The Plan will use and disclose your health information as necessary for the Plans Health Care Operations. Phone: 888-695-2447, MAINE Medicaid You can invest your balance in mutual funds once it reaches the investment threshold. Ottawa, Ontario. A physicians statement verifying that you are suffering from a non-correctable terminal illness or are suffering from one of the listed medical conditions that is expected to result in a drastically limited life span. Make a Utility Payment. THIS IS A GOVERNMENT COMPUTER SYSTEM. Newly hired employees may elect any supplemental coverage amount within the first 30 days of employment without having to provide evidence of insurability. Access to Your Health Information. If you decide to join a Medicare drug plan, your current State of Nebraska coverage will [or will not] be affected. Phone: 888-365-3742, OREGON Medicaid Phone: 800-403-0864, IOWA Medicaid Covered at 50% after deductible per PPACA guidelines. Many of those services or activities are performed through contracts with outside persons or organizations, such as auditing, actuarial services, administrative services, legal services, etc. Did you forget your password? Columbia, MO 65203 201 W Broadway, Suite 4-C Finally, she divides by $31,150 by 1,000. CAN GET ACCESS TO THIS INFORMATION. Please see Summary Plan Document for details. Now that this new collective agreement has been ratified by . Newly enrolled in Medicare (you have 60 days to notify the state). You may be able to make personal contributions to the account or roll over the account into a new HSA. Amounts will be rounded to the next highest $1,000. You may have to pay this higher premium (a penalty) as long as you have Medicare prescription drug coverage. Useful Documents. Mail order offers the convenience of home delivery and saves you money. Contact the person listed below for further information. The child was covered as an Eligible Dependent at the time coverage would have terminated. For general information or accommodation in the application process, call 402-471-2075 or email state.jobs@nebraska.gov; We treat people with dignity and respect and always act ethically. Thats why a UnitedHealthcare Long-term Disability plan is designed to do two important things: The Long-term Disability plan will pay you 60% of your paycheck each month if you have a qualifying long-term disability where you are unable to perform your job duties for 180 days or longer. Coverage cannot be reinstated once it has been terminated. The employee will be responsible for paying the full premium each month through post tax payroll deduction. Research. Submit Applications for Handicap Permits (Medical Professionals) Request a Duplicate or Replacement Handicap Permit (Public Services) Renew your License Plate/Vehicle or Boat Registration. The mail order pharmacy may contact you about your prescription orders. Spouses change in employment status results in a gain or loss of coverage. Phone: 800-699-9075, PENNSYLVANIA Medicaid Contact UnitedHealthcare to confirm treatment has been authorized any time your doctor recommends you for follow-up treatment including inpatient and outpatient hospitalizations, advanced radiology, such as MRIs and CAT scans, and rehabilitation services, such as physical therapy. Urgent Care and ER visits may not be needed. Because your existing coverage is Creditable Coverage, you can keep this coverage and not pay a higher premium (a penalty) if you later decide to join a Medicare drug plan. Employees and spouses (if applicable) who choose this option will benefit from reduced premiums and lower out-of-pocket costs for certain benefits. New hires eligible for benefits as of July 1, 2020 - June 30, 2021 have no qualification requirements. You will want to carry your UHC card with you at all times. You should also know that if you drop or lose your current coverage with [Insert Name of Entity] and dont join a Medicare drug plan within 63 continuous days after your current coverage ends, you may pay a higher premium (a penalty) to join a Medicare drug plan later. You will have approximately 30 days to respond so please be prepared. For more details, go to. Initial and replacement crowns, dentures, bridges. We are pleased to continue to provide this guide highlighting the many employee benefits and programs options available to State of Nebraska teammates. Please use this guide to assist you in selecting those benefits that best meet the needs of you and your family. This guide is an overview of the options available to you and your family. For additional and more detailed information concerning plan options, please visit our website: das.nebraska.gov/benefits. You can change your contribution amounts any time throughout the year., Enroll or waive your annual contributions. Web: http://chfs.ky.gov/dms/default.htm Amounts requested above your account balance will automatically be reimbursed as subsequent contributions from your paycheck become available. Currently available in the following locations: Bellevue, Council Bluffs (IA), Gretna, Kearney, Lincoln, Norfolk, Omaha, Papillion, and Scottsbluff. 