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2020RETIREE BENEFITS ENROLLMENT GUIDE

Covering What Matters Most

The best place to start Use this guide to review your options, as well as premiums, before enrolling. Be sure to read over the guide in its entirety to be sure you are aware of the plan changes and other important information concerning your Gwinnett County benefits.

If you do not want to make any changes to your benefits for the 2020 year, no action is necessary. Do not forget to print your benefits confirmation statement.

2020 ENHANCEMENTSPre-Medicare Aetna• Expanded new formulary, the Aetna Standard Plan: includes 100 previously excluded drugs• Concierge: In 2020, Aetna members will have a dedicated line to help you make informed decisions regarding

your health care. The concierge team will be equipped with valuable plan information, tools, and resources to help members get the most out of their benefits.

• Don’t forget: US Imaging is available to save you money on advanced imaging services• New Aetna insurance cards are coming in the mail before January 1, 2020

Kaiser• KP Now Telemedicine: KP Now provides members the option to have a same-day telephone or video

appointment with a KP Now provider. KP Now is a patient-centered service designed to meet members’ needs for a quick, convenient resolution to symptoms.

• New Kaiser insurance cards are coming in the mail before January 1, 2020

VSP• VSP network now includes Walmart

For more information call Human Resources at 770.822.7915

Choosing the benefits that fit your needs and budget is easy when you’re in the know. Gwinnett County offers you a range of benefits. Each year, you have the chance to review your options and decide how best to cover what matters most: you and your family.

To enroll, visit My GCHub at gwinnettcounty.com > GC Retiree > My GCHub

PRE-MEDICARE MEDICAL OPTIONS

Kaiser HMO Silver

Kaiser HMO Gold

Aetna Max Choice Bronze

Aetna Max Choice Silver

Aetna Max Choice Gold

AetnaTraditional

PPO

Deductible (Individual/Family) $2,150/$4,300 $1,200/$2,400 $3,900/$7,800 $2,350/$4,700 $1,550/$3,100 $1,600/$3,200

Doctor Visit $65 copay $35 copay 30% after ded. 30% after ded. 15% after ded. $50 copay

Specialist Visit $85 copay $55 copay 30% after ded. 30% after ded. 15% after ded. $75 copay

Coinsurance (how much you pay) 30% after ded. 20% after ded. 30% after ded. 30% after ded. 15% after ded. 30% after ded.

Out-of-Pocket Max (Individual/Family)

$6,100/ $12,200 $3,700/$7,400 $6,900/

$13,800 $4,900/$9,800 $2,800/$5,600 $4,200/$8,400

Inpatient Hospital 30% after ded. 20% after ded. 30% after ded. 30% after ded. 15% after ded. 30% after ded.

Emergency Care 30% after ded. 20% after ded. 30% after ded. 30% after ded. 15% after ded. 30% after ded.

Preventive Care 0% 0% 0% 0% 0% 0%

Prescription Drug Coverage (Retail/Mail)

Generic (Retail/Mail Order — up to 90 days)

$30 copay/ $60 copay

$10 copay/ $20 copay 30% after ded. 30% after ded. 15% after ded. $20 copay/

$40 copay

Preferred Brand (Retail/Mail Order — up to 90 days)

$70 copay/ $140 copay

$40 copay/ $80 copay 30% after ded. 30% after ded. 15% after ded. $50 copay/

$100 copay

Non-Preferred Brand (Retail/Mail Order — up to 90 days)

