tva logoTennessee Valley Authority

Health Care Benefits

Retiree Medical Plan Election Period:  October 15 - November 4, 2014
Retiree Dental Open Enrollment: November 3 – December 15, 2014
Medical Insurance
Health Savings Account
Dental Insurance
Federal Long-Term Care Insurance
Tobacco Cessation Program
Prescription Safety Eyewear

 

Retiree Medical Plan Election Period:
October 15 – November 4, 2014

The annual election period for the retiree medical plan will be held from October 15 through November 4, 2014. The medical plans available to eligible retirees for 2014 are the 80-percent PPO and the Consumer-Directed Health Plan (CDHP).

The medical plans are described in the Medical Plan 2015 booklet. Premiums are shown on page 16 of the booklet.

Summary of Benefits and Coverage

In accordance with the Patient Protection and Affordable Care Act, a Summary of Benefits and Coverage (SBC) for the TVA Medical Plan options is being made available to you. The SBC provides information to help you understand your medical plan options and make decisions about which medical plan to choose.

View and/or print the TVA Medical Plan’s SBCs below.

80-percent PPO

Consumer-Directed Health Plan

To have a copy sent to you free of charge, contact the TVA Service Center at esc@tva.gov, or call 1-888-275-8094 (toll-free), 1-423-751-8800 (Chattanooga), 1-865-632-8800 (Knoxville) or 1-800-848-0298 (TDD/TTY-TN Relay Service).

Changes to the TVA Medical Plan

The following changes to the TVA Medical Plan will be effective January 1, 2015.

1. Changes to Out-of-Pocket Maximum

In compliance with the Patient Protection and Affordable Care Act, effective January 1, member paid out-of-pocket costs for prescription drugs and vision expenses must be applied to the annual out-of-pocket maximum (OOP). The OOP is the most you will pay for covered medical services, prescription drugs and vision expenses, including copays, deductibles, and coinsurance during the plan year. This works as a safety net for you in the event of a catastrophic illness.

For members in the 80-percent plan:
Copayments paid for covered prescription drugs and for covered, in-network vision services and materials will be applied to the annual OOP maximum. Vision services provided by (or materials purchased from) out-of-network providers will not count toward the OOP maximum. In addition, any amounts paid for vision services or materials beyond the copayments (e.g., discounted balances beyond the allowances, discounts off retail) will also not count toward the OOP maximum.

The OOP maximums will remain the same at $2,500 individual and $5,000 family. Once the annual out-of-pocket limit is met, covered medical expenses, prescription drugs and vision are paid at 100 percent for the remainder of the plan year.

As a reminder, copayments paid for prescription drugs and vision expenses are not applied to the deductible.

For members in the Consumer-Directed Health Plan:
Member-paid amounts for covered prescription drugs are already being applied to the annual OOP maximum. This will not change. However, copayments paid for covered, in-network vision services and materials will be applied to the annual OOP maximum. Out-of-network amounts and additional amounts paid, as noted above, will not count toward the OOP maximum.

The OOP maximums will remain the same at $4,500 individual and $9,000 family. Once the annual out-of-pocket limit is met, covered medical expenses, prescription drugs and vision are paid at 100 percent for the remainder of the plan year.

As a reminder, copayments paid for vision expenses are not applied to the deductible.

Note: These changes are subject to guidelines under the Patient Protection and Affordable Care Act and other applicable medical- and prescription-drug-plan-program rules and provisions.

2. Increase in Deductibles for the Consumer Directed Health Plan (CDHP)

The deductibles for the CDHP will increase to $1,300 individual and $2,600 family. These amounts are mandated by the IRS.

3. Increase in Maximum Heath Savings Account (HSA) Annual Contributions

The maximum annual HSA contribution from all sources will increase in 2015 to $3,350 for individual coverage and $6,650 for family coverage. These amounts are mandated by the IRS.

If you are age 55 or older, you can also make additional “catch-up” contributions. The maximum annual catch-up contribution is $1,000.

How to Make Changes

To change your medical coverage for 2015, the Retiree Medical Plan Election Form 2015 (see page 19 of the Medical Plan 2015 booklet) must be completed and returned to the TVA Service Center by November 4, 2014. If you have medical coverage in 2014 and your election form is not received by November 4, 2014, you will be enrolled in the same medical plan for 2015 at the same level of coverage – individual or family – you have in 2014.

If you want to keep the same medical plan you currently have, you do not have to return the election form.

