Highlights
On This Page...
Introduction
Your Options
Is Your Spouse Also Employed?
Coverage Categories
Changing Your Coverage
Benefits Not Administered By Blue Cross
Blue Shield
What Is A Qualified Change In Status?
INTRODUCTION
Quality health care is everyone's concern. Maybe you place
a high level of importance on the freedom to choose a particular
physician, specialist, or hospital. Perhaps you want to keep
your out-of-pocket costs to a minimum. Or, maybe you want
just enough coverage to protect you in a catastrophe. To make
sure you have access to health care, Vought Aircraft offers
you a variety of medical plan options.
back to top
YOUR OPTIONS
You may select medical coverage within 31 days after the
date you are hired, during the Annual Enrollment period, or
within 31 days of a qualified change in status. Vought Aircraft
offers you the following choices for health care coverage:
- The Premium BCBS (Blue Cross Blue Shield) PPO
- The Healthcare Essentials BCBS (Blue Cross Blue Shield)
PPO
- The Balanced Choice preferred provider organization (PPO)
option (Note: Balanced Choice is default coverage if you
do not make any coverage election)
- Health maintenance organizations (HMOs), if offered in
your ZIP code area
- No coverage, if you opt out of the Vought Aircraft medical
plan.
back to top
IS YOUR SPOUSE ALSO EMPLOYED?
In many instances, the spouse of a Vought Aircraft employee
has the opportunity to enroll for group health care coverage
through his or her employer. If your spouse's employer pays
50% or more of the cost of health care coverage, Vought Aircraft
requires your spouse to enroll in that plan. This rule applies
even if your spouse's employer offers only one option, such
as a health maintenance organization.
You can still enroll your spouse as your dependent in the
Vought Aircraft medical plan. With dual coverage, your spouse's
health care plan pays benefl ts for his or her expenses first,
and then Vought Aircraft pays benefits.
Your benefits are an important component of your total compensation
and Vought Aircraft pays for a major portion of your health
care coverage. At the same time, we are in a highly competitive
world market and must manage all of our costs - including
employee health care benefit costs - to meet our customers'
pricing requirements. The "working spouse rule"
helps Vought Aircraft manage health care costs by sharing
your family's benefit costs with your spouse's employer. This
cost-sharing helps us continue to offer you access to high-quality
health care.
back to top
COVERAGE CATEGORIES
You can select one of these coverage categories:
- Employee only
- Employee + child(ren)
- Employee + spouse
- Employee + family (employee, child[ren], and spouse)
- No coverage.
If you select both medical and dental coverage, you may choose
a different coverage category for medical than you choose
for dental. For example, you can enroll only yourself in a
medical plan option and enroll yourself and your entire family
under a dental plan option. In short, you select the combination
of coverage that fits your and your family's needs.
back to top
CHANGING YOUR COVERAGE
Generally, the medical plan option (Healthcare Essentials,
PPO, Premium PPO, Balanced Choice PPO, or HMO) and coverage
category that you select for yourself and your family stay
the same for the full benefit plan year. The Annual Enrollment
period is the only time you can change your medical plan option
and coverage category - unless you move to an area where your
medical plan option is not offered, or you experience a qualified
change in status.
You have 31 days after a qualified change in status to make
a selection, as long as the changes in coverage are consistent
with the event. The sooner you make your selection, the sooner
you can receive reimbursement for your claims under your new
selection.
back to top
BENEFITS NOT ADMINISTERED BY BLUE
CROSS BLUE SHIELD
Your mental health and substance abuse benefits
When you enroll in any of the Vought Aircraft medical plan
options administered by Blue Cross Blue Shield, your mental health and substance
abuse (chemical dependency) benefits are administered by ValueOptions.
All Vought Aircraft HMOs that are located outside of Texas
offer their own mental health and substance abuse benefits,
so be sure to refer to your HMO materials for details.
Your prescription benefits
When you enroll in any of the Vought Aircraft medical plan
options administered by Blue Cross Blue Shield, your prescription
benefits are administered by Caremark. All Vought Aircraft
HMOs offer their own prescription benefits, so be sure to
refer to your HMO materials for details.
back to top
WHAT IS A QUALIFIED CHANGE IN
STATUS?
A qualified change in status is a life event that changes
your benefit needs.
These events include:
- Marriage
- Divorce
- Birth or adoption of a child
- Death of your spouse or eligible dependent child
- Change in eligibility status of a dependent child
- Change in employment status for you or your spouse
- Change in residence or worksite
- Change in work schedule.
For more information, click
here.
back to top
|