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Welcome to Your SARH4U Health and Wellness Benefits Gateway
Welcome to your 2017 Benefits Enrollment
Complete Your Mid-Year Enrollment
View Eligibile Mid-Year Changes
Welcome to your 2020 Open Enrollment
View Your Benefits Information
Complete Your Benefits Enrollment
Click here if you are a new hire to San Antonio Regional Hospital...
Click here if you are initiating a Mid-Year Enrollment due to a Status Change...
Click here if you are ready to get started on your Wellness journey...
View Your Wellness Program Information
Visit the 4URHealth Wellness Portal (SARH4URHealth.org)
Coming Soon!
View Your New Hire Checklist
Click Here to View The Family Status Change Document
Find Your Doctor
Complete Your Benefits ENrollment
FInd A Doctor
View Your Benefits INformation
Schedule An APpointment
Information available November 1
Focusing on YOU - Your Benefits, Your Wellness, Your Enrollment.
Be Ready to
ENROLL.
EMPOWER yourself.
UNDERSTAND your options.
SARH4U Health and Wellness Benefits Gateway
Understanding Your San Antonio Regional Hospital Benefits
PayCheck Contributions
Life, Accident & Disability
Medical Directories
Online Health Assessment
Biometric Screening
Wellness Points Program
Your Wellness Experience
Health Coaching
Important Dates & Times
Choice PLan Requirements
Where to start
Dental & Vision
More Benefits
Flex Reimbursement
Your Prescription Drug Benefits
Your Medical Benefits
How To Enroll
What’s changing for 2020
Contributions: You will see only a slight increase – between $3 and $10 per paycheck - in your 2020 medical contributions, but no increases in dental and vision contributions. Click here to view new rates. Do you have 20+ years of service based on your hired date as of January 1? If you elect the Core Advantage EPO Plan for 2020, you are eligible for a 10% discount on your paycheck contributions. Eligibility for this discount will be applied beginning in January 2020. Enrollment: There are no changes to the online enrollment process this year. You may enroll online November 1 – November 17. To access the online enrollment site, click here. For one week only (November 4 – November 8), San Antonio Regional Hospital will offer onsite confidential, one-on-one appointments with a benefit advisor for help with enrollment or understanding the best benefits for your personal situation. Look for emails about selecting an appointment time or click here to schedule your appointment now. Space is limited. Medical: We’ve made the switch to Aetna as our network provider and third-party administrator. There are no changes to your benefits; however, the names of those plans will be different. Your 2020 medical plans are: • The Core Advantage EPO Plan (formerly the San Antonio Choice Plan) • The Aetna POS Plan (formerly the Cigna PPO Plan) • The Aetna HMO Plan (formerly the Cigna HMO Plan)
What’s Changing
If you elect the Core Advantage EPO Plan (formerly the CHOICE Plan) or the Aetna HMO Plan (formerly the Cigna HMO Plan), you must make a PCP election during enrollment. If you elect the Aetna POS Plan (formerly the Cigna PPO Plan), it is a good idea to make sure your current PCP is part of the Aetna network. To find out if your current PCP is in the Aetna network, click here.
New features offered through Aetna: Aetna’s Mobile App: Easy access to benefits and progress toward your deductible, a digital member ID card, claims information, account balances, cost estimates, and DocFind at your fingertips. Teladoc: The opportunity to get convenient access to a doctor in minutes – no matter your location. To understand your medical options and decide which is right for you, click here.
Supplemental Life Insurance: You have the option to elect or increase coverage of up to $10,000/Care Team Member and $5,000/spouse without Evidence of Insurability (EOI). For more details, click here. Long-Term Disability: The option to elect buy-up coverage without Evidence of Insurability (EOI) will continue for 2020. For more information, click here. Voluntary Benefits: Knowing you have protection against identity theft, assistance if a legal need arises, and coverage for your pets = piece of mind. Having the convenience of electing these at a discounted rate through SARH and having the cost deducted from your paycheck, that’s value. To check out the new Voluntary Benefits offered for 2020, click here.
You may make changes to your benefits if you experience a qualified status change or life event such as: • Marriage, divorce or legal separation • Birth or adoption of a child • You or a dependent experience a job change and gain or lose coverage For a complete list of qualified status changes, click here. How do I make a change? Call the San Antonio Benefits Team if you experience a life event. You have 31 days from the date of the event to make a change to your coverage. Important: Changes must be made within 31 days of the qualified status change or life event.
Mid-Year Change Information
Your participation in the Wellness Programs depends on the medical benefit for which you are enrolled. • If you enroll in the PPO or HMO, or you decide not to elect medical coverage through San Antonio Regional Hospital, you have the option to participate in the Voluntary Wellness Program. • If you enroll in the CHOICE Plan, your participation in the CHOICE Wellness Program is a requirement in order for you to continue receiving the 25% annual premium credit on the cost of your health care insurance. For complete understanding of your wellness program, click here. Note for New Hires: If you are new to San Antonio Regional Hospital, your wellness opportunity may look different for the first year. For more information, click here.
If you would like to explore the Wellness Experience
In an effort to personalize the way you enroll and provide you and your family an opportunity to ask questions and get answers that are directly related to your situation, San Antonio Regional Hospital has partnered with DirectPath to provide one-on-one enrollment meetings with a Benefit Educator. Although you still have the opportunity to enroll on your own thorugh our self-service portal, if you choose to utilize the Benefit Educators, your personal Benefit Educator will: · Walk you through the benefits available for 2018. · Answer any questions you have regarding what benefits will best meet your needs. · Complete your enrollment for you and provide an enrollment confirmation. For more information on your enrollment options, click here.
A New Way To Enroll:
If you would like to print your new hire checklist, click here
It’s time to take action and make sure you have the coverages you want and need. Use this checklist and step-by-step instructions to help you through the enrollment process: • Enroll in Health and other insurance benefits within 31 days of your date of hire. Example: If your date of hire is July 7, your enrollment deadline is August 6. Go to "Enrolling for Coverage" and click "Enrolling in Health and Welfare Benefits" for enrollment instructions. If you would like to participate in the Wellness Program, you have 90 days from your date of hire to join. Click here for information on the San Antonio Regional Hospital Wellness Experience. IMPORTANT: Everyone must complete the enrollment process, even if waiving coverage. If you miss the deadline, you must wait until the next Annual Open Enrollment Period to enroll, unless you have a qualified status change/life event (click here for mid-year changes). Note: You will only have Basic Life and AD&D (for full-time and part-time employees) and Core LTD coverages (for full-time employees) if you miss your enrollment deadline. • Provide verification of dependent status to the San Antonio Benefits Team by your enrollment deadline (31 days from date of hire). Go to "Enrolling for Coverage" and click "Verifying Your Dependents" for a list of documentation and steps required to prove dependent status. • Enroll in the 401(k) Retirement Savings Plan. Go to "Enrolling for Coverage" and click "Enrolling in the 401(k) Savings Plan" for enrollment instructions. Don’t miss out on per pay period matching contributions to your account.
You’ve gone through New Hire Orientation and heard a lot of important information about San Antonio Regional Hospital’s benefits program. Now What?
Where do I Start?
If you are a new hire, click here
If you are experiencing a mid-year change and need to enroll, click here
Where To Start
If you are here as a new hire, because of a change in status or because you would like to explore the Wellness Opportunity, click the buttons below for steps you need to take:
Understand Your Benefits
Enroll
Verify Dependents
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STEP THREE: Make sure you verify any dependents you enroll. Here’s how: You have 31 days from your date of hire/qualifying change in status to provide documentation that verifies dependent eligibility. You can enroll: • Your spouse • Your child(ren) up to age 26, including your same-sex domestic partner’s children. Note: An adult child ages 19 to 26 who is employed and eligible for coverage through his/her employer is not eligible. • Children that you have adopted (or who have been placed with you for adoption) or for whom you have legal guardianship. • Disabled children of any age. How Do I Submit Documentation? Submit documentation to HR by your enrollment deadline. Choose the method that you feel most secure: • Upload through the Benefits Enrollment Site Note: This is the most efficient way to verify dependents. Instructions are provided once you log into the Benefit Enrollment site, click on “Action Needed,” and “Verify Your Dependents.”) • In person • Via email - mciaravino@sarh.org or rstewart@sarh.org • Via FAX at 909-985-5627 – Attn: Benefits Team What Do I Need? You must provide copies of documents validating the dependents you enroll by your enrollment deadline and before coverage can begin. You will need:
Welcome to the 2020 SARH4U Health and Wellness Benefits Gateway. Whatever the reason you are here, we have information that will help you best understand the benefits available to you and how to get started. It’s time to enroll in your SARH benefits. In our constant efforts to make this process easier for you, the online system gives you the opportunity to easily view the benefits available to you, compare them, and select the best benefits for you and your family. Other features include mobile phone enrollment, option to get phone notification reminders, and the ability to securely upload documents for the SARH Benefits Team in the enrollment system. Here are the steps to take to enroll in your health and other insurance benefits for 2020:
STEP TWO: Click here to go directly to the new Benefits Enrollment site, administered by Benefitsolver. Here are the steps you will need to take: Info: The first time you access the enrollment site, you will need to enter your Social Security Number and date of birth. Create: After entering this information, you will be asked to create a User Name and Password. Confirm: Successful registration is confirmed. Click on “Continue “ to get to login page. Login: Once you have created and confirmed your User Name and Password, you will be redirected to the login page. Login using the User Name and Password (case sensitive) you just created. You will be directed to the “Open Enrollment” page. Click “Start Here!” to begin your enrollment.
