Important Information from Oxford
Key Updates You Need to Know
Open Enrollment Timeline
Important Information for Oxford Plans
- Starting September 1, 2024, Oxford will begin a two-phased approach to eliminating prior authorization requirements for many procedure codes.
- HSA Plans will have a $0 cost share for Virtual Visits prior to Deductible effective November 1, 2024.
- Optum Virtual Health will be replaced by Galileo Health. Galileo delivers care through audio, video and text-based communications along with a clinician available 24/7.
- Visit www.myuhc.com/virtualcare.com
- The introduction of Digital Medical ID cards providing easy access at any facility including pharmacies.
- “0” cost for Insulin and some other vital prescription drugs.
Specific to Oxford NY plans
All subscribers covered on NY Oxford Plans will be receiving new cards. ID numbers will not change.
- Laboratory Procedures: The below applies for all plans other than qualified high deductible health plans. Oxford is now incentivizing using preferred providers for lab services.
- A preferred provider may be covered at a higher benefit level for in-network laboratory services.
- A participating provider (that is not a preferred provider) may be covered at a lower benefit level.
- Minor plan changes include copay changes to Emergency Room and Urgent Care facilities.
Important Information for MetLife Dental and Vision
All 4 MetLife plans will be renewing with no plan changes.
There is a slight increase in premium for the Enhanced and Premium Rates.
Davis Vision
Davis will renew with no changes.
UHC Vision
UHC Vision will renew with no changes.
What’s New This Year?
Prestige Renewal Portal Enhancements
This year, we have added new enhancements to our custom-built Prestige Renewal Portal to make it easier for you.
You can now access additional support by not only contacting your dedicated Benefits Team, but now your Business Development Manager as well, directly within the Portal for personalized guidance.
We have also added a new audit trail feature that allows you to track who created each contribution model, ensuring transparency and accountability throughout the process. Additionally, you now have the flexibility to assign 100% of the cost increase to the employer, giving you more control over your contribution scenarios.
Your ability to download contribution scenarios into Excel remains as straightforward as before. You can model unlimited scenarios and share them with your team before submission, allowing you to ensure that you select the best plan options for your workforce. Your broker partner will also have simultaneous access to the Portal, ensuring they are ready to assist with any questions or guidance you might need.
New Voluntary Employee Benefits
We’re introducing new voluntary benefits and programs that will enhance your overall well-being and provide unprecedented family-building and caregiving support.
First, we’re offering Solstice DHMO Dental Benefits. This comprehensive DHMO plan covers over 500 procedures at a copay, ensuring affordable, high-quality dental care. Solstice Dental provides open access, meaning you do not need to elect a primary care dentist and you switch anytime as you must obtain services from a participating dentist within the Solstice network. With no rosters, waiting periods, or late entrant penalties, it’s designed for convenience. The plan also includes extensive coverage for adult and pediatric orthodontia services and dental implants, providing more options to maintain a healthy, confident smile.
- If you choose to elect Solstice as an offering for your employees, please reach out to your Sales Rep or Benefits Account Manager. Offering both MetLife and Solstice is allowed.
Additional voluntary benefits include Motivity Care, which offers programs to support executives and employees navigate their caregiving journey. Caring for a loved one can be overwhelming and complex, affecting every aspect of your life, including your career and finances. Motivity Care provides the protection and support you need for yourself, elderly loved one, a spouse, or a family member. With access to a curated network of over 180 trusted resources, you’ll find help covering every aspect of aging and care. The technology platform offers secure access to essential documentation, and a professional, experienced team is available to provide live support, giving you peace of mind and confidence in your caregiving responsibilities.
If you choose to elect Solstice as an offering for your employees, please reach out to your Sales Rep or Benefits Account Manager. Offering both MetLife and Solstice is allowed.
Resources and Additional Information
Open Enrollment Resources
www.prestigepeo.com/openenrollment is our Open Enrollment Resource Center, packed with tools, resources, and benefits details for you, your broker, and your employees. We encourage you to visit the website and familiarize yourself with the available resources and many benefit options. This will assist you and your teams in the weeks ahead.
We are here for you! Reach out to our benefits team at 833-PEO-BEN1 with any open enrollment questions. You can also connect directly to your dedicated specialist via our PrestigeGO mobile app.
Prestige Client and Client – Employee Information Site
Your role as a PrestigePEO Client Manager
- Reinforce our benefits strategy as committed to providing competitive and comprehensive benefits choices.
- Encourage your employees to use the tools provided, including the Open Enrollment Resource Center com/openenrollment.
- Encourage your employees to review their benefit needs, compare health care options, and enroll during the benefits Open Enrollment period.
- Employees often have questions about their plans or need help navigating the PrestigePRO Employee Benefits Portal. Please invite your employees to call us at 833-PEO-BEN1.
We want to take this moment to extend a special “thank you” for your continued partnership with PrestigePEO. We look forward to another great year together.