2018, disabilitycanhappen.org/disability-statistic/. It is your responsibility to review your pay stub to ensure that the proper deductions are taken. She works a 40-hour week, or 2080 hours a year. Inmates. Non-Facility . If you are an organ donor, or recipient, the Plan may release health information to organizations that handle organ procurement or organ, eye or tissue transplantation, or to an organ donation bank, as necessary, to facilitate organ or tissue donation and transplantation. www.dol.gov/ebsa Sunday, June 25, 2023. Retiree Employee Only (Single Coverage), Retiree Employee + Spouse (Two-Party Coverage), COBRA Employee + Spouse (Two-Party Coverage), Retiree Employee + Dependent Children (Four Party Coverage), COBRA Employee + Dependent Children (Four Party Coverage), Retiree Employee + Spouse + Dependent Children (Family Coverage), COBRA Employee + Spouse + Dependent Children (Family Coverage), COBRA / Retiree Employee Only (Single Coverage), COBRA / Retiree Employee + Spouse (Two-Party Coverage), COBRA / Retiree Employee + Dependent Children (Four Party Coverage), COBRA / Retiree Employee + Spouse + Dependent Children (Family Coverage). The money you contribute to the Dependent Care FSA reduces the amount of dependent care expenses you can claim on your federal income tax. Information about where you can get help to make decisions about your prescription drug coverage is at the end of this notice. Members can better understand and manage the symptoms associated with CHD by accessing a network of industry-leading CHD Centers of Excellence facilities and nurse consulting services. Name of Entity/Sender: State of Nebraska. Please note: ALL teammates will receive a new card; start using your new card on July 1, 2020. Please visit the Benefits webpage for the most current locations and updated information. UnitedHealthCare, Employee Assistance Program The following are the types of uses and disclosures the Plan may make of your health information without your authorization. Login to www.myUHC.com or the UnitedHealthcare mobile app and estimate your health care costs before you see the doctor. If adding coverage, the effective date of the change is the first day of the month following the qualifying event unless noted below. The state contributes 79% of the total cost of your health care benefits for full-time employees. And its part of your health benefits! We understand that you may have to work your way back up to earning 100 percent of your income, which is the goal. Abuse, Neglect and Domestic Violence. The Plan is required to abide by the terms of the Notice currently in effect. As A payroll error does not absolve you of responsibility for payment of the proper share of the cost. Phone: 1-800-250-8427, RHODE ISLAND Medicaid The EAP is designed to help you and your family manage lifes challenges. 513-765-4321, FSA Benefits to log into the Employee Work Center and The Consumer Focused Health Plan offers you low copays for a specific list of preventive maintenance medication. Any balance left in your account after October 31, 2021, will be forfeited. All State of Nebraska teammates are required Visit www.ASIFlex.com for more information. You have control over how much you spend for healthcare. The Questions about Direct Primary Care (DPC)? The money deducted from your paycheck for the benefits coverage you elected. UNAUTHORIZED ACCESS OR ATTEMPTS TO USE, ALTER, DESTROY OR DAMAGE DATA, PROGRAMS OR EQUIPMENT COULD RESULT IN CRIMINAL PROSECUTION. Enter your annual basic gross pay (not including overtime): Multiply by the increment you elected (0.5, 1, 1.5, 2, 3, 4, or 5), Round the amount in line #2 up to the next highest $1,000, Multiply line #3 by the rate per $1,000 of coverage for your age as of 7/1/2020 (see table above), Divide the amount on line #4 by 1,000. The statement must also provide the following information: All supporting documentation and information on which the physicians statement is based. If you have questions about enrolling in your employer plan, contact the Department of Labor at www.askebsa.dol.gov or call 1-866-444-EBSA (3272). There are no age restrictions on preventive screenings., Covered at 40% after deductible per PPACA guidelines.. Insured plans are underwritten by Fidelity Security Life Insurance Company of Kansas City, Missouri, except in New York. Covered at 40% after deductible per PPACA guidelines. No refunds or retroactive terminations will be allowed. After you reach the deductible, you pay 20% coinsurance until you reach your annual out-of-pocket maximum. Preventive care allows you to obtain early diagnosis and treatment to help avoid more serious health problems. If you require a faster enrollment process, contact Employee Wellness & Benefits at 402-471-4443. Remember your answers. Username: Password: Reset Password (Non-State