Insurance 2019-2020 Benefit OptionsAnoka-Hennepin's insurance year is September 1 through August 31. Changes made during Open Enrollment are effective September 1, 2019.Highlights, changes and rates for the 2019-2020 insurance year can be found in the 2019-2020 Benefit Options brochure. We are introducing two new Medica health plans - VantagePlus CoPay Plan and Elect 80/20 Deductible Plan. The new plans join our three renamed plans: Elect Copay Plan (formerly Elect), Choice 90/10 Deductible Plan (formerly Low Deductible) and the Choice 80/20 Deductible Plan (formerly High Deductible). For actively employed policyholders, all deductible plans include a health reimbursement arrangement (HRA). The HRA funds are deposited over 20 pay periods.For actively employed policyholders, all deductible plans include a health reimbursement arrangement (HRA). The HRA funds are deposited over 20 pay periods and HRA funds never expire. MidAMerica is our third party HRA administrator. You can easily set up an online account to manage your HRA. Contact MidAmerica with any questions or for assistance with your HRA at 855-329-0095.How do I choose a plan?Our plans utilize three networks - Medica Choice, Medica Elect and Medica Vantage Plus. The plans cover the same set of health care services and pharmacy benefits, so you will want to pay attention to differences in the provider networks, monthly costs, bi-weekly deduction amounts and the out-of-pocket amounts that you pay up front, such as copays, deductibles and coinsurance.Choice is an open access network that will allow you to go to almost any provider in the state. We have two plans available that use the Choice network: Choice 90/10 Deductible Plan (formerly Low Deductible) and Choice 80/20 Deductible Plan (formerly High Deductible). If open access is important to you, you may want to choose one of these plans.Elect is our most popular network. Employees who choose the Elect plans must choose a primary care clinic and get referrals for any care outside of their care system. In addition to the Elect CoPay Plan that we have had in the past, we are introducing the new Elect 80/20 Deductible Plan, which will allow families to utilize our HRA benefit and save significant money on premiums while still accessing the Elect network.Our new VantagePlus CoPay Plan utilizes an ACO (Affordable Care Organization) network. Employees who used the Essential network in the past may find the new VantagePlus Plan attractive since most Essential providers, as well as North Memorial, are included the the VantagePlus network.New Elect 80/20 Deductible Plan with HRAThe Elect 80/20 Deductible Plan offers employees the lowest premium cost option, with the Elect network of Medica providers. Members must designate and access care through a primary care clinic. Elect 80/20 also offers Fit Choices, a $20 membership fitness credit. For actively employed policy holders on the Elect 80/20, the District will fund an HRA. The HRA contributions are $750 single and $1500 family.Choice 80/20 Deductible Plan with HRA (Formerly High Deductible Plan)
The Choice 80/20 Deductible Plan offers employees a lower premium cost option, including the open-access network (Choice network) to all Medica providers. Choice 80/20 also offers Fit Choices, a $20 membership fitness credit. For actively employed policy holders on the Choice 80/20, the District will fund an HRA. The HRA contributions are $750 single and $1500 family.Choice 90/10 Deductible Plan with HRA (Formerly Low Deductible Plan)The Choice 90/10 Deductible Plan is a $500 single and $1,000 family deductible plan with a 10% coinsurance for non-preventive services and includes a district funded HRA. This plan has the open-access network for all Medica providers and may be more appealing for members with the lower out-of-pocket expenses. The HRA contributions are $250 single and $500 family for active employees. The HRA funds are deposited over 20 pay periods. This plan also includes Fit Choices, a $20 membership fitness credit.New VantagePlus CoPay PlanThe VantagePlus CoPay Plan provides access to the physicians from Fairview, HealthEast, North Memorial and many independent clinics as part of an Accountable Care Organization (ACO) network. You do not need to designate a primary care clinic or get a referral for specialists, but you must seek all care within the ACO to receive in-network benefits. Plan features include: a personal welcome call for new members, a single phone number for questions about your coverage or your care, same-day appointments, a 24/7 nurse line, unique wellness programs and online tools.Elect CoPay Plan (Formerly Elect Plan)The Elect CoPay Plan utilizes the Elect network of Medica providers. Members must designate and access care through a primary care clinic. Elect CoPay Plan also offers Fit Choices, a $20 membership fitness credit.Deductible Plan vs CoPay PlanWhat is the difference? The major difference is how you access medical care within each plan. The Choice plans are open-access plans where you can access care with any Medica provider or specialist without a referral. Elect plans are referral based plans. You must designate and access medical care through a primary care clinic and access specialists under the referral process or requirements of the care system. The VantagePlus ACO is a broad network of providers that you can access without referrals. It is one of the largest ACO networks in Minnesota.How do I change my Elect primary care clinic? You can change your Elect primary care clinic once per month by calling the Anoka-Hennepin Insurance Department at 763-506-1080. (Do not call Medica to change your primary care clinic.)For more information on all of our plans, scroll to the bottom of the page to watch the video.Pharmacy benefits
Your plan includes coverage of prescription drugs and options for filling your prescriptions. Medica tiers their drugs according to cost and effectiveness to keep you share of the costs at their lowest. Visit Medica for the best price and location to purchase your presciptions locally. There also is a mail order option. For information on the CVS pharmacy benefits, visit your mymedica.com site.My Health Rewards by Medica
Establish and maintain healthy goals and habits and earn rewards in the process. With My Health Rewards, you can earn up to $100 in rewards!Health Care and Dependent Care (Daycare) Flexible Spending Accounts
Employees must make flexible spending account elections each plan year. Annual health care flex accounts can roll up to $500 to the next plan year. The health care flex election limit is $2,700 per person and the dependent care flex election limit is $5,000 PER FAMILY. Holiday weeks are allowed to be submitted for reimbursement for the dependent care flex accounts.How do I change my beneficiary on my life insurance?You can update your beneficiary information as a part of open enrollment. Follow the instructions on smartben once you log on.
Smartben Electronic Enrollment System
Smartben is our secure on-line enrollment tool. Smartben enrollment instructions are user-friendly to help you update your benefits electronically 24 hours a day, seven days a week.Log on to smartben.com and enter your:
Medica Physicians and FacilitiesStandardized Benefit SummaryHealth Care Reform requires a standardized benefit summary for each plan:
- Username = Social security number, no dashes
- Password = Eight-digit birthdate, no dashes or slashes
Plan Documents - Coming soonLearn more about how your Medica plan works:Need Help?If you have questions or need assistance, please contact the insurance department at 763-506-1080.
- Elect 80/20 Deductible Plan
- Choice 80/20 Deductible Plan
- Choice 90/10 Deductible Plan
- VantagePlus CoPay Plan
- Elect CoPay Plan