Ophthalmology

Key Healthcare Benefits Changes for 2016 and Important Reminders:

• Increase to Medical Premiums and Plan Design – Due to market conditions and a rise in medical claims, all three medical plan costs are increasing, including premiums, deductibles, and out-of-pocket maximums. SCL Health invests in our associate medical plans and pays over 80% of the total cost for medical premiums. The Cigna Consumer Driven Health Plan (CDHP) has the lowest premium option in 2016.(Rate Details)
• Use SCL Health Tier 1 Network Providers and Save (Tier Details)
• Enhancement to Medical and Pharmacy Benefits – The Out-of-pocket Maximums for all three medical plans will now include medical and pharmacy costs.(Medical Plan Details)
• Pharmacy – For several years, Cigna has been providing pharmacy benefit administration to associates and their family members enrolled in our CDHP. Beginning in 2016, Cigna will also provide pharmacy benefit administration to associates and family members enrolled in our PPO plan. (Pharmacy Details)
• Pharmacy – Maintenance Medications – All Cigna member maintenance medication prescriptions (drugs you take on a regular basis to treat conditions such as high cholesterol, diabetes and high blood pressure) are required to be filled at an SCL Health pharmacy or through the mail order service at Good Samaritan Medical Center. (Pharmacy Details)
• Pharmacy – Mail Order – Pharmacy Services at Good Samaritan Medical Center is the exclusive mail order provider for the Cigna PPO and CDHP plans.(Pharmacy Details)