Employees) Update User Account Information (Non-State Employees) . Finding a job or starting career in Nebraska has never been easier! Monthly premiums are not paid in a timely manner. The Plan may release your health information if you are a member of the armed forces as required by military command authorities. P.O. Atlanta, GA 30374-0815 Login Request Step 1 (of 3) Step 1 (of 3) . The Plan may notify the appropriate government authority if it believes you have been the victim of abuse, neglect or domestic violence. complete the Open Enrollment process. Being productive feels good. Even if youre in the best shape of your life, a serious condition with no signs or symptoms may put your health at risk. When you enroll in a State of Nebraska health plan, you will also be enrolled in the State of Nebraska pharmacy program. The waiting period is waived and coverage will begin first day of the month following your rehire date. You have five great plans to choose from. Q. I have insurance. Web: https://healthcare.oregon.gov/Pages/index.aspx The Dependent Care FSA allows you to use tax-free money to pay for dependent care expenses that enable you to work. All without having to miss work and go to the doctors office. The Plan is not required to agree to these additional restrictions, but if it does, it will abide by the agreement (except in an emergency). Participants may convert a portion to a private plan. Fidelity Security Life Policy Number VC-19/VC-20 form number M-9083. Of course, the extent to which any of these items is appropriate following mastectomy is a matter to be determined by the patient and her physician. If you are unavailable, incapacitated or are in an emergency situation, the Plan may disclose limited information to these persons if the Plan determines disclosure is in your best interest. Members with a DPC plan option dont need to pay a deductible or copay for visits with their Strada provider. If you are rehired after 30 days, you will follow the same guidelines as a new hire. The Hartford, Supplemental Life Insurance Change in participants number of dependents including birth, adoption of a child, or death. This includes your deductible, coinsurance, and medical plan copays. Attn: HIPAA Privacy CHIP Web: http://health.utah.gov/chip Useful Links. Medicaid Web: http://dwss.nv.gov/ You can use it to save money, federal income tax free, to pay for qualified medical expenses. Part-Time: 20-29 hours, Full-Time: 30-40 hours; PO Box 740815 This means you will have a weekly income to help you and your family pay for expenses like your mortgage or rent, medical bills, food and more. If you or your children are eligible for Medicaid or CHIP and youre eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. 4000 Luxottica Place DPC is not health insurance. This years Open Enrollment begins Tuesday May 5, 2020 at 7a.m. UnitedHealthcare Insurance Company is located in Hartford, CT. Help secure a monthly income if an illness or injury keeps you out of work for a long period of time. We are pleased to provide you with this comprehensive guide to your 2020-2021 State Employee Wellness & Benefits Program, referred to as our Options Guide. A change corresponding with a spouses open enrollment period at his or her place of employment. The benefits described in this Options Guide are administered through the Employee Work Center (EWC) found at link.nebraska.gov. There is never a co-pay when members see their Strada provider. Employees can choose from two vision plans Basic or Premium. If you need assistance with this process, contact your HR representative or the Employee Wellness & Benefits office within the first 30 days after the childs birth. UNAUTHORIZED ACCESS OR ATTEMPTS TO USE, ALTER, DESTROY OR DAMAGE DATA, PROGRAMS OR EQUIPMENT COULD . Home; About Us; Contact Us; Phone: Total # of Employees on Payroll: Fax: Mailing Address: City . If a plan member fails to have at least one dental procedure performed during any benefit year, he or she will revert back to the beginning coinsurance level to begin advancing through the levels. The secondary plan pays the difference between allowable expense and amount paid by primary plan, provided this difference does not exceed the normal plan benefits. The following are general descriptions only. Deer Oaks offers free and confidential Work/Life benefits to you and your family up to 18 months after termination. Under COB, the primary plan pays its normal plan benefits. Lab work done after the first visit is not covered, however, it is priced at a very reasonable rate. Medications and diagnostic imaging are also not covered; however, they are available at negotiated prices listed on our website. Specialist, and Hospital care is not included in a DPC Membership. You can access your health plan for this coverage. The Plan may also disclose to the Plan Sponsor information on whether you are participating in the Plan. The State of Nebraska is pleased to offer you a comprehensive benefits