RASHP 1 Medicare Update
Background ● Whispers around us….. ○
Consortiums in the region began exploring options
● Unprompted, current provider reduced rates ○
This led to districts questioning how that happened so easily?
● Monroe County districts issue a request for proposal (RFP) ○ Sent to all major providers to respond (5 groups) 2
Key Goals
● Assess the Medicare marketplace in NY ● Look to expand coverage networks ○
Flexibility
● Enhance service and enrollment ● Premium rates ○
Power of collective county purchasing power that has been so successful for our under-65 employees and it was time to bring that approach to over-65.
● Timeline ○
April-August 3
Scoring Categories Member & District Service
Plan Offerings
References
Financials
Implementation/Rollout
Claim Management
I
.
4
Committee Makeup ●
BOCES 1 and 2
●
Consultant Firm
●
East Irondequoit
●
NYSUT
●
Brighton
●
Wheatland
●
Hilton
5
Three Carriers Responded Excellus
Aetna
Humana
● MVP (non-competitive rate) and United Healthcare (declined to quote) were not moved forward ● Carriers were interviewed by the subcommittee in July and references checked
6
1. Aetna 2. Humana 3. Excellus RASHP 1 Board voted to approve recommendation in August
7
Communication & Next Steps August
September 11
October/November
Introductory letter sent to Medicare eligible retirees about the process with information still to come after the September meeting.
All benefits teams from across the county will be meeting with the Aetna implementation team on rolling out plan information.
Open enrollment with in person and virtual meetings before automatic rollover.
8
Major Points of Emphasis Aetna ●
●
Plan Highlights
Was not the cheapest, but provided a better plan than what was offered with greater service and references from other municipalities No impact on dental or contribution rates
● ● ● ●
9
National coverage, no county restrictions for residency Lower copays Medicare covered dental Coverage is better than what is offered, and responsive to what people are asking us for
Thanks! Any questions?
10