Subject:
Title
Group Medicare Advantage and Group Medicare Pharmacy EGWP
End
Fiscal Impact:
There is no financial impact to the County. Both Medicare Advantage Plan and Pharmacy EGWP are fully insured plans. Premiums are paid 100% by the Retiree.
Dept/Office:
Human Resources
Requested Action:
That the Board of County Commissioners approve the Employee Benefits Insurance Advisory Committee (EBIAC) recommendation of the following Group Medicare Products and allow the Human Resources Director to execute all documents necessary to bind this coverage effective 01/01/2022
* Medicare Advantage Plan: United Health Care and Humana to replace incumbents Health First and Florida Health Care Plan
* Group Pharmacy EGWP: Humana to replace incumbent Cigna
Effective date of contract(s) will be January 1, 2022 through December 31, 2022 with the option to extend the agreement(s) for additional four, (4), one (1) year terms upon mutual agreement of both parties.
Group Medicare Advantage Plans
Incumbent
Recommended Proposals
Medicare Provider
Health First
Florida Health Care
United Health Care
Humana
Monthly Premium
$0
$0
$134.10
$0
$97
$181.58
$139
$202.83
Group Pharmacy EGWP Plan
Incumbent
Recommended Proposal
Pharmacy Benefit Manager
Cigna EGWP
Humana EGWP
Monthly Premium
$287.23
$173.23
Recommendation
End
Summary Explanation and Background:
The County issued RFP# P-2-21-15 to request proposals on both the Group Medicare Advantage and The Employer Group Waiver Pharmacy (EGWP) Plans. Soon after that decision was made, Health First Health Plans advised the County that effective 01/01/2022 they would no longer be offering Group Medicare Plans. Currently there are 287 members on the Health First Advantage Plans in low, medium and high option Medicare Advantage plans and 36 members on the Florida Health Care Plans- Zero Premium Medicare Advantage Plan. After evaluating proposals from Cigna, Blue Cross Blue Shield of Florida, Humana, Florida Health Care Plans...
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