STEP One: Use this site to get a full understanding of the benefits available to you.
If you are not ready to enroll at this time, simply log back in to the enrollment site when you are ready and click “Start Here” to complete your enrollment.
REMEMBER: You have the option to schedule an appointment, November 4 – November 8, to meet with an onsite Benefit Educator. This appointment would allow you to ask questions about how SARH benefits impact your unique situation and get help enrolling. To make an appointment, click here.
Medical (Part-Time Employees)
*If Wellness Requirements (Biometrics/HRA) are not completed by March 31, 2019, then your per paycheck premium will increase 33% effective April 1, 2019. If Wellness Requirements (Biometric/HRA) are completed but Health Coaching is not completed by May 31, 2019, then your per paycheck premium will increase by 42% effective June 1, 2019.
The following are your costs per paycheck with and without participation in the wellness requirements. Amounts vary depending on the number of dependents you cover.
Medical (Full-Time Employees)
Vision (Full-Time and Part-Time Care Team Members)
Dental (Full-Time and Part-Time Care Team Members)
Medical (Part-Time Care Team Members)
* Paycheck contributions will increase on an annual basis if the wellness requirements are not completed in a timely manner. The annual XX% increase will be applied to the remaining months in the year if and when it is determined that you did not complete your wellness requirements in a timely manner. More information will be available to you in January 2020 regarding the impact to your paycheck contributions if you do not meet all, or a portion, of the Wellness Requirements. NOTE FOR NEWLY HIRED CARE TEAM MEMBERS: Premium increases for participation in the Wellness Program do not apply to you during your first year.
UNderstanding Your PayCheck Contributions
The following are your costs per paycheck. Amounts vary depending on the number of dependents you cover.
$47.75
$114.91
$103.04
$196.18
$59.68
$143.63
$128.79
$245.24
$50.55
$137.12
$120.29
$246.84
$50.87
$122.41
$109.77
$209.77
$63.58
$153.01
$137.20
$261.25
$53.83
$146.01
$128.08
$262.83
$9.57
$16.39
$17.32
$26.69
$5.01
$8.02
$8.19
$13.20
$209.00
$67.82
$146.36
$163.22
$278.66
$72.66
$156.82
$174.88
$298.57
$46.24
$99.79
$111.29
$190.00
$61.66
$133.06
$148.38
$253.33
$66.06
$142.56
$158.98
$271.43
Medical (Full-Time Care Team Members)
Do you have 20+ years of service based on your hired date as of January 1? If you elect the Core Advantage EPO Plan for 2020, you are eligible for a 10% discount on your paycheck contributions. Eligibility for this discount will be applied beginning in January 2020.
Your Medical Benefit Choices
PROVIDER NETWORK INFORMATION 1. What providers currently participate in the San Antonio CHOICE Plan?The San Antonio CHOICE plan is made up of three tiers. Overall, the least costly care for members is accessed at Tier 1. Out-of-network coverage is not covered under the CHOICE plan. Tier 1 Providers • San Antonio Regional Hospital • San Antonio Regional Hospital Urgent Care Centers, including: - Sierra San Antonio Medical Plaza - Mountain View Urgent Care at Casa Colina - Eastvale San Antonio Medical Plaza - Rancho San Antonio Medical Plaza • Casa Colina Hospital (Inpatient Rehab Only) Tier 2 Providers • Loma Linda University Community Medical Center • Loma Linda University Children’s Hospital • St. Mary’s Medical Center • City of Hope National Medical Center • Redlands Community Hospital Tier 3 Providers • Cigna Open Access Plan (OAP) facilities 2. Which providers participate in the Cigna PPO Plan?The Cigna PPO plan allows participants to access the Cigna Open Access (“OAP”) network and out-of network providers. Care provided at out-of-network providers will be more costly. Additionally, for services available at San Antonio Regional Hospital there is a Preferred In-Network. Care provided at San Antonio Regional Hospital will be most cost effective. 3. How do I find a Tier 1 and Tier 2 provider in the San Antonio CHOICE plan? Login to the member portal (www.4urbenefit.org/mybenefit) and go to “Find a Preferred Provider” to search for a preferred provider. You may call QualCare at 1.844.883.2425 as well. 4. How do I find a Cigna OAP provider? Login to the member portal (www.4urbenefit.org/mybenefit) and go to “Find a Cigna OAP Provider” to search for all other contracted providers. You may call QualCare at 1.844.883.2425 as well. 5. If I enroll in the San Antonio CHOICE plan am I and/or my dependents covered when we have services provided out-or area and/or out of state? Since the Tier 1 and Tier 2 providers are all located in Southern California, you or your dependents that are out-of-area/state will want to return to Southern California for services or visit a Tier 3 (Cigna OAP Network provider) provider. Cigna OAP providers are contracted across all 50 states. 6. If I enroll in the Cigna PPO plan am I and/or my dependents covered when we are located out of state? Yes, In-Network providers (Cigna OAP) are contracted across all 50 states. 7. Out of area emergency care under the San Antonio CHOICE and Cigna PPO plans? There is no penalty for not going to a contracted provider/facility. Emergency Room copays are waived if admitted. 8. Who administers the San Antonio CHOICE and Cigna PPO plans? Both plans are administered by QualCare, Inc. (dba QANI Administrators), A Cigna Company. ** Always show your ID Card to the provider to confirm they have the correct information on file** • Payer ID: 22312 • QualCare, a Cigna Company PO Box 459, Piscataway, NJ 08855-0459 9. What is the difference between the San Antonio CHOICE Plan’s three provider tiers? The members’ benefits, including copayments and coinsurance, are different at each Tier. • Tier 1 and Tier 2 are the preferred network of health care professionals and facilities for the San Antonio CHOICE plan members which means you will pay lower out-of-pocket expenses (copays, deductibles, etc.) when you access the plan’s benefits. - Tier 1 PCPs are invited to participate in the CHOICE plan narrow network. - Tier 3 is the Cigna OAP Network which has the highest out-of-pocket expenses (copay, deductibles, etc.). 10. What is the difference between the Cigna PPO plan’s tiers/networks? The members’ benefits, including copayments and coinsurance, are different for each tier/network. • Preferred In-Network benefits are specific to certain services available only at San Antonio Regional Hospital. • Other In-Network benefits are for any providers and facilities within the Cigna OAP Network • Out-of Network benefits are for any providers and facilities that are not in the Cigna OAP Network REFFERALS, PRECERTIFIATIONS, AND AUTHORIZATION INFORMATION 11. Are referrals required to a Specialist or facility for the San Antonio CHOICE or Cigna PPO plan? Referrals are not required but, it is recommended to visit you Primary Care Physician to direct you to the most appropriate and effective providers and facilities while being cost effective. 12. What services require precertification prior to having the service? There are services that require precertification for both the San Antonio CHOICE and Cigna PPO plans and it is the members responsibility (to work with their providers) to ensure they are obtained. Coverage may be denied if precertification is not done. Examples of services that require precertification include, MRIs, CAT scans, Durable Medical Equipment. Please refer to your SPD for plan specifics. 13. Who do members and/or providers contact to obtain precertification? Members and health care professionals will call QualCare for precertifications at 1.844.883.2425. 14. What is QualCare’s turn around time for authorization request? 72 hours once all of the requested information has been received. 15. How can you track your authorization request and confirm that QualCare has received all the requested information? You can call QualCare at 1.844.883.2425 to track / confirm authorization requests. 16. Can you and your provider update a precertification request/approval that was previously approved? Yes, approved precertifications can be updated by calling QualCare at 1.844.883.2425 17. What is the timeline requirement for notifying QualCare of a hospital admission? Elective admission – 5 business days prior to admission Urgent or Emergency admission – 2 business days after admission EOBs, ID CARDs, AND OTHER INFORMATION 18. What is the timely filing deadline? Claims must be submitted for processing within 180 days from date of service. 19. What if my claim is not processed as I thought it should be? Review your Explanation of Benefits (EOB), located on the member portal (www.4urbenefit.org) to ensure your claim (and the corresponding services with your provider) have all been submitted accurately and correctly. If you have further questions, call QualCare at 1.844.883.2425. • Did you see a physician who is covering for your PCP? – Be sure to communicate this when calling QualCare. 20. How do I get a new ID Card? Login to the QualCare member portal (www.4urbenefit.org/mybenefit) and go to “Print ID Cards” to request an additional ID Card that will be mailed to your home or print a pdf of the last ID Card mailed. 21. What is an Explanation of Benefits (EOB)? An EOB is a statement sent by QualCare to you (or accessed online) explaining what medical claims have been filed with QualCare and how these services were paid based on the plan’s benefits. It will also indicate whether or not you owe any additional out-of-pocket expenses such as deductibles, copays or coinsurance. 22. Can I get see a copy of an EOB online with QualCare? Login to the member portal (www.4urbenefit.org) and go to “View Claim Status” to view status of a claim and view/print the explanation of benefits. 23. What can I do to ensure that I am getting the full benefits of the plan I am enrolled in? • Understand what your plan covers, where you should go for care and your anticipated share in the cost. Both the San Antonio CHOICE and Cigna PPO plans provide a higher reimbursement when you get care at SARH. • Make sure your provider holds a contract with Cigna. Your PCP may refer you to a Specialist, but it’s your responsibility to determine that they are considered a Cigna contracted provider. Your doctor may also refer you to a stand-alone lab, radiology, or physical therapy provider, but the plan may pay less for those providers. 24. What should I do if I continue to get a bill for services that I don’t think I should pay? Call the number on the billing invoice to confirm where the charges were sent for payment. Sometimes a provider does not use the correct billing information. Also address “no choice services” such as professional fees for radiologists, pathologists and anesthesiologist – how to get paid under the “no choice provision”.
