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United Nations ST/IC/2020/13 Secretariat 31 May 2020 English only 20-07162 (E) 290520 *2007162* Information circular* To: Members of the staff and participants of the after-service health insurance
Language:English
Score: 136038.87 - https://www.un.org/insurance/s...ce/files/st-ic-2020-13-6_0.pdf
Data Source: un
. • US citizenship and SS benefits not required to enrol • Enrol at any SS office before you turn 65 years • Claims adjudication will assume you have Medicare B even if you do not enrol 10 2016-2017 plan year 11 Overview of the past plan year • Plans’ experience has been generally favourable – Expenses increased but at lower rate than prior years – Positive impact to projected requirements for the new plan year beginning 1 July 2016 • Aetna was the exception – 4% increase in medical expenses – 16% increase in pharmacy expenses – Projected increase in requirements for the new plan year of about 12.62% following relative stability over the past two years 12 Insurance Renewal 2015 Premiums for 1 July 2016 – 30 June 2017 Empire Blue Cross 1.50 % increase HIP 1.80 % increase Cigna dental no change UN Worldwide 0.60% increase (formerly known as Vanbreda) 13 Insurance Renewal 2015 Aetna premiums will increase by 4.65% only No premium holiday declared for 2016-2017 Benefit changes effective 1 July 2016 Branded prescription drugs co-insurance will increase to 25% with a maximum of $30 per 30-day prescription Generics remain at 20% up to a maximum of $20 Emergency room co-pay will increase from $50 to $75 but will be waived if it results in an admission Aligns with co-pay/co-insurance under the Empire Blue Cross plan 14 Insurance Renewal 2015 Benefit changes effective 1 July 2016 (Aetna) Annual out-of-pocket maximum will increase from $1,250 to $1,500 per person or from $3,750 to $4,500 per family when using out-of-network providers in the US Out-of-pocket maximum must be met before the plan will reimburse at a higher percentage Deductible remains $250 per person/$750 per family 15 Insurance Renewal 2015 How to minimize the impact of the benefit changes Use of generic drugs whenever possible Greater use of urgent care facilities for non- serious medical issues MedRite Urgent Care CityMD Use of in-network providers 16 Insurance benefits Telemedicine under the Aetna and Empire Blue Cross plans Teladoc (Aetna) effective 1 July 2016 LiveHealth Online (Empire) currently available Live video consultations with a US-based certified doctor 24/7 using smartphone, tablet or computer to discuss non-emergency health issues from home, work or wherever one may be with internet access Pay same $15 co-pay for primary care provider Sign up for these services by going to Aetna or Empire’s websites 17 Insurance benefits ActiveHealth benefits included in the Aetna and Empire Blue Cross plans Nurse Care Programme for management of chronic conditions Personal health coach (US-registered nurses) One-on-one education and support Regular calls arranged at your convenience Information by mail 40 chronic conditions like hypertension, diabetes, asthma, COPD, osteoporosis, chronic hepatitis B or C, Crohn’s disease, migraines, cancer 24 hour informed health line (800-556-1555) Access to registered nurses Audio library 18 UN ASHI programme • ASHI is same plan you had as an active staff • Plan changes for ASHI participants – Allowed once every two years in the US • Enrol in US plan if you seek care in the US • Self-insured programme – Member behaviour/choices influence premiums – Insurance companies have no incentive to deny coverage • Carriers paid fees of 3% to 4% of plan cost – Administrative services – Provider networks and expert services 19 Cost Containment • All plan participants are responsible for using benefits wisely – Use in-network providers – Research and understanding costs prior to treatments – Consider alternative treatment facilities (stand- alone facilities vs hospitals; and urgent care centers vs emergency rooms) – Secure prior approval when required – Use of generic drugs whenever possible – Compare cost of mail order drugs to cost of retail drugs 20 Other reminders 21 Re-employment at the UN • Eligibility to ASHI ceases when a former staff member re-enters UNJSPF as a participant following re-employment • Must re-enrol and contribute as active staff – Implications for Medicare • Upon separation, must re-enrol to activate ASHI – No automatic reinstatement 22 UN Health and Life Insurance website WWW.UN.ORG/INSURANCE • Visit our website on a regular basis for information 23 www.un.org/insurance
Language:English
Score: 1055386 - https://www.un.org/other/afics...s/2016_ashi_presentation_0.pdf
Data Source: un
