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...
View Your New Hire Checklist
Information available November 1
Choose Your Plan:
Core Advantage EPO Aetna POS Aetna HMO
Click here to visit our Virtual Benefits Fair!
FInd A Doctor
Health and Wellness Benefits Gateway
Click here if you are ready to get started on your Wellness journey...
Complete Your Mid-Year Enrollment
View Eligibile Mid-Year Changes
View The Family Status Change Document
View Your Wellness Program Information
Visit the 4URHealth Wellness Portal (SARH4URHealth.org)
View Your Benefits INformation
Welcome to your 2021 Open Enrollment
Learn More
Life is full of challenges. Need help with stress management, depression or caring for an autistic child? Looking for senior care advice or information about eating disorders or gender identity? Whatever the issue, your Aetna health plans provide a support network for getting through difficult periods. You’re never alone; help is always a phone call away.
TAKING CARE OF YOU
Nothing SHOULD STAND IN YOUR WAY OF A Healthy Mind!
BENEFITS INSIGHTS
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NEW HIRES
MID-YEAR CHANGES
WELLNESS
Find A Doctor
Welcome to San Antonio Regional Hospital! Click here to access important information about the benefits available to you and resources for making your benefit elections for the current Plan Year. When you are ready to make your benefit elections, click the "ENROLL" button at the top of this page.
Benefits you elect during open enrollment or as a new hire cannot be changed during the year, unless you experience a Qualified Status Change Event. Information on how SARH supports you if you do experience a change is available here. When you are ready to make Mid-Year Changes to your benefit elections, click the "ENROLL" button at the top of this page.
The 4URHEALTH Wellness Program provides you year-round opportunities to better yourself and earn cash rewards for doing so. If you participate in the Core Advantage EPO Plan, parts of the Wellness Program are required to continue receiving your 25% annual premium credit. Click here for more information.
View a short Video ON YOUR FSA
Engage with a Wellness Coach in a confidential, telephone session that will provide you personalized guidance on making healthy improvements in your life - and help you earn 15 wellness points per session (up to 4 sessions available through Dec. 15).
SCHEDULE YOUR HEALTH COACHING APPOintment today!
4URHEALTH WELLNESS
CLICK HERE FOR MORE INFORMATION
Virtual BenefITS Fair
This Month's
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See the "Site Menu" (in the upper right-hand corner of this screen) to navigate your benefits.
Click Here to View The Family Status Change Document
YEAR-ROUND BENEFITS RESOURCES
Whether you are looking for information about a particular benefit, comparing your options, or needing access to resources provided by one of our benefit partners, SARH4U.ORG provides you what you need. To access details about your benefits, use the "Menu" option at the top right corner.
Virtual Benefits Fair
Click on Find a Doctor above, choose your medical plan, and look for the Behavioral Health category or call Aetna directly at 888.402.1245.
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CONTACTS
Contributions: There are no changes to your contributions rates for 2021. Click here to view your rates. Do you have 20+ years of service based on your hired date as of January 1? Don't forget! If you elect the Core Advantage EPO Plan for 2021, you are eligible for a 10% discount on your paycheck contributions. Eligibility for this discount will be applied beginning in January 2021. Enrollment: Due to our new safety guidelines, the Computer Lab and Benefit Educator appointments will not be available this year. You may enroll online November 1 – November 15. To access the online enrollment site, click here. New for 2021 – Visit the Virtual Benefits Fair! Want to learn more about your benefits? Check out our new Virtual Benefits Fair! As you visit each “tent” in the Fair, you’ll find benefit summaries, web links and even videos about your benefits. The Fair is open 24/7 during Open Enrollment. Take a deep dive into what your SARH benefits have to offer and, at any time during enrollment, access the direct link to the enrollment site from anywhere in the virtual benefits fair. Vision: You have additional vision coverage for 2021! Beginning in 2021, you can get new frames and lenses every year instead of every other year. Wellness: If you elect the Core Advantage EPO Plan, you will only need to complete the Online Wellness Assessment and the two (2) telephonic coaching sessions to qualify for the premium credit. We are pausing the requirement to complete a Biometric Screening in 2021.