CHOICE and PPO Medical Plan FREQUENTLY ASKED QUESTIONS
San Antonio CHOICE and Cigna PPO plans, are administered by QualCare, Inc. (dba QANI Administrators), A Cigna Company
The new San Antonio CHOICE Plan was designed to enhance your benefits when you and your covered dependents utilize services provided by SARH and our list of physicians creating a “narrow network.” This narrow network includes local PCPs and Specialists that are currently used by nearly 80% of our employees enrolled in the Cigna PPO Plan. The affordable paycheck contributions, combined with low/no copays and out-of-pocket cost, make this a very attractive option for our employees. Here are some things you may wish to consider in electing this new plan coverage: • Are you and/or your covered dependents currently using a San Antonio CHOICE Tier 1 PCP and/or Specialist? If not, are you willing to obtain care from the list of CHOICE Plan PCPs and Specialists? • Election of a CHOICE network PCP is an important component of the plan and each covered member is required to elect a PCP. If you or your covered dependents do not elect a PCP during the online enrollment process, one will be assigned to you. Please note, the San Antonio CHOICE Plan does not require referrals like an HMO plan, the purpose of the PCP in the San Antonio CHOICE Plan is to serve as a resource for your health, wellness and care, and you can self-refer to Network Specialists. For a full list of Tier 1 PCPs, you can visit www.4URBENEFIT.org. • Participation in wellness components are required. If the wellness components are not completed, your paycheck contributions increase by 25%. The San Antonio CHOICE Plan can save you approximately $270 to $1,100 a year (depending on the number of dependents (if any) you choose to cover) compared to the Cigna PPO Plan.
Core Advantage EPO Plan A narrow network plan geared for Upland and Rancho Cucamonga (Tier 1) and High Desert, Loma Linda, and Riverside providers (Tier 2): • This plan is the lowest per paycheck contribution option (when Care Team Member completes wellness requirements) and the least costly option when you receive care from a Core Advantage EPO Network (Tier 1 or Tier 2) provider. • Tier 3 providers are in the Aetna Open Access Network; however, coinsurance and calendar year deductibles apply. • Out-of-network coverage is not available, except in the case of a true emergency. • You must select a narrow network PCP, who serves as your primary resource for health, wellness and care. • You can self-refer to a Network Specialists (Tier 1 and Tier 2). To see a list of providers in each Tier, click the below tier: • Tier 1 Primary Care Providers and Specialists • Tier 2 Providers • Tier 3 Providers Note: When you access the provider directories, you may see different references to the types of providers. Below is a key to help you best understand which provider list you are seeing: • Tier 1 (may be referred to as Maximum Savings) • Tier 2 (may be referred to as Standard Plus Savings) • Tier 3 (may be referred to as Standard Savings) Aetna POS Plan You have the option to use Aetna’s Open Access Network providers or receive care out-of-network. However, you pay less for covered services and supplies when you access care from San Antonio Regional Hospital. Click here for the Aetna POS Plan network directory. Aetna HMO Plan A Primary Care Physician (PCP) is required and directs your care within the Aetna HMO Network, as well as coordinates pre-certification/pre-approval for certain services. There are no out-of-network benefits, other than for emergency care services. Click here for the Aetna HMO network directory.
A Benefit Summary Comparison
A Summary of How Your Medical Plans Differ
Frequently Asked Questions
A Summary of How Your Medical Plan Options Work
You have three medical options from which to choose. It is your responsibility to understand the details of each option and which best fits the needs of you and your family. You should consider not only the amount you pay each paycheck, but what you pay at time of service.
Important Aetna Tools: Aetna’s Mobile App: Once you are in Aetna’s enrollment system, you can download this App and register with your Social Security Number. This App gives you access to information about your benefits and progress toward your deductible, a digital member ID card, claims information, account balances, cost estimates, and DocFind at your fingertips. Teladoc: You can download this App and register with your ID to gain convenient access to a doctor in minutes – no matter your location.
This chart provides a comparison by plan of copay / coinsurance amounts (your financial responsibility). Note: It is important to weigh each plan against your current situation and make sure your current plan is still right for you.
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If you elect the Core Advantage EPO Plan or the Aetna HMO Plan, you must make a PCP election during enrollment. If you elect the Aetna POS Plan, it is a good idea to make sure your current PCP is part of the Aetna network. To find out if your current PCP is in the Aetna network, click here.
The lowest per pay check contribution option and the least costly option when you receive care from a San Antonio Network provider. Limited out-of-network benefits A Primary Care Physician guides you in your care and helps with pre-certification/pre-approval requirements for certain services.
You have access to the Cigna PPO Network of providers. You pay less for covered services and supplies when you access care from San Antonio Regional Hospital. Out-of-network care is covered but at a higher cost. You are responsible for directing your own care and getting pre-certification/pre-approval for certain services.
You have access to physicians and facilities within the Cigna HMO Network. A Primary Care Physician (PCP) is required and directs your care within Cigna HMO Network, as well as coordinates pre-certification/pre-approval for certain services. There are no out-of-network benefits, other than for emergency care services.
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Your 2017 Medical/Prescription Drug Paycheck Contributions
*Paycheck contributions increase 25% if the wellness requirements are not completed in a timely manner.
Per-pay-period costs for each medical option are shown below. Amounts vary depending on the number of dependents you cover.
Your 2020 Prescription Drug Benefits
The following provides copay and coinsurance amounts for retail and home delivery options provided by your Plan.
How They Compare
How They Work
A Primary Care Physician (PCP) is required and directs your care within the Cigna HMO Network, as well as coordinates pre-certification/pre-approval for certain services. There are no out-of-network benefits, other than for emergency care services.
Cigna HMO Plan:
You have the option to use Cigna Open Access Plus (OAP) network providers or receive care out-of-network. However, you pay less for covered services and supplies when you access care from San Antonio Regional Hospital.
Cigna PPO Plan:
Generally, the lowest per paycheck contribution option (when employee completes wellness requirements) and the least costly option when you receive care from a San Antonio Network (Tier 1) provider. You also may use Tier 2 providers and Tier 3 providers (Cigna’s Open Access Plus (OAP) network). Out-of-network coverage is not available, except in the case of an emergency. You select a PCP, who serves as your primary resource for health, wellness and care. You can self-refer to Network Specialists. For more information on the San Antonio CHOICE Plan and the wellness requirements, click here.
San Antonio CHOICE Plan:
This chart provides a comparison by plan of copay / coinsurance amounts (your financial responsibility). *Benefit amounts that will be different as of January 1, 2017 compared to 2016.