N/A N/A 30% after ded. 30% after ded. 15% after ded. $75 copay/ $150 copay

Monthly Pre-Medicare Rates

Retiree Only $197.55 $340.75 $141.15 $232.04 $381.60 $496.06

Retiree + Spouse $419.14 $740.92 $248.41 $347.50 $730.69 $1,166.92

Retiree + Child $398.74 $717.64 $223.76 $326.34 $706.51 $1,144.24

Retiree + Family $430.10 $753.46 $279.78 $400.53 $772.03 $1,179.13

Monthly Blended Rates

Ret + Sp (1 Med) $362.52 $543.24 $233.57 $329.38 $713.85 $857.56

Ret + Ch (1 Med) $348.80 $529.78 $205.08 $314.13 $702.64 $684.85

Ret + Fam (1 Med) $372.12 $553.85 $252.21 $327.57 $724.33 $866.54

Ret + Fam (2 Med) $369.20 $369.77 $230.46 $369.34 $369.96 $369.64

Important Notice: All plan designs listed in this guide are for in-network providers.

MEDICARE-ELIGIBLE MEDICAL OPTIONS

Aetna Medicare PPO

Deductible (Individual) $150

Doctor Visit $15

Specialist Visit $30

Ambulance Services $75

Out-of-Pocket Max (Individual) $3,400

Inpatient Hospital $500 per stay

Emergency Care $50

Preventive Care $0

Prescription Drug Coverage

Generic (Retail/Mail Order — up to 90 days) $10/$15

Preferred Brand (30 day/90 day) $30/$75

Non-Preferred Brand (30 day/90 day) $60/$150

Monthly Rates

Retiree Only $123.80

Retiree + Spouse (both >65) $370.60

Important Notice: You are required to contact the Gwinnett County Benefits Division 60 days prior to the date you or your covered dependent becomes Medicare eligible due to a disability. As soon as you become Medicare eligible, you must immediately enroll in Medicare Part A and Part B in order to continue participating in Gwinnett County health plans.

For more information, call Human Resources at 770.822.7915

DENTAL OPTIONS Cigna DHMO Cigna PPOMid-Option

Cigna PPOHigh-Option

Deductible (Individual/Family) $0/$0 $100/$300 $50/$150

Benefit Maximum N/A $1,000 per person $1,500 per person

Diagnostic/Preventive (e.g., teeth cleanings, X-rays)

For a complete list of DHMO copays,

see Schedule of Benefits

on GC Retiree

No out of pocket cost. Expense applied

to benefit maximum.

No out of pocket cost. Expense applied

to benefit maximum.

Basic Benefits (e.g., fillings, extractions) 20% after deductible 20% after deductible

Major Benefits(e.g., crowns, bridges, prosthetics) 50% after deductible 50% after deductible

Orthodontia (Child and Adult) Not covered50% after deductible;

$2,500 lifetime maximum

Monthly Premiums

Retiree Only $13.44 $34.32 $53.28

Retiree + Spouse $26.87 $68.59 $106.55

Retiree + Children $33.59 $85.74 $133.18

Retiree + Family $40.30 $102.80 $159.53

VISION OPTIONS VSP Basic VSP Premier

Routine Eye Exam $10 copay $15 copay

Lenses (Single vision, bifocal, trifocal, lenticular)

$10 copay $15 copay

Frames$10 copay; $120 allowance plus 20% off amount exceeding the allowance

(Once every other calendar year)

$15 copay; $150 allowance plus 20% off amount exceeding the allowance

(Once every calendar year)

Contact Lenses (Once per calendar year)

$60 lens fitting; $120 allowance $60 lens fitting; $150 allowance

Monthly Premiums

Retiree Only $5.38 $11.34

Retiree + Spouse $10.98 $23.14

Retiree + Children $11.35 $23.91

Retiree + Family $18.13 $38.24

Gwinnett County’s health plans meet the minimum essential coverage and minimum value required by the Affordable Care Act, also known as Health Care Reform.

To enroll, visit My GCHub at gwinnettcounty.com > GC Retiree > My GCHub

Gwinnett County provides free flu shots for our retirees and their eligible dependents age 18 and over. No appointment necessary.