What’s Changing
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.
Long-Term Disability: The option to elect buy-up coverage without Evidence of Insurability (EOI) will continue for 2021. 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 2021, 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
Verify Dependents
3
2
1
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 November 23, 2020. You will need:
Welcome to the 2021 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 2021:
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 (and the Virtual Benefits Fair) 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 25% on an annual basis if the wellness requirements are not completed in a timely manner. The annual 25% 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 2021 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.
2019 PayCheck Contributions
$57.80
$139.10
$124.73
$237.50
$46.80
$126.96
$111.38
$228.65
$228.55
San Antonio CHOICE Plan*
Part-Time (Wellness Comliant)
Full-Time (Wellness Comliant)
Cigna PPO Plan
Full-Time
Cigna HMO Plan
Part-Time
Full-Time/Part-Time
Dental (Full-Time and Part-Time Employees)
Vision (Full-Time and Part-Time Employees)
Wellness Comliant
Biometrics/HRA Wellness Requirement Incomplete
Biometrics/HRA Wellness Requirement Incomplete, Health Coaching INcomplete
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 Benefits Summary Comparison of the Medical Plans, go to the “A Benefit Summary Comparison” table in this Benefits Guide. To see a list of providers below, click here. 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.
Frequently Asked Questions
Your Medical Benefits
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. Click on the topics below for more information.
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.
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, follow the instructions provided earlier in this section.
For more information on Wellness Requirements for new hires, click here.
Access Aetna’s database of doctors and facilities available as part of each of your benefit options.
Compare Your Medical Options
Your Where To Go Guide
Designed to help you find information quickly and easily for frequently called numbers, websites and other important benefits contact information.
The Aetna HMO Plan
Access care through a Primary Care Physician (PCP) who directs your care and handles authorizations within the Aetna HMO Network.
The Aetna POS Plan
Access care from San Antonio Regional Hospital and pay less. Also offers care through the Aetna Open Access Network or out-of-network.
The Core Advantage EPO
A narrow network plan created to provide levels of cost savings (Maximum to Standard) based on the location of the providers you choose.
For videos and links to information about your medical plans and how to find a doctor, visit the Virtual Benefits Fair!
Coming SOon!
YOUR MEDICAL BENEFITS
Welcome to the Aetna Health App
AEtna Digital Tools
COVID RESOURCES
EPO: Find a Doctor
POS: Find a Doctor
HMO: Find a Doctor
CLICK BELOW FOR MEDIA & RESOURCES
Detailed EPO Summary
Detailed POS Summary
Detailed HMO Summary
EPO and POS: Make the right choice for you
Your SARH Pharmacy
HMO: Easy-to-use care & coverage
General Resources
AETNA DIGITAL RESOURCES
PRESCRIPTION DRUG RESOURCES
Medical Plan RESOURCES
Media & Resources
The Core Advantage EPO Plan is a narrow network plan geared for Upland and Rancho Cucamonga (Tier 1) and High Desert, Loma Linda, and Riverside providers (Tier 2). Here are some highlights of your plan. Click the links below for more information
The Core Advantage EPO Plan
Highlights of the Core Advantage EPO Plan
The Core Advantage EPO Summary of Benefits
Find a Doctor
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 to Find A Doctor
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.
Yes (required participation). For more information on the Core Advantage EPO Plan wellness requirements, see the “Your Wellness Experience” section.
You must select a narrow network PCP, who serves as your primary resource for health, wellness and care.
No; You can self-refer to a Network Specialists (Tier 1 and Tier 2).
Yes, via WellDyne
Yes
Paycheck Contribution
Coverage
Wellness Requirements
Primary Care Physician
Specialist Referral Required
Rx Coverage
Teladoc
Three Tiers: • Core Advantage EPO Network providers (Tier 1 and Tier 2) • Aetna Open Access Network providers (Tier 3) • No Out-of-Network coverage, unless true emergency
For more information
:
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 the links below for more information.