Your 2017 Medical Benefit Choices
Your 2017 Medical/ Prescription Paycheck Contributions
Your Prescription Drug benefit depends on the medical plan you choose. • If you choose to participate in the Core Advantage EPO Plan or the Aetna POS Plan, your prescription drug benefits are administered by WellDyneRx and include a San Antonio Pharmacy benefit – offering you the lowest cost option for prescription drugs. • If you choose to participate in the Aetna HMO Plan, your prescription drug benefits are administered by Aetna. Your Core Advantage EPO Plan and Aetna POS Plan provide you savings if you use the San Antonio Pharmacy at Casa Colina. For more information on the San Antonio Pharmacy at Casa Colina, click here.
What You Need to Know: Your 2017 Medical and Prescription Drug Options
Many employees don't understand what their medical insurance covers
We're here to help you understand your benefits and make the best choices for you and your family.
If you have questions, contact the 4URHealth Team at XXX.XXX.XXXX (x12345).
Did you know that your health and wellness are connected? Health is typically related to your physical and mental wellbeing. While wellness is typically the balance of creating a healthy lifestyle. We know there is a direct connection between your health, as a San Antonio Regional Hospital Care Team Member, and the health of our community. Because, after all, you keep our community strong. The 4URHealth Program provides you the opportunity to concentrate on your wellness throughout the year and get rewarded for doing so. It includes certain activities that allow you to get to know your current health status (the Wellness Screening), create a plan for better wellness (Wellness Coaching) and participate in activities to help you meet your goals throughout the year (the Wellness Points Program). You can find detailed information about the 4URHealth Wellness Program at https://sarh4urhealth.org. If you enroll or are enrolled in in the Core Advantage EPO Plan, you MUST complete the 4URHealth Wellness Screening and two Telephonic Wellness Coaching Sessions to continue receiving the 25% annual premium credit on the cost of your health care insurance.
Click here for CHOICE Plan Participant Requirements
Click here for Voluntary Wellness Plan Participant Requirements
Click Here to view your New Hire Letter
Core Advantage EPO Wellness Requirements
Your Wellness Screening
Understanding Wellness Coaching
The Wellness Points Program
If you enroll in the Core Advantage EPO Plan, you are required to participate in certain 4URHealth Wellness Program activities. The 4URHealth Wellness Program is directly tied to your participation in the Core Advantage EPO Plan – giving you the opportunity to link your wellness to your benefits. Here are important facts you need to know: • As a participant in the Core Advantage EPO Plan, you receive a 25% annual premium credit on the cost of your health care insurance. • In order to continue receiving this premium credit throughout the year, you MUST participate in the following 4URHealth Wellness Program activities: • If you do not complete these requirements, your paycheck contribution amount will increase. For more information, see “How Participation Impacts Your Premium.” NOTE FOR NEWLY HIRED CARE TEAM MEMBERS: If you are hired December 2019 through October 2020, your wellness opportunity may look different for the first year. Core Advantage EPO Plan enrollees do not have to meet 4URHealth Wellness Program requirements, in the first year of hire, for purposes of keeping your premium discount. Should your enrollment in the Core Advantage EPO Plan continue in 2021, these wellness activities will be required in order to continue receiving your 25% premium credit.
How Participation Impacts Your Premium
Effective January 1, 2020, all full-time Care Team Members enrolled in the Core Advantage EPO Plan will pay the following per paycheck contributions. If you complete all of the wellness requirements within the allotted timeframes, your contributions will remain at these amounts:
If you do not complete the Wellness Assessment and Biometric Screening during the timeframe indicated: Your contributions will increase by 25% on an annualized basis. Since you paid the wellness compliant rate from January through March 2020 and the 25% increase is on annual basis, the increase will appear to be 33.3% from your last March contribution to your first April contribution. At the end of 2020, you will have contributed 25% more than a Care Team Member who completed their wellness requirements within the allotted timeframes. The rates below will be effective in April 2020 and will remain in effect throughout the remainder of the year.
If you completed the Wellness Assessment and Biometric Screening during the timeframe indicated, but do not complete both Telephonic Wellness Coaching Sessions during the timeframe indicated: Your contributions will increase by 25% on an annualized basis. Since you paid the wellness compliant rate from January through May 2020 and the 25% increase is on an annual basis, the increase will appear to be 42.8% from your last May contribution to your first June contribution. At the end of 2020, you will have contributed 25% more than a Care Team Member who completed their wellness requirements within the allotted timeframes. The rates below will be effective in June 2020 and will remain in effect throughout the remainder of the year.
$63.66
$153.21
$137.39
$261.58
$68.21
$164.16
$147.20
$280.26
Care Team Member Only
Care Team Member + Spouse
Care Team Member + Child(ren)
Family
Effective January 1, 2020 all part-time Care Team Members enrolled in the Core Advantage EPO Plan will pay the following per paycheck contributions. If you complete all of the wellness requirements within the allotted timeframes, your contributions will remain at these amounts:
Part-Time Care Team Member
If you completed the Wellness Assessment and Biometric Screening during the timeframe indicated but do not complete both Telephonic Wellness Coaching Sessions during the timeframe indicated: Your contributions will increase by 25% on an annualized basis. Since you paid the wellness compliant rate from January through May 2020 and the 25% increase is on an annual basis, the increase will appear to be 42.8% from your last May contribution to your first June contribution. At the end of 2020, you will have contributed 25% more than a Care Team Member who completed their wellness requirements within the allotted timeframes. The rates below will be effective in June 2020 and will remain in effect throughout the remainder of the year.
$52.52
$126.40
$113.34
$215.80
$70.03
$168.54
$151.13
$287.74
$75.03
$180.57
$161.92
$308.29
If you are enrolled in the Core Advantage EPO Plan, see the impact to your costs per paycheck (with and without participation in the wellness requirements) for medical coverage, by employment status, below. Note: Amounts vary depending on the number of dependents you cover.
Part-Time Care Team Members
Full-Time Care Team Members
Timing
Annual; conducted in February
Activity
Wellness Screening
Two Personalized Telephonic Wellness Coaching Sessions
Note: You also have the opportunity to earn incentive points by completing two (2) additional voluntary telephonic Wellness Coaching session beyond the required two (2) sessions. See the “Understanding Wellness Coaching” tab below for more information.
Complete between January 1 and May 31 (no less than 30 days apart). Here is a guideline of timing for completing each session: • Complete Session 1 by April 15. • Complete Session 2 by May 31.
IMPORTANT for Core Advantage EPO Plan enrollees: If you do not complete your wellness screening during February, you will no longer receive a 25% premium credit and your 2020 insurance rates will increase in April.
Earn incentive points and get a better understanding of your “starting point” for 2020 by completing the Wellness Screening. Note: To see how the Wellness Screening fits into the overall Wellness Points Program, go to https://sarh4urhealth.org. To complete your wellness screening, follow these steps: • Create an account on the 4URHealth Wellness platform. • Complete an online Wellness Assessment (10-15 minutes) prior to onsite biometric screening. • Attend an onsite Biometric Screening and Health Advising Session (approximately 30 minutes).
Details
Need assistance? Call the Cerner Consumer Support Line: 1.888.252.8150 or use the “Forgot Password” feature to reset your account.
Location
Online at https://sarh4urhealth.org
Complete Your Online Wellness Assessment (10-15 minutes)
Create Your Account
Attend an Onsite Biometric Screening and Health Advising Session (30 minutes)
4URHealth Office 901 Building, Suite 107 February 3-27 (M-Th) Offsite Locations: January 29: Rancho January 30: Eastvale and Sierra
Click on “Take Your Assessment,” then “Complete Your Wellness Assessment in the Redesigned Experience.”
From the wellness site, https://sarh4urhealth.org, click on “Make Your Appointment” to access the calendar and schedule your screening. You will receive an email confirmation of your chosen date and time.
IMPORTANT for Core Advantage EPO Plan enrollees: If you do not complete your two (2) required telephonic wellness coaching sessions by May 31, you will no longer receive a 25% premium credit and your 2020 insurance rates will increase in June. San Antonio partners with US Corporate Wellness, an independent company specializing in wellness coaching. US Corporate Wellness provides certified wellness coaches who will conduct a personalized, confidential conversation about your wellness goals and needs, encouraging and guiding you towards healthy improvements in your life.
For a more in-depth description of Health Coaching, click here for a 30-second video description.
Requirement to complete two (2) telephonic wellness coaching sessions (no less than 30 days apart)
Complete Session 1 by April 15. Complete Session 2 by May 31.
Available through December 15
Type of Session
Applicable to …
Only participants in the Core Advantage EPO Plan
ALL San Antonio Care Team Members
Voluntary Telephonic Wellness Coaching Session
Required Telephonic Wellness Coaching Session
Opportunity to participate in two (2) additional voluntary telephonic wellness coaching sessions. No requirement to participate, but participation does offer you the opportunity to earn Wellness Points toward end of the year incentives.