Elma Witherspoon, Acting Chief of Section www.un.org/insurance 2018-2019 plan year www.un.org/insurance • Overview of the past plan year • Plans’ experience required increases • Expenses increased at a higher rate than prior years • Increase in the use of out of network providers by plan members of self funded US health plans • UN WWP participants obtaining care in the US • As a result the contributing organizations and all plan participants will see an increase in contributions Insurance Renewal 2018 www.un.org/insurance Insurance Renewal 2018 www.un.org/insurance Premiums for 1 July 2018 – 30 June 2019 Aetna 3.50% increase Empire Blue Cross 4.75 % increase HIP 9.17 % increase Cigna dental 2.50 % increase UN Worldwide 2.50 % increase Benefit changes effective 1 July 2018 (Aetna) • Reduce benefits by $2,500 if plan members fail to obtain pre-authorization for inpatient hospitalization services • In-network providers are responsible to obtain pre- authorization • You or your provider are responsible to obtain pre- authorization if you go to an out-of-network provider Insurance Renewal 2018 www.un.org/insurance Benefit changes effective 1 July 2018 (Empire) • Reduction in the reimbursement rate for out-of-network providers (except physical therapists) from 395 per cent of Medicare to 275 per cent of Medicare in order to better align reimbursement practices with current market standards Insurance Renewal 2018 www.un.org/insurance www.un.org/insurance Benefit changes effective 1 July 2018 (UN WWP) • Increase of ceiling for annual check-ups from $750 to $1,050 • Introduction of Cigna’s Telehealth service to all Cigna Worldwide Plan participants Insurance Renewal 2018 www.un.org/insurance How to minimize the impact of the benefit changes • Use in-network providers • Use Urgent Care Centers instead of ERs when possible • Refrain from travelling to the United States for medical treatment if enrolled in the UN WWP Insurance Renewal 2018 • Teladoc (Aetna) • LiveHealth Online (Empire) currently available • Live video consultations with a US-based certified doctor 24/7 using smartphone, tablet or computer to discuss non- emergency health issues from home, work, or wherever one may be with internet access • Pay same $15 co-pay for primary care provider • Sign up for these services by going to Aetna or Empire’s websites Insurance Benefits Telemedicine under the Aetna and Empire Blue Cross plans www.un.org/insurance www.un.org/insurance • Nurse Care Programme for management of chronic conditions • Personal health coach (US-registered nurses) • One-on-one education and support • Regular calls arranged at your convenience • Information by mail • 40 chronic conditions like hypertension, diabetes, asthma, COPD, osteoporosis, chronic hepatitis B or C, Crohn’s disease, migraines, cancer • 24 hour informed health line (800-556-1555) • Access to registered nurses • Audio library Insurance Benefits ActiveHealth benefits included in the Aetna and Empire Blue Cross plans • Telehealth (Cigna International) • Cigna’s Telehealth connects patients to licensed doctors around the world via telephone or video for non-emergency health issues • 24/7 access, with appointments set within 48h for General Practitioners • The doctor assigned is based on date, time and language preference in your particular time zone • Sign up for these services by going to Cigna’s website Insurance Benefits Telemedicine under the UN WWP plan www.un.org/insurance All plan participants are responsible for using benefits wisely • Use in-network providers • Research and understand costs prior to treatments • Consider alternative treatment facilities (stand-alone facilities vs hospitals; and urgent care centers vs emergency rooms) • Secure prior approval when required • Use of generic drugs whenever possible • Compare cost of mail order drugs to cost of retail drugs Cost Containment Reminders www.un.org/insurance www.un.org/insurance Customer Service Update • AFICS representatives to the Health and Life Insurance Committee were instrumental in getting two new posts to provide customer service to retirees enrolled in Medicare • The selection process is completed and staff will be on board within two to four weeks • ASHI is same plan you had as an active staff • Plan changes for ASHI participants • Allowed once every two years • Enrol in US plan if you seek care in the US • Self-insured programme • Member behaviour/choices influence premiums • Insurance companies have no incentive to deny coverage • Carriers paid fees of 3% to 4% of plan cost • Administrative services • Provider networks and expert services UN ASHI Programme Overview www.un.org/insurance Medicare www.un.org/insurance Medicare B Reimbursements Change in reimbursement process • Medicare premiums paid directly to retiree’s bank account • No longer applied against ASHI contributions deducted from monthly pension • Pension payments now reflect the true cost of your ASHI contributions • Changes in pension amounts in April if there is COLA; in July if there are rate increases; or if there are changes to coverage level or plan; e.g., from “Family” to “Retiree and one family member” • Timely reimbursement of correct premiums instead of offsetting which can take months if retroactive amounts are involved • Now require updated banking information www.un.org/insurance Important reminders for current Medicare retirees • If not yet provided, submit banking information to UN • Ensure correct bank account numbers • Ensure correct routing information of your bank • Provide voided cheque as much as possible • Bank account must be in retiree’s name even if spouse is the one enrolled in Medicare • Provide updated banking information if there are changes • Provide updated mailing address to UN • Information provided to UNJSPF not shared with UN Medicare B Reimbursements www.un.org/insurance Medicare www.un.org/insurance • US-based retirees and their spouses must enrol in Medicare Part B at age 65 • Only applicable