Learn more about health care benefits offered by New York Life.
When you’re enrolled in the Active Health Option, New York Life rewards you and your spouse/domestic partner for engaging in healthy behaviors. For 2018, two new healthy activities will qualify for an incentive.
Learn more about the accounts offered by New York Life.
Learn more about the income protection benefits offered by New York Life.
Learn more about other benefits offered by New York Life.
Earn your 2017 incentives — there’s still time to add money to your HRA this year by completing healthy activities in 2017.
Check your HRA balance — use funds to pay eligible medical expenses – including your deductible – and pay less out of your pocket.
Use your FSA funds for 2017 — you can use your funds for medical, prescription drug, dental, vision, and hearing care. Keep in mind, you will forfeit any unused dollars remaining after March 31, 2018.
Verify your claims — there are tax consequences for unverified claims. Be sure to check out the enhanced PayFlex site that makes it easier for you to view your health plan activity and pay any balance due directly from your PayFlex account. Visit the PayFlex infographic to learn more.
Attend an Annual Enrollment webinar — learn more about what’s new, what’s changing for 2018, and important actions you need to take during enrollment. Please check for an announcement on the Agency Portal for more details and then sign up for one of the webinars.
Explore all your New York Life benefits through this roadmap and the links it provides — that way, you’re ready to make informed decisions when it comes time to enroll between October 23 and November 3.
You have two medical options, the Active Health Option and the Standard Medical Option. They both work like traditional Preferred Provider Organizations (PPOs) with a network of doctors, hospitals, and other health care providers who offer their services to members at reduced rates.
The Active Health Option has a Health Reimbursement Account (HRA), which you can use toward your deductibles and pay less out of your pocket. You may be eligible to get “consumer dollars” added to your HRA each year, and they’re available from day one. You can earn “incentive dollars” right away, too.
The Standard Medical Option does not have an HRA. If you choose this option, you won’t receive consumer dollars from New York Life or have the opportunity to earn incentive dollars to reduce your out-of-pocket costs.
Both options cover the same services, have the same Aetna network of providers, and offer the same prescription drug coverage through Express Scripts. Both options pay more when you obtain care in-network, and both options generally cover in-network preventive care at 100%.
Under both options, you must first meet your annual deductibles before the plan begins to pay benefits. Then, the plan will pay a percentage of your covered expenses: the Active Health Option will pay 90% and the Standard Option will pay 80% for in-network covered services.
You’re protected by an out-of-pocket maximum under both options. After you pay that amount, the plan will pay 100% of covered expenses for the rest of the year.
If you’re not sure, click here to see your account balance. Use the funds in your HRA toward eligible medical expenses and pay less out of your own pocket for medical care.
No, you don’t. If you enroll in an Aetna medical option through New York Life, you automatically receive prescription drug benefits administered by Express Scripts. However, you must use an in-network pharmacy to receive benefits from the plan.
No, you cannot.
Use generic drugs: they’re equivalent to brand-name drugs, equally effective, and cost much less.
Use the mail-order program for maintenance medications: drugs you buy through mail order generally cost less. And, for a 90-day supply, you’ll pay 2.5 times the monthly copay, rather than 3 times, which is what you would pay at a pharmacy for three 30-day supplies.
Click here for information on specialty drugs.
You have two dental coverage options, both administered by Aetna. Both options cover preventive services at 100%.
The Comprehensive Option covers preventive, basic, and major services, such as crowns and root canals. This option also covers orthodontia for children.
The Preventive Option covers only preventive and basic services, such as fillings. It does not include benefits for major services or orthodontia.
You have a vision option offered through Aetna VisionSM Preferred. You don’t have to elect medical coverage in order to elect vision; the options are separate. You can choose coverage just for yourself or for you and your dependents, and the coverage level can also be different from your medical election.