You cannot change your election after January 1, 2015. Retirees who do not have medical coverage now may not elect coverage at this time.

Retiree Dental Open Enrollment – November 3 – December 15, 2014

An open enrollment period will be held for the retiree dental plan from November 3 through December 15, 2014.

To enroll during the enrollment period, an enrollment form must be completed and returned to Delta Dental of Tennessee no later than December 15, 2014. Retirees wanting to pay their premium through automatic bank draft deduction must also complete a direct debit application and return to Delta Dental as well. Refer to the Open Enrollment package below for these forms. Do not return either of these forms to TVA.

Retirees or their dependents that were previously enrolled in this dental plan and have since cancelled their coverage cannot re-enroll in the plan.

For more information, including plan benefits, monthly premiums and enrollment information, refer to the Open Enrollment Package below.

Open Enrollment Package

Medical insurance

Non-Medicare Retirees

This information is for current 2014 benefits.  For 2015 information, please see Retiree Medical Plan Election Period.

TVA offers medical coverage to eligible retirees and their eligible dependents.

Retirees and their eligible dependents not yet eligible for Medicare may choose from medical plan options that include medical, prescription-drug coverage, and vision-care benefits. The benefit plans available to eligible retirees for 2014 are described in Medical Plan 2014 (PDF, 285 kb). More detailed information can be found in Medical Plan Description (PDF, 267 kb).

Note: When retirees and their eligible dependents become eligible for Medicare, they cannot continue in these plans but are instead eligible for coverage under the TVA-sponsored Medicare Supplement plan described below.

Summary of Benefits and Coverage

This information is for current 2014 benefits.  For 2015 information, please see Retiree Medical Plan Election Period.

In accordance with the Patient Protection and Affordable Care Act, a Summary of Benefits and Coverage (SBC) for the TVA Medical Plan options is being made available to you. The SBC provides information to help you understand your medical plan options and make decisions about which medical plan to choose.

View and/or print the TVA Medical Plan’s SBCs below.

80-percent PPO
Consumer-Directed Health Plan

To have a copy sent to you free of charge, contact the TVA Service Center at esc@tva.gov, or call 1-888-275-8094 (toll-free), 1-423-751-8800 (Chattanooga), 1-865-632-8800 (Knoxville) or 1-800-848-0298 (TDD/TTY-TN Relay Service).

Medicare Retirees

Retirees and their eligible dependents that are eligible for Medicare are eligible for a Medicare Supplement plan.  The Medicare Supplement plan includes prescription-drug coverage that meets the requirements of Medicare’s Part D prescription-drug coverage.  Retirees and their dependents covered under the TVA-sponsored Medicare Supplement plan receive their Medicare Part D coverage through the TVA plan and do not have to enroll in another Medicare Part D plan.

View information on the 2014 Medicare Supplement plan, including prescription-drug coverage below.

2014 Medicare Supplement Plan (PDF, 119 kb)
2014 Evidence of Coverage (PDF, 1.1 mb)
2014 Annual Notice of Change (PDF, 173 kb)
2014 Prescription Drug Formulary (PDF, 507 kb)
TVA Letter on Medicare Supplement Plan for 2014 (PDF, 94 kb)

View information on the 2015 Medicare Supplement plan, including prescription-drug coverage below.

2015 Medicare Supplement Plan (to be updated in November)
2015 Evidence of Coverage (PDF, 1.1 mb)
2015 Annual Notice of Change (PDF, 173 kb)
2015 Prescription Drug Formulary (PDF, 507 kb)
TVA Letter on Medicare Supplement Plan for 2015 (PDF, 94 kb)
Letter from TVARA for 2015

For additional information on medical benefits available to TVA retirees, contact the TVA Service Center by phone at 888-275-8094 or e-mail at esc@tva.gov.

Retiree medical forms

Retiree Medical Plan Bank Draft Authorization Form (TVA Form 17534)

To be used by retirees to authorize automatic bank drafts for collection of medical coverage premiums.

Retiree Status Change Form (TVA Form 17312A)

To be used by retirees to report life-event changes affecting medical coverage, including death, divorce, or changes in dependent eligibility.

Health Savings Account

This information is for current 2014 benefits.  For 2015 information, please see Retiree Medical Plan Election Period.

A Health Savings Account, or HSA, is available to retirees who are enrolled in TVA’s Consumer-Directed Health Plan (CDHP). The HSA gives you, the consumer, more control over how and when you spend your healthcare resources.

