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Anthem: will continue as your Medical and Dental carrier.
VSP: will continue as your Vision carrier.
EBC: will continue to administer the Healthcare and Dependent Care Flexible Spending Account
Employees are eligible to elect or waive coverage when hired.
EMPLOYEE ELIGIBILITY: 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: You may also enroll eligible dependents for benefits coverage. A ‘dependent’ is defined as the legal spouse and/or ‘dependent child(ren)’ of the plan participant or the spouse.
What is a Qualifying Life Event?
Anthem will remain as your Medical benefit provider.
You may go to any doctor/provider however, those who are in the Anthem network will be most cost effective. Employees who seek care outside of Anthems network will be responsible for higher costs.
Preventive Services Covered at 100%
All routine preventive services are covered 100% as long as the claim is submitted as routine or preventive and falls within the approved list of preventive services. Remind your physician that you are visiting for the purpose of a wellness visit and to submit your visit as preventive in nature.
What is considered a preventive service?
**Please refer to attached Summary of Benefits and Coverage (SBC) for more complete plan details**
Telemedicine with Anthems Sydney Health App
Visit with a doctor 24/7!
You can visit with a doctor virtually for a variety of healthcare needs. You'll be connected with a board-certified doctor through video visits or virtual chat visits for little or no cost, depending on your plan.
Where Can I Download Anthem’s Sydney App?
Using the Sydney Health App you can find a doctor, view your claims, manage your benefits, view ID cards and so much more online or on your mobile device!
Anthem will remain as your Dental benefit provider.
You may go to any dentist. However, those who are in the Anthem network will be more cost effective. Employees who seek dental care outside of Anthems network will be responsible for higher costs.
**Please refer to attached Benefit Summary for more complete plan details**
VSP will remain as your Vision benefit provider.
You may go to any eye care provider. However, those who are in network will be more cost effective.
**Please refer to attached Benefit Summary for more complete plan details**
Flexible Spending Accounts (FSA) allow you to reduce your taxable income by setting aside pre-tax dollars from each paycheck to pay for eligible out-of-pocket health care and dependent care expenses* for yourself, your spouse and your dependent children. In order to participate in the FSA, you must enroll each year. Your annual contribution stays in effect during the entire year (January 1st through December 31st). The only time you can change your election is during the enrollment period or if you experience a change in-status event. Also, you must elect this benefit within 30 days of your hire date or first date of benefits eligibility.
*You cannot enroll or contribute to an FSA if you are enrolled in and contribute to an HSA.
The maximum Medical Reimbursement amount for 2025 is $3,300.00 with a $660 maximum carryover amount.
The limit for Dependent Care Flexible Spending Accounts is $5,000.00 or $2,500.00 if married and filing taxes separately.
Carrier Contact Information
Medical Plan - Anthem
Medical Plan Customer Service: 1-800-331-1476
Website: www.anthem.com
Dental - Anthem
Customer Service: 1-800-331-1476
Website: www.anthem.com
Vision - VSP
Customer Service: 1-800-877-7195
Website: www.vsp.com
Heather Malinowski
heathermalinowski@theway.org
419-753-2523
Marcia Lombardi
marcialombardi@theway.org
419-753-2523