Table of Content
- Header
-
Page
- Welcome
- How to Enroll
- Medical Benefits
- RX Benefits
- Virtual Visits / Wellness
- Download Anthem's Sydney Health App
- Dental Benefits
- Vision Benefits
- Group Life
- Additional Resources
- Contact Us
- Footer
Welcome
EMPLOYEE ELIGIBILITY
You are eligible to participate if you are full-time and work a minimum of 25 hours per week.
Your coverage will be effective 1st of the month following 90 days from your date of hire.
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.
- Common life events include; Marriage, Divorce, New Dependent, Loss/gain of available coverage by you or any of your dependents.
Watch the Open Enrollment meeting by clicking on the button below!
How to Enroll
ENROLLMENT INSTRUCTIONS:
- You will receive an Email with a link to Ease. Click the blue “login” button with the email message to be directed to the enrollment portal.
- Enter your User ID and password
- If you do not remember your User ID and Password please contact Nick Sever at Nicholas.Sever@NFP.com or Traci Swain at Traci.Swain@NFP.com
- Follow instructions and enroll in your benefits.
- Make sure to sign your forms, save your elections and print your confirmation statement.
Medical Benefits
Small Hands Big Dreams offers a 2 PPO and 1 CDHP medical plans through Anthem.
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. The CDHP is similar to the PPO Plan in that you have the option to choose any provider when you need care. However, in exchange for a lower per-paycheck cost, you must satisfy a higher deductible that applies to almost all health care expenses, including those for prescription drugs. All expenses are your responsibility until the deductible is reached, with the exception of preventive care, which is covered at 100% when you visit a physician in the network. Once the deductible is met, you are responsible for coinsurance for medical expenses and a copay for prescription drug expenses.
Utilizing In-Network providers will allow for the highest level of coverage. In-Network providers agree to accept Anthem contract rate as the final charge and the member is not balanced billed.
HSA Contributions Annually
Small Hands Big Dreams: $50
Single: $4,100
Family: $8,250
HSA Catch-Up: $1,000 (Age 55+)
Medical Summary
RX Benefits
Tier 1: $10/$20 (L2)
Tier 2: $40/$50 (L2)
Tier 3: $70/$80 (L2)
Tier 4: 25% up to $350/$450 (30 day supply only) (L2)
- Rx utilizes the Essential PDL.
- *Anthem Level 1 & Level 2 Pharmacies:
- Level 1 (L1) retail copays apply at low-cost pharmacies, higher copays apply at all other pharmacies. Low-cost pharmacies include CVS, Kroger, Walmart, Giant Eagle, Sam's Club, Target, and Costco.
- Level 2 (L2) pharmacies include but are not limited to Walgreens, Kmart, Rite Aid, and all other retail pharmacies.
Download Anthem's Sydney Health App
The SydneySM Health app is a free Anthem Blue Cross Blue Shield app that gives you fast and convenient access to your health insurance information right on your phone. It’s like having a personal health assistant in the palm of your hand.
What Can You Do With Anthem’s Sydney App?
Find A Doctor And Check Your Costs
Search for doctors, dentists, hospitals, labs, and other health professionals in your plan. You can search by name, location, and type of care. You can even filter by gender or languages spoken, and then check costs before you go to find what’s best for you.
View Your Claims
Check medical, dental, and vision claims with one click. That means you can spend more time focused on your health and less on managing your healthcare benefits.
See All Your Health Coverage Benefits
The Sydney app shows you essential information at a glance. Whether that’s an overview of your plan, health reminders, or suggestions for wellness programs. You also can find your deductible, copay, and share of costs.
View And Use Your Anthem Digital ID Card
You’ll always have your most current Anthem ID card handy. And you can use it just like a paper one when you visit the doctor or dentist, pay for care, and more.
Use The Chat To Find Answers To Your Questions
Just type your questions in the app and receive the answers you’re looking for. Plus, Anthem’s Sydney app can suggest resources to help you understand your benefits, improve your health, and save money.
Dental Benefits
Dental Benefits through Anthem 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: Anthem Dental Complete Network
How do I find an In-Network Provider? Use the helpful link below!
- In-Network providers can also be found by calling (800) 942-0854 or 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
Vision Benefits
Vision Network: Blue View Vision
DID YOU KNOW?
- Eye exams can help detect serious eye and general health conditions sooner: high blood pressure, diabetes, heart disease, high cholesterol.
- Babies should receive their first professional eye exam at 6 months.
- 80% of learning in the first 12 years comes through the eyes.
Small Hands Big Dreams offers vision coverage through Anthem to help pay for eye exams, prescription glasses, and contact lenses. You receive a higher level of benefits when you see a provider in the Anthem Network. Below are some plan details about Anthem's vision benefits.
To find out if your provider is in-network, please visit the MetLife website below.
Vision Summary
Group Life
BASIC LIFE INSURANCE
Life insurance is an important part of your financial security. Life insurance helps protect your family from financial risk and sudden loss of income in the event of your death. AD&D insurance is equal to your Life benefit in the event of your death being a result of an accident, and may also pay benefits for certain injuries sustained.
SUPPLEMENTAL LIFE INSURANCE
Employees have the opportunity to enroll in supplemental Life insurance. If you choose to enroll in employee coverage, this will be in addition to your employer provided Basic Life coverage. Coverage is also available for your spouse and/or child dependents. It is typically required that you elect coverage for yourself in order to be eligible for coverage on your dependents.
Contact Us
Client Contacts
Brian Sprafka
brian@smallhandsbigdreams.com
216-513-4440
Stephanie Medlen
stephanie@smallhandsbigdreams.com
440-299-5383 x101