and wellness program. She elects 4 times her salary, so she multiplies her annual basic gross pay, $43,573.92, by 4 to get $174,295.68. Register as this account type if you are an individual and wish to search for the latest job openings, post a rsum online, find career guidance, search for training and education programs, find information on local employers or to file an unemployment claim. Please refer to the summary plan documents found on Employee Wellness & Benefits website at das.nebraska.gov/benefits for exact benefits, exclusions, and limitations. The State of Nebraska continues to offer a comprehensive benefits package to support the health and well-being of your family, protect your income while you are working, provide financial security in the event of your disability or death, help you save for retirement and help enhance your personal responsibilities, and maintain work/life balance. Flexible Spending Accounts (FSA) offer you a way to save money on your health care and/or dependent care (daycare) expenses. A login will allow you to remit and view your child support payments online. Privacy Office Also, they cannot elect dependent life coverage on each other. Lincoln, NE68508, Coverage becomes effective the first of the month following 30 days of employment. Phone: 877-598-5820, HMS Third Party Liability, WISCONSIN Medicaid and CHIP Employees cannot contribute to a general-purpose FSA and Health Savings Account in the same plan year. Military and National Security. The WellNebraska Health Plan is a plan option open to State employees. This notice has information about your current prescription drug coverage with State of Nebraska and about your options under Medicares prescription drug coverage. DPC is membership-based healthcare offered through Strada Healthcare in conjunction with the Standard Plan or Select Plan (High Deductible plans) through United Healthcare. With this plan, members get unlimited access to their Strada healthcare providers. Members can see their Strada provider in the office, call or text as needed. DPC offered by Strada combines personalized healthcare with todays technology. Strada providers reserve their time for DPC members to create personalized health plans. They have time to build relationships with the mutual goal of good health. Personalized care along with better access means happier and healthier patients. Your TOTAL Cost (Membership Fees and Plan Premiums): Included in the medical out-of-pocket maximum. CST. During Open Enrollment, employees currently enrolled in Supplemental Life may increase one increment of coverage without approval by the carrier. Medicare prescription drug coverage became available in 2006 to everyone with Medicare. Legal Proceedings. Please contact The Hartford directly at 877-320-0484 within 31 days of your termination date for information on how to convert your policy. However, you must request enrollment within 30 days after the marriage, birth, adoption, or placement for adoption. Web: http://www.ncdhhs.gov/dma You will be required to pay with a credit card at the time of the visit. Medicaid Phone: 609-631-2392 Office hours: Monday - Friday, 8:00 a.m. to 5:00 p.m. Anyone can deposit money in your account. For more information about Medicare prescription drug coverage: If you have limited income and resources, extra help paying for Medicare prescription drug coverage is available. . Wellness programming provided by UnitedHealthcare and Rally. If the Plan discloses any other health information to the Plan Sponsor without your authorization, the Plan documents will restrict how the information is used and prevent it from being used to make employment decisions about you. IRS Information. You may continue your long term disability coverage under a Portability Policy. Select or waive your contributions. Web: http://www.nd.gov/dhs/services/medicalserv/medicaid/ Premiums for COBRA, long-term care insurance, or tax-deductible health insurance, This app is great for checking claims and filing claims.. eNotice, subscribe for paperless renewal notices via email and text. Contact Optum Bank at 800-791-9361 for assistance. LEGAL DISCLAIMER: Member will receive a 20% discount on items not covered by the plan at network Providers, which may not be combined with any other discounts or promotional offers, and the discount does not apply to EyeMed Providers professional services, or contact lenses. The health insurance premiums include both state and active employee costs. If You Have an @nebraska.gov Email Address 1 i. The Plan may disclose your health information to comply with workers compensation laws or other similar programs providing benefits for work-related injuries. Legal Spouse, as a result of a marriage that is valid and recognized by State of Nebraska law. * You must be enrolled in Basic Life to elect AD&D Life Insurance. *You must be enrolled in Basic Life to enroll in AD&D Life Insurance., Elect or waive coverage for yourself and eligible