To Schedule Your Telephonic Wellness Coaching Appointments: • Log onto www.USCorporateWellness.com/SARH • New to the site? You will need to register an account. - Company ID: SARH / Registration Code: COACH - Enter your login credentials (or use the “forgot password” feature, if needed). - You will be paired with your previous coach if you participated in wellness coaching before. Please notify 4URHealth if you wish to change coaches or you prefer a Spanish-speaking Health Coach. • Schedule a 30-minute coaching session. Your coach will call you on the chosen date and time at the phone number you provide during registration. • Your coach will call you upon your scheduled date and time at the phone number you provide during registration. • Contact US Corporate Wellness at scooper@uscorporatewellness.com if you have questions or need help.
The Wellness Points Program incents you to think about your wellness year-round. To allow you the opportunity to participate in the 4URHealth Wellness Program whenever and however you please, we offer the following categories for participation: • Awareness: Complete the Wellness Screening and Wellness Coaching activities to better understand your “current state of health” and get personalized, confidential support in reaching your goals. • Prevention: Gain Wellness Points for preventative screening/tests such as well visits, dental exams, vision screenings, and mammograms. Note: Many of these are covered at 100% as part of your medical program benefits. • Participation: Get involved and earn Wellness Points at the same time. The 4URHealth Wellness Program offers opportunities through SARH programs, challenges, groups and activities, as well as activities you participate in outside of SARH, such as blood donation, fitness events, physical activity, and voluntary work. • Education: Take time to explore the many online workshops offered to further explore topics that align with your goals at your own pace in your own time. These include online workshops focused on financial health, stress management, nutrition, smoking cessation and chronic condition management. • Results: Make improvements to your health, such as your cholesterol, diabetes ranges, BMI and body weight, and receive Wellness Points. To track your Wellness Points, access a comprehensive list of Wellness Point opportunities, and view points associated with each opportunity, go to https://sarh4urhealth.org.
With so many exciting wellness opportunities, we understand its important to boil it down and give you a checklist of your opportunities and timing.
Important Wellness Dates and Action Items
If you completed the Wellness Assessment and Biometric Screening during the timeframe indicated but do not complete both Telephonic Health Coaching Sessions during the timeframe indicated: Your contributions will increase by 25% on an annualized basis. Since you paid the wellness compliant rate from January through May 2020 and the 25% increase is on an annual basis, the increase will appear to be 42.8% from your last May contribution to your first June contribution. At the end of 2020, you will have contributed 25% more than a Care Team Member who completed their wellness requirements within the allotted timeframes. The rates below will be effective in June 2020 and will remain in effect throughout the remainder of the year.
If you completed the Wellness Assessment and Biometric Screening during the timeframe indicated, but do not complete both Telephonic Health Coaching Sessions during the timeframe indicated: Your contributions will increase by 25% on an annualized basis. Since you paid the wellness compliant rate from January through May 2020 and the 25% increase is on an annual basis, the increase will appear to be 42.8% from your last May contribution to your first June contribution. At the end of 2020, you will have contributed 25% more than a Care Team Member who completed their wellness requirements within the allotted timeframes. The rates below will be effective in June 2020 and will remain in effect throughout the remainder of the year.
If you do not complete the Wellness Risk Assessment and Biometric Screening during the timeframe indicated: Your contributions will increase by 25% on an annualized basis. Since you paid the wellness compliant rate from January through March 2020 and the 25% increase is on annual basis, the increase will appear to be 33.3% from your last March contribution to your first April contribution. At the end of 2020, you will have contributed 25% more than a Care Team Member who completed their wellness requirements within the allotted timeframes. The rates below will be effective in April 2020 and will remain in effect throughout the remainder of the year.
Core Advantage EPO Plan Participant Requirements
Care Team Member Wellness Screening
Two Personalized Telephonic Health Coaching Sessions
Note: You also have the opportunity to earn incentive points by completing two (2) additional voluntary telephonic health coaching session beyond the required two (2) sessions. See the “Understanding Health Coaching” tab below for more information.
HMO Plan Participants/Deferred Participants
Step 1: The Wellness Screening Online Health Assessment Timing: The Online Health Assessment is available NOW and must be completed before your Biometric Screening Appointment. Participation: As a participant in the Voluntary Wellness Program, you have the opportunity to utilize this tool.
1. REGISTER • Go to www.SARH4URHEALTH.com • Log in using your employee number as your ID, and your birthday as your password. (Passwords reset each year) 2. COMPLETE YOUR HEALTH RISK ASSESSMENT • Click the “Start New Assessment” button, then answer some simple questions about your health. Your answers allow the tool to assess your current health status. • Stop when you get to “Part 12 (Health Tests),” then exit by clicking the “Home” link. Your answers will be automatically saved, and your profile will be completed during your biometric screening appointment.
Before You Start: To create an account, go to the NEW! Wellness website at https://sarh4urhealth.org/dt/v2/sarhindex.asp and click on the “Sign In with Cerner Health” button. If you already have a My Health Records (Patient Portal) account, use those credentials to sign in. If you don’t, click “I Need An Account,” input your email address and click “Sign Up.” After completing the required fields, click on “Create An Account.” You will then need to verify your identity using your employee number and date of birth to complete set up of your account.
1. REGISTER • Go to https://sarh4urhealth.org/dt/v2/sarhindex.asp and click on the “Sign In with Cerner Health” button • If you already have a “My Health Records Patient Portal” account, use those credentials to sign in under the “I Already Have an Account” section • If you don’t already have a My Health Records (Patient Portal) account, input your email address in the “I Need An Account” section and click “Sign Up.” After completing the required fields, click on “Create Account.” You will then need to verify your identity using your employer number and date of birth to complete set up of your account. 2. COMPLETE YOUR WELLNESS ASSESSMENT • Click on "Take Your Assessment", then "Complete Your Wellness Assessment in the Redesigned Experience". Your Wellness Assessment needs to be completed before your Biometric Screening. • Available January 1! The Wellness Assessment is an online, structured self-evaluation. This assessment allows you to evaluate where you are right now, so that you can measure your progress in the future.
CHOICE and PPO Plan Participants
Do you have a My Health Record (Patient Portal) account? • If YES, log in under the “I Already Have an Account” section using your email and password. • If NO, enter your email address in the “I Need an Account” section.
From the new wellness site, https://sarh4urhealth.org, click on “Make Your Appointment” to access the calendar and schedule your screening. You will receive an email confirmation of your chosen date and time.
Remember: The information collected when you participate in the Biometric Screening is completely confidential. In addition, your health results and any conversations with health advisors/coaches will not be used or shared by San Antonio Regional Hospital or your medical program.
Biometric Screening Schedule Walk-ins will be available starting February 19th
CHOICE Plan participants: If you do not complete your wellness screening during the scheduled screening period, you will no longer receive a 25% annual premium credit and your insurance rates will increase in March 2019 for the remainder of the year.
NOTE: Financial incentives will be given to ALL employees who complete their Employee Wellness Screening (both the Online Wellness Assessment and the Biometric Screening). However, higher incentives are available for those participants who schedule and attend during a certain timeframe (exact dates will be announced soon).
Timing: Appointments will be in January/February. You may schedule your appointment by going to the 4URHealth Wellness Website at sarh4urhealth.org and clicking on “Make An Appointment” or selecting “Calendar/Events” under the Reference section.
The FREE Biometric Screening gives you deeper insight into your current health. You’ll get a blood test (finger stick) to check cholesterol, triglycerides and blood glucose levels. In addition, your blood pressure will be checked and your BMI (body mass index) and waist circumference will be calculated. Note: Remember your login information and passwords, as you will need to log back into your Wellness account during your biometric screening appointment. The results from these tests will be combined with your Wellness Assessment to give you a Personalized Individual Report detailing your current health status and action you need to take to better those results. Your Health Advisor will help you understand your Wellness Assessment Report and biometric results, and will explain how the 4URHEALTH Wellness Program can help you lead a healthier lifestyle. Participation: Available to all San Antonio employees, REQUIRED for CHOICE Plan Participants (you must complete the Online Wellness Assessment before your appointment)
The Wellness Screening: Biometric Screening
To Schedule Your Telephonic Health Coaching Appointments: • Log onto www.USCorporateWellness.com/SARH • New to the site? You will need to register an account. - Company ID: SARH / Registration Code: CHOICE - Enter your login credentials (or use the “forgot password” feature, if needed). - You will be paired with your previous coach if you participated in health coaching before. Please notify 4URHealth or US Corporate Wellness if you wish to change coaches. • Schedule a 30-minute coaching session. Your coach will call you on the chosen date and time at the phone number you provide during registration. • Your coach will call you upon your scheduled date and time at the phone number you provide during registration. • Contact US Corporate Wellness at scooper@uscorporatewellness.com if you have questions or need help.