The HSA trustee is HSA Bank. The HSA trustee holds your balances for you, receives and records contributions and processes distributions. TVA contributions to the HSA are made to HSA Bank. TVA’s contributions for 2014 to the HSA are $600/individual and $1,200/family. The maximum annual HSA contribution from all sources is $3,300/individual and $6.550/family. The maximum is set by the IRS. If you are age 55 or older you can also make additional “catch-up” contributions. The maximum annual catch-up contribution is $1,000.

There is a monthly HSA administrative fee of $1.75 if your account balance is under $3,000. There is no fee if you maintain a balance of $3,000 or more.

IMPORTANT! If you were enrolled in the CDHP and had an HSA in 2013

If you currently have an HSA with HSA Bank you do not need to take any action. If you continue to be enrolled in the CDHP in 2014, TVA will deposit its HSA contribution to your account. 

View information on the Health Savings Account below.

General Information
Make Your Own Healthcare Decisions
How It Works
How To Enroll and Contribute
HSA Questions and Answers

Dental insurance

The retiree dental insurance plan is designed to help retirees with the cost of dental expenses. This plan is not tied to the retiree medical plan. Future retirees may choose not to enroll in dental but still maintain their medical coverage.

Delta Dental Plan of Tennessee is the carrier for this benefit. Delta allows participants to use any dentist, but offers incentives to those who choose a participating dentist. Visit Delta Dental’s Web site for a list of participating dentists.

Effective July 1, 2014, the monthly premiums are $34.26 for individual coverage and $80.85 for family coverage.

Future retirees who wish to enroll must sign up within 30 days of their retirement. Coverage will be effective the first of the month following Delta Dental’s receipt of the enrollment form.

The following documents outline the dental plan and provide forms that can be printed out and mailed to Delta Dental. (They are PDF files that require the free Adobe Acrobat Reader.)

Guidelines for Retiree Dental. Explains participants’ responsibilities under the plan, eligibility, payment of premiums, and more (58 kb).

Highlights of the Plan’s Benefits and Premiums (182 kb).

Enrollment Form (69 kb).

Change Form. To make changes in personal information, such as an address change or the addition or deletion of dependents (53 kb).

Authorization Agreement for Direct Debit. To authorize a direct debit for monthly premiums (59 kb).

Federal Long Term Care Insurance

The U.S. Office of Personnel Management offers this program to all federal employees and retirees, including those from TVA. Spouses and adult children of retirees are also eligible to enroll.

The program is designed to help with the costs of nursing-home care, assisted-living facilities, in-home care, and other expenses not covered by medical plans. It is offered through Long Term Care Partners, a partnership of MetLife and John Hancock.

Those who wish to enroll in the program must request an enrollment application packet from Long Term Care Partners. TVA does not have application packets. Enrollment packets can only be requested from the Long Term Care Partners Web site or by calling 800-582-3337.

The Web site has information on plan premiums and coverage options, as well as average nursing-home costs for major U.S. cities. The site also lists the health questions that all applicants are required to answer before being approved for coverage.

The premiums for this coverage are paid entirely by the retiree. Premiums can be paid through a deduction from the monthly pension benefit.

Tobacco Cessation Program

Eligible retirees and their dependents are now eligible for TVA's tobacco cessation program to help them stop smoking or using smokeless tobacco. Read about the program here.

Prescription safety eyewear

Retirees may purchase prescription safety eyewear from AOSafety, the TVA vendor, at TVA’s discounted price. Follow the steps listed below to order prescription safety eyewear:

  • Obtain an AOSafety order form by phoning the TVA Service Center at 888-275-8094 toll-free or by going to AOSafety’s special Web site for TVA. (See link below.)
  • From the special AOSafety Web site, view frames and find the names and addresses of AOSafety eyewear suppliers in your area. The TVA Service Center can also provide you with a list of dispensers.
  • Obtain an eyeglass prescription from your regular eye doctor. Select frames at the nearest AOSafety eyewear dispenser. AOSafety will contact you by telephone or e-mail to arrange payment. (The TVA Service Center does not receive the eyewear or payments.)
  • The dispenser will notify you when the eyewear comes in to schedule a fitting appointment. Some dispensers may charge for a fitting while others may not. Any reworking of frames or lenses will be handled at the dispenser’s office.
  • Go to the Web site to order.

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