What's new for 2023?

Jump to:

• For retirees under 65 without Medicare

• For retirees age 65+ with Medicare A&B

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Retirees under 65 without Medicare

 

No action is required during Annual Transfer (Nov. 1-30), but there are several enhancements to your benefits effective January 1. See your FYB newsletter for more details.

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New bone and joint benefit

If you suffer from back, knee, hip or shoulder pain, Cigna’s new Bone and Joint Health benefit can help you find relief. The program, offered through a collaboration with Ascension St. Thomas, gives you:

• Personalized support to connect you with the best solution for your pain

• 100% coverage for surgery, if required

• High quality care through a select network of providers

 

The benefit covers low back disk surgery, hip arthroplasty, hip replacement, knee replacement, laminectomy, spinal fusion and shoulder replacement. Learn more in this Cigna flier and see which Nashville-area providers participate. Or call 1-855-678-0042. Note: This new benefit is similar to Vanderbilt’s MyHealth Bundles, except 100% coverage is limited to admission, surgery and post-op care only.

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Two new MyHealth Bundles

Two new MyHealth Bundles will join the bundles we already offer in partnership with Vanderbilt Health:

• Maternity (prenatal, delivery and postnatal care)

• Osteoarthritis of hip and knee

• Total joint replacement of the hip and knee

• Shoulder pain/surgery

• Select spine surgeries

• Surgical weight loss

• Medical weight loss

• Cochlear implant surgery

• Kidney stone prevention & treatment NEW FOR 2023!

• Substance use disorder support NEW FOR 2023!

 

MyHealth Bundles feature:

• Zero out-of-pocket costs

• A dedicated patient navigator to guide you through the process

• All services performed by Vanderbilt Health providers (including surgery and pre- and postoperative care)

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Learn more at MNPS.MyVanderbiltHealthBenefits.com.

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$0 cost for select specialty medications

If you take specialty medication, you may be able to lower your out-of-pocket cost to $0 through a new program call SaveOnSP.

 

Here’s how it works: When you fill an eligible specialty medication, a representative from SaveOnSP will contact you about enrolling in the program. If you choose to participate, you’ll pay $0 for your medication. If you choose not to participate, you’ll pay a higher cost share when you fill your medication. Conditions supported by the program include (but are not limited to) hepatitis C, multiple sclerosis, psoriasis, inflammatory bowel disease, rheumatoid arthritis and oncology.

 

For more information, see:

SaveOnSP customer flyer

SaveOnSP eligible drug list

MNPSBenefits.org/medical (to view your pharmacy benefits)

 

Kroger pharmacies still in network for you

You may have heard news that Kroger pharmacies will no longer be in Cigna's pharmacy network. As an MNPS retiree, you are not affected by this change. Kroger and affiliated pharmacies will continue to be in the pharmacy network for your MNPS retiree medical plan with Cigna. You can continue to fill prescriptions at any of the Kroger and affiliated pharmacies as you do today.

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New Patient Advisory Group forming -- seeking members

The MNPS Employee & Family Health Care Centers are forming a Patient Advisory Group. It will be composed of 15-20 employees, retirees and family members who have received care at our clinics in the last two years and wish to help:

• Improve patient satisfaction and quality of care

• Promote open communication between patients and staff

• Provide a formal mechanism for patients to offer feedback about their experience with the MNPS Health Care Centers

 

The group will meet every 2-3 months to work with clinic leadership on patient needs and clinic priorities. Would you like to serve or nominate a colleague for membership? Complete a brief online form. Be sure the nominee has used clinic services in the past two years and has time to contribute to the group (e.g., attending meetings).

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Free behavioral health apps

Cigna has added a popular app — Talkspace — to its menu of behavioral health apps:

 

Talkspace connects you with a therapist via text, voice or video. Once registered, you’ll be matched with a therapist. You’ll have unlimited messaging and up to three sessions with your therapist at no cost to you. After that, a copay may apply.

 

Happify is a tool that teaches you how to resist negative thoughts, cope with stress, overcome insecurities and gain self-confidence. You’ll find science-based activities, games and meditations designed to improve mindfulness.

 

iPrevail helps you overcome anxiety, depression, eating disorders, grief, panic and more with on-demand coaching. You can engage with peer coaches — trained specialists who have faced their own behavioral health challenges — or work through lessons on your own.

 

Click on the name above for more detail on each app.

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Retirees age 65+ with Medicare

 

Below are 2022 changes to your benefits for retirees with Medicare. See your FYB newsletter for more details. You're also invited to attend a meeting or watch a recorded presentation by Cigna representatives; here's how.

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If you're currently enrolled in Cigna's Medicare Advantage PPO

Effective January 1, 2023, benefits are being enhanced: • No more coinsurance — you will pay $0 or a $20 copay for most services

• Annual out-of-pocket maximum is being lowered from $2,000 to $1,500

• Opportunity to earn up to $200 in wellness incentives 

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Additionally, as a Cigna Medicare Advantage PPO member, you have access to a new caregiver support benefit. Retirees are at a unique stage where they may be the caregiver or the recipient of care. For this reason, Cigna provides caregiver support to retirees as well as their family members to help care for an aging loved one, adult or child living with acute or chronic conditions such as dementia, cancer, kidney disease, stroke and congestive heart failure — at no cost to you.

 

Services include one-on-one coaching with a caregiving expert, personalized resources through a secure mobile app, and help managing stress, anxiety and loneliness. Call 1-888-281-7867 (TTY 711) for details.

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If you're currently enrolled in Cigna's Medicare Surround Plan

You will automatically be moved to the Cigna Medicare Advantage PPO, effective January 1, 2023, unless you meet the criteria for an exception that allows you to remain enrolled in the Surround plan. Click here for details and the steps you need to take. This plan is now closed to new enrollees, with limited exceptions.

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If you're currently enrolled in Cigna's Medicare Advantage HMO

You may choose to remain in this plan in 2023 or switch to the Cigna Medicare Advantage PPO, which is getting some benefit enhancements for 2023. If you remain in the HMO, there are no changes to your benefits for 2023. This plan is closed to new enrollees.

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Additionally, as a Cigna Medicare Advantage HMO member, you have access to a new caregiver support benefit. Retirees are at a unique stage where they may be the caregiver or the recipient of care. For this reason, Cigna provides caregiver support to retirees as well as their family members to help care for an aging loved one, adult or child living with acute or chronic conditions such as dementia, cancer, kidney disease, stroke and congestive heart failure — at no cost to you.

 

Services include one-on-one coaching with a caregiving expert, personalized resources through a secure mobile app, and help managing stress, anxiety and loneliness. Call 1-888-281-7867 (TTY 711) for details.

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Kroger pharmacies still in network for you

You may have heard news that Kroger pharmacies will no longer be in Cigna's pharmacy network. As an MNPS retiree, you are not affected by this change. Kroger and affiliated pharmacies will continue to be in the pharmacy network for your MNPS retiree medical plan with Cigna. You can continue to fill prescriptions at any of the Kroger and affiliated pharmacies as you do today.

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