Teammates

2021 LiveWELL Health Plans

Atrium Health will continue to offer two health plan options: a Health Savings Plan and a Co-Pay Plan. Both plans will have an Atrium Health Value Network which provides the highest level of benefit, including a teammate discount on fees for service.

Read through the Frequently Asked Questions to learn more.

For your reference, review the 2021 Health Plans Summary PDF

2021 Health Plans At-a-Glance

Health Savings Plan

Key features:

  • Offers low premiums
  • Pretax Health Savings Account contributions that rollover and can be used for health expenses now and later.
  • No cost for preventive care
  • Earned LiveWELL Incentives go pretax into the Health Savings Account

Co-Pay Plan

Key features:

  • Offers predictability with higher premiums and lower out-of-pocket expense
  • Co-pays for primary care, specialty care and medications
  • No deductibles (with the exception of inpatient and outpatient services)
  • Earned LiveWELL Incentives go pretax into LiveWELL Incentive Account
  • Flexible Spending Account (FSA) provides pretax dollars for healthcare expenses
  • No cost for preventive care

 

The 2021 LiveWELL Health Plans Frequently Asked Questions

Open Enrollment

When is Open Enrollment?
Tuesday, October 20 through Tuesday, November 3, 2020.

Do I have to make a health plan election during Open Enrollment?
Yes. For the best experience, please complete the Open Enrollment process to enroll in the benefits of your choice for 2021. 

If I was hired in September or October 2020 and have enrolled in my Benefits for 2020, do I need to complete Open Enrollment also?
Yes. Your benefits enrollment based on your eligibility as a new hire are the benefits in place through December 31, 2020. For the best experience, please complete the Open Enrollment process to ensure you are enrolled in the benefits of your choice for 2021.

Can I switch my health plan election after Open Enrollment?
No. IRS regulations do not allow changes between health plans during the year.

Why should I designate or update beneficiaries on my Life Insurance and Retirement accounts?
One of the best ways to care for your family’s financial health is to establish beneficiary designations on your life insurance and retirement accounts. Ensuring your beneficiaries are assigned and up-to-date gives you control of where your assets go and provides your family with peace of mind.

How do I designate or update beneficiaries?

Follow the steps to designate or update beneficiaries for your Life Insurance, Health Savings Account (HSA) and Atrium Health Retirement Accounts outlined on the Update Your Beneficiaries page on the 2021 Compensation and Benefits site. 

When can I make designations or updates to my beneficiaries?
You can designate beneficiaries at the time of enrollment and update them any time of the year, as often as needed. 
 


2021 LiveWELL Health Plans

I currently have VA or Tricare benefits as a veteran. Should I enroll in health plan benefits at Atrium Health?

  • If you enroll in health plans at Atrium Health your VA and Tricare coverage will become secondary; you will be responsible for out of pocket expenses.
  • A Health Savings Account (HSA) cannot be elected when on a governmental plan.
    Do your research to determine which plan will provide the best coverage at the best price for you and/or your family needs. For more information:
  • VA Resources
  • Tricare Resources

When do I elect the Working Spouse option when I am completing my health plan enrollment and electing coverage for my spouse?
The working spouse rate applies if your covered spouse is eligible for medical coverage through their employer (not applicable if your spouse works for Atrium Health), but you choose to enroll them in one of the LiveWELL Health Plans. The rates for these options are higher in order to offset the increased cost of covering spouses who have access to other coverage.

If my spouse is self-employed, do I elect the Working Spouse option?
The working spouse rate only applies if your covered spouse is eligible for medical coverage through their work.

If I add a dependent to my medical, dental or vision benefits, do I have actions to take to verify their eligibility as a dependent?
Yes, please look for communication mailed to your home, following the completion of your enrollment, providing instructions for submitting documentation to verify the eligibility of your dependent(s). Please respond to the actions outlined in the communication; it is time-sensitive.

If I elect the Health Savings Plan in 2021:

Can I make changes to my contribution to the Health Savings Account (HSA) anytime during the year?
Yes, by going to PeopleConnect > Human Resource eForms and completing the Health Savings Account Contribution Change Request form.

