You must enroll if you wish to participate. Flexible Spending Account Medical Limitations and exclusions may apply. However, the value of the coverage you receive (to the extent your pay exceeds $50,000 annually) is taxable each year. 1An annual wellness incentive is available to reduce your premiums by $13.85 per pay period if you complete certain wellness activities. Family: $250.61, Employee: $85.85 To learn more about the sign-on bonus level, position and WellSpan Healths benefits, please contact the talent acquisition consultant associated with the position by using the contact information to the right of each posting. If you enroll for this coverage within 31 days of hire, no EOI is required for coverage up to $500,000. - MetLife Pet Insurance FAQ Employee and children: $198.92 1Premiums shown are per pay period, deducted 26 pay periods per year. Family: $113.53, Premiums for an employee with an hourly pay rate of $33.67 to $72.12 receiving the wellness incentive of $13.85 per pay period.1, Employee: $18.92 - PayFlex Reimbursement Reference Guide Family: $42.06, Employee: $20.54 Contact us - Capital Blue Cross Certain leadership and clinical jobs are covered in an amount equal to two or two and one-half times pay. - 2023 Eligible Dependent Enrollment Form Life insurance received by your beneficiaries in the event of your death is not taxable. You should probably be saving at least 10% of your income. www.medicare.gov If you use the PayFlex Card or pay your provider using the online feature, youll pay for the expense automatically from your account so no need to be reimbursed. Below is a summary of the many benefits we proudly provide. ET; Sunday 12-4 p.m. Capital Blue Cross | WellSpan Health AdvantagePlus (PPO) WellSpan contributes up to a total of 6% of your pay in two ways: You will need money to live off of in retirement. Additional incentives, such as sign-on bonuses, relocation reimbursement and other special incentives, may be available for the job youre applying for. - WellSpan Plus Plan SBC 2023 Billing & Insurance . College credit courses must be related to current hospital duties and an academic degree that meets educational requirements of WellSpan Health position(s). Family: $246.92, Employee: $85.38 Family: $85.38, Enhanced Network: $1500 individual/$3000 family Yes! Employee and spouse: $120.00 Educational Partners You can access this benefit instead of using up all of your PTO or going unpaid. Once you have established an account, follow the steps above. - Be Well Benefit Flyer Includes solid and gradient tints, UV and scratch resistant protective coatings, and polycarbonate lens material for children under age 19. Fees are as follows: *Instant transfers are free if utilizing the Friday by DailyPay option. If you still cant find the email, please contact DailyPay customer service at 866-432-0472. Employee and children: $203.07 *New employees with a start date of September 1, 2021 or later must work for at least 1000 hours during one year before becoming eligible for the employer base contribution. What if I dont make a transfer during a pay period? Family: $245.53, Employee: $60.46 You may choose up to five times your annual pay in addition to your Basic Life coverage. information contained on this page. What is DailyPay? Your dentist may or may not automatically submit your claim for you. ID Theft MyWellSpan activation code. Part-time 1 employees have a regular schedule of 32 to 69 hours per pay period (FTE at least .40 but less than .875). Not affiliated with or endorsed by any government agency. Employee: $12.94 If your spouse is employed by WellSpan, they are not eligible for this coverage as your dependent. Wellspan PLUS Termed 12/31/2022 - Medical Plan Pre-Certification Checklist This information is intended to highlight the medical plan. Its simply an addition to our existing payroll offering that allows employees to access their pay faster than theyd otherwise be able to. You will need money to live off of in retirement. Every year, Medicare evaluates plans based on a 5-star rating system. Core Network: $1500 individual/$3000 family Your career goals are within reach at WellSpanthe leading integrated health care system serving central Pennsylvania and northern Maryland. Employee and spouse: $10.17 All fields are required. You can make up to five transfers per day. $10.35 copay or 5% (whichever costs more), Diagnostic radiology services (e.g., MRI), Prosthodontics, other oral/maxillofacial surgery, other services, Outpatient group therapy visit with a psychiatrist, Outpatient individual therapy visit with a psychiatrist, Physical therapy and speech and language therapy visit, Durable medical equipment (e.g., wheelchairs, oxygen), Prosthetics (e.g., braces, artificial limbs). Employee and spouse: $291.23 Enter your activation code as it appears on your enrollment letter or After Visit Summary. PRN employees do not have a regular schedule but work on an as needed basis. Part-time 1 employees have a regular schedule of 32 to 69 hours per pay period (FTE at least .40 but less than .875). $0.065 per $100 of monthly covered income. - EAP Welcome Letter Part-time 1 employees have a regular schedule of 32 to 69 hours per pay period (FTE at least .40 but less than .875). Employee and children: $42.92 Out of network 50% UCR after deductible PRN employees do not have a regular schedule but work on an as needed basis. If not, you will have to pay for services at the time you receive them, keep your receipt, and submit a claim for reimbursement. Out-of-Network: Plan pays $100, you pay the remainder. *Part time leaders and physicians are eligible for long term disability under the same terms (but at higher coverage levels) as full-time employees. TTY (800) 654-5984. We have been serving the community for over 100 years. Family: $20.34. Enhanced Network: $550 individual/$1100 family, Enhanced Network: $1500 individual/$3000 family. Out-of-network: $800. South Central Preferred does not guarantee payment of claims based upon the Out of network 100% UCR. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. ET are available in the morning of the next business day. illustrations appearing on this web site is strictly prohibited. Your HSA is yours to keep even if you leave or retire. (717) 851-6800. Family: $9.09. ALL BENEFIT LEVELS: The emergency department room charge is not covered for non-emergency use of the emergency department, Enhanced Tier 100% after deductible However, the value of the coverage you receive (to the extent your pay exceeds $50,000 annually) is taxable each year. Any other coverage: $7750. Employee and spouse: $540.92 Its an approximation of earnings based on the hours they have already worked, minus any withholdings (like taxes, garnishments, etc.). Family: $424.61. Thats why WellSpan provides a comprehensive program that lets you choose the benefits that are right for you and your family. If you need a QDRO in York County or YORK, PA just know that QDRO.com drafts QDROs for customers in all 50 states. Part-time 2 employees have a regular schedule of less than 32 hours per pay period (FTE less than .40). 01-01-2010- PPHN/MTP was Tier 2, WellSpan Population Health Services Family: $212.30, Employee: $59.53 Employee and children: $23.87 Reproduction or redistribution of photographs or You must enroll and choose one of these plans if you wish to participate. Participate in the Limited Purpose Flexible Spending Account (FSA), Employee: $115.84 - 2023 LTD & LTD Buy-Up Pay all of your medical bills in one place with InstaMed and create a digital wallet. The exact timing will depend on your financial institution. Individuals who are age 50 or older by the last day of the year can make additional catch-up contributions. Part-time 2 employees have a regular schedule of less than 32 hours per pay period (FTE less than .40). There is no network for the Population Health dental plan, so your level of benefits will not depend on which provider you choose. Out-of-Network: Plan pays $40, you pay the remainder, Eyeglass Lenses per person (every 12 months). N/A, this benefit is provided by your employer. Includes solid and gradient tints, UV and scratch resistant protective coatings, and polycarbonate lens material for children under age 19. Core Tier $40 copay then 100% no deductible You may also be responsible for charges that exceed the Population Health Dental Plan allowance. - Delta Dental Virtual Consult Family: $4.04, Eyeglass Frames per person Employee and spouse: $128.30 - Population Health Dental SPD Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. Employee and spouse: $69.23 The coverage is for each of your children, regardless of how many you have. You should probably be saving at least 10% of your income. Employee and spouse: $235.81 There is a buy up benefit available to employees for coverage equal to an additional 10% of your pay. Employee and spouse: $249.65 You must work full, part-time 1 or Weekend Option. In addition, AD&D insurance has lower premiums than life insurance (because it only pays out in the event of an accident) and may be a more affordable alternative for you. - Identity Theft Enrollment Form Employee and spouse: $6.51 For salaried employees and supervisors, the benefit is equal to one and one-half times your annual pay. Employee and children: $268.61 If there is a discrepancy between what is summarized here and the official plan documents, the official plan documents rule. Your healthcare costs are more predictable. Participate in the Health Care FSA, the Limited Purpose Flexible Spending Account, or the Health Savings Account. - Daily Pay Website, Medical MAXIMUM: 120 days per calendar year, Enhanced Tier 100% after deductible Employee: $4.61 Note that all employees are eligible to pay the full-time rates for the medical plan if they have an FTE of .75 or worked an average of 30 hours per week during the prior year, regardless of their status. You must enroll if you wish to participate. Employee and children: $11.54 - PayFlex FSA Employee and spouse: $179.07 These benefits are effective January 1, 2023. Employee and spouse: $69.69 This provides you with about 19 four-hour days for each of your first 5 years of service. When you join the WellSpan Health team, we will be here to support your professional and personal goals. You must work full, part-time 1 or Weekend Option. Family: $426.92, Employee: $138.00 DailyPay gives employees more control over their pay. Family: $86.77, Employee: $12.46 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2023-12/31/2023 WellSpan Health Employee Benefit Plan: Plus Plan Option Coverage for: Individual, Individual & Spouse, Individual & Child(ren), Family | Plan Type: PPO Employee and children: $38.77 The contributions made by WellSpan on your behalf are an important and valuable part of your income but will not be enough to provide for your needs in retirement. This plan has highest premiums, but the lowest deductibles and costs when you receive care. Family: $246.96. APPLIES TO: Ambulatory (outpatient) surgical facility, inpatient hospital admissions, MRI, MRA and CT scans. Basic Employee Life and Basic Employee AD&D are provided and paid for automatically by WellSpan for eligible employees. Unused funds roll over from year to year. - Total Rewards Summary CRNA Weekend Option employees have a regular schedule with a specified time commitment for weekend coverage. Eligible dental, orthodontia and vision expenses incurred during the plan year.