Medical and Dental Insurance

**This corresponds with Section A of the "Employee Benefits Guide."

2020/2021

• Health and Dental Plan Participation and Form Directions
• 2020 BlueCross BlueShield MN (BCBS) Member Communication
• Dental Insurance Highlights and Coverage

          Note Deductible Change: The $1,500 deductible plan increases on 1/1/2021 to $2,500

          Summary of Benefits and Coverage (SBC) Examples – helps you choose a health plan.

• $1,500 SBC
• $5,000 SBC

          Health Summary - Deductibles and Maximum Out-of-Pocket

• $1,500/$2,500 Deductible Plan
• $5,000 Deductible Plan
• $5,000 Deductible Plan ACA Preventive Drug List

          2020/2021 BCBS & DD Health Insurance Forms

• Form A-1: Enrollment/Change Group Coverage
• Form A-1 Waive Only: Waive Group Coverage
• Form A-3: Cancel Group Coverage

2019/2020

• Health and Dental Plan Participation and Form Directions
• $1,500 Deductible Health Summary - Coverage effective starting 1/1/20
• $1,500 Deductible Health Summary - Coverage Examples
• $5,000 Deductible Health Summary
• $5,000 Deductible Health Summary - Coverage Examples
• $5,000 Deductible Plan ACA Preventive Drug
• 2019 BCBS Member Communication
• Dental Insurance Highlights and Coverage
• Form: BCBS & DD Enrollment/Change Form for Group Coverage: Form A-1 - Coverage effective starting 1/1/2020
• Form: BCBS & DD Waive Only Form for Group Coverage: Form A-1 - Coverage effective starting 1/1/20
• Form: BCBS & DD Qualifying Event Form for Group Coverage: Form A-2

Other Health and Dental Information

• Information: Current Questions About Health and Dental Insurance - updated 8/11/2020
• Information: Zero Cost-Share for Covered Insulins for $1,500/$2,500 and $5,000 Deductible Plans
• Information: Health Insurance Marketplace Coverage
• Information: Premium Assistance Under Medicaid and the Children's Health Insurance Program ("CHIP")
• Information: Frequently Asked Questions - Health/Dental Enrollment/Change Form
• Information: Directions for Online Access to BCBS and Delta Dental
• Information: BCBS Special Enrollment

Additional BCBS Programs

For employees enrolled in the Diocese of Winona-Rochester Blue Cross® and Blue Shield® of Minnesota health plans, the following benefits are available:

Omada Program

Omada is a program for Diocese of Winona-Rochester employees and their adult family members who are at risk for type 2 diabetes or heart disease.

• Omada Program Information

SmartShopper

SmartShopper allows you to compare the cost of medical care and earn cash back (up to $500 depending on the service or procedure).

• SmartShopper

Learn to Live

Learn to Live offers free, 100% confidential online programs for: stress, anxiety, worry, depression, etc.. It is available to employees and family members (13 years and older) who are a part of the DOW-R health plan.

• Learn to Live

Sharecare

Sharecare is a digital solution to help you manage your health from your smartphone or computer. It is also needed to participate in the fitness incentive program.

• Sharecare Program Information

Fitness Incentive

Sharecare's Fitness Incentive program counts all of your physical activity, not just your gym workout. Earn a $20 credit in the Sharecare Marketplace, which includes Visa e-gift cards.

• Sharecare Fitness Incentive Program Instructions

Blue365

Blue365 offers discounted products, including a $29 gym membership.

• Blue365 Program Information

Doctor On Demand

Online care without leaving your home through Doctor on Demand..

• Doctor on Demand Information