The vision option covers routine eye care such as exams, eyeglasses, and contact lenses, and offers discounts on additional eyeglasses, prescription sunglasses, Lasik, and more.
|Online Health Assessment||$150||Take the Compass health assessment|
|Annual Physical||$150||Get a routine physical|
|Journeys||Up to $150
($50 per journey)
|Complete a journey to improve your health|
|Register with Teladoc (NEW!)||$50||Register with www.teladoc.com
Note: you and your spouse can earn an incentive simply by creating an account; Teladoc is automatically available in 2018 if you are enrolled in a New York Life medical option through Aetna.
|Register with PayFlex* (NEW!)||$50||Register with www.payflex.com and complete your notification preferences (go to Account Settings, then Account Notifications)
Note: you will earn an incentive in 2018 even if you already registered in 2017. You will need to complete the security questions upon initial login to the enhanced PayFlex website.
|* Only agents are eligible for the PayFlex incentive since there is only one PayFlex account per family.|
Visit Aetna Navigator to track your incentive dollars and check your HRA balance.
|Mammography||$250||Get a routine screening (women age 40 and older)|
|Colonoscopy||$250||Get a routine screening (adults age 50 and older)|
|Well-Woman Exam||$150||Receive a routine GYN exam (women age 21 and older)|
|In Touch Care Management||$200||Complete a call with a Care Advocate Nurse from Aetna|
|$300||Complete a care plan|
|Beginning Right Maternity Note: you can earn an incentive for taking the online risk survey during the first or second trimester, but not both.||$500
|Complete the online risk survey/ questionnaire during the first trimester
Complete the online risk survey/ questionnaire during the second trimester
|$200||Complete a post-partum call|
An account in the Active Health Option to help you pay eligible medical expenses, including your deductibles and coinsurance.
Learn how to earn incentive dollars.
Check your account balance so you know how much money you have available to help pay eligible medical expenses.
Learn how to pay less out of pocket for medical expenses.
Important Information: References to terms such as “dollars,” “money,” “funds,” or “earning” incentive dollars are for illustrative purposes only. No actual funds are set aside for your HRA.
An account that lets you set aside money to pay eligible out-of-pocket health care expenses on a pre-tax basis. You can use the account for out-of-pocket medical, prescription drug, dental, vision, and hearing care expenses.
If you have both an FSA for Health Care and an HRA, funds in your FSA will be used first. If you submit a claim for medical expenses, all the money you elected for your FSA will be used before any money can be deducted from your HRA.
You contribute an amount from $130 to $2,600 through pre-tax deductions from your ledger.
New York Life provides non-contributory and contributory life insurance options to agents.
If you are eligible, you will automatically receive non-contributory life insurance in the amount determined by your class.
If you qualify, you have the option to enroll in contributory life insurance. You are responsible for paying the full cost of this coverage.
You may be required to provide EOI for certain amounts of life insurance. You will be notified if EOI is required.
If you qualify, you have the option to enroll in AD&D insurance, which protects you and your family in the event you die or are seriously injured in a covered accident. You pay the full cost of this coverage.
You can choose among six coverage options, from $50,000 to $300,000, in increments of $50,000. You can choose “no coverage” if you wish.
Long-term disability (LTD) coverage is designed to replace part of your income if you’re unable to work for an extended period due to illness or injury.
You can choose to replace either 50% or 60% of your income.
The Commuter Benefits program is available to TAS agents in their first three contract years. The program allows you to pay transit expenses through pre-tax deductions.
You can enroll at any time – not just during annual enrollment. Keep in mind you must enroll on www.WageWorks.com by the fourth of the month before the month you would like to start participating.
|Resource||What It Provides||Where To Get More Information|
|Aetna Resources for Living||Short-term support for a variety of issues, including mental health, marital, and child/eldercare issues||www.mylifevalues.com
Username: NYL Agent
|Best Doctors||A second opinion by a panel of independent physicians on a treatment your doctor is recommending||www.bestdoctors.com
|Teladoc (NEW!)||Access to U.S. board-certified physicians whenever and wherever you need it through 24/7 phone and video consultations||www.teladoc.com
(800) Teladoc (835-2362)
|PayFlex||Access your Flexible Spending Account (FSA) or Health Reimbursement Account (HRA) information||www.payflex.com or
|Participant Advocacy||Help with unresolved health plan access or claims issues||(888) 513-4636|
Click here for a list of resources and tools for your health plans.
Earn your 2018 incentives — check out all the ways you can earn money in your HRA for 2018 – including two new incentives.
Check your HRA balance — and use funds to pay eligible medical expenses all year. Remember, consumer dollars will be available from day one
Update your beneficiaries — visit YBR to make sure your beneficiary information is up-to-date.