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.