
Learn about the new health care card, get help in determining which medical plan is best for you and your family, or learn how you can save money
through a reimbursement account during an information session.
Watch a Recording of an Information Session
- Review "My Health. My Life." information
packets being mailed home
- Enroll and make changes to medical,
dental and vision coverage — and enroll
and renew Dependent Care and Health Care
Reimbursement Accounts — beginning Oct. 19
- Enroll and make adjustments at the
Duke@Work self service web site or call the Duke Enrollment
Service Center at (919) 684-5600 to speak
with a customer service representative. For call
center hours, please check the information
packet
The United States government recently issued guidelines for changes in reporting of race and ethnicity to capture a more accurate picture of diversity of the
U.S. population. As a result, Duke updated its systems, and all employees are encouraged to review and update their race and ethnicity as well as other personal
information during open enrollment through the Duke@Work self-service web site or by calling the open enrollment call center, (919) 684-5600.
Health Benefits Open Enrollment Begins October 19
Premium Increases: Half the National Average
The annual enrollment for benefits for faculty and staff
opens Oct. 19 and ends Oct. 27.
Despite cost increases in health care driven by higher utilization and
increased cost of prescription drugs, Duke's four medical insurance plans
will continue to offer comprehensive coverage for 2010.
"A significant amount of analysis and discussion have taken place
during the last several months," said Kyle Cavanaugh, vice president for
Human Resources. "The result of this work is that Duke's premium
increases will be only half of the average increase nationally, while
maintaining the overall structure of the plan."
Duke offers faculty and staff four different medical insurance plans that
enable individual choice for coverage based on cost and unique needs,
including a low-cost option that offers individual coverage starting
at $23 a month.
Premium increases for 2010 will range from $2.03 to $6.43 per
month for individual coverage and from $12.80 to $25.64 per month
for family coverage, depending on the plan selected (see chart below).
"We have been able to keep some key co-pays flat for 2010, including
primary care and urgent care visits, generic drugs, and mental health visits,
reflecting the importance of preventive care and efficient use of resources,"
Cavanaugh said. "However, in order to keep the plan financially viable and
available, other co-pays and deductibles have been adjusted."
Duke has made efforts to rein in prescription drug costs, a major
driver for increasing cost. While the co-pays for generic drugs will remain
the same, co-pays will increase for retail purchases of brand and non-formulary
medications.
A new annual deductible of $100 will apply for brand and non-formulary
drugs purchased at retail pharmacies. That deductible is waived for
prescriptions purchased through the Medco mail delivery program (except for Duke Basic participants). In
addition, those who continue to purchase maintenance prescriptions
at retail locations will have a co-pay of 50 percent of the cost of the drug after
the first 90 days (subject to a minimum and maximum per month).
Faculty and staff can save on health expenses by signing up or
renewing reimbursement accounts during open enrollment. Employees
are eligible to enroll in reimbursement accounts whether or not they
participate in a Duke-sponsored medical insurance plan.
Reimbursement accounts do not automatically renew each year; open
enrollment is the only time to enroll or renew.
"All employees should consider signing up for a reimbursement
account, which helps participants save about one-third on eligible health or
dependent care expenses, including copays and deductibles," Cavanaugh said.
Duke's continued focus will be to encourage faculty and staff to take
advantage of resources available to manage and improve their health,
which has a direct impact on health benefit costs, Cavanaugh said. These
resources include wellness programs and information sessions through
LIVE FOR LIFE and Duke Prospective Health.
"Not only do Duke employees have access to cutting edge medical
care available through Duke University Health System, they also
have access to innovative programs," Cavanaugh said. "These disease
management and wellness programs have helped us slow down the rising
costs of medical care for the individual and, in the long term,
for everyone at Duke."
2010 Health Plan Highlights
- No reductions in comprehensive coverage
- Increases in monthly premiums for medical plans ranging from $2.03 to $6.43 for individual coverage and from $12.80 to $25.64 for family coverage
- No increase in co-pays for primary care, urgent care, and mental health visits and no increase in co-pay for generic drugs
- Increase in co-pay for specialist visits, outpatient surgery and most emergency and inpatient services
- Unchanged vision insurance premium
- Increased pharmacy co-pays for retail purchase of brand and non-formulary medications; addition of a $100 deductible for brand and non-formulary medications (waived if purchased by mail order)
- Expanded coverage for mental health in-network services
- Inclusion of bariatric surgery for severely obese patients who meet strict criteria
- Increase in dental insurance premiums for Plan A, which offers broader coverage
2010 Monthly Health Care Premiums
|
Individual |
Family |
|
2009 |
2010 |
2009 |
2010 |
| Duke Basic |
$20.97 |
$23 |
$212.20 |
$225 |
| Duke Select |
$56.19 |
$60 |
$334.87 |
$355 |
| Blue Care |
$92.57 |
$99 |
$418.74 |
$444 |
| Duke Options |
$89.24 |
$95 |
$412.36 |
$438 |
|