Remember: The information collected when you participate in the Wellness Points Program is completely confidential. In addition, your health results and any conversations with health coaches will not be used or shared by San Antonio Regional Hospital or your medical program.
• If you participate in the Voluntary Wellness Program: You have access to Onsite Health Coaching, provided by 4URHEALTH staff, March – November 2018. - Go to www.pickatime.com/sarh to select an appointment date and time beginning in March 2018. - You have access to one (1) Onsite Health Coaching session per month. - This Onsite Health Coaching is available through the Wellness Points Program and participation can help you earn wellness points. For more information on the Wellness Points Program, click here.
IMPORTANT for Core Advantage EPO Plan enrollees: If you do not complete your two (2) required telephonic health coaching sessions by May 31, you will no longer receive a 25% premium credit and your 2020 insurance rates will increase in June. San Antonio partners with US Corporate Wellness, an independent company specializing in wellness coaching. US Corporate Wellness provides certified wellness coaches who will conduct a personalized, confidential conversation about your wellness goals and needs, encouraging and guiding you towards healthy improvements in your life.
UNderstanding Health Coaching
Requirement to complete two (2) telephonic health coaching sessions (no less than 30 days apart)
Voluntary Telephonic Health Coaching Session
Required Telephonic Health Coaching Session
Opportunity to participate in two (2) additional voluntary telephonic health coaching sessions. No requirement to participate, but participation does offer you the opportunity to earn Wellness Points toward end of the year incentives.
Important Screening Dates and Times Biometric Screenings are available between January 29 - February 28. For information regarding times and locations see below. The amount of your incentive will be dependent on when you schedule and attend your biometric screening (see the calendar below). Go to sarh4urhealth.org to schedule your appointment. Walk ins available starting February 19.
What is a Biometric Screening? You’ll get a blood test (finger stick) to check cholesterol, triglycerides and blood glucose levels. In addition, your blood pressure will be checked and your BMI (body mass index) and waist circumference will be measured. You’ll enter results from these tests into your Wellness Assessment, then receive a Personalized Individual Report with: • Your overall wellness score • A risk rating for major health factors • Recommendations for health improvements and next steps • Links to additional information Your Health Advisor will help you understand your Health Risk Assessment and biometric results, and will explain how the 4URHEALTH Voluntary Wellness Program can help you lead a healthier lifestyle.
What is a Biometric Screening?
Important Screening Dates and Times
BIOMETRIC SCREENING IMPORTANT DATES AND TIMES
Getting Started (if you are a HMO Plan participant /Not enrolled in a San Antonio medical plan)
1. REGISTER • Go to www.SARH4URHEALTH.com (which can also be accessed from the “4URHEALTH” Quick Link on Leaf Link) • Log in using your employee number as your ID, and your birthday as your password. (Passwords reset each year) 2. COMPLETE YOUR HEALTH RISK ASSESSMENT Your Health Assessment needs to be completed before your Biometric Screening. • Under the My Health Tools section, go to the “Personal Wellness Profile” tab • Click the “Start New Assessment” button, then answer some simple questions about your health. Your answers allow the tool to assess your current health status. • Stop when you get to “Part 12 (Health Tests),” then exit by clicking the “Home” link. Your answers will be automatically saved, and your profile will be completed during your biometric screening appointment. 3. SCHEDULE A FREE BIOMETRIC SCREENING, to be held February 1 – March 1: • Schedule your appointment for a FREE biometric screening between February 1 – March 1. You will meet with a Health Advisor as part of your appointment. • Go to pickatime.com/sarh to schedule an appointment. Create an account using your birthdate and a password. • This scheduling site can also be accessed from the “4URHEALTH” Quick Link on Leaf Link.
Getting Started (if you are a PPO Plan participant)
Before You Start: To create a https://4URBENEFIT.org account, you’ll need the ID and Group Number located on your medical insurance card.
1. REGISTER • There are two ways to access the 4URBENEFIT Health Plan website: - Go to https://4URBENEFIT.org - Visit Leaflink, then use the “4URHEALTH” Quick Link on the Home Screen to access a link to the medical plan in which you are enrolled • If you haven’t visited the before, start by clicking “Create an Account” 2. COMPLETE YOUR WEBMD HEALTH ASSESSMENT Your Health Assessment needs to be completed before your Biometric Screening. • Available January 1! The Health Assessment is an online, structured self evaluation. This assessment allows you to evaluate where you are right now, so that you can measure where you are at a later date. - If you were in the PPO or CHOICE plan last year and completed your Wellness Screening, your account was already created and your credentials will be the same (use the “Forgot Password” or “Forgot Username” if needed). - If you are new to this site, click on “Create an Account.” Use your ID Number and Plan ID Number (located on the back of your medical insurance card, which you will receive before January 1). - Once you access the site, click on “Health Manager.” You will be directed to WebMD where you will register again. • Once your registration is complete, you’ll be directed to the Health Assessment - If you’re ready to complete your Health Assessment when you register, click “Take It Now.” If you need them, there are tools that provide step-by-step instructions on how to complete your Health Assessment. - If you register but need to complete your Health Assessment later, just log in to WebMD when you’re ready and click on “Take Your Health Assessment.” 3. SCHEDULE A FREE BIOMETRIC SCREENING, to be held February 1 - March 1: • Schedule your appointment for a FREE biometric screening between February 1 – February 28. You will meet with a Health Advisor as part of your appointment. • Go to pickatime.com/sarh to schedule an appointment. Create an account using your birthdate and a password. • This scheduling site can also be accessed from the “4URHEALTH” Quick Link on the Intranet or on Leaf Link.
GETTING STARTED (if you are a PPO Plan participant)
GETTING STARTED WITH YOUR WELLNESS SCREENING
The Voluntary Wellness Program Opportunities
The Voluntary Wellness Program, available to all employees, is a way for you to get support to make yourself a priority. Through the Voluntary Wellness Program, you have the opportunity to receive the following benefits: 1. An Employee Wellness Screening, which consists of: • A Structure Self-evaluation – the Online Wellness Assessment (to be completed prior to onsite biometric screening) • A FREE Biometric Screening – with a Personal Health Advising Session to review results (January 29 - February 28) 2. Participation in the Wellness Points Program – upon completion of the Wellness Screening, you will be eligible to participate in the Wellness Points Program throughout 2019. 3. Access to Wellness Programs – To access to all programs, classes, events offered through 4URHealth, click here. 4. Track Your Wellness Participation – Use the Healthy Path App or the 4URHealth Wellness Platform to track your Wellness Participation. Click here for more information.
Did you know that your health and wellness are connected? Health is typically related to your physical and mental wellbeing. While wellness is typically the balance of creating a healthy lifestyle. We know there is a direct connection between your health, as a San Antonio Regional Hospital employee, and the health of our community. Because, after all, you keep our community strong. Your 4URHealth program depends on the medical benefit for which you enroll. If you enroll in the PPO or HMO, or you decide not to elect medical coverage through San Antonio Regional Hospital, you have the option to participate in the Voluntary Wellness Program. Read below to find out more. Note: If you are enrolled, or plan to enroll, in the CHOICE Plan, you have requirements under the CHOICE Wellness Program. Click here for more information on that program.
The Voluntary WEllness Program
Full-Time Employees
Part-Time Employees
If you are enrolled in the CHOICE Plan, see the impact to your costs per paycheck (with and without participation in the wellness requirements) for medical coverage by clicking on your employment status below. Note: Amounts vary depending on the number of dependents you cover.
If you completed the Health Risk Assessment and Biometric Screening in a timely manner but, do not complete both Telephonic Health Coaching Sessions in a timely manner, your contributions will increase by 25% on an annualized basis. Since you paid the wellness compliant rate from January through May 2018 and the 25% increase is on an annual basis, the increase will appear to be 42.8% from your last May contribution to your first June contribution. At the end of 2018, you will have contributed 25% more than an employee who completed their wellness requirements within the allotted timeframes. The rates below will be effective in June 2018 and will remain in effect throughout the remainder of the year.
If you do not complete the Health Risk Assessment and Biometric Screening in a timely manner, your contributions will increase by 25% on an annualized basis. Since you paid the wellness compliant rate from January through March 2018 and the 25% increase is on annual basis, the increase will appear to be 33.3% from your last March contribution to your first April contribution. At the end of 2018, you will have contributed 25% more than an employee who completed their wellness requirements within the allotted timeframes. The rates below will be effective in April 2018 and will remain in effect throughout the remainder of the year.
Effective January 1, 2018 all part-time employees enrolled in the San Antonio CHOICE Plan will pay the following per paycheck contributions. Your contributions will remain at these amounts if you complete all of the wellness requirements within the allotted timeframes.
