Medical Plan Features and Health Management Programs
Whether you’re managing a chronic medical condition, wanting to expand your family or looking for quality, cost-effective options for knee, hip or spine procedures, turn to the medical plan features and health management programs offered by Hess.
Medical Plan Features
Knee, Hip and Spine Centers
The Hess Medical Plan will pay a higher benefit (90 percent in-network coverage after deductible; you pay 10 percent) if you go to an Anthem Blue Distinction Center for knee, hip and spine procedures. Blue Distinction Centers are higher quality, lower cost facilities that save money for you and Hess.
For more information, visit anthem.com or call Anthem Member Services at 1-800-854-1834.
Health Management Programs
Digital Diabetes Management
Livongo offers digital diabetes management that helps those with diabetes control their blood sugar levels and help prevent future health complications. This program includes diabetes education, access to expert coaches, unlimited strips and lancets and an advanced blood glucose meter. If you’re enrolled in the Hess Medical Plan, this program is free for you and your enrolled dependents age 18 and up.
Hinge Health offers digital physical therapy exercises and education for musculoskeletal conditions (like chronic low back, knee, neck, hip or shoulder pain). The Hinge Health program includes education, exercise therapy, behavioral health support and access to a personal health coach. If you’re enrolled in the Hess Medical Plan, this program is free for you and your enrolled dependents age 18 and up.
This fertility management program provides support if you’re facing struggles building the family you want. If you’re enrolled in the Hess Medical Plan, this program is free for you and your enrolled spouse or domestic partner.
WINFertility’s Fertility Support Program offers:
24/7 access to specially trained nurse care managers
Help selecting the right doctor for your needs within Anthem’s network
Information about testing, types of infertility and treatment and medication options
Authorizations, care recommendations, pharmacy assistance and specialist referrals
Empyrean.hess.com The Hess Benefits Center at Empyrean is where you go to enroll and make changes for the new year. It has your personal information, covered dependents, current and available benefit options and costs, and more.
Think about your benefit needs for next year. Ask yourself:
Am I contributing the maximum to my HSA?
Should I increase my life insurance coverage?
Are my beneficiary designations up to date?
Should I contribute to a Dependent Care Flexible Spending Account in 2021?
2. Decide Who to Cover
You can enroll yourself and your family in Hess benefits. You are eligible if you are a full-time employee.
Eligible dependents are:
Your same or opposite sex domestic partner
Your children through the end of the year in which they reach age 26
You can add or remove dependents at empyrean.hess.com. Be sure to have Social Security numbers on hand for anyone you’re adding to your coverage.
1. Review What’s Changing
Most of your benefits will remain the same for 2021 but there are a few changes and enhancements.
Cost of Coverage
You can view your 2021 costs for each benefit plan at empyrean.hess.com. Here’s a review of what’s changing for 2021:
Medical and Dental Plan Rates—will stay the same in 2021. Keep in mind that because there will be 26 pay periods instead of 27, the rates will look slightly higher per pay period.
Optional Life Insurance Rates—are increasing for you (by 8.3 percent) and your spouse (by 7.5 percent).
Health Savings Account (HSA)
IRS contribution limits are increasing, so you can contribute more to your HSA in 2021:
2021 IRS Contribution Limits
Employee + One and
Employee + Family
Health Management Programs and Medical Plan Features
We’re adding some health management programs and medical plan features that can improve your well-being and stretch your health care dollars. There are no elections required for these programs during Benefits Open Enrollment. You use them when you need them. Look for more information about them in 2021.
To help control blood sugar levels, Livongo offers a digital diabetes management solution. If you enroll in the program, you’ll receive a glucose meter, unlimited test strips and lancets, as well as educational materials and access to expert coaches. Your glucose meter automatically uploads your blood glucose readings to your member portal on the Livongo website. The meter also provides graphs, insights and real-time tips on how to improve your blood sugar numbers. If you’re enrolled in the Hess Medical Plan, this program is free to you and your enrolled family members age 18 and up. Learn more.
For help managing chronic back and joint pain without traditional physical therapy, Hinge Health offers a digital approach. If you enroll in the program, you’ll receive a wearable sensor that sends information to a tablet where you can learn how to do exercises to alleviate your pain or discomfort. Educational materials are also available, and you’ll have access to a coach. If you’re enrolled in the Hess Medical Plan, this program is free to you and your enrolled family members age 18 and up. Learn more.
Individuals looking to expand their family can get help with the WINFertility family-building program provided by Anthem. The program offers access to quality fertility treatment, trained nurse professionals as well as information about testing and medication options. Learn more. Or, contact WINFertility at 1-866-217-9482, or go to winfertility.com.
Health care facilities and providers recognized for their expertise in delivering specialty care are designated as Anthem Blue Distinction Centers. When you use an Anthem Blue Distinction Center for knee or hip replacements or spinal surgery, the plan pays higher benefits—you pay only 10% of the surgery cost (after you’ve met your deductible). For more information, call Anthem Member Services at 1-800-854-1834 or go to anthem.com.
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