100% Digital Open Enrollment Available
Need help? Come see us!
Now is the time to:
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Enroll/drop medical and/or dental plans
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Add or delete dependents
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Compare plan options with other plans (i.e., spouse, student insurance)
How to make changes:
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Fillable PBA Change Form
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Online changes through your PBA portal
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See HR for a paper form
No changes to Medical/Dental? Nothing to do unless adding money to Flex.
Click here for the Open Enrollment Flex Page
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
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Physicians may appeal to receive higher cost drug
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Impact: 19 drugs currently used
Step Therapy
Requires members try lower cost alternatives prior to approval of certain high cost drugs.
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Physicians may appeal to receive higher cost drug
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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
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Coverage of $2,500/ear/24months for hearing aids
Insurance Premiums - Effective Jan 1
Great news on premium increases for 2021!