Highlights of the Aetna POS Plan
The Aetna POS Summary of Benefits
The Aetna POS Plan Summary of Benefits
This plan is the highest per paycheck contribution option.
No. However, participation in the Wellness Plan is encouraged.
In-Network Only
Cost Sharing
Primarily coinsurance based; lower coinsurance for services billed by SARH
Highlights of the Aetna POS Plan The Aetna POS Summary of Benefits Find a Doctor
The AETNA POS 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. Click the links below for more information
Highlights of the Aetna HMO Plan
The Aetna HMO Summary of Benefits
The Aetna HMO Plan Summary of Benefits
Between Core Advantage EPO Plan and Aetna POS Plan
Yes, via Aetna
Flat dollar copayment
Teledoc
Each year, it is important for you to review and understand the similarities and differences between your medical plan options. San Antonio Regional Hospital provides three options to meet the needs of our diverse group of team members. Take a look at those three options in summary or detail by clicking the links below. Click the links below for more information.
Medical Options Highlight
Medical Options Summary of Benefits
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.
Highlights of the Aetna HMO Plan The Aetna HMO Summary of Benefits Find a Doctor
COMPARE YOUR MEDICAL OPTIONS
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.
*
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 2021 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 Benefits
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 WellDyne 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.
Core Advantage EPO Plan
Aetna POS Plan
Aetna HMO Plan
50% coinsurance via San Antonio Pharmacy only*
Varies per HMO plan provisions
If you have questions, contact the 4URHealth Team at 909.920.4874 (x24874).
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. Note for NEWLY HIRED CARE TEAM MEMBERS: If you are hired December 2020 through October 2021, 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 2022, these wellness activities will be required in order to continue receiving your 25% premium credit. For more information on these requirements, see the “Core Advantage EPO Wellness Requirements” below.
Your Wellness Experience
Click here for CHOICE Plan Participant Requirements
Click here for Voluntary Wellness Plan Participant Requirements
Click Here to view your New Hire Letter
New Hire 4URHEALTH Wellness Opportunities and 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 on EPO Wellness Requirements for new hires, click here.
How Participation Impacts Your Premium
Effective January 1, 2021, 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 2021 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 2021, 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 2021 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 2021 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 2021, 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 2021 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, 2021 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 2021 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 2021, 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 2021 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.
Core Advantage EPO Wellness Requirements
IMPORTANT for Core Advantage EPO Plan enrollees: If you do not complete your two (2) required telephonic health coaching sessions by the required date, you will no longer receive a 25% premium credit and your 2021 insurance rates will increase. Information on date requirements will be provided at the beginning of 2021.
Earn incentive points and get a better understanding of your “starting point” for 2021 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.
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)
Click on “Take Your Assessment,” then “Complete Your Wellness Assessment in the Redesigned Experience.”
Due to our efforts to promote social distancing and keep our team members, we have eliminated the required for an onsite biometric screening for 2021. However, you can still get a thorough screening through your Primary Care Physician using your preventive care benefits. Schedule your appointment today!
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 2021 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.
We are taking a pause to keep you safe!
Check out this video for 2021 Core Advantage EPO Requirement Updates!
Reboot Your Well-Being How to Sleep Well Dangers of Vaping Well-Being Challenge
LET'S GET PHYSICAL
MENTAL HEALTH SUPPORT
Mindfulness and Stress Reduction
Spiritual SUpport
WELLNESS COACHING
EmployEE Assistance Program (EAP)
4URHEALTH WELLNESS PORTAL
SUpport GROUPS
Take Advantage of WEllness Coaching Today!
The PErks of Being a Part of the Weight Watchers Family!
wellness program details
2020 wellness points program
Your 2021 EPO Wellness Requirements
Earn 10 Wellness Points for watching this webinar. You must submit a completed Lunch & Learn Summary Form to 4URHealth by Nov. 30 to get points.
2021 Updates
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
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.
Earn incentive points and get a better understanding of your “starting point” for 2021 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).
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.
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 2021 insurance rates will increase in April.
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.
4URHealth Office 901 Building, Suite 107 February 3-27 (M-Th) Offsite Locations: January 29: Rancho January 30: Eastvale and Sierra
NOT REQUIRED FOR 2021
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.