Effective January 1, 2018 all full-time employees enrolled in the San Antonio CHOICE Plan will pay the following per paycheck contributions. Your contributions will remain at these amounts if you complete all of the wellness requirements within the allotted timeframes.
Two (2) Telephonic Health Coaching Sessions If you do not complete your two (2) required telephonic health coaching sessions by May 31, you will no longer receive a 25% annual premium credit and your insurance rates will increase in June 2018 for the remainder of the year. San Antonio is partnering again with US Corporate Wellness, an independent company that specializes specifically in wellness coaching. US Corporate Wellness provides certified wellness coaches that will engage in a personalized, confidential conversation with you about your specific wellness goals and needs, encouraging and guiding you towards healthy improvements in your life. The following are your telephonic health coaching opportunities: How to Schedule Your Telephonic Health Coaching Appointments • Log onto www.USCorporateWellness.com/SARH - If you are new to the site, you will need to register an account. Company ID: SARH Registration Code: CHOICE - If you already have an account and participated in telephonic health coaching last year, you will use the same log-in credentials (use the “forgot password” feature if needed). You will be paired up with the same health coach. Please notify 4URHealth or US Corporate Wellness if you wish to change coaches. • Schedule a 30-minute coaching session on a date and time that is convenient for you. You can schedule your second appointment following the completion of your initial appointment. Contact the 4UHealth office if you would like to request a Spanish speaking coach. If you need assistance with accessing the site or scheduling your appointment, feel free to contact US Corporate Wellness directly at scooper@uscorporatewellness.com. • Your coach will call you upon your scheduled date and time at the phone number you provide during registration. The coaching session is a confidential conservation about you and is directed towards topics that you would like to focus. Take advantage of this wonderful opportunity to think about your wellness and where you can make healthy improvements for a better you. The coaching session is a confidential conservation about you and is directed towards topics that you would like to focus. Take advantage of this wonderful opportunity to think about your wellness and where you can make healthy improvements for a better you.
If you do not complete your wellness screening during the scheduled screening period in February, you will no longer receive a 25% annual premium credit and your insurance rates will increase in April 2018 for the remainder of the year. 1. REGISTER • Go to www.SARH4URHEALTH.com (which can also be accessed from the “4URHEALTH” Quick Link on Leaf Link • Log in using your employee number as your ID, and your birthday as your password. (Passwords reset each year) 2. COMPLETE YOUR HEALTH RISK ASSESSMENT Your Health Assessment needs to be completed before your Biometric Screening. • Available January 1! The Health Assessment is an online, structured self evaluation. This assessment allows you to evaluate where you are right now, so that you can measure where you are at a later date. - If you were in the PPO or CHOICE plan last year and completed your Wellness Screening, your account was already created and your credentials will be the same (use the “Forgot Password” or “Forgot Username” if needed). - If you are new to this site, click on “Create an Account.” Use your ID Number and Plan ID Number (located on the back of your medical insurance card, which you will receive before January 1). - Once you access the site, click on “Health Manager.” You will be directed to WebMD where you will register again. Once this step is complete, you will be directed to the online health assessment. 3. SCHEDULE A FREE BIOMETRIC SCREENING, to be held February 1 – March 1: • Schedule your appointment for a FREE biometric screening between February 1 – March 1. You will meet with a Health Advisor as part of your appointment. • Go to pickatime.com/sarh to schedule an appointment. Create an account using your birthdate and a password. • This scheduling site can also be accessed from the “4URHEALTH” Quick Link on Leaf Link.
The Wellness Screening (which includes Your Health Assessment and a Biometric Screening)
Two (2) Telephonic Health Coaching Sessions
Did you know that your health and wellness are connected? Health is typically related to your physical and mental wellbeing. While wellness is typically the balance of creating a healthy lifestyle. We know there is a direct connection between your health, as a San Antonio Regional Hospital employee, and the health of our community. Because, after all, you keep our community strong. Your 4URHealth program depends on the medical benefit for which you enroll. If you enroll in the CHOICE Plan, you are required to participate in the CHOICE Wellness Program. The San Antonio CHOICE Plan Wellness Experience is directly tied to your participation in the San Antonio CHOICE Plan – giving you the opportunity to link your wellness to your benefit. As a participant in the San Antonio CHOICE Plan, you receive a 25% annual premium credit on the cost of your health care insurance. In order to continue receiving this premium credit throughout the year, you MUST participate in the Required CHOICE Wellness Program, consisting of an employee wellness screening and two personalized telephonic health coaching sessions. If you do not complete these requirements, your paycheck contribution amount will increase. For more information, see “How Participation Impacts Your Premium.” NOTE FOR NEW HIRES: If you are hired December 2017 through October 2018 and enrolled in the CHOICE Medical Plan, you are encouraged to voluntarily participate in the wellness activities; however, it is not required for purposes of keeping your premium discount during your first year of hire. Should your enrollment in the CHOICE medical plan continue in 2019, these wellness activities will be required in order to continue receiving your 25% premium credit. Note: If you are enrolled, or plan to enroll, in the HMO or PPO Plan, or you will not be electing medical coverage through San Antonio Regional Hospital, you may participate in the Voluntary Wellness Program. Click here for more information on that program. Click below to find out more about the CHOICE Wellness Program Requirements:
The Voluntary Wellness Program
The Required Choice WEllness Program
Tracking and Redeeming Your Points
Tracking Your Wellness Points To maximize your financial incentive, wellness points you earn in 2019 are tracked through the 4URHealth website at https://sarh4urhealth.org. You can use the website or the app to track/log your points throughout the year. A paper form of the Wellness Tracking Tool is also available here. Redeem Your Wellness Points Between May 1, 2019 and December 15, 2019, you can redeem your wellness points. But before you do that, make sure you have taken advantage of all the activities and options for earning points under the Wellness Points Program! Once you have redeemed your points, no additional points can be accumulated.
Incentives
In other words, you can earn up to $250 in Wellness incentives for 2019.
Wellness points (your incentive dollars) provide a financial incentive to be healthy. The more points you earn, the better you’ll feel and the closer you’ll be to accomplishing your health goals. Below are the opportunities you have to earn incentive dollars:
How to Earn Points
IMPORTANT NOTE: Documentation proof of these visits must be submitted to 4URHEALTH to get credit for these points (i.e., explanation of benefits (EOB), receipt with date and services rendered, after visit summary, etc).
Work towards better health through prevention, participation, motivation and realization. With the opportunities provided by San Antonio Regional, you can start earning 2019 Wellness Points and begin seeing (and feeling) results!
The Wellness Points Program incents you to think about your wellness year-round. To allow you the opportunity to participate in the 4URHealth Wellness Program whenever and however you please, we offer the following categories for participation: • Awareness: Complete the Wellness Screening and Health Coaching activities to better understand your “current state of health” and get personalized, confidential support in reaching your goals. • Prevention: Gain Wellness Points for preventative screening/tests such as well visits, dental exams, vision screenings, and mammograms. Note: Many of these are covered at 100% as part of your medical program benefits. • Participation: Get involved and earn Wellness Points at the same time. The 4URHealth Wellness Program offers opportunities through SARH programs, challenges, groups and activities, as well as activities you participate in outside of SARH, such as blood donation, fitness events, physical activity, and voluntary work. • Education: Take time to explore the many online workshops offered to further explore topics that align with your goals at your own pace in your own time. These include online workshops focused on financial health, stress management, nutrition, smoking cessation and chronic condition management. • Results: Make improvements to your health, such as your cholesterol, diabetes ranges, BMI and body weight, and receive Wellness Points. To track your Wellness Points, access a comprehensive list of Wellness Point opportunities, and view points associated with each opportunity, go to https://sarh4urhealth.org.
The WEllness Points Program
Below is a summary of the benefits provided through the Vision Service Plan (VSP). The chart provides copay amounts (your responsibility), as well as the percentage covered by the Plan for certain services and procedures.
Vision Benefits
Below is a summary of the benefits provided through the Delta Dental PPO Plan. The chart provides copay amounts (your responsibility), as well as the percentage covered by the Plan for certain services and procedures.
Dental Benefits
Dental and vision benefits are just as important to your overall health as your medical benefits.
Your Dental & VIsion Benefits
Because we understand this, we offer competitive benefits for your dental and vision needs. For a summary of your dental and vision benefits, click the icons below. If you would like information on your dental and vision paycheck contributions, click here.
Health Care Flexible Reimbursement Account Carryover Provision
2020 Contribution Limits
Here's How It Works
Typically, planning for the amount you would contribute to your Health Care Flexible Reimbursement Account was decided with an understanding that amounts not used by the end of the year, would be lost (the “Use It or Lose It” rule). However, San Antonio Regional Hospital has a carryover provision, allowing from $10 up to $500 of unused Health Care Flexible Reimbursement Account contributions to be carried over into 2021, as long as you are still considered an active Care Team Member. Carryover funds will be available in May each following year. While the “use it or lose it” provision still stands for any amount over $500, this provision allows more flexibility in timing of using some of your flex account dollars.
