduced by the amount of your premiums and therefore, you pay fewer taxes. New employees are automatically enrolled in Premium Conversion. However, Premium Conversion is optional for employees. 有关退出保费的信息，请与人力资源部联系 Conversion.

• Spouse – As recognized by the state of Alabama.
• Dependent child –
  • Your natural-born child under the age of 26.
  • Your stepchild under the age of 26.
  • 你的合法收养的孩子，包括和你一起生活的合法收养的孩子 adopting parent, during a period of probation.
  • 26岁以下的子女，经法院指定为你的法定监护人.
  • 法律要求您为其提供健康保险的26岁以下儿童 coverage pursuant to a Qualified Medical Child Support Order (QMCSO).
  • 您任何年龄的残疾子女，只要残疾始于19岁之前. 本计划的承保范围在残疾期间不间断地继续 as long as the employee maintains dependent coverage.

您可以参加选定的计划，登记您符合条件的家属或终止保险 当某些事件导致状态改变时，为您自己或依赖者. To make 由于状态变更事件而导致的注册变更，您必须提出申请和申请 向人力资源部提供身份变更事件的文件证明 within 30 days of the event. The effective date of the election would be the date of the qualifying event. If you fail to notify Human Resources within 30 days of the qualifying event, you must wait until the Open Enrollment Period.

Some examples of qualifying events include, but are not limited to:

• Marriage / Divorce
• Birth of Child
• Adoption or placement for adoption
• Death
• Change in your spouse’s employment status

有一个为期一个月的开放注册期，通常是十一月 雇员可以参加美国选择计划或美国选择计划，和/或 add eligible dependents. During this period, you may file an application with the 人力资源部的工作将在接下来的第一天开始 calendar year. During this time, employees can also re-enroll in SouthFlex Flexible 支出帐户，如果他们希望参加下一个日历年.

All new employees must complete New Employee Orientation. During orientation, you will have the opportunity to complete enrollment forms. You will be notified as to the date/time of your scheduled orientation.

USA Choice Plan - Base Premiums (employees hired prior to 1/1/13)	Single	Family
Non-Tobacco	$124	$415
Tobacco	$174	$465

USA Choice - Standard Premiums (employees hired on or after 1/1/13)	Single	Family
Non-Tobacco	$144	$479
Tobacco	$194	$529

Note: Premiums for health & dental insurance are pre-tax dollars and are paid one month 因此，最初的扣除可能会反映追溯调整.

十大彩票网投平台鼓励所有员工采用健康的生活方式 choices. That effort will benefit you, your family and your fellow employees. The 大学附带福利委员会建议并采纳了一份 戒烟计划旨在帮助员工停止使用烟草产品. 吸烟，尤其是吸烟会增加患心脏病、中风、 呼吸系统疾病，例如肺气肿和支气管炎，以及癌症，包括: lung, throat, mouth, esophagus, pancreas, bladder, and leukemia. The benefits from 停止使用烟草几乎是立竿见影的，不管你吸了多久 smoking or using tobacco.

对于新员工，烟草申报信息/选举在 the USA Health & Dental insurance enrollment form.

目前没有参与这项健康激励计划的现有员工可能会 begin participation by completing the Tobacco Declaration form. On this form employees will declare that they and their covered spouse do not use tobacco products; and have 在表格日期前六个月内未使用烟草制品. This will qualify for a wellness incentive of $50 per month (one per family). The wellness incentive 会否适用于每月的保费 烟草申报单上的日期(工资截止日期)会影响到折扣的时间 will be applied).

参加任何大学赞助的健康计划寻求帮助的员工 with tobacco cessation please call 866) 784-8454 or visit  http://www.quitnow.net/Alabama 以取得有关蓝十字蓝盾戒烟终身计划的资料. The 该计划免费提供给想要停止使用的员工和受保配偶 并提供24小时烟草制品支持热线，定制电话咨询 sessions and nicotine replacement patches, gum or lozenges.

有关其他戒烟资源，您也可以联系员工援助 Program office at 461-1346.

Premiums for health & dental insurance are paid one month in advance. Your cancellation date will be based on your last day of employment. Example如果你受雇的最后一天是12月14日，那么你最后一次领薪水就是在12月 30. 12月份通过工资扣除支付的保费已经支付了 January. Your insurance will cancel effective January 31.

Note: The above information applies only to employees in a paid status. For employees 在无薪状态下休假，请与人力资源部联系，以获得有效的 date of cancellation. 

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