Versiti currently offers three medical plans in order provide you with options to pick a plan that best suits your needs. We also have added an additional plan (the Supplemental Medical Coverage Plan option) to help you achieve your goals.

Employees who make changes to medical plan coverage will receive new cards in December from Anthem. Please make sure your address is up to date in Dayforce!

*Click the chart above to make it larger

*Click the chart above to make it larger

Pharmacy Coverage: CVS Caremark

Versiti’s 2025 pharmacy coverage reflects our commitment to offer a comprehensive and competitive benefits program for you and your family. The pharmacy benefit manager under the Versiti medical plans is CVS Caremark for 2025 and offers convenient and affordable medication options.

Save time, keep costs down and stay on top of your prescriptions. Do it all at Caremark.com and CVS Caremark mobile app.

CVSCaremark Rx_Delivery

Caremark MailService

Caremark MobileApp

Three Medical Plans –What is the Same?

• All plans use the same providers/network
• All plans cover the same medical and prescription benefits

Three Medical Plans –What is Different?

• Annual Deductibles and Out of Pocket Maximum
• Copays and co-insurance

Consider your Options

Does the medical plan you chose last year still work for you and your family?

Start by thinking about what is most important to you:

• How much you pay toward the premium each paycheck
• Copays for office visits and prescriptions
• Your annual deductible
  • If you enroll in the High Deductible Medical Plan (HDHP), Versiti makes an annual contribution to your Health Savings Account (HSA)
• Whether or not your doctor and hospital are in-network.
• Take advantage of Versiti Medical Plan Prevention Programs
  • Annual physical exams are covered at 100% and eligible employees also receive a $250 incentive for having this exam, regardless of which Versiti medical plan you select.
  • Free preventive medications to keep chronic conditions under control
  • The PPO and Value PPO plan provide 2 free visits a year with your primary health care provider when sick or injured. You don’t have to wait to see your doctor due to cost.
  • Versiti contributes $600/$1,200 to your Health Savings Account in 2025 if you are enrolled in the high deductible medical plan. This money is yours to keep for medical expenses.  You will not lose that money if you don’t use it in 2025.

Supplemental Medical Coverage Plan

Who will be eligible for this plan?

Current Versiti medical plan participants and/or dependents who:

• Have access to another employer sponsored medical plan* (not an individual plan, MarketPlace plan, Medicaid or Medicare) are eligible. Plans such as:
  • Spouse’s plan
  • Second job that offers an employer sponsored plan
  • Parent’s plan

*Note: The other plan cannot be a high deductible health plan with a Health Savings Account

If an employee and/or dependents who is currently enrolled in a Versiti medical Plan (the HDHP, PPO or Value PPO plan) enrolls in other group coverage and drops Versiti medical plan coverage, Versiti will provide funds to pay for out-of-pocket expenses of the other group plan – deductibles, coinsurance, co-pays – generating 100% coverage.

Versiti will also provide a taxable monetary payment on the first and second pay period each month to assist with the other coverage premium payments.

• $50 if one person drops Versiti’s plan and enrolls in other coverage
• $100 if two or more people drop Versiti’s plan and enroll in other coverage

How will this plan work?

Employees will enroll in this plan during Open Enrollment in Dayforce and provide documentation of enrollment in another employer sponsored medical plan to HR4You. Once qualified participants have 2025 in-network medical or pharmacy claims, they will submit an Explanation of Benefits (EOB) document from the other employer sponsored medical plan to Fidelity, the claims administrator for this plan. Once the claim is verified, Fidelity will reimburse out of pocket expenses (deductibles, co-pays, coinsurance) directly to the employee through a check or direct deposit.

What Plan to Choose?

Now that you’ve had some time to review the medical plan benefits and changes for next year, what are some things you should think about when making your benefit elections?

• Consider how often you use medical care and what out-of-pocket expenses you may have regularly and compare those against each plan’s benefits.
• Are your medical providers in-network?
• How will you pay for the out-of-pocket expenses the medical plan doesn’t cover? If you enroll in the High Deductible Health Plan, consider the HSA with all the tax saving benefits it has to offer. If you enroll in one of the PPO options, consider using the Flexible Spending Account to pay for your out-of-pocket expenses.
• If you have access to coverage through another employer sponsored medical plan, is the Supplemental Medical Coverage Plan a good option for you and/or your dependents?