dependents and choose level of coverage. You have the option to temporarily continue your coverage under COBRA. Upon leaving employment with the State of Nebraska, it is important for you to know the following information about your benefits. Healthy Indiana Plan for low-income adults 19-64 CONTENTS . Benefits for these items generally are comparable to those provided under our plan for similar types of medical services and supplies. We want to make sure the plans we offer continue to give you the flexibility to manage your specific medical needs, improve your overall health, and help control your costs. Thats why the plan also allows you to work part-time and still receive benefit payments. This is the required joint Notice for all group health plans sponsored by State of Nebraska, collectively referred to in this Notice as (the Plan Sponsor): The Plan is permitted or required to use or disclose your health information without your authorization (permission) to carry out certain services and activities. Phone: 1-855-632-7633, NEW HAMPSHIRE Medicaid The Government of Canada has approved the renewed collective agreement between the Canada Revenue Agency (CRA) and the Public Service Alliance of Canada - Union of Taxation Employees (PSAC-UTE) for approximately 39,000 employees. Real Appeal is an online weight loss and healthy lifestyle program based on the science of what really works to help people lose weight and keep it off. Click on Health Insurance Premium Payment (HIPP) Rally can help you make simple changes to your daily routine, set smart goals and stay on target. If you are eligible, you will receive enrollment documents from ASI COBRA upon retirement. Welcome to employment with the State of Nebraska! Submitting activities is allowed on a State computer, but is to be done on personal time (lunch time or break). For example, another health plan or health care provider may request your health information for purposes of conducting quality assurance and improvement activities, or accreditation, certification, licensing or credentialing activities. Like our other plan options (the Regular Plan and the Consumer Focused Plan), the WellNebraska Health Plan offers comprehensive medical and pharmacy coverage at competitive rates. Please The Plan reserves the right to change the terms of this Notice and to make the new Notice provisions effective for all of your personal health information that it maintains, including that which it created or received while the prior Notice was in effect. Login ID: Password: Need Help? 24/7 access to digital tools and dashboards that help you track your food, activity, and weight. Phone: 603-271-5218, NEW JERSEY Medicaid & CHIP Get a quick estimate based on average market costs in the area. You will receive information from ASI COBRA Services in a separate mailing regarding continuing your Health Care, if applicable. For example, the Plan may use and disclose your medical information to conduct quality improvement activities, engage in care coordination or to purchase reinsurance coverage. Coverage can be purchased in increments of 0.5, 1, 1.5, 2, 3, 4, or 5 times your annual salary. A status change of less than 10 hours does not qualify. A late entrant is any participant on the plan who does not elect coverage during your initial 30 days of eligibility or any participant who re-enrolls in the dental plan after dropping coverage. Finding the right dialysis center can be one of the most important parts of managing kidney disease. Payment. Doctors can diagnose and treat a wide range of non-emergency medical conditions, including: Receive immediate answers from nurses, backed by medical professionals who are here to help you. face lifts, teeth whitening, veneers, etc. All requests for access must be made in writing and signed by you or your representative. Strada Healthcare, Employees enrolled in States Consumer Focused Health Plan, Basic Life Insurance Help reduce stress and health issues that can prolong being out of work. Resources. Web: http://www.indianamedicaid.com Save the myNurseLine phone number: 877-263-0911 Its FREE for anyone insured under a State of Nebraska health plan. You must be enrolled in a qualified high deductible plan like the States Consumer Focused Health Plan to make contributions to an HSA. *During Open Enrollment, please double check you are selecting the correct FSA. How is DPC going to save me money? The part-time rate is $0.48 per month. Your preventive care services may include immunizations, physical exams, lab work, and x-rays. The Deer Oaks Employee Assistance Program (EAP) is a free service provided for employees and their household members by the State of Nebraska. Health Care: If you have a balance in your Health Care Account at the time of termination, you may request reimbursement up to October 31 following the end of each Plan Year. You have until October 31, 2021, to file a claim for reimbursement.
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