Get the most out of your vision benefits each year. To learn more, visit the Virtual Benefits Fair!
Save with a PPO Dentist!
2021 Delta Dental Benefits Summary
Smiles All Around: Six Essential Steps
Benefits Overview
Glossary of Terms
Your Vision Summary of Benefits
Additional Savings!
Check out VSP.com
Welcome to VSP
Print and Save $$
Health Care Flexible Reimbursement Account Carryover Provision
2021 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 2022, 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 2021 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?
Find out how to make the most of your FSA in 2021, visit the Virtual Benefits Fair!
Understanding Your Flexible Spending Account Options
FSA Store: Using your FSA dollars over the counter
Eligible Over-the-Counter Medications
Enroll in Benefits
ENTER THE RAFFLE
Why do I need a Dependent Care FSA?
Why do I need a Health Care FSA?
For more information and to access our online chat feature, go to www.benefitresource.com.
Benefits of Your Digital Wallet
BRI Direct Deposit Form
BRI Web and Mobile App
Tax-Free Account Resources
FSA OVERVIEW
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
BASIC LIFE, Supplemental Life, Dependent Life and AD&D PLan HighLIGHTS
Why buy...?
Voluntary AD&D
Voluntary Disability Income Protection
Supplemental Term Life
LOng-Term Disability Plan Highlights
VOLUNTARY GROUP AD&D PLAN HIGHLIGHTS
LIFE INSURANCE CALCULATOR
WHAT IS A BENEFICIARY AND WHY DO I NEED ONE?
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.
San Antonio EMPOWERS you – 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
Critical Illness Insurance
Accident Insurance
Legal Insurance
Identity Theft Insurance
Pet Insurance
Leave Benefits
Paid Time Off (PTO)
Extended Sick Leave (ESL)
Bereavement Leave
Jury Duty Pay
Education Programs
Care Team Member Perks
Pay Perks
Saving for Retirement:
Eligibility: All Care Team Members are eligible to participate in the service component of the plan after one year of employment and having worked at least 1,000 hours. However, the Care Team Member may begin contributions into the 401k plan upon hire and have immediate matching. Vesting schedule applies. Features: Through a Defined Contribution plan, the Hospital contributes 2.5% to 4.5% of pay each year depending on Care Team Member’s years of service. These contributions vest gradually over a five-year period. Additionally, Care Team Members may contribute pre-tax earnings into a 401k plan. The Hospital matches the Care Team Member’s contribution $.50 on the $1.00, up to the Care Team Member’s first 5% of pay contribution. The Hospital’s matching contributions are also on a five-year graded vesting schedule. Care Team Members may choose from a wide variety of investment funds. Cost: Hospital provides service-related contribution and matching component of 401k Care Team Member contributions are voluntary and vary.
The Retirement Savings Plan
Voluntary benefits available to you include Critical Illness, Accident, Legal, Identity Theft, and Pet Insurance. Click the appropriate section in the left-hand navigation for more details.
Overview
Eligibility: Benefit-eligible Care Team Members are eligible to elect this benefit as a New Care Team Member, Newly Eligible Care Team Member or during Open Enrollment. Features: If you are diagnosed with an illness that is covered by Critical Illness insurance (such as a heart attack, stroke, cancer, Alzheimer’s), you will receive a lump sum benefit payment to help pay for out-of-pocket expenses. You may choose coverage of $10,000 or $20,000 of coverage for yourself (with no medical questions) during enrollment. You may elect coverage for your spouse and children of 50% of your coverage (if you purchase coverage for yourself). For more information about Critical Illness Insurance, click here. Cost: Cost will be communicated during enrollment. If you elect coverage for yourself, there is no additional cost for coverage for your child.
