2025 Medical Plans
Names of the 4 new medical plans for 2025
BILH Network Premier HMO
Flex HMO
Flex Plus HMO
Access PPO
Types of meds that MUST be filled at the BILH Pharmacy
What are Specialty medications and all GLP-1s?
Is EOI required to enroll in STD coverage during OE?
Yes! EOI is required for any new enrollment in the STD plan.
Is EOI required to newly enroll in Supp Life during OE?
Yes! EOI is required to enroll in Supp life as a new entrant.
Plan year maximum for Dental High
What is $5,000?
True or False: All BILH medical plans require a PCP
False - the PPO does not require a PCP
What MTM and CDTM stand for
Medication Therapy Management and Collaborative Drug Therapy Management
Is EOI required to increase your STD plan level during OE?
No!
When increasing your Supp Life during OE, when is EOI required?
EOI is required if increasing above $500k or over 2 plan increments.
Eyemed services that cannot be covered in the same plan year
What is prescription lenses and contacts?
What happens when an employee is enrolled in medical in 2024 but does not participate during OE
What is the medical plan will default to the BILH Network Premier HMO?
Step that is required when filling a GLP-1 for weight loss but NOT for diabetes
What is an MTM or CDTM visit?
Is EOI required to enroll in the buy-up LTD option during OE?
No!
The maximum spouse life enrollment without EOI during OE
What is $50,000?
Deadline to submit FSA expenses
What is March 31 of the following plan year?
The plans with the lowest annual deductible
What is the Flex Plus HMO and the Access PPO?
When a CDTM visit is required
What is a provider that does not meet the credentialing requirements?
How EOI approvals are entered into Workday
What is the UNUM weekly feedback API?
How EOI approvals are entered into Workday
What is manual entry from weekly reports? Bonus: plan to switch to Voya API
Plans that offer a benefit "boost" for services at BILH
What is Critical Illness, Hospital Indemnity, and Accident Insurance?
The reason BILH is requiring MTM/CDTM visits for GLP-1 medications
What is provider credentialing to improve cost sharing?
The process to complete EOI for disability
After OE is finalized, the link to complete UNUM EOI online will be available under announcements on the Workday homepage
The process to complete EOI for Life
After OE is finalized, a file goes to Voya and employees receive an email or mailed notice with the link or paper form instructions
Maximum ET cash-out for 2025
What is 2 weeks?