The maximum amounts you can contribute to the Health Care and Dependent Care Flexible Reimbursement Accounts for 2020 are shown below.
• Choose how much you want to set aside each pay period, on a pre-tax basis, to one or both accounts. • The amount is divided equally among the number of paychecks during the Plan Year and that amount is automatically deducted from your paycheck each pay period. • As you incur eligible expenses, you may use your reimbursement account debit card to pay at time of purchase or you may submit a claim to be reimbursed by the Plan.
Flexible Reimbursement Accounts
The Flexible Reimbursement Accounts allow you to pay for covered qualified expenses with pre-tax dollars. Money is placed in these accounts before taxes are deducted from your paycheck and you can use the tax-free dollars to pay for eligible expenses. What this means to you is SAVINGS. • The Health Care Flexible Reimbursement Account: pay for qualified health, dental and vision expenses not reimbursed by your health plans. • The Dependent Care Flexible Reimbursement Account: pay for eligible child or dependent care expenses.
Flexible Reimbursement Accounts: Are these plans right for me?
If you are a full-time Care Team Member, the Hospital provides you with a Core LTD benefit. You also have the opportunity to buy supplemental coverage.
Long-Term Disability
Supplemental Accidental Death and Dismemberment
Supplemental Term Life Insurance
Hospital-provided life and AD&D coverage is available to full-time and part-time Care Team Members as of the first of the month coinciding with or following 30 days of continuous employment. No need to enroll, you automatically participate.
Basic Term Life and Accidental Death & Dismemberment
For more information on your life, accident and disability benefits, click the icons below.
Life, accident and disability benefits provide income protection to you and your family.
Life, Accident and Disability
San Antonio EMPOWERS you to provide for your family through quality medical, dental, vision, life and disability benefits.
We believe in providing for our San Antonio Regional Hospital families – not only in financial ways, but ways that allow you to handle day-to-day situations that arise. Below is a brief description of other benefits you have access to you as a San Antonio Care Team Member.
Saving for Retirement | Voluntary Benefits | Leave Benefits | Education Programs | Care Team Member Perks | Pay Perks
More San Antonio Benefits
Lifestyle and disease management wellness coaching.
Enrolling in the 401(k) Savings Plan
Your Contributions Count! Through the 401(k) Savings Plan, you can contribute up to $19,500 in 2020, or $26,000 if age 50 or older, through pre-tax payroll deduction. San Antonio Regional Hospital Contributes! San Antonio matches your .50 cents on every $1 you contribute to the 401(k) Savings Plan, up to 5% of eligible compensation. After one year of services, the Hospital also makes an annual discretionary contribution based on your years of service – this is automatic and no action is required from you. How Vesting Works: You are always 100% vested in your contributions. Hospital contributions vest over a five-year period. No Waiting Period: Start contributing immediately – don’t miss out on San Antonio’s contribution to your retirement savings. Enroll Now! • In person with an on-site Lincoln Financial representative (refer to the on-site schedule in your 401(k) booklet) • Online at www.LincolnFinancial.com • By phone at 800-234-3500
To Access the online enrollment and information site
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One-on-one enrollment meetings with a Benefits Educator makes enrollment personal and simple this year. Licensed Benefits Educators will be onsite and telephonically to help enroll you in your benefits for the 2018 plan year. Your one-on-one meeting with a Benefit Educator will help ensure that you understand how your benefit decisions directly impact you and your family and which benefit options best fit your individual situation. Beginning October 23, you will be able to schedule an onsite, face-to-face meeting or telephonic one-on-one appointment for a specific timeslot during the Open Enrollment Period that opens November 1 and ends on November 16, 2017. You will have the opportunity to schedule a telephonic one-on-one appointment until the last day of enrollment (November 16); however, appointments are limited, so schedule your appointment early. What to Expect: Your personal Benefit Educator will: • Walk you through the benefits available for 2018.• Answer any questions you have regarding what benefits will best meet your needs. • Complete your enrollment for you and provide an enrollment confirmation. How to be Prepared: • Schedule Your Appointment (scheduling is available October 23): 1. Online: Go to 4URBenefits.org and click “Book an Appointment.” 2. By Phone: Call 844-219-8323. Appointment assistance is available 6:00 AM – 3:00 PM PT, Monday through Friday. • Review your 2018 benefit information (at 4URBenefits.org, click “Review Your Benefits Information”) and document any questions you have for the Benefit Educator. • Have your dependent and beneficiary information – Social Security Number(s) and date(s) of birth – with you to your appointment.
• You or a dependent starts or ends a job (NEW HIRE) • Birth or adoption of a child • Loss of insurance coverage • Marriage, divorce, or legal separation • You or a dependent has a job change and are newly eligible for benefit coverage • You want to change your amount of life, AD&D, or LTD coverage
What you need to get started: During the enrollment process on the secure site you will be asked to provide some basic information that you should have available. • Your Social Security Number • Your dependent’s Social Security Numbers and birth dates (if enrolling in coverage)
Online enrollment using the online enrollment and information site is simple, secure, and can be completed in a few minutes from any computer with internet access. After enrolling online, you will have access to your benefit information 24 hours a day, from any computer. Enrollment or enrollment changes must be completed within 31 days of hire or an IRS qualified Change in Family Status. If you miss this enrollment timeframe, you must wait until the Annual Open Enrollment Period, or another IRS qualified Change in Family Status. For a complete list of IRS-qualified Life Event Changes, click here.
Enrolling in Health and Other Insurance Benefits
Enrolling for Coverage
• Click here to enroll • If you have not been to the online enrollment and information site before, you must register by clicking on “Register Now” section • You must enter your Social Security Number, date of birth and home zip code on file in Human Resources • Follow the prompts to create a Username and Password and registration confirmation • You will be automatically guided to the login page; you must login with your newly created username and password to go to the Benefit Center home page which reflects your personal demographic information • If you previously registered, your will enter your Username and Password that you created under the “Been here before?” section
Click here to go directly to the new Benefits Enrollment Site, administered by Benefitsolver. Here are the steps you will need to take: Info: The first time you access the enrollment site, you will need to enter a Company Key: SARH (case sensitive), your Social Security Number, and date of birth. Create: After entering this information, you will be asked to create a User Name and Password. Confirm: Successful registration is confirmed. Click on “Continue “ to get to login page. Login: Once you have created and confirmed your User Name and Password, you will be redirected to the login page. Login using the User Name and Password (case sensitive) you just created. You will be directed to the “New Hire Enrollment” page. Click “Start Here!” to begin your enrollment. If you are not ready to enroll at this time, simply log back in to the enrollment site when you are ready and click “Start Here” to complete your enrollment.
Remember: You have the option to schedule an appointment, November 4 – November 8, to meet with an onsite Benefit Educator. This appointment would allow you to ask questions about how SARH benefits impact your unique situation and get help enrollment. To make an appointment, click here.
National HDHP (HSA) Medical Plan Details
Employee Assistance Program Flyer
World Travel Assistance Flyer
National PPO Medical Plan Details
Legal Notices
Printable version of the benefits brochure
If you need assistance with scheduling an appointment, please dial: 1-855-229-6858
UNDERSTAND your options. EMPOWER yourself. ENROLL. It’s our goal for 2020.
Our medical and prescription drug partners, as well as the San Antonio Benefits Team are always here to help. If you need further assistance with answering your benefit-related questions, contact
Group Critical Illness Insurance Flyer
Group Accident Insurance Flyer
EPO Medical Plan Details
For specific plan information and a printable version of the enrollment guide, click the links below
Life/AD&D Plan Highlights
Long-Term Disability Insurance (execs)
Long-Term Disability Insurance (non-execs)
Short-Term Disability Insurance
Begininning Monday, October 10th - Friday, November 4th
8:00 AM – 5:00 PM CDT Monday – Friday
Contact INformation
Core Advantage EPO Plan and Aetna POS Plan QualCare, Inc. (dba QANI Administrators), a Cigna Company at 844.883.2425 Aetna HMO Plan – 800.244.6224 WellDyneRx Member Services – 888.479.2000 Benefitsolver Customer Support: 833.464.3066 (Available Monday through Friday, 8 a.m. to 8 p.m. CST) San Antonio Benefits Team – Mary Ciaravino - 909.920.6339 or mciaravino@sarh.org – Ramona Stewart - 909.920.4981 or rstewart@sarh.org 4URHEALTH Team - 909.920.4874 (x24874) or 4URHEALTHcoach@sarh.org