Please note: This process will be available in COREConnect Self Service in 2021.

What is the IRS maximum contribution limit for the HSA in 2021?
For Teammate only coverage, the maximum is $3,600. For Family coverage, it is $7,200. Please keep in mind that contributions by you and Atrium Health combined count toward the annual maximum limit.

If I am enrolled in the Health Savings Plan, where will my LiveWELL Incentives be contributed?
LiveWELL Incentives will be contributed to the Health Savings Account (HSA). Please note that over-the-counter medications may be purchased using the HSA.

When are the LiveWell Incentives I earn in 2021, deposited into my HSA?
Incentives dollars earned in 2021 have three payout opportunities - April, July and November

Can I contribute my incentives, such as PPI, MAIP, APP incentives, or PTO Cash-in into my HSA to realize the tax savings benefit? 
Yes. Look for communications near the time of payout to make your contribution election. Please keep in mind that contributions by you and Atrium Health combined count toward the annual maximum limit.

How can I use the Limited Purpose (FSA)? 
The Limited Purpose (FSA) allows teammates enrolled in the Health Savings Plan to set aside pretax dollars to help pay for qualified dental and vision expenses that occur during a 12-month period. 

What is the IRS maximum contribution limit for the LPFSA in 2021?
The IRS maximum contribution is $2,750.

Can I make changes to my Limited Purpose (FSA) contribution anytime during the year? 
No, it is an IRS regulation that elections can only be made during Open Enrollment and cannot be changed during the year, with the exception of a Qualifying Life Event.

Will Atrium Health provide seed money to the HSA in 2021? 
Teammates who are enrolled in the Health Savings Plan and who make less than $30,000 annually will receive $200 to their Health Savings Account.

If I elect the Co-Pay Plan in 2021:

If I am enrolled in the Co-Pay Plan, where will my LiveWELL Incentives be deposited?
Earned LiveWELL Incentives will be deposited into the LiveWELL Incentive Account for teammates enrolled in the Co-Pay Plan. This is an account for Atrium Health contributions only and can be used for qualified medical expenses, including over-the-counter medications.

Can I contribute to the LiveWELL Incentive Account?
No, only LiveWELL Incentives you earned can be contributed by Atrium Health to the account.

Will Atrium Health provide seed money to the LiveWELL Incentive Account in 2021?
Teammates who are enrolled in the Co-Pay Plan and who make less than $30,000 annually will receive $200 to their LiveWELL Incentive Account.

When should I contribute to the Flexible Spending Account (FSA)?
The Flexible Spending Account (FSA) allows teammates to set aside pretax dollars to help pay for qualified medical expenses that occur during a 12-month period. This account can only be used with the Co-Pay Plan. You can also use the FSA to pay for over-the-counter medications.

What is the IRS maximum contribution limit for the FSA in 2021?
The IRS maximum contribution is $2,750.

Can I make changes to my contribution to the Flexible Spending Account (FSA) anytime during the year? 
No, it is an IRS regulation that elections can only be made during Open Enrollment and cannot be changed during the year, with the exception of a Qualifying Life Event.

What happens to the unused dollars I earned in the LiveWELL Incentive Account at the end of the year?
The full account balance will roll over from year to year.

What happens to the unused dollars earned in the LiveWELL Incentive Account when I terminate employment or retire from Atrium Health? 
When you terminate employment or retire from Atrium Health your unused funds will be forfeited.

What happens to the unused dollars I contributed to the Flexible Spending Account (FSA) at the end of the year? 
You may rollover up to $550 to the next year, per IRS regulations.

What happens to the unused dollars I contributed to the Flexible Spending Account (FSA) when I terminate employment with Atrium Health? 
If you leave Atrium Health, you can elect COBRA to continue your FSA. If you do not elect COBRA, any unused funds will be forfeited. 