Eligibility: Benefit-eligible Care Team Members are eligible to elect this benefit as a New Care Team Member, Newly Eligible Care Team Member or during Open Enrollment. Features: Accident Insurance pays you money if you are accidentally injured (off the job) and need treatment. The benefit you receive is based on the type of injury and the type of treatment you need. You can elect coverage for yourself, your spouse, and your dependent children (up to age 26). For more information on the Accident Insurance benefit, click here. Cost: Bi-weekly Premium You: $3.77 You and Your Spouse: $6.26 You and your child(ren): $7.79 You, your spouse, and your child(ren): $10.28
Eligibility: Benefit-eligible Care Team Members are eligible to elect this benefit as a New Care Team Member, Newly Eligible Care Team Member or during Open Enrollment. Features: Legal Insurance (administered by ARAG) provides you legal coverage for every day needs, such as creating wills or buying a home, and more serious situations, such as tax audits and divorce. There are two different levels of coverage from which to choose: UltimateAdvisor® or UltimateAdvisor Plus™. For more information on these options, click here. Cost: UltimateAdvisor®: $9.12 biweekly UltimateAdvisor Plus™: $10.50 biweekly
Eligibility: Benefit-eligible Care Team Members are eligible to elect this benefit as a New Care Team Member, Newly Eligible Care Team Member or during Open Enrollment. Features: Allstate Identity Protection provides two levels of coverage to help you guard you identity and monitor activity connected to you and/or your family. To understand the difference options and services available, click here. Cost: Allstate Identity Protection Pro $3.67 per person/biweekly $6.44 per family/ biweekly Allstate Identity Protection Pro Plus $4.59 per person /biweekly $8.28 per family /biweekly
Allstate Identity Protection
Eligibility: Benefit-eligible Care Team Members are eligible to elect this benefit as a New Care Team Member, Newly Eligible Care Team Member or during Open Enrollment. Features: Pets Best Insurance provides reimbursement for vet bills when your pet is sick or injured and is treated by any veterinarian. There is also access to a veterinary helpline 24 hours a day, seven days a week. There are three different levels of coverage from which to choose: Silver, Gold, and Platinum. For more information on these options, click here. Cost: Your actual price will be determined - at enrollment - based on your location and your pet’s age and breed.
Leave benefits available to you include Paid Time off (PTO), Extended Sick Leave (ESL), Bereavement Leave, and Jury Duty Pay. Click the appropriate section in the left-hand navigation for more details.
Eligibility: Accrues upon employment for full-time and Benefit Status part-time Care Team Members. Features: Vacation, Holiday, Illness and Personal Days are combined into a bank of hours. Your PTO bank accrues hours based on regular hours worked and years of service. Full-time Care Team Members accrue 25 days per year (0-60 months of service); 30 days per year (61-120 months of service); and 35 days per year (121+ months of service). Adjusted schedule for part-time Care Team Member applies. Cost: None. Cost covered by San Antonio Regional Hospital.
Eligibility: Accrues upon employment for full-time and Benefit Status part-time Care Team Members. Features: ESL hours accumulate up to a maximum of 60 days (480 hours). ESL is integrated with State Disability Insurance (SDI) to provide for continued income during an extended medical absence. Cost: None. Cost covered by San Antonio Regional Hospital.
Eligibility: Immediately for full-time and Benefit Status part-time Care Team Members Features: Up to 24 hours or a maximum of 3 days paid leave in the event of a death in your immediate family. Cost: None. Cost covered by San Antonio Regional Hospital.
Eligibility: Immediately for full-time and Benefit Status part-time Care Team Members Features: Up to 24 hours upon employment; prorated for part-time Care Team Members. Cost: None.
Eligibility: Full-time and part-time Benefit Status Care Team Members after six months of employment. Features: Reimbursement up to $3,000 per year for full-time Care Team Members (up to $1,500 for part-time Care Team Members) for college tuition and book expenses that are related to their current position or a future position at the Hospital. Lifetime reimbursement maximum of $15,000. Cost: Varies based on tuition cost.
Educational/Tuition Reimbursement Program
Eligibility: Full-time Benefit Status Care Team Members after six months of employment. Features: Within three years of completing coursework that is directly related to the Care Team Member’s profession, the Care Team Member may receive up to $3,000 per year in loan reimbursement in lieu of the tuition reimbursement benefit. Cost: Varies based on loan payments.
