Juiceland

Table of Content

  1. Header
  2. Open Enrollment 2022
    1. Your Virtual Benefits Counselor!
    2. HOW TO ENROLL
    3. QUALIFYING LIFE EVENTS
    4. MEDICAL
    5. Medical Plan Options
    6. Summary of Benefits and Coverage (SBC)
    7. Extras from BCBS
    8. PHARMACY
    9. Drug Card
    10. Health Savings Account (HSA)
    11. DENTAL
    12. Dental Plan Options
    13. VISION
    14. Vision Plan
    15. LIFE AND AD&D
    16. DISABILITY
    17. EMPLOYEE ASSISTANCE PROGRAM (EAP)
    18. Additional Benefits
    19. CONTACT US
  3. Footer

It's time for Open Enrollment!

?Enrollment Dates: 10/10/2022 through 10/21/2022


Open enrollment is your once a year opportunity to make changes to your benefit elections! You can change your plans, add or remove dependents, add new coverage, or waive coverage that you no longer need.

Your Virtual Benefits Counselor!

Meet Alex!!

JuiceLand has provided access to ALEX for all employees this year to help guide you towards the most beneficial plan offering for you and your family’s needs.


Using ALEX does not enroll you in any coverages, all enrollments are done in Paycom.


ALEX will ask you some questions about your potential healthcare expenses for the coming year, and then suggests the plan package that would be most utilized by you. The recommendation will include total cost estimates for all plans in the recommended package, including the premiums you will be responsible for over the coming year.


Visit ALEX by using the link below:

Alex

QUALIFYING LIFE EVENTS

Your premiums for medical, dental, vision insurance, and contributions to FSA accounts (Health Care and Dependent Care FSAs) are deducted through a Cafeteria Plan established under Section 125 of the Internal Revenue Code (IRC) on a pre-tax basis. Under Section 125, changes to an employee's pre-tax benefits can be made ONLY during the Open Enrollment period unless the employee or qualified dependents experience a qualifying event and the request to make a change is made within 30 days of the qualifying event.


Under certain circumstances, employees may be allowed to make changes to benefit elections during the plan year, if the event affects the employee, spouse, or dependent’s coverage eligibility. Any requested changes must be consistent with and on account of the qualifying event.


Examples Of Qualifying Events:

  • Legal marital status (for example, marriage, divorce, legal separation, annulment);
  • Number of eligible dependents (for example, birth, death, adoption, placement for adoption);
  • Work schedule (for example, full-time, part-time);
  • You, your spouse, or other covered dependent become enrolled in Part A, Part B, or Part D of Medicare
  • Death of a spouse or child
  • Change in your child’s eligibility for benefits (reaching the age limit);
  • Becoming eligible for Medicaid; or
  • Your coverage or the coverage of your Spouse or other eligible dependent under a Medicaid plan or state Children’s Health Insurance Program (“CHIP”) is terminated as a result of loss of eligibility and you request coverage under this Plan no later than 60 days after the date the Medicaid or CHIP coverage terminates; or
  • You, your spouse or other eligible dependent become eligible for a premium assistance subsidy in this Plan under a Medicaid plan or state CHIP (including any waiver or demonstration project) and you reque
  • coverage under this Plan no later than 60 days after the date you are determined to be eligible for such assistance.


IMPORTANT: If you experience any of these qualifying life events during the year, be sure to reach out to your HR Department within 30 days to make changes to your benefit elections. If you miss that special enrollment window, you will have to wait until the next open enrollment period to make a change.

MEDICAL

BlueCross BlueShield of Texas

NETWORK: BlueChoice PPO


How do I find an In-Network Provider?

Use the helpful link below! In-Network providers can also be found on your provider’s website at Texas Health Insurance | Blue Cross and Blue Shield of Texas (bcbstx.com) under “Find Care”. Select "Find a Doctor or Hospital" and then you can search by provider/facility name or search by specialty.


Did You Know? 

  • Preventive Services are covered at 100% In-Network and copays & deductibles do not apply.
  • You pay less out of pocket if you receive care from an In-Network provider.  
  • You do not need a referral to see a Specialist.

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Medical Plan Options

You have 2 medical plans to choose from. Compare the options in the chart below!


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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. There is one for each plan!

HDHP Summary of Benefits

HDHP Summary of Benefits

PPO Summary of Benefits

PPO Summary of Benefits

Extras from BCBS

As a BCBS member, you have access to a plethora of services and resources!


This is only a brief description of some of the plan benefits. For more complete details, including benefits, limitations and exclusions, please login to your BAM portal.


Blue Access for Members (BAM)

Through Blue Access for Members (BAM) our secure member website, you can access health plan information, resources and tools. The information can vary, depending on your plan.

  • Review benefits, account balances, claims status and more.
  • Order a replacement ID card or print a temporary card.
  • View and print an Explanation of Benefits (EOB) for a claim.


Blue Access Mobile

Blue Access Mobile?makes it easy for you to access your information while on the go. You can view coverage details, health and wellness information, check claim status and access member ID card information. You can also sign up to get text or email alerts and tips


Valuable Member Programs

As a BCBSTX member, you have access to a range of programs that can help you get and stay healthy.

  • Health and wellbeing programs can help you manage your health conditions, get pregnancy support, talk to a nurse 24/7 and more.
  • Blue365® offers discounts on health-related products, health and fitness clubs, weight-loss programs and much more.




PHARMACY

Prescription drugs are a vital part of your health care coverage. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas (BCBSTX), this information can help you and your doctor get the most from your prescription drug coverage. The Pharmacy Benefit Manager for BCBS is Prime Therapeutics. You can access more information about your pharmacy coverage by visiting www.myprime.com.


A drug list is a list of drugs that are covered under your prescription drug benefit. How much you pay out of pocket is determined by whether your drug is on the list and at what coverage level, or tier. A generic drug is often at the lower tier. See if your drug is covered by reviewing your formulary drug list using the link below!


Express Scripts® Pharmacy, the mail order pharmacy for members with BCBSTX prescription drug coverage, provides safe, fast and cost-effective pharmacy services that can save you time and money. With this program, you can obtain up to a 90-day supply of long-term (or maintenance) medications through Express Scripts® Pharmacy. 


Ordering Through Express Scripts® Pharmacy


Getting Started Online

You have more than one option to fill or refill a prescription online or from a mobile device:


Order Over the Phone

Call 1-833-715-0942, 24/7, to refill, transfer a current prescription or get started with home delivery. Please have your member ID card, prescription information and your doctor’s contact information available.


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Review your prescription costs for each plan in the chart below!


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