When are the LiveWell Incentives I earn in 2021, deposited into my LiveWELL Incentive Account? 
Incentives dollars earned in 2021 have three payout opportunities - April, July and November. 

Can I contribute my incentives, such as PPI, MAIP, APP incentives, or PTO Cash-in into my FSA or LiveWELL Incentive Account? 
Teammates who are enrolled in the Co-Pay Plan are not able to have their PPI, MAIP, APP Incentives or PTO Cash-in deposited into the FSA because the annual pledged contributions for the FSA cannot be changed per IRS regulations, unless there is a Qualifying Life Event. Nor can these incentives be deposited into the LiveWELL Incentive Account because that is an account for employer-only contributions.

If I enroll in the Co-Pay plan for 2021, and elect an FSA, what dates of service can be reimbursed from my FSA? 
You can only be reimbursed for services rendered 1/1/2021 – 12/31/2021 from your FSA. However, if a teammate has a remaining HSA balance, they have the option to pay out of pocket on the medical account owed and then file a claim with Bank of America to pay themselves back from their HSA balance. You can contact Bank of America at 1-866-731-4206 if you would like more information. 

If I elect the Co-Pay Plan in 2021 and still have an HSA balance how can I use those funds? 
When you have the Co-Pay Plan with a Flexible Spending Account (FSA), and still have an HSA balance, you will have one Bank of America debit card. The funds will be accessed in the following order: FSA, LiveWELL Incentive Account (when you earn LiveWELL Incentives), then HSA.   

Why can’t I contribute to my Health Savings Account (HSA) if I elect the Co-Pay Plan? 
IRS regulations allow for contributions to a Health Savings Account (HSA) only if you are enrolled in a high-deductible/consumer-directed health plan.

If I elect the Co-Pay Plan in 2021 will I have the same Bank of America debit card I have today? 
It depends. If you were enrolled in the Co-Pay Plan for 2020 and elect to remain enrolled in the Co-Pay Plan for 2021, you will keep the same Bank of America debit card. It will be replaced prior to a 2021 expiration date, if applicable.

If you were enrolled in the Health Savings Plan for 2020 and elect the Co-Pay Plan for 2021, you will receive a new Bank of America debit card that will have your current HSA dollars, any FSA elections and LiveWELL Incentives earned on the one card. The new card will be mailed in early January 2021 and your current card will be deactivated after December 31, 2020. You will continue to have access to your HSA funds balance through the Bank of America portal until you receive your new card. The funds on the new card will be accessed in the following order: FSA, LiveWELL Incentive Account then HSA.

If I elect the Co-Pay plan in 2021 but in future years decide to elect the Health Savings Plan what will happen to my LiveWELL Incentives I earned in the LiveWELL Incentive Account? 
If you change health plans from the Co-Pay Plan to the Health Savings Plan for 2021, any unused balance in your LiveWELL Incentive Account will be forfeited. Teammates will have until April 30, 2021 to have health care expenses from the previous year reimbursed. Please note that over-the-counter medications may be purchased using the LiveWELL Incentive Account.

Dependent Care Flexible Spending Account (DCFSA)

How can I use DCFSA funds?
You can use pretax contributions to the DCFSA to pay for any eligible, work-related dependent daycare expenses you incur – such as licensed daycare centers for your dependent children or adults, summer day camps, nursery schools or after-school care. Unlike the Healthcare FSA, your funds must be in your DCFSA before they can be reimbursed. Eligible dependents include:

  • Children under age 13
  • Disabled dependents of any age who live with you more than eight hours per day, whom you claim on your tax return and who are enrolled in an eligible daycare program

How much can I contribute to my DCFSA?
You can contribute up to $5,000 ($2,500 if married, filing separately) to your DCFSA. This limit may change if:

  • You are considered a “highly compensated” teammate, the limit is subject to reductions based on IRS discrimination testing results
  • Both you and your spouse contribute to a DCFSA (only $5,000 combined is allowed) based on IRS guidelines
  • The $5,000 limit includes DCFSA and Dependent Care Back-up
  • Both the DCFSA and the federal tax credit for child and dependent care offer you tax savings on dependent care expenses. It is important to determine which is right for you and which will provide the greatest tax benefit in 2020.