The decisions you make during Open Enrollment last for an entire year and can have a large impact on your health and financial well-being.  Ensuring you are protected takes careful thought and planning.

Total medical plan costs under the Versiti medical plans continue to increase. Versiti has in the past and will continue in 2025 to absorb most of the cost increases and will not pass the full employee share of the premium increase to employees.

If you enroll in the HDHP, Versiti will make a contribution to your Health Savings Account!

• $600 for single HDHP medical plan coverage 
• $1,200 for employees plus spouse, employee plus child(ren), or family HDHP medical plan coverage

You are not able to contribute to a regular FSA if you elect the HDHP, instead you have the HSA option. You can however have a limited purpose FSA which can be used to pay only for dental or vision expenses.

An HSA is an individual account you can use when you are enrolled in a High Deductible Health Plan to pay out-of-pocket qualified medical expenses on a tax-free basis. This saves you money! An HSA provides TRIPLE tax savings! You will not pay tax on:

• Your payroll deductions
• Interest that accumulates in your account
• Money withdrawn to pay for qualified health expenses

The account belongs entirely to you and can be used for both current and future qualified healthcare expenses. You must be enrolled in the HDHP option to have the HSA. You cannot have any other health insurance or Medicare and you cannot be claimed as a tax dependent of someone else.

2025 HSA Maximum Contribution Limits:

• • $4,300 Single (this includes the $600 Versiti contribution so the maximum you can contribute is $3,700)
  • $8,550 Family (this includes the $1,200 Versiti contribution so the maximum you can contribute is $7,350)
  • You can also save an additional $1,000 per year if you are 55 or older

If you elect the health care flexible spending account (FSA), you have access to the full amount of the funds you elect on day one – January 1. So, if you have a large expense early in the year then you can use all of the FSA funds while the deductions come out of your check over the rest of the year.

Versiti is pleased to announce that there will be no plan changes to the dental plans for 2025. The Vison Plan will have increased reimbursement for frames and contacts in 2025 to $150. 

Voluntary Income Protection Benefits

Medical insurance is designed to provide preventative care to help you stay healthy, as well as to help cover treatment due to an accident or illness. Protecting your income if you are sick or injured for either a short or extended period of time is important.  We want to help our employees think differently about financial well-being and are pleased to offer comprehensive voluntary benefits for out-of-pocket medical expenses.

Versiti is proud to offer Accident, Critical Illness and Hospital Indemnity insurance as Voluntary Income Protection plans for our employees. These plans pay lump-sum cash benefits if you (or a family member) have an accident, hospital stay or diagnosis of a specific illness. This lump-sum benefit helps cover out-of-pocket medical expenses or help cover things like rent, groceries, and childcare to help make up for lost wages. Also, these plans offer an annual wellness benefit ranging from $50-$100 per individual if you receive a preventive visit or screening.

For additional information related to Accident, Critical Illness and Hospital Indemnity benefits, please review the videos from The Hartford:

Life insurance

Versiti provides Life insurance and Accidental Death & Dismemberment Insurance to all full-time and part-time employees. The benefit amount is 2x your salary. The benefit maximum is $50,000 for part-time employees and $700,000 for full time employees.

For additional information related to Life and Accidental Death and Dismemberment benefits, please review the videos from The Hartford:

Does your Versiti paid life and AD&D insurance meet your needs?

• • Are you the primary household income earner?
  • Do you have a mortgage, college loans or other debt that is unpaid?
  • How would your family support themselves if you passed away?
  • Could your family afford your medical bills and/or funeral costs?
  • Would your loved ones have the burden of paying any debt or other financial responsibilities that you leave behind?

Remember! You can receive extra protection and enroll in voluntary life insurance. You have the option to apply for higher amounts during open enrollment by completing your enrollment in Dayforce. 

If you currently have supplemental employee life coverage, you can increase your Employee Supplemental Life coverage by one level (to a maximum of $250,000) without completing an Evidence of Insurability Form. Please take advantage of this great offer!

You can also increase your Spousal Life coverage by one level without having to complete Evident of Insurability Form this year!

If you are not currently enrolled, you can enroll this year, subject to completing and having approved an Evidence of Insurability Form with The Hartford.

Use this calculator to determine how much life insurance might be right for you: Life Calculator 

Long Term Disability Insurance

1 in 4 of today’s 20-year-olds are expected to be out of work for at least a year because of a disabling condition before retirement.  Versiti helps protect your income if you are out of work by enrolling all eligible full-time employees in Core LTD insurance, which provides a benefit of 60% of the first $75,000 in covered salary at no cost. This is a taxable benefit.  

