TRANSITION TO NEW PPO As of January 1, 2010 Valley View is transitioning to a new PPO Network in...
13
TRANSITION TO NEW PPO As of January 1, 2010 Valley View is transitioning to a new PPO Network in order to increase savings to both individual employees and the District.
-
Upload
jemima-ramsey -
Category
Documents
-
view
216 -
download
3
Transcript of TRANSITION TO NEW PPO As of January 1, 2010 Valley View is transitioning to a new PPO Network in...
TRANSITION TO NEW PPOAs of January 1, 2010 Valley View is transitioning to a new PPO
Network in order to increase savings
to both individual employees and the District.
CIGNA Healthcare
will replace the present
PPO, MultiPlan (PHCS),
effective January 1, 2010.
CIGNA Healthcare
• CIGNA was selected because it provides better utilization of its hospitals and has a majority of the physicians that District 365u employees are actually using, based of the most current utilization data.
• Significant increase in the discounts on physicians (54% versus 46.5%)
Effective January 1, 2010
CIGNA Healthcare
THERE IS
NO CHANGE IN BENEFITS
TO EMPLOYEES, ONLY A GREATER OPPORTUNITY
FOR ADDITIONAL SAVINGS.
PRIMARY CARE PHYSICIANS
Employee Key Geographic Areas Desired Access
City Total Number of Employees Average Distance to 2 Providers
Bolingbrook, IL 372 0.6
Romeoville, IL 199 1.6
Joliet, IL 163 0.8
Plainfield, IL 155 1.1
Naperville, IL 150 0.8
Lockport, IL 59 1.1
Aurora, IL 54 0.8
Downers Grove, IL 46 0.7
Woodridge, IL 43 0.7
Chicago, IL 25 0.3
Effective January 1, 2010
SPECIALISTS
Employee Key Geographic Areas Desired Access
City Total Number of Employees Average Distance to 2 Providers
Bolingbrook, IL 372 0.8
Romeoville, IL 199 1.3
Joliet, IL 163 0.8
Plainfield, IL 155 1.2
Naperville, IL 150 0.7
Lockport, IL 59 1.1
Aurora, IL 54 0.8
Downers Grove, IL 46 0.7
Woodridge, IL 43 0.7
Chicago, IL 25 0.3
Effective January 1, 2010
HOSPITAL(S)
Employee Key Geographic Areas Desired Access
City Total Number of Employees Average Distance to 2 Providers
Bolingbrook, IL 372 2.2
Romeoville, IL 199 3.7
Joliet, IL 163 2.3
Plainfield, IL 155 6.0
Naperville, IL 150 2.4
Lockport, IL 59 3.6
Aurora, IL 54 1.8
Downers Grove, IL 46 3.0
Woodridge, IL 43 4.3
Chicago, IL 25 1.2
Effective January 1, 2010
SEARCH FOR YOUR PROVIDER
To determine if your current provider participates in CIGNA’s PPO go to www.mycignaforhealth.com and perform a provider search.
On the CIGNA homepage click “FIND A HEALTH CARE PROFESSIONAL” on the lower right hand side.
Click “FIND A PROVIDER” and then search the PPO network by name or specialty.
Effective January 1, 2010
Currently Under Treatment?
What if you are currently being treated by a doctor that is not in the CIGNA
PPO?
Any or all treatment that is in process as of January 1, 2010 will be
considered in-network for
60 days.
NEW BAS ID CARD
EVERYONE ENROLLED IN THE INSURANCE WILL RECEIVE A
NEW
BENEFIT ADMINISTRATIVE SERVICES
RED ID CARD
BY JANUARY 1, 2010.
UPDATE PROVIDER
To Do:Be sure to give your Health
Provider your new ID card after January 1, 2010
Why????Provide new information such
as:• PPO change update• Precertification information has
changed
BAS/CIGNA Will Replace HINES AND ASSOCIATES for Utilization Review/Pre-Certification
OPEN ENROLLMENT
DUE TO THE CHANGE TO CIGNA PPO AS OF
JANUARY 1, 2010 VALLEY VIEW WILL EXTEND THEIR
OPEN ENROLLMENT PERIOD UNTIL
DECEMBER 11, 2009.
THIS EXTENSION IS ONLY FOR ENROLLMENT INTO THE
GROUP HEALTH AND DENTAL INSURANCE
THIS DOES NOT AFFECT
FLEXIBLE SPENDING SECTION 125.
FLEXIBLE SPENDING ENROLLMENT PERIOD ENDED NOVEMBER 30, 2009.
QUESTIONS OR CONCERNS
IF YOU HAVE ANY QUESTIONS OR CONCERNS, PLEASE CONTACT:
LORRIE ALSOBROOKS
815-886-2700 Ext. 233
or