for plan participants of Aetna, Empire Blue Cross and HIP • Only Medicare Part B monthly premiums are reimbursed • DO NOT enrol in Medicare D • UN’s plans provide just as good as, or better coverage • Ignore advertisement and media hype about Medicare Advantage plans or Medicare Part D (prescription drugs) Existing Participants • Submit cost information from Medicare early • Only if your premium is not the standard amount • Fourth quarter of current year for following year • Submit once a year only unless there are adjustments mid-year • Responsibility to be current with your Medicare payments New Medicare Enrollees • Enrol if you have legally resided in the US for the past 5 years. • US citizenship and SS benefits not required to enrol • Enrol at any SS office before you turn 65 years • Claims adjudication will assume you have Medicare B even if you do not enrol Medicare www.un.org/insurance www.un.org/insurance Other Reminders www.un.org/insurance • Eligibility to ASHI ceases when a former staff member re-enters UNJSPF as a participant following re-employment • Must re-enrol and contribute as active staff • Implications for Medicare • Upon separation, must re-enrol to activate ASHI • No automatic reinstatement Re-employment at the UN www.un.org/insurance • Ensure that contact details – mailing and non UN email address are current • Notify the Health and Life Insurance Section in writing • Pension Fund will not notify the Health and Life Insurance Section Contact Information www.un.org/insurance Social Security and Medicare are separate programs • It is not necessary to be a United States (USA) citizen to be covered by Medicare Part B • It is not necessary to contribute to Social Security to be eligible for Medicare Part B • Medicare Part A and Medicare Part B benefits are only provided to ASHI participants who reside in the USA Medicare www.un.org/insurance The UN does not reimburse Medicare Part B penalties • The UN reimburses Medicare Part B premiums • The UN does not reimburse Medicare Part A premiums • The UN does not reimburse Medicare Part C premiums • The UN does not reimburse Medicare Part D premiums Medicare Reimbursements Visit our website on a regular basis for information WWW.UN.ORG/INSURANCE www.un.org/insurance Questions?
Language:English
Score: 999777.2 - https://www.un.org/other/afics...on_2018_afics_presentation.pdf
Data Source: un
Insurance Renewal 2017 www.un.org/insurance How to minimize the impact of the benefit changes • Use of in-network physical therapists • Refrain from travelling to the United States for medical treatment if enrolled in the UN WWP Insurance Renewal 2017 • Teladoc (Aetna) • LiveHealth Online (Empire) currently available • Live video consultations with a US-based certified doctor 24/7 using smartphone, tablet or computer to discuss non- emergency health issues from home, work or wherever one may be with internet access • Pay same $15 co-pay for primary care provider • Sign up for these services by going to Aetna or Empire’s websites Insurance Benefits Telemedicine under the Aetna and Empire Blue Cross plans www.un.org/insurance www.un.org/insurance • Nurse Care Programme for management of chronic conditions • Personal health coach (US-registered nurses) • One-on-one education and support • Regular calls arranged at your convenience • Information by mail • 40 chronic conditions like hypertension, diabetes, asthma, COPD, osteoporosis, chronic hepatitis B or C, Crohn’s disease, migraines, cancer • 24 hour informed health line (800-556-1555) • Access to registered nurses • Audio library Insurance Benefits ActiveHealth benefits included in the Aetna and Empire Blue Cross plans • ASHI is same plan you had as an active staff • Plan changes for ASHI participants • Allowed once every two years in the US • Enrol in US plan if you seek care in the US • Self-insured programme • Member behaviour/choices influence premiums • Insurance companies have no incentive to deny coverage • Carriers paid fees of 3% to 4% of plan cost • Administrative services • Provider networks and expert services UN ASHI Programme www.un.org/insurance All plan participants are responsible for using benefits wisely • Use in-network providers • Research and understanding costs prior to treatments • Consider alternative treatment facilities (stand-alone facilities vs hospitals; and urgent care centers vs emergency rooms) • Secure prior approval when required • Use of generic drugs whenever possible • Compare cost of mail order drugs to cost of retail drugs Cost Containment www.un.org/insurance www.un.org/insurance Customer Service • AFICS representatives to the Health and Life Insurance Committee were instrumental in getting two new posts to provide customer service to retirees enrolled in Medicare. • Approval was recently granted by the Controller and we are currently actively working on establishing the two posts. www.un.org/insurance Other Reminders www.un.org/insurance • Eligibility to ASHI ceases when a former staff member re-enters UNJSPF as a participant following re-employment • Must re-enrol and contribute as active staff • Implications for Medicare • Upon separation, must re-enrol to activate ASHI • No automatic reinstatement Re-employment at the UN Visit our website on a regular basis for information WWW.UN.ORG/INSURANCE www.un.org/insurance Questions?
