Here are the highlights of the plan changes for 2020. You can find complete details about these changes in the 2020 Benefits Guide, linked in the footer of this page.
View your 2020 per-paycheck costs.
View the 2020 Summary of Benefits and Coverages: Basic SBC, Enhanced SBC, Premium SBC
Medical Plan Changes
For 2020, we are enhancing and simplifying some of our benefits, making costs more predictable. Proactively managing your health will help you live your best life and can reduce your future health care costs.
- Free in-network Primary Care Physician (PCP) visits, for both preventive/wellness checkups and sick visits, to ensure you can get the care you need, when you need it!
- You’ll pay a specialist co-pay for in-network physical therapy, speech therapy and occupational therapy visits. You will no longer be required to meet your deductible (the amount you pay before your health plan benefits kick in) for these services, so it will be even easier to predict your costs.
- Visits to a psychologist or psychiatrist will have a lower co-pay than other specialist providers making mental health care more affordable in 2020.
- We