THE JEFFERSON HEALTH PLAN UPDATE Volume 17/Issue 17 March 2019

Care Management and Wellness Programs

The Jefferson Health Plan (JHP) is firmly committed to offering members the best health WELCOME!	benefits programs available. JHP cares about the health and well-being of the members’
As another way to reach out to	employees and their family members. For these reasons, effective on January 1, 2019, current Jefferson Health Plan	JHP implemented a new Care Management program, HealthReach. HealthReach is groups and communicate on	available to the members’ employees and their family members. We strongly encourage issues that directly impact our	participation in this program for the benefit of the employee and the employer; members, we will be providing	however, participation is not mandatory. The HealthReach program proactively
updates on what is happening in           identifies high risk and potentially high risk members based on data to include medical, the consortium.                                         pharmacy, HRA, and biometrics to provide one-on-one care management services.
If you have items that you would           HeathCare Stretegies, Inc. (HCS) is the third party vendor who administers the like to see in these updates, feel            HeathReach program. The support of a HealthReach Registered Nurse Care Manager free to let us know!                                   helps ensure that enrolled individuals will better understand and better manage their own health by tapping into the caring support, relevant medical research, and other key

resources offered through the program. HCS has retained two HCS’ specially trained

registered nurses, Dedra Green and Sue Wettrich, as HealthReach Care Managers. They will take into account each member’s individual circumstances and personal factors to help members set health goals, prevent future health complications, explore new treat-ment plans, etc. If plan members are contacted by a Care Manager from HCS via mail or phone, members can explore participating in the HealthReach program by responding to a possible phone call or initiating the same.
Optum continues as the vendor for JHP’s Wellness Program for 2019. Major changes to the 2019 program include the removal of the incentive to members to reduce their Large Claim Reimbursement Pool fees if 50/30/10 percent participation was achieved. With that, each JHP member now has complete control of their program. JHP will continue to provide support to members by: 1) providing program information you can distribute to employees about coaching programs, challenges, and such as in the past; 2) providing a “Wellness Kit,” based on group size, of health and wellness items for
members to distribute to their employees as the member chooses; and 3) allowing JHP members to access their reserves to support their wellness programs IF the member reserve account exceeds the amount required to be kept in reserves. Also, members do have the ability to add an additional dollar amount to your monthly funding factors to specifically be earmarked for Wellness in your US Bank Account to support your program endeavors as you wish. JHP has members who already do have a set amount monthly going into a wellness account and their programs are very successful. Members should call 740-792-4010 Ext.	256 or email jhpemployer@thejeffersonhealthplan.org for any further information.

Type of Limit
	2019
	2018
	Change
	
HSA Maximum Annual Contribution
	Self-only: $3,500 Family:      $7,000
	Self-only: $3,450 Family:      $6,900
	Self-only: + $50 Family:	+ $100
	
HSA Maximum Catch-up Contribution (age 55 or older)
	$1,000
	$1,000
	No
	
HDHP Minimum Annual Deductible
	Self-only: $1,350 Family:      $2,700
	Self-only: $1,350 Family:      $2,700
	No
	
HDHP Maximum Annual Out-of-pocket
	Self-only: $6,750 Family:	$13,500
	Self-only: $6,650 Family:	$13,300
	Self-only: + $100 Family:      + $200
	
	2019
	2018
	Change
	
ACA Maximum Out-of-Pocket
	Self-only: $7,900

Family:	$15,800
	Self-only: $7,350

Family:	$14,700
	Self-only: + $550

Family:	+ $1,100

Meet the New JHP Team Member

The Jefferson Health Plan would like to welcome Andrew Ngo, joining us to better serve our membership. Andrew Ngo,

Underwriter/Consultant, completed a Master of Business Administration and a Bachelor ofBusiness Administration from the University of Toledo. Before coming to JHP, he worked at a regional health plan as an Underwriter and in stop loss for 12 years.

