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File #: 2020-0948    Version: 1 Name:
Type: Resolution Status: Preliminary Item
File created: 8/14/2020 In control: Board of Commissioners
On agenda: 9/8/2020 Final action:
Title: Commission District(s): All Commission Districts 2021 Medicare Plan Renewal
Attachments: 1. Copy of Medicare-eligible Agenda Item Attachment for 08.18.2020 BOC

                                    

Public Hearing:  YES      NO                                                   Department: Finance - Risk Management                                     

 

SUBJECT:

Title

Commission District(s): All Commission Districts

2021 Medicare Plan Renewal

 

Body

 

Information Contact: Larry Jacobs, Assistant Director of Finance/Risk Management

Phone Number: 404-371-2050

 

PURPOSE:

 

To approve Medicare-retiree group health benefits and rates for new plan year commencing January 1, 2021.

 

NEED/IMPACT:

 

To ensure the County is offering an affordable and valuable health plan for Medicare-eligible retirees. The plan year for Medicare-eligible retirees expires December 31, 2020. The proposed healthcare costs and plan designs have been reviewed by the ERPS Committee.

 

FISCAL IMPACT:

See Attachment

 

RECOMMENDATION:

 

Recommended Action

1.                     Choose an item and add the information stated in the Purpose above.  Approve Aetna’s proposed 2021 Medicare rate of $231.72 PMPM; down from $255.30. Including the following plan enhancements:

a.                     New meal delivery program (one week of precooked frozen meals delivered to members who recently discharged from an inpatient hospital stay)

b.                     Transportation benefit (24 trips per year; 60 miles allowed per trip; allows members to get non-emergency rides to their medical appointments)

2.                     Approve Kaiser Permanente’s proposed 2021 Medicare rate of $204.01 PMPM, which is unchanged from current. The rate hold includes the following plan enhancements:

a.                     Quarterly $50 credit for OTC Rx

b.                     Diabetic supplies - eliminated $25 copay to 100% coverage

c.                     Reduction to the Outpatient dialysis treatment copay from $35 to $30

d.                     Reduction to Generic drugs copay from $15 to $10 copay

3.                     Accept the proposed Dental rates with a 0.0% increase over current rates.

 

Authorize the Chief Executive Officer to execute all necessary documents.