CERTIFICATED RETIREE BENEFITS

What's new for 2021?

Retirees under 65 without Medicare

No action is required during annual transfer (November 1-30), but there are several enhancements to the Cigna medical plan. Some are effective January 1; others are already available to you.

Cigna Medical Plan for <65 Retirees

Diabetes education covered at no cost

To help retirees with diabetes better manage their condition, the Cigna medical plan for retirees under 65 without Medicare will now cover the following services provided by a certified diabetes educator at no cost to those who qualify:

  • Diabetes self-management education

  • Medical nutrition therapy

 

You simply need a referral from your primary care provider or endocrinologist to access these services. Some network providers offer telehealth options, including Vanderbilt. Call 615-259-8755 to make an appointment for one of these services.

 

Cigna’s Omada® program expanding to type 2 diabetes, hypertension

Good news for <65 retirees and their covered family members living with type 2 diabetes or hypertension. Omada is adding two new digital lifestyle change programs:

  • Type 2 Diabetes Management Program New!

  • Hypertension (high blood pressure) Management Program New!

  • Diabetes/Heart Disease Prevention Program Already available

 

Visit omadahealth.com/mnps and take a one-minute screener to see if you qualify. (Note: The hyperlink in the printed FYB newsletter was incorrectly listed as omada.com/mnps. The correct link is above.)

 

New Vanderbilt Health “Bundles”

Earlier this year we introduced our first MyHealth Bundle in partnership with Vanderbilt, called MyMaternityHealth. This program bundles all the services an expectant mother and baby need — from enrollment through delivery and 12 weeks

after delivery, all with zero out-of-pocket costs and an enhanced focus on convenience and communication.

 

On January 1, 2021, we will launch four additional MyHealth Bundles:

  • MyOrthoHealth: Total joint replacement of the hip and knee

  • MySpineHealth: Select spine surgeries

  • MyWeightlossHealth: Surgical weight loss

  • MyHearingHealth: Cochlear implant surgery

 

MyHealth Bundles are available to retirees and dependents enrolled in the <65 Cigna medical plan and feature:

  • Zero out-of-pocket costs

  • A dedicated patient navigator to guide patients through the process

  • All health care services provided by Vanderbilt Health providers (including surgery and pre- and post-operative care)

 

See your FYB newsletter for more details.

Tele-nutrition sessions available at no cost

Ready to improve your eating habits? Effective January 1, Cigna is launching a tele-nutrition pilot program. Here are some highlights:

  • Available to <65 Cigna medical plan enrollees age 19+ and ages 13-18 with parent or guardian supervision

  • No cost to eligible participants

  • Participants meet virtually with a registered dietitian to get personalized guidance on nutrition, food choices and pursuing a healthy lifestyle

  • Participants access the program through the Foodsmart™ digital platform and tools

  • Includes the Foodsmart marketplace for integrated online grocery purchases (through Walmart, Instacart and more), restaurant meals, and prepared foods at a discount

 

Watch for more details coming in December.

No new ID cards

You will continue to use your current Cigna medical ID card in 2021; no new cards will be issued.

Dental

Adult orthodontia now covered

The dental plan will now provide orthodontia benefits for covered children and adults. The plan will pay 50% of the cost, up to a $1,000 lifetime maximum benefit per person. See MNPSBenefits.org/dental for more information.

Retirees age 65+ with Medicare

Below are 2021 changes to our medical plans for retirees with Medicare. In lieu of in-person retiree meetings, Cigna has created this video to help you understand and compare your options.

Cigna Medicare Surround Plan

The following changes are effective January 1, 2021.

No changes

The Cigna Medicare Surround Plan will have no changes to benefit levels, except the usual annual Medicare deductible and payment amounts, which will be announced later in 2021. You will continue to use your current Cigna ID cards in 2021; no new cards will be issued.

 

Diabetes education covered at no cost

To help those with diabetes better manage their condition, the Cigna Medicare Surround will now cover the following services provided by a certified diabetes educator at no cost to those who qualify:

  • Diabetes self-management education

  • Medical nutrition therapy

 

You simply need a referral from your primary care provider or endocrinologist to access these services. Some network providers offer telehealth options, including Vanderbilt. Call 615-259-8755 to make an appointment for one of these services.

Cigna Medicare Advantage Plan (MAPD)

The following changes are effective January 1, 2021.

Name change, new ID cards

Cigna is dropping the “HealthSpring” part of its name. So your medical plan is now called the Cigna Medicare Advantage (MAPD) plan. As a result of this change, you’ll be mailed a new Cigna ID card. The official plan name that appears on your ID card is the Cigna Preferred Medicare (HMO).

 

Lower prescription copays at Kroger retail pharmacies

Prescriptions at Kroger pharmacies, including the Kroger pharmacy in the Employee Wellness Center, will have new, lower copays. See your 2021 Retiree Benefits Guide for copay amounts.

 

Plan enhancements

The MAPD will have several plan enhancements for 2021; see your Evidence of Coverage for details:

  • Acupuncture is now a standard Medicare benefit.

  • Physical therapy via telehealth is now covered at the same level as in-person PT.

  • Mental health outpatient physician visits are now covered at no cost to you.

  • Preferred diabetic supplies and shoes are now covered at no cost to you.

MAPD allows ESRD enrollees

Starting January 1, 2021, Medicare allow individuals with an end stage renal disease (ESRD) diagnosis to enroll in Medicare Advantage plans at the end of the 30-month coordination period. Contact Cigna for details.

Dental

Adult orthodontia now covered

The dental plan will now provide orthodontia benefits for covered children and adults. The plan will pay 50% of the cost, up to a $1,000 lifetime maximum benefit per person. See MNPSBenefits.org/dental for more information.

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EMPLOYEE BENEFIT SERVICES

615-259-8607

2601 Bransford Avenue

Nashville, TN 37204

benefits@mnps.org

615-214-8665 (fax)

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