Student Loan Reimbursement
Eligibility: Immediately for all Care Team Members Features: On-site financial and retirement planning workshops and other onsite healthcare classes. Cost: None.
Care Team Member Education Programs
Care Team Member Appreciation Programs
Eligibility: Immediately for all Care Team Members Features: Family picnic, Quakes basketball game, variety of sporting and entertainment events at Toyota Arena and more. Cost: Cost of each service or event varies.
Care Team Member Activities
Care Team Member Discounts and Activity Series
Eligibility: Immediately for all Care Team Members Features: Daisy, Leaf and Service awards, hospital celebrations, holiday pancake breakfast, ice cream social and more. Cost: None. Cost covered by San Antonio Regional Hospital.
Eligibility: Immediately for all Care Team Members Features: On-site annual wellness screening including online heath assessment and health advising. Lifestyle and disease management health coach-ing. Wellness programs such as health challenges and education clas-ses. Meditation Room available. Cost: Cost varies based on program.
4URHEALTH and Wellness Programs
Eligibility: Available to all Care Team Members after enrollment. Features: After enrollment in the program, Care Team Members can use their badge to “charge” purchases in the San Antonio café, receive discounts in the Bistro, and Gift Shop and have amount deducted from paycheck; pay period maximums apply. Cost: Varies based on purchases.
Paycheck Payment Options for Café and Bistro, Gift Shop Discounts
Eligibility: All non-exempt Care Team Members. Features: Time-and-a-half for working designated shifts on Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas Eve, Christmas, New Year’s Eve and New Year’s Day. Cost: None.
Holiday Premium
Eligibility: All non-exempt Care Team Members of departments that routinely are open on weekends. Features: 5% premium for working weekends. Cost: None.
Weekend Premium
Eligibility: Immediately for all Care Team Members Features: Provides confidential professional counseling and assistance for Care Team Members and their families to resolve problems that affect their personal lives or job performance. Cost: None. Cost covered by San Antonio Regional Hospital.
Employee Assistance Program (EAP)
Eligibility: Immediately for all Care Team Members Features: Discount tickets to amusement parks, movie theaters, sporting events and more. San Antonio café, Bistro, and Gift Shop discounts. Free parking. Discount on hospital billed services after insurance plan payment. Cost: Cost of each service or event varies.
Can I Achieve My Vision of Retirement?
How Do I Discuss Finances with My Parents?
I’ve lost my job; can I afford to Retire?
Start Saving Today!
VIDEOS
INFORMATION & RESOURCES
MANAGE THE WAVES OF THE MARKET
PLAN HIGHLIGHTS
INVESTMENT INFORMATION
General Information
Click here to schedule a one-on-one telephonic or virtual meeting with a Lincoln Financial Representative today!
Welcome to the SARH Retirement Plan
Meet Your Representative - Night and Evening Shift
Meet Your Representative - Offsite Shift
What is the Critical Illness Be Well Benefit? An extra $50 in your wallet.
What is Critical Illness Insurance?
A Critical Illness Overview
CRITICAL ILLNESS
What is Accident Insurance?
An Accident Insurance Overview
Try the Unum Mobile App
The ARAG Legal APP: Help Anytime. Anywhere.
Protect Your Family with ARAG
Be Prepared: Do It Yourself Documents
Click here for more about the ARAG Legal APP
IDENTITY PROTECTION
How Allstate Protects You
Identity Protection Overview
Why Identity Protection is More Important than Ever
Offering Coverage for Our Fury Family Members
Love Them. Protect Them. Insure Them.
Your Pets Best Benefit Overview
Filing a Pets Best Claim
Savings For Retirement
Retirement Plan
What are your retirement goals? How do you plan to achieve them? A large part of retirement is the flexibility to do what you want, when you want, and that kind of flexibility takes planning. SARH Retirement Savings Plan offers a 401(k) retirement plan to assist Care Team Members with attaining their retirement goals.
Investing in your future is important, especially in today's economy.
401(k)
How Can I Contribute?
Can I Change How Much I Contribute?