If you make over $75,000 you may need additional LTD coverage. In this event, you may elect the Full Coverage Option for Long-Term Disability coverage which is a tax-free benefit. Coverage will be 60% up to a maximum of $300,000 of covered salary.  If you become disabled, the Full Coverage benefit will not be subject to tax but you have to pay for the benefit with after-tax dollars. Versiti will contribute to offset a portion of the premium if you elect the Full Coverage option

Use this calculator to determine if the Full LTD plan might be right for you: Disability Calculator 

If this is your first time enrolling in the Full Coverage LTD insurance, you will need to provide evidence of insurability to The Hartford. Take advantage of this opportunity if Full LTD Coverage is right for you!

For additional information related to Disability benefits, please review the below training video from The Hartford:

You still have access to a number of other voluntary benefits such as Figo Pet Insurance, and day care discounts through Kindercare Learning Centers.  Please check out the Pet Insurance and Other Benefits tile on this page.

The Hartford Life and Disability policies sponsored by Versiti and provided to you at no cost provide numerous value added services including:  1) Funeral concierge services; 2) Counseling services to your beneficiaries through Beneficiary Assist to help your life insurance beneficiaries cope with emotional, financial and legal assistance that arise after a loss; 3) Assistance to you in creating a will through EstateGuidance; 4) Travel assistance with identity theft protection; and 4) disability counseling services Ability Assist.  For more information, please review this link.

Please make sure to go in and enroll in your benefits for the 2025 plan year between October 28th and November 8th. 

REMEMBER! If you do not go in and update your elections, you will not have FSA or HSA in 2025.

How to Enroll

〉  Log in to DayForce

〉 Click on the Benefit Icon

〉 Select 2025 Open Enrollment

Provide Your Household Information

〉 Provide your dependent’s information

• • • You must add your dependents that you wish to cover under your benefits first before electing your benefit plans

〉 Are the people you cover under the plan eligible family members?

• • • Versiti is committed to the wellbeing of you and your eligible family members. To continue that commitment, we need to confirm that the people you cover under the plans are eligible. Please review your family members and remove any that are not eligible.  Eligible dependents are:
    • Legally married spouse, dependent children, legally adopted children, foster children that live with you, children that you have legal guardianship and stepchildren (children can be covered until the end of the month they turn 26).

〉 Provide your beneficiaries for life insurance

〉 Are the people you cover under the plan eligible family members?

• • • Versiti is committed to the wellbeing of you and your eligible family members. To continue that commitment, we need to confirm that the people you cover under the plans are eligible. Please review your family members and remove any that are not eligible.  Eligible dependents are:
    • Legally married spouse, dependent children, legally adopted children, foster children that live with you, children that you have legal guardianship and stepchildren (children can be covered until the end of the month they turn 26).

Make Your 2025 Benefits Elections

〉 Enroll or waive in all benefit options (medical, dental, vision, life, HSA, FSA, etc.)

〉 Confirm the level of coverage you would like

〉 Deadline to enroll – You must enroll between October 28th and November 8th

Finalize Your Enrollment

〉 Review your 2025 elections

〉 Confirm ALL information is accurate

〉 Click “Submit Enrollment”

Print your 2025 benefit confirmation statement for your records

Confirm Your Contact Information

〉 Click on the “Forms” Icon

〉 Under “Personal”, confirm your address, phone number, and email address are current

ALEX is an online tool that helps you select the best benefit plans for you and your family. When you talk to ALEX, you’ll be asked a few questions about your health care needs. ALEX will crunch some numbers and point out what makes the most sense for you. ALEX takes the amount each plan would cost you out of your paycheck (your premium) and adds that to the amount it would cost for the services you said you might use. Then it will recommend the least expensive plan for your needs.

Most users spend about 7 minutes with ALEX, but it really just depends how much guidance you’d like. And, if you set up an ALEX ID, ALEX can even save your place, so you can leave and always come back and pick up right where you left off. Your ALEX experience is totally private and secure. Anything you tell ALEX remains between the two of you.

To access ALEX, go to https://start.myalex.com/versiti or scan the QR Code below

Questions?

 Contact  HR4You@versiti.org or 414-937-6300 for assistance

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