Maximum Out-of- Pocket Limits for 2019 Benefit Year

The Affordable Care Act (ACA) provides that a non-grandfathered group health plan shall ensure that any annual cost-sharing imposed under the plan does not exceed the limitations provided for under sections 1302(c)(1) and (c)(2) of the Affordable Care Act. These are known as out-of-pocket maximum limits. The US Department of Health and Human Services (HHS) has announced the inflation-adjusted out-of-pocket limits applied to non-grandfathered plans for the 2019 benefit year (https://www.federalregister.gov/documents/2018/04/17/2018-07355/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2019):

CONTACT US

In Rev. Proc. 2018-30 (https://www.irs.gov/pub/irs-drop/rp-18-30.pdf), the IRS released	The Jefferson Health Plan the inflation-adjusted maximum contribution limits for health savings accounts (HSAs), along                       2023 Sunset Blvd.
with minimum deductible and maximum out-of-pocket expenses for the high-deductible health	Steubenville, Ohio 43952
plans (HDHPs) for calendar year 2019. The table below summarizes those adjustments
www.thejeffersonhealthplan.org and other applicable limits:
Spring Semi-Annual Meeting

Wednesday,

April 17th, 2019

See website for additional details

TOPIC
	EMAIL ADDRESS
	PHONE
	
Billing
	billing@thejeffersonhealthplan.org
	740.792.4010 ext.250
	
Investment (US Bank/ Audit)
	invest@thejeffersonhealthplan.org
	740.792.4010 ext.251
	
Legal and Compliance
	legal@thejeffersonhealthplan.org
	740.792.4010 ext.252
	
Ohio Valley Pool
	ovp@thejeffersonhealthplan.org
	740.792.4010 ext.253
	
Quotes
	quotes@thejeffersonhealthplan.org
	740.792.4010 ext.254
	
Employee w/Questions (Wellness & EAP)
	jhpmember@thejeffersonhealthplan.org
	740.792.4010 ext.255
	
Employer w/Questions
	jhpemployer@thejeffersonhealthplan.org
	740.792.4010 ext.256
	
Renewals/Election Sheets
	renewals@thejeffersonhealthplan.org
	740.792.4010 ext.254
	
Moratoria Requests
	moratoria@thejeffersonhealthplan.org
	740.792.4010 ext.251
	
Broker w/Questions
	broker@thejeffersonhealthplan.org
	740.792.4010 ext.257

PCORI

As a reminder, the Patient-Centered Outcomes Research Institute Fee will be paid and filed using the Form 720. The Jefferson Health

Plan will again work with Gilmore, Jasion and Mahler to prepare the Form 720 used for filing the PCORI fee. They will coordinate payment by issuing checks from each member group’s reserve account for the amount of the fee. Filing and payment will be submitted for each member organization prior to the July 31, 2019 deadline. You will be receiving the completed Form prepared for your signature in the coming months. Please review your Form and upon approval, sign and return the documents to Gilmore, Jasion & Mahler per the instructions provided for filing and payment.

Service Contact Guide

The Jefferson Health Plan has updated its contact information to better serve members. If members have any

concerns/comments/suggestions, please email or call based on the service contact guide below:

Upcoming EAP Webinars

Each month Beacon offers two new webinars—one for managers and one for employees. The webinars offer timely, relevant, and reliable information for everyday living, and provide participants the opportunity to submit questions and receive an individualized response via email. Here’s how the webinars work:

•	 Employees can access the 30-minute webinars through a link on the home page of your Achieve Solutions website at www.achievesolutions.net/jhp.
•	Once logged in, every user can view the webinar and submit questions. All questions will be triaged to the appropriate person for a quick and timely individualized response. Clinical questions will be directed to a Beacon Care Manager.
•	After one month, the webinar link will be removed from the Achieve Solutions home page, and a new one will take its place. The former webinar will be archived on Achieve Solutions.

Upcoming Webinars:

April, 2 p.m. ET – Special Child, Special Needs: Tips for Caregivers

Help your child go beyond the label of “disability” by focusing on your child’s strengths and potential. Learn to identify caregiver stressors and find ways to manage stress.

	

DID YOU KNOW???

Over the last 3 years, JHP has provided the consortium with …
• a tax savings over $19,450,000 • an administrative savings of $93,360,000

2023 Sunset Blvd., Steubenville, Ohio 43952 740.792.4010
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Twitter: @JHealthPlan