Date Time Location Address

Thursday, October 10 7:00am to 1:00pm Fire Station #24 2735 Mall of Georgia Boulevard Buford

Tuesday, October 15 8:00am to 4:00pm GJAC Conf. Room B 75 Langley DriveLawrenceville

Friday, October 18 7:00am to 1:00pm Fire Station #11 5885 Live Oak ParkwayNorcross

Monday, October 21 8:00am to 10:00am DWR Central Training Room 684 Winder HighwayLawrenceville

Tuesday, October 22 7:00am to 1:00pm Fire Headquarters 408 Hurricane Shoals Road NELawrenceville

Wednesday, October 23 7:00am to 1:00pm Fire Headquarters 408 Hurricane Shoals Road NELawrenceville

Friday, October 25 11:00am to 2:00pm Sheriff Classroom B 2900 University Pkwy NELawrenceville

Tuesday, October 29 Noon to 5:00pm Police HQ 770 Hi Hope RoadLawrenceville

Wednesday, October 30 7:00am to 10:00am Police HQ 770 Hi Hope RoadLawrenceville

PREVENT THE FLU – GET IMMUNIZED ONSITE

DID YOU KNOW?You can get a free flu shot, get help with annual enrollment, and talk to our benefit providers all in one place!

Rhodes Jordan Park Community Recreation CenterOctober 7 and 8 · 9:00am – 3:30pm

If these events are not convenient for you, see the Flu Shot and Enrollment Assistance Schedules for additional opportunities.

For more information, call Human Resources at 770.822.7915

flu shot schedule

Onsite enrollers will be available at the sessions listed below to answer questions about 2020 benefit changes, compare different plans, and walk retirees through the enrollment process.

Date Time Location Address

Wednesday, October 9 7:30am to 11:30am DWR Central Computer Lab

684 Winder HighwayLawrenceville

Wednesday, October 9 8:30am to 4:30pm

GJAC Conf. Room C

75 Langley DriveLawrenceville

Friday, October 11 8:30am to 4:30pm

GJAC Conf. Room A

75 Langley DriveLawrenceville

Monday, October 14 8:30am to 4:30pm

GJAC Conf. Room C

75 Langley DriveLawrenceville

Tuesday, October 15 8:00am to 10:00am Fire HQ Classrooms 1 and 2

408 Hurricane Shoals RoadLawrenceville

Wednesday, October 16 8:30am to 4:30pm

GJAC Conf. Room C

75 Langley DriveLawrenceville

Thursday, October 17 7:30am to 11:30am DWR CentralComputer Lab

684 Winder HighwayLawrenceville

Thursday, October 17 Noon to 4:30pm

GJAC Conf. Room C

75 Langley DriveLawrenceville

Friday, October 18 8:30am to 4:30pm

GJAC Conf. Room C

75 Langley DriveLawrenceville

ANNUAL ENROLLMENT ASSISTANCE

WANT TO ENROLL ONLINE?Remember to:

• Call 770.822.7915 to reset your My GCHub password

• Print your benefits confirmation statement

• While you’re there, update your contact information to stay connected

LIFE STATUS CHANGEThe chart below explains examples of events that qualify as a life status change and lists the proper documentation needed to make changes. The Benefits Division must be notified within 30 days of the qualifying event. If you are unsure if you have a qualifying event, call the Benefits Division at 770.822.7932.

Qualifying Event Required Documentation and Additional Information

Marriage or birth/adoption No new dependents can be added to Gwinnett County health plans after retirement.

Divorce or legal separation

Divorce Decree or Legal Separation AgreementFailure to notify Human Resources in writing within 30 days of a divorce or legal separation can result in reimbursement to Gwinnett County for any employer-paid premiums for any ineligible dependents left on the plan.

Death of a spouse Death Certificate

You, your spouse, or your eligible dependent has a loss or gain of qualified coverage

Proof of comparable group coverage loss or gain

Other This is not an exclusive list. Please contact Human Resources if you think you may have a qualifying life status change.

DID YOU KNOW?The only way to make changes to your benefits outside of annual enrollment is if you have a qualifying life status event.