ࡱ> _a^ Ebjbj&W&W 42D=D=E TTTTThhhh,Th65555555$7:P5T5TT5777"TT57577R14@'+255062:%:<44:T475576: :  ARH 2021 Plan Year Benefits: Open Enrollment Information October 26-November 6, 2020 There will be no change in benefit plans or benefit carriers for 2021. Please refer to the updated Benefits Guide, your local HR department, the video in the Benefit First portal, or call the Benefit First hotline for more information. If you need to make changes to your benefits: Log into  HYPERLINK "http://www.benefitfirst.com" www.benefitfirst.com. There you can: Update your current benefits Enroll in one or both of the Flexible Spending Account plans (FSA-Medical or FSA-Dependent Care). If no changes are needed: The benefits currently in effect at the end of 2020 will roll over for 2021. **Once the Open Enrollment window is closed on November 6, 2020, no changes can be made to the 2021 benefits unless employee has a TRUE qualifying life event (QLE)** Refer to the QLE information outlined in the Benefit Rate Sheet for timeline to make changes if employee has a True QLE. Helpful Hints and Information Related to the ARH Health Plan for 2021 Always use ARH facilities, providers, and pharmacies whenever possible. Services that can be performed at ARH may not be covered if completed at non-ARH sites; always check with your local HR department before using a non-ARH facility. Know which hospitals are NOT covered on your plan. Refer to the Benefit Guide for a list of excluded facilities. You can save money by selecting the Wellness Plan. Simply meet these 3 easy criteria to save money on your monthly health plan premiums. Employee AND Spouse must: Receive 2020-2021 Flu Shot-Provide documentation to local HR by 12/31/2020 Complete required labs and physical exam-Find the necessary forms on the ARH Benefits webpage (provide completed documentation to local HR by 12/31/2020) Attest that you are tobacco free-Complete this step in the Benefit First enrollment portal You can also save money by using ARH providers and facilities. Most medical services at ARH sites will be at no cost to the membersee table below for copays. Pharmacy copays are lower at ARH pharmacies; non-ARH pharmacies should ONLY be used when a medication is needed urgently and ARH pharmacies are not available. Know which services are only covered at ARH (unless special approval is granted). Some examples include chemotherapy, bariatric surgery, home health, specialty drugs, etc. Always check with local HR if you are unsure. Information about the 2021 Health Plan Health Plan PremiumNo increase in health insurance premiums for 2021Annual DeductibleSingle $750/Family $1,500Maximum Out of Pocket Single $8,550/Family $17,100 Tier 2 Anthem Network80% after Deductible Emergency Room Services$75 CopayOut-Patient Surgery/Procedure$50 Copay MRI, MRA, CT, PET Scan$75 Copay (Not covered unless performed at ARH owned facility)Spousal Surcharge$2,400 annually    :;PWC D E q r | } O P h k ٻIJvviv^^ShhdndCJaJhdndhdndCJaJh_hdnd0JCJaJjhdndCJUaJhdnd5CJaJhdndhdnd5CJaJhdndCJaJhCCJaJhChCCJaJhkN5CJaJhC5CJaJh9F5CJaJhh9F5CJaJhh5CJaJhmCJaJ#jhmhu"H5UmHnHu ;WD E O P ( a !   $ & F a$gdCm$^gd9F $^a$gddnd $^a$gdC & F gddnd^gddnd^gdC$a$gd9F $a$gdC$a$gdm     ' ( . ` a f i ˹˭–umbWbWh5>*CJaJhC5>*CJaJh9FCJaJhdndh9FCJaJhdndhBdPCJaJhdndhCCJaJhChBdP56CJaJh9F5CJaJhh9F5CJaJhkN5CJaJhC5CJaJhhBdP5CJaJhhBdPCJaJhChCCJaJhhdndCJaJhdndCJaJ"   ! 0 V g h i   " @  !"<=>mɻ|t|tltlt`t`tXthCCJaJhChC5CJaJh%CJaJhCCJaJhdnd5CJaJhBOCJaJh.CJaJhCJaJh.5CJaJhC5CJaJhhBO5CJaJhmhm5>*CJaJh9F5>*CJaJhu"H5>*CJaJhdnd5>*CJaJh5>*CJaJhC5>*CJaJ" "mb|}d$IfgdBO $a$gd~#m$ $8^8a$gd~#m$ $ & F a$gdCm$ $ & F a$gdCm$ $ & F a$gdCm$ $ & F a$gdCm$ (bpZ~|}/67<ùzohzo]Rh~#h9FCJaJh~#hBdPCJaJ hmhBOh~#hBOCJaJh~#hBO5CJaJ hmhh~#hCCJaJh~#hCJaJh~#h5CJaJh~#h5aJh~#h~#5aJhCh~#CJaJhdndCJaJh~#CJaJhdnd5CJaJhCCJaJhC5CJaJhCCJaJ vhhd$IfgdBOkd&$$Ifl0 (~ z t0644 lapytC/NvhZd$Ifgd9Fd$IfgdBOkdG'$$Ifl0 (~ z t0644 lapytC<EKMNOey{| 2BCDEص}tkh5CJaJhC5CJaJh~#hvY5CJaJ hdkhh~#hCJaJ *h~#h5CJaJh~#hC5CJaJh~#h5CJaJh~#hvYCJaJh~#hBO5CJaJ hmhBOh~#hBdPCJaJh~#h9FCJaJh~#hBOCJaJNOe{vhZd$Ifgd9Fd$IfgdBOkd'$$Ifl0 (~ z t0644 lapytC{|vhhd$IfgdBOkd($$Ifl0 (~ z t0644 lapytCvhZd$Ifgd9Fd$IfgdCkd3)$$Ifl0 (~ z t0644 lapytCvhhd$IfgdBOkd)$$Ifl0 (~ z t0644 lapytC 2Bvhhd$IfgdBOkd{*$$Ifl0 (~ z t0644 lapytCBCDEvl^hh^h`hgdCm$ ^gdBOm$kd+$$Ifl0 (~ z t0644 lapytC21h:pm/ =!"#$% &Dd-`  .Ar?rappalachian-regional-healthcare-squarelogo-1424414736829Picture 2appalachian-regional-healthcare-squarelogo-1424414736829"b$ EusR$DCn$ EusRPNG  IHDRdd$yIDATx| xT广Ͻ׿-̾eE4e3ZDMd%Uk-.h-jVEZ^ &@23 E};NN&|}!%q`+V8q`+V8Xq`᧗8Xq`WyQ8GŲl;<kz~/:GةJ3D͋gC <2CV~i13{p.j `Mg ,aSd(_:LGZ(SF0G# _H,Mn"+) sONɹ@ῘfMsDN`C0Пn+NlQ Mk?.wiJB4C  -/: Xz óR ~*CJmR;ԥתv}EFh!>D4 Ӝ?U_ň'Mr]ہ=X$wvxbq{蒚[eg`?YsBEbx_3b8:4x$Ʀsx#8rKX;fgIx8H  p,Kl4JK"_u*5Q^'^Vػ[Qqs$(ёIIfpN$^IXAcI2 P`o#|~땣+ AF ?Ä[nyE_Ҟ$sOKnU ($Ā=r­tt)mdېkq@[%u xH8^R-#Ibpu:+KF`( PEy.ƒ sqf[ EóK4u:APbFy[S,Z=snX%Z7ʖ%+woAc0lnL!z4ê| @}2cޢEV8r[7-#:ZL/ unAaKj/НdP hL6sq̩(Fy6$ i0DR01Dsp&XRfi+u)slID }y/"Us{CbOd:u~="(MSQ ! \<;N)aQ 0|u:E$qZCbHWS;\ kڦ/FfՎUH= iKe61l@XQ5kI Oj&Ya9[f.v *Tvpj`S6&Sh-벖 #76TMWw!I23ЖBܔǥ.ILP`h8(Ab Xl3p`ApvͣZS ]ɦn[:0Fd1w+&/60ø5Z._a$wJTj*k"3'!6n=nMWȐ*h-)y.m[FoK[=;j˚7ŪQ+'A$FȢk6,{soC (6F E YE BX?a1Iʳ1-@FҕlEAȬRK'"=LPc05 *< {OzATV;f!_ľOltGF}1[1YBԥ8ZuN*op0;VEb@yN[E٫ua87N`=d(LbkNǾ-B޾Euyagi& Б{*`_^,WjN$~VlCIvd$ QK舚lڥsԤO>sX<X1:O9[kӃ =B?~޶u-M:K 9@~Uް<3+#BI `^HwVpޠ֤J3Fa,5F\aH ZGY Aܤ\Ҷ`YꚥNV#^3>,pҭ4FAbh*3 u)2.(q@y3xBLç߸QHmIh-U6.JݕDl4@/CU*Q:|RH5rsɗhR2sY*7J>湧8si[rYn֮nS!ՁQ D5Q+V~'tz=O6rϑIcL؉Uf 7 L`34Q>=GoۮJI+l߶n@`p  1zsrp"J6!F)r:BR XTsHŹ`LC g74ޔ];?\۞ ڒboI%FULZTҤF 4+͢4)J 솹yom ՑeS1 i6?),NЏ$0^(E* sd,"C>-MUnCXVFMV ̮Ej۠UsoY/x$j* ;x ? !Q?'~~ok7b[nܴڍl92j6>W=d˦,3&' |e#C _ĄC<  e!Ag, $C6=Y$ s[]6Tf*01~,Ҍ |R9tSe*%sŗo/k+˰R>ncI,VjIT/5íi s\̰T!<*RnI3קSM:sC z48z92:~wHF_8 ? 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