Medical Insurance
Prescriptions
Dental Insurance
Vision Insurance
Flexible Spending (FSA)
100
What is the medical insurance company's web site?
100
What type of retail drugs are a $10 copay?
Generic drugs. You will always save money with generics. Some stores offer $4 generics such as Target and Walmart.
100
Is your dental plan a PPO?
Yes, it offers both in (PPO and Premier) and out of network benefits.
100
Name two in-network providers.
LenCrafters, Pearle Vision, Sears Optical, Target Optical and JC Penney are some of the major in-network chains.
100
What are the two types of FSAs available to you?
Healthcare FSA and Dependent care FSA.
200
When do your deductibles and out-of-pocket limit re-set?
What is January 1?
200
Are any drugs covered at no cost to a member?
Yes, certain contraceptives are covered at no cost due to ACA. Please ask HR or BCBS for the specific list.
200
What is your individual deductible?
$50
200
What is either the contact lens or frame allowance dollar amount?
Frame allowance is $140. Contact lens allowance is $155.
200
What is the healthcare FSA annual maximum?
What is $2,550.
300
Do you need to contact BCBS if you or a covered dependent will be hospitalized?
Yes, whenever a non-emergency or non-maternity Inpatient Hospital admission is recommended by your Physician, you must call the medical pre‐notification number. This call must be made at least one business day prior to the Hospital admission.
300
This program allows you to pay for a 90 day supply of your prescription, saving you money and delivering the script to the address of your choice.
What is PrimeMail, the mail order program.
300
How many cleanings may you receive in one year?
2 cleanings, unless you have a medical condition that qualifies for extra cleanings such as diabetes or pregnancy.
300
What is the copay amount of an annual eye exam at an in-network provider?
$10 copay. $10 is also the copay for standard plastic lenses.
300
Do FSAs use pre-tax money?
Yes. All contributions to your FSA are pre-tax which reduces your taxable income.
400
Does an MRI cost the same no matter what in-network facility I use?
No, the place of service and the area will determine the cost. It can vary widely. Try the cost estimator tool by logging into your account at www.bcbsil.com.
400
Are flu shots a covered benefit?
Yes all vaccinations and immunizations are covered at 100% by Deublin.
400
True or false - you may owe more if you chose to use an out-of-network dentist.
True, Delta will only reimburse up to the maximum plan allowance and your out-of-network dentist may "balance bill" you the difference.
400
If you purchase contacts are you also eligible for lenses for your glasses in the same benefit period?
No. You are only eligible for lenses once per benefit period. You must chose contacts or lenses for your glasses.
400
Is teeth whitening an eligible healthcare FSA expense?
NO. It is cosmetic which would not be eligible. To view the entire list of eligible expenses please review IRS Publication 502.
500
What is the name of the Deublin medical plan that costs less out of your paycheck in exchange for higher deductibles?
What is the Value Plan?
500
Do pharmacy costs count towards your medical out-of-pocket limit?
NO you have a separate pharmacy out-of-pocket limit. $4,000 single / $8,000 family.
500
What is the annual maximum?
$1,500 per person.
500
If I had my annual eye exam on June 1, 2015 when am I first eligible for my next annual eye exam?
June 1, 2016.
500
Can you and your spouse both contribute to your employer's FSA?
Yes, both you and your spouse may contribute to the IRS maximum of $2,550 or the employer's stated maximum.