Employer Contribution
Frozen Pension Plan
Click the buttons below for more information
403(b)
How can I contribute?
Through the convenience of payroll deductions, you can make combined before-tax or Roth after-tax contributions up to the lesser of $19,500 or 100% of includible compensation. Your before-tax contributions – and any earnings – will accumulate tax deferred until withdrawn (generally at retirement), at which time withdrawals will be taxed as ordinary income.* Roth contributions will be included as taxable income in the year of contribution. Earnings on Roth contributions will accumulate tax free, and retirement withdrawals may be exempt from federal income tax if certain requirements are met. The 401(k) catch-up contribution limit—if you're 50 or older in 2021—is $6,500.
*Withdrawals made prior to 59½ are subject to a 10% federal withdrawal penalty unless an exception applies.
Can I change how much I contribute?
You may change the amount you choose to contribute to the plan monthly. Also, you can stop making contributions at anytime. Once you stop making contributions, there may be a waiting period before you can rejoin the plan.
SAHR matches 50% of your contribution up to 5% of your pay. In addition, SARH may choose to provide a discretionary non-elective contribution to eligible participants.
Features: Through a Defined Contribution 401(k) plan administered by Lincoln Financial Group, the plan provides tax-free retirement savings through an initial automatic payroll contribution of 2% of your pay, increasing to 3% after two years if you do not elect a different percentage. The Hospital matches 50% of your contribution up to 5% of your pay. A variety of investment options is available. In addition, the Hospital may choose to provide a discretionary non-elective contribution to eligible participants. Eligibility: All Care Team Members are eligible. Care Team Members hired June 1, 2020 and after are automatically enrolled after 30 days of hire. Care Team Members hired prior to this date must actively enroll. A five-year vesting schedule applies to the hospital match and any non-elective contributions. A year of vesting requires working at least 1,000 hours per calendar year. Cost: Care Team Member contributions vary
For more information or questions:
Visit www.ifg.com
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Frequently Asked Questions ABOUT AUTO ENROLLMENT
MEET YOUR REPRESENTATIVE (MAIN CAMPUS)
Meet Your Representative (Night and Evening Shift)
Meet Your Representative (Offsite Shift)
Care Team Members hired prior to January 1, 2006, may be a participant in the San Antonio Regional Hospital Retirement Plan (a defined benefit pension plan). Contact the SARH Benefits Team if you have additional questions regarding this Plan.
Pension Summary Plan Description
Features: Through Lincoln Financial Group and Fidelity, the 403(b) plans offer an additional way to save for retirement via paycheck contributions. The Hospital does not contribute any funds to the 403(b) plans. Therefore, you should consider the maximum 401(k) paycheck contribution of 5% before you consider use the 403(b) plans as an additional investment option. Eligibility: All Care Team Members Cost: Care Team Member contributions vary
Fidelity 403(b) Salary Reduction Agreement
Lincoln 403(b) Salary Reduction Agreement
SAVINGS SUMMARY PLAN DESCRIPTIONS
All Care Team Members are eligible to participate in the service component of the plan after one year of employment and having worked at least 1,000 hours. However, the Care Team Member may begin contributions into the 401k plan upon hire and have immediate matching. Vesting schedule applies. Features: Through a Defined Contribution plan, the Hospital contributes 2.5% to 4.5% of pay each year depending on Care Team Member’s years of service. These contributions vest gradually over a five-year period. Additionally, Care Team Members may contribute pre-tax earnings into a 401k plan. The Hospital matches the Care Team Member’s contribution $.50 on the $1.00, up to the Care Team Member’s first 5% of pay contribution. The Hospital’s matching contributions are also on a five-year graded vesting schedule. Care Team Members may choose from a wide variety of investment funds. Cost: Hospital provides service-related contribution and matching component of 401k Care Team Member contributions are voluntary and vary.
Enrolling in the 401(k) Savings Plan
Your Contributions Count! Through the 401(k) Savings Plan, you can contribute up to $19,500 in 2021, 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.
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
Employee Assistance Program Flyer
World Travel Assistance Flyer
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 2021.
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
