On-Site Open Enrollment Sessions:This is a list of on-site Open Enrollment sessions at various locations throughout the County. HRMD staff will be on site to assist with benefits questions and help with reviewing or making benefit changes in SAP Employee Self-Service.

Travis County offers benefit eligible employees Open Enrollment each year to review their current benefits and make elections for the upcoming benefit plan year. This is your once a year opportunity to make changes to your benefits plans and to add or delete dependents without having a Qualified Life Event.

Open Enrollment for FY 17 will be held from Monday, August 1, 2016 through Tuesday, August 30, 2016. During Open Enrollment you are allowed to add, remove or change the following benefits:

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Basic Life and AD&D Insurance Beneficiary
  • Supplemental Life and AD&D Insurance
  • Supplemental Dependent Life Insurance
  • Supplemental Spouse/Domestic Partner Life Insurance
  • Personal Accident Insurance
  • Short Term Disability
  • Long Term Disability
  • Flexible Spending Accounts (Medical & Dependent Care)

Open Enrollment Help

The online Open Enrollment function in the Employee Self-Service (ESS) part of SAP has been updated. This update greatly improves the processing of benefit enrollments, making updates to dependents and beneficiaries easier and reduces the likelihood of errors and locks. The training materials and online tutorials have been updated with the changes. HRMD Benefits staff will also available to help with questions via phone or at on-site open enrollment sessions.

  • Open Enrollment SAP tutorial - These online help videos and documents will walk you through the steps for completing Open Enrollment through the SAP Employee Self-Service.
  • On-Site Open Enrollment Sessions – This is a list of on-site Open Enrollment sessions at various locations throughout the County. HRMD staff will be on site to assist with benefits questions and help with reviewing or making benefit changes in SAP Employee Self-Service.
  • HRMD Office Hours - Computers and benefit assistance will be available in the HRMD office at 700 Lavaca Street, Room 422 from August 1st through August 30th. The room will be open Monday through Friday, 9:00 a.m. until 4:00 p.m.

Health Plan Changes and Rates

On June 28, 2016, the Travis County Commissioners Court approved the health plan designs and monthly premiums for Fiscal Year 2017. The initial cost projections put the necessary funding increase at 7% which was higher than the amount budgeted for FY 17. As a result, the Court has approved making slight changes in the benefit plan designs for all plans which brought the cost down to a 4% increase.

It is highly recommended that all participants review the plan changes carefully to determine which medical plan may be best for their specific situation. There are additional cost comparison tools available to assist participants with this decision.

FY 17 Travis County Benefit Guide

PLAN CHANGES AND ENHANCEMENTS for ALL PLANS:

  1. Reduced office visit co-pay if a UHC Tier 1 Premium Designated Specialist is used (Tier 1 providers have demonstrated better outcomes, less complications and readmissions, thereby ultimately saving the plan money). The EPO and PPO plans will pay primary care copay. The Consumer Choice Health Plane will pay the deductible and co-insurance.
  2. Outpatient Labs and X-Rays:
    1. Payment of outpatient labs and X-rays will depend on the network status of the facility performing the Labs and X-Rays instead of the status of the referring provider
    2. If a provider is currently referring lab and X-ray out of network, he/she will be contacted by UHC, with instructions to use in-network lab and X-ray providers
    3. Employees will also be contacted if they have claims for out of network lab and X-ray charges
  3. Laparoscopic procedures. All Laparoscopic surgeries will now be paid as outpatient surgery, with the exception of the following which are all covered at 100%:
    1. Colonoscopies (for both diagnostic and therapeutic)
    2. Endoscopies
    3. Mammograms
  4. Medical Necessity Review. All elective procedures will now be screened for Medical Necessity. It is the doctor’s responsibility to submit a claim for review of medical necessity and there is no penalty for the patient. UHC will use established industry guidelines to determine medical necessity, and may on occasion indicate that a less invasive or conservative treatment be used instead of surgery.
  5. Spine and Joint Solution. This is a Case Management program that assists patients with treatment options and directs them to “Centers of Excellence”. The Spine and Joint Solution provides better outcomes and ultimately lower costs to the patient and the plan and helps the patient to navigate the complex healthcare system.
  6. Cancer Support Program. This is a Case Management program that assists patients with treatment options and directs them to “Centers of Excellence”. The Cancer Support Program provides better outcomes and ultimately lower costs to the patient and the plan and helps the patient to navigate the complex healthcare system.
  7. Real Appeal. This is an evidence based weight loss program that offers an individually customized program and support with accountability. Participation will be limited to only those individuals which meet certain criteria. The Real Appeal is based on outcomes and participants meeting their goals, before any claim for service can be submitted to UHC.
  8. Virtual Visits. A new program where you can have on-line doctor visits on your computer or mobile device with a special network of doctors.
    1. EPO and PPO participants will pay the normal primary care office visit co-pay.
    2. Consumer Choice participants will pay the deductible and co-insurance amounts, with a maximum of $40 cost per visit. If the deductible is met then participants will pay 20% co-pay, which is generally $8.
    3. You will register and pay on www.myuhc.com.

Changes to the Consumer Choice Health Plan

  • Removal of Fourth Quarter Carryover of Deductible and Coinsurance – Currently any deductible or out-of-pocket expenses that are met during October, November, or December are applied to the following calendar year’s deductible or out-of-pocket limits. The provision is outdated and has been eliminated from public and private sector plans for many years. This was removed from the EPO and PPO last year.

Which Health Plan is Best for Me?

With three health plans to choose from, selecting the best coverage for you and your family can be difficult. We have prepared and are providing additional tools and resources to help assist you with this decision. The three health plans have varying levels of coverage and also have varying levels of monthly premiums. Both components are important to consider when choosing a health plan for the upcoming year.

FY 17 Health Plan Cost Comparison Scenarios

Frequently Asked Questions

FY 17 Travis County Benefit Guide

Dental Insurance

Commissioners Court has again approved Assurant Dental as the dental carrier for FY 17. Assurant will continue to offer the same network of providers, same level of benefits and the same premiums as in FY16.

DHMO Dental Plan - The plan design and copay amounts will remain the same as FY 16. This plan requires the selection of a primary dentist but has the lowest premiums of the dental plans.

Base PPO Dental Plan - This plan is a PPO dental plan and allows you the choice of going to any nationwide in-network provider or going to an out-of-network provider at a reduced benefit level. This plan offers coverage for preventive, basic, major and orthodontia services.

High PPO Dental Plan - This plan also allows you the choice of going to any nationwide in-network provider or going to an out-of-network provider at a reduced benefit level. This plan also offers coverage for preventive, basic, major and orthodontia services. This plan does offer higher coverage when seeing an out-of-network provider compared to the Base PPO plan and has a higher maximum annual benefit ($2,000) compared to the Base PPO plan ($1,500).

FY 17 Assurant Dental Summary

Dental PPO Plan Comparison

FY 17 Travis County Benefit Guide

Important Benefit Information FY 17

Changes to life insurance beneficiaries and participation in the 457(b) Deferred Compensation plan may be changed at any time during the year.

If the Open Enrollment election period has not started please view the page on Making Changes to request a change to benefits during the plan year.

 

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700 Lavaca St.
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Austin, TX 78701 (Map)

Phone: (512) 854-9165

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