Language:English
Score: 1055386 - https://www.un.org/other/afics...presentation_by_insurance_.pdf
Data Source: un
Exposure to MMR was unlikely to be causally associated with Crohn’s dis- ease or ulcerative colitis. On rare occasions aseptic men- ingitis has been associated with RCVs that include mumps vaccines (except those derived from the Jeryl– Lynn strain).40 Anaphylaxis is rare after RA 27/3 vaccine.
Language:English
Score: 287135.35 - https://www.who.int/wer/2011/wer8629.pdf
Data Source: un
RENEWAL OF THE UNITED NATIONS HEADQUARTERS-ADMINISTERED HEALTH INSURANCE PROGRAMME, EFFECTIVE 1 JULY 2012 / FROM THE CONTROLLER
United Nations ST/IC/2012/16 Secretariat 9 July 2012 12-41270 (E) 130712 *1241270* Information circular* To: Staff members whose benefits are administered
Language:English
Score: 272768.95 - daccess-ods.un.org/acce...t?open&DS=ST/IC/2012/16&Lang=E
Data Source: ods
COMMUNICATION NO. 961/2000 : HUMAN RIGHTS COMMITTEE, 81ST SESSION, 5-30 JULY 2004 : DECISION
The State party also failed to mention his wife’s state of health: she suffers from Crohn’s disease, which, in conjunction with her advanced age, means she needs constant care and attention.
Language:English
Score: 1055624.5 - daccess-ods.un.org/acce...DS=CCPR/C/81/D/961/2000&Lang=E
Data Source: ods
A/59/40 (Vol. II)
A/59/40 (Vol. II) United Nations Report of the Human Rights Committee Volume II Seventy-ninth session (20 October-7 November 2003) Eightieth session (15 March-2 April 2004)
Language:English
Score: 44117.97 - daccess-ods.un.org/acce...pen&DS=A/59/40(VOL. II)&Lang=E
Data Source: ods
IMPLEMENTATION OF THE INTERNATIONAL COVENANT ON ECONOMIC, SOCIAL AND CULTURAL RIGHTS : 5TH PERIODIC REPORTS SUBMITTED BY STATES PARTIES UNDER ARTICLES 16 AND 17 OF THE COVENANT : CANADA
UNITED NATIONS E Economic and Social Council Distr. GENERAL E/C.12/CAN/5 30 August 2005 ENGLISH Original: ENGLISH and FRENCH Substantive session of 2006
Language:English
Score: 193568.36 - daccess-ods.un.org/acce...et?open&DS=E/C.12/CAN/5&Lang=E
Data Source: ods
SAFETY OF FOOD AND WATER IN THE UNITED KINGDOM / SUBMITTED BY THE UNITED KINGDOM
Issues addressed in recent and current research topics include: (a) the enumeration of Giardia in drinking water; (b) the quality of drinking water in public buildings; (c) the incidence of Mycobacterium avium Complex and Helicobacter organisms in water supplies; (d) the relationship between sources of drinking water and Crohn’s disease; (e) characterisation of waterborne Aeromonas species for their virulence potential; (f) molecular finger printing of Cryptosporidium oocysts isolated during regulatory monitoring; (g) effectiveness of UV treatment for Cryptosporidium in drinking water. 15.
Language:English
Score: 1193417.8 - daccess-ods.un.org/acce...S=BWC/MSP/2004/MX/WP.24&Lang=E
Data Source: ods