Based on your family’s unique needs, it is recommended that you consult a qualified tax advisor to make your choice on an election and contribution amount for the DCFSA.

Can I request a refund for the DCFSA funds I am not able to use in 2020 due to COVID-19?
At this time, the IRS has not provided guidance on the ability to return unused funds to a DCFSA participant if they changed their election amount midyear due to the COVID-19 pandemic. There is an option for a grace period for the DCFSA that would allow for unused funds for the 2020 plan year to be used to pay eligible expenses incurred in the first 2 ½ months of 2021. We are continuing to watch for any updates from the IRS.

Does the fact that I stopped all contributions to my DCFSA in 2020 due to COVID-19 limit the timeframe for which I can submit a claim?
If teammates stopped contributing in 2020 due to COVID-19 but had no change to their enrollment/eligibility, then they can still submit claims for expenses incurred 1/1/2020 through the grace period, ending 3/15/2021.


Networks

What is the Atrium Health Value Network?
The new Atrium Health Value Network is a key feature of the 2021 LiveWELL Health Plans. It provides a higher benefit and improved teammate discount for services.

Which providers and facilities are in the Atrium Health Value Network? 
All Atrium Health facilities and providers will be in the Value Network. Providers outside of Atrium Health will have the opportunity to become a part of the Value Network if they meet specific criteria, including accepting the discounted rate for the LiveWELL Health Plan members.

What provider network will be available for teammates or family members who live outside the geographical area where Value, Preferred, or In-Network is available? 
You will receive the Preferred Network pricing for claims.

How can I find out which network my Provider is in? 
The MedCost website has a directory of providers and facilities by network designation. This information is updated as provider contracts are renewed or negotiated. Castlight also has a directory of providers.


Out-of-Pocket Maximum

Are there any changes to how the out-of-pocket maximum is met for family?
No, out-of-pocket maximum is calculated the same way as it is today for both LiveWELL Health Plans. For example, on the Health Savings Plan, the family out-of-pocket maximum is $10,000 but no more than $6,000 for any individual family member covered on the plan.


LiveWELL Incentives

When will 2021 LiveWELL Incentives be paid out?
LiveWELL Incentives earned in 2021 will be paid in 2021; there are payout opportunities in April, July and November, depending on what Incentive deadlines for completion are met.

If I am enrolled in the Co-Pay Plan, where will my earned LiveWELL Incentives be deposited? 
Your earned LiveWELL Incentives will be paid into your LiveWELL Incentive Account. 

If I am enrolled in the Health Savings Plan, where will my earned LiveWELL Incentives be deposited? 
Your LiveWELL Incentives will be deposited into your Health Savings Account (HSA). 

What are the 2021 LiveWELL Incentives?
You will have opportunities throughout 2021 to earn up to three LiveWELL Incentives totaling $675 for teammate-only coverage or $1,350 for family coverage with enrollment in the one of the LiveWELL Health Plans. Incentives will be paid in the year they are earned. Read more about the 2021 LiveWELL Programs and Incentives on the LiveWELL Programs and Incentives page.

Is there an Incentive earned for completing the Health Survey?
There is not a separate incentive earned, but the first step to begin the LiveWELL experience is with completing the health survey.

Is there an additional Incentive earned for completing all three Incentive dimensions by the first deadline?
There is no additional incentive for completing all three dimensions early; however, it does mean contributions to your HSA (if enrolled in the Health Savings Plan) or to your LiveWELL Incentive Account (if enrolled in the Co-Pay Plan) will take place in April and you will have access to those funds for qualified medical expenses early in the year.

If I have a change in coverage from Individual to Family or from Family to Individual in the middle of the year, will the incentives I’ve earned and received payment for be adjusted accordingly?
Incentives earned and paid prior to a change in coverage will not be adjusted up or down for the new coverage. Any incentives earned after the coverage change will be paid at the current coverage level.