100% Digital Open Enrollment Available

Need help? Come see us!

Medical & Dental Insurance

 

Now is the time to:

  • Enroll/drop medical and/or dental plans

  • Add or delete dependents

  • Compare plan options with other plans (i.e., spouse, student insurance)

How to make changes:

No changes to Medical/Dental? Nothing to do unless adding money to Flex.

Click here for the Open Enrollment Flex Page

Plan Changes

 

PREVENTATIVE CARE COVERAGES

 

A number of preventive care coverage for specified conditions have been added. See a complete list below.

Need help? Come see us!

Digital meetings available too!

 

HR Department
hr@cityoflakeforest.com

DeSha Kalmar

847-810-3530

Amber Campbell

847-810-3532

Lauren French

847-810-3531

SUMMARY OF RX CHANGES - SPECIALTY DRUGS

Closed Formulary

Generic required if a clinically exact match to brand

  • Physicians may appeal to receive higher cost drug

  • Impact: 19 drugs currently used

Step Therapy
Requires members try lower cost alternatives prior to approval of certain high cost drugs.

  • Physicians may appeal to receive higher cost drug

  • Impact: 24 members
     

“CAAP Rx

CAAP Rx is a voluntary program that lowers a member’s out-of-pocket cost on high-cost specialty drugs by using drug manufacturer copay assistance when it is available.


For more detailed information on this process click here.

EXPANDED COVERAGES

Immunizations at Network Pharmacies:

Hearing Aid Coverage

  • Coverage of $2,500/ear/24months for hearing aids

Insurance Premiums - Effective Jan 1

Great news on premium increases for 2021!

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