Creative Custom Components LLC

Table of Content

  1. Header
  2. Page
    1. What's New for 2024
    2. How To Enroll?
    3. Eligibility & Qualifying Events
    4. Medical & Prescription
    5. Medical Summary
    6. Summary of Benefits and Coverage (SBC)
    7. Prescriptions
    8. UnitedHealthcare Resources
    9. Dental
    10. Dental Summary
    11. Vision
    12. Vision Summary
    13. Additional Resources
    14. Contact Us
  3. Footer

What's New for 2024

Creative Custom Components will be moving the medical to United Healthcare. New NETWORK - UHC utilizes the Choice Plus Premier network.


  • PPO Plan: $5,000 Single / $10,000 Family In-Network Deductible



**Please remember to refill all prescriptions before 4/30/2024.

Eligibility & Qualifying Events

What is a Qualifying Event

What is a Qualifying Event

Eligibility


Employee Eligibility: Employees are eligible for benefits after 90 days of employment.


If you do not enroll during the Open Enrollment period, you must wait until the next Open Enrollment period unless you experience a Qualifying Life Event. If you experience a Qualifying Life Event (i.e., birth or adoption of a child, marriage, divorce, loss of other coverage, etc.) you must enroll within 30 days of the Qualifying Event.

 

Dependent Eligibility: Eligible employees may enroll their dependents for coverage. Eligible dependents include:

  • Your legal spouse:
  • You MUST submit a copy of your Marriage License. If you have already submitted this documentation previously, you do not need to resubmit.
  • Dependent children: up to the end of the month of 26th birthday regardless of student or marital status. The dependent child must meet the carrier’s legal definitions (i.e., child by birth, legal adoption or stepchildren that are required to be covered by court order).
  • You MUST submit a copy of each child’s Birth Certificate. If you have already submitted this documentation previously, you do not need to resubmit.


Qualifying Life Events


If you have a Qualifying Life Event and want to request a mid-year change, you must notify Human Resources and complete your election changes within 30 days following the event. Be prepared to provide documentation to support the Qualifying Life Event.


Qualifying events include:

  • Marriage
  • Divorce
  • Birth/Adoption of a child
  • Death of a spouse or other enrolled dependent
  • Change in spouse’s benefits or employment status
  • A dependent becomes eligible for Medicare or Medicaid

Medical & Prescription

Creative Custom Components offers a medical plan through United Healthcare.


A PPO option offers the freedom to see any provider when you need care. When you use providers from within the PPO network, you receive benefits at the discounted network cost. Most expenses, such as office visits, emergency room, and prescription drugs are covered by a copay. Other expenses are subject to a deductible and coinsurance.


Utilizing In-Network providers will allow for the highest level of coverage. In-Network providers agree to accept UHC's contract rate as the final charge and the member is not balanced billed.



Below is a high-level overview of your plan options and in-network benefit information:


You can view more details of these plans by accessing the benefit summaries provided below.


Medical Summary

Summary of Benefits and Coverage (SBC)


Looking for more details about how items are covered? Please refer to the formal Summary of Benefits and Coverage (SBC) below.

PPO $5,000 SBC

PPO $5,000 SBC

Prescriptions

TRADITIONAL DRUGS


TIER 1 (GENERIC) | Lowest copay: Most drugs in this category are generic drugs. Members pay the lowest copay for generics, making these drugs the most cost-effective option for treatment.


TIER 2  | Low copay: This category includes non-preferred and low-cost generic drugs


TIER 3  | Higher copay: This category includes preferred, brand-name drugs that don't yet have a generic equivalent. These drugs are more expensive than generics, and have a higher copay.


TIER 4  | Highest copay: In this category are nonpreferred brand name drugs for which there is either a generic alternative or a more cost-effective preferred brand including most specialty medications. These drugs have the highest copay. Make sure to check for mail-order discounts that may be available.


Helpful Rx Cost Savings Tools & Tips:

MAIL ORDER - Many drugs are available in a 90-day supply, rather than the 30-day retail supply. Typically, you will pay less if you choose to get a mail-order 90-day supply.


GOOD Rx - There are many tools online that you can use to save on prescription costs. One is GoodRx.com, an online Rx database that allows you to find what pharmacy is the cheapest for your specific prescription. Additionally, you may be able to find a coupon that will greatly reduce your cost. It is important to remember that many of the coupons can only be used outside of your plan (which will not count towards your maximums).


ASK YOUR DOCTOR – Make sure to ask if there are cost-saving alternatives to the prescription they are providing. Many times, there are generic or different manufacturers that will save you money at the pharmacy.

RX Summary

https://flimp.live/228c4iz9h?em=y

UnitedHealthcare Resources

Your UHC plan includes additional benefits that can help you become and stay healthy, at no extra cost to you.


myuhc.com

Check out your UHC member website! Myuhc.com is your one-stop resource for all kinds of information to help you manage your health plan benefits and improve your health. The resources listed below can all be accessed through this member website, and after registering on the myUHC website below, you can access a mobile version of the site.


Behavioral Health Virtual Visits

Connect with a provider from your mobile device or computer from the comfort of home. Use a behavioral health virtual visit for needs such as depression, anxiety, ADD/ADHD, addiction or mental health disorders and counseling.


Employee Assistance Program

When life gets challenging, you’ve got caring, confidential help. If you need guidance navigating mental health, financial or legal concerns, take advantage of the Employee Assistance Program (EAP) for 24/7 support — at no extra cost. Call the member phone number on your health plan ID card and ask to speak to an EAP consultant. Or, contact EAP directly 24/7 at 1-888-887-4114.


Tobacco Cessation Program

Quitting tobacco is one of the most beneficial things you can do. The Quit For Life tobacco cessation program uses an evidence-based combination of physical, psychological and behavioral strategies designed to help employees overcome their tobacco addiction.


UnitedHealthcare App

The UnitedHealthcare® app puts your plan at your fingertips. When you’re out and about, you can do everything from managing your plan to getting convenient care. Just download the app to:

  • Find nearby care options in your network
  • Estimate costs
  • Video chat with a doctor 24/7
  • View and share your health plan ID card

Download the app on the Apple Store or Google Play.


Maternity Support Program

Expecting a new arrival? Gearing up to welcome a baby is a great reason to begin some healthy habits. The Maternity Support Program provides comprehensive maternity support before, during, and after pregnancy. You can get support through one-on-one access to a maternity nurse at no additional cost. Enroll by calling the number on your health plan ID card. You may also access the UHC Health Pregnancy app for additional pregnancy support resources.


Diabetes Management

Ongoing one-on-one support from a nurse who may help you manage your diabetes, manage your medications, and improve your diet and exercise. Ongoing one-on-one support from a nurse who may help you manage your diabetes, manage your medications, improve your diet, and exercise.


Real Appeal

Get help losing weight and keeping it off. Real Appeal is an online weight loss program that provides personal coaching to help you and eligible family members lose weight and keep it off. On average, participants lose 10 pounds after attending just 4 online sessions. An online coach leads ongoing group sessions and provides guidance tailored to your unique lifestyle. Real Appeal offers 24/7 online support and a mobile app to help track progress towards reaching your goals. A Success Kit includes scales, recipes, fitness equipment, and more delivered to your door.

Medical Extras

Dental


Dental Benefits through MetLife provide comprehensive coverage to help you and your family maintain good dental health. Your coverage will be greater when you visit a participating in-network dentist, you will have lower out-of-pocket costs, no balance billing, and claims will be submitted by your dentist on your behalf.


NETWORK: MetLife Preferred


How do I find an In-Network Provider? Use the helpful link below!

  • In-Network providers canbe found by visiting your provider’s website below where you can search by location, provider/facility name, or search by specialty.


Did You Know? 

  • You have the freedom to select the dentist of your choice; however, when you visit a participating in-network dentist, you will have lower out-of-pocket costs, no balance billing, and claims will be submitted by your dentist on your behalf.


Pre-treatment Estimate

  • If your dental care is extensive and you want to plan ahead for the cost, you can ask your dentist to submit a pre-treatment estimate. While it is not a guarantee of payment, a pre-treatment estimate can help you predict your out-of-pocket costs.


PREVENTION FIRST!

Your dental health is an important part of your overall health. Make sure you take advantage of your preventive dental visits.

Preventive care services are covered at 100% if you visit an In-Network provider. They are also not subject to the annual deductible.


Looking for more details about how items are covered? Click on the link below to view the formal plan summary.

Dental Summary


Below is a high-level overview of your plan options and in-network benefit information:


You can view more details of these plans by accessing the benefit summaries provided below.

Dental Summary

Vision


Creative Custom Components offers vision coverage through MetLife to help pay for eye exams, prescription glasses and contact lenses. You receive a higher level of benefits when you see a provider in network, however, out-of-network coverage is provided but may only be handled as reimbursements in some situations. Please note: Members may choose between prescription glasses (lenses and frame) and contact lenses, not both.


Did You Know?

Eyes can give doctors a clear picture of overall wellness. That’s why vision care—and vision benefits—can help employees stay healthy. A comprehensive eye exam can detect early signs of serious health problems, such as:

  • Diabetes
  • Heart disease
  • High blood pressure
  • High cholesterol
  • Glaucoma and cataracts


To find out if your provider is in-network, please visit the website below.



Vision Summary


Below is a high-level overview of your plan options and in-network benefit information:


You can view more details of these plans by accessing the benefit summaries provided below.


Vision Benefit Summary

Contact Us

Human Resource Department

Client Contacts

DW

David Weissman

dave@creativecustomcomponents.com

(216) 496-2984

Account Team Contacts

KL

Kevin Lurie

Producer / Sales Consultant

kevin.lurie@nfp.com

216-410-6751

ContactImage

Naomi Butze

Account Executive

naomi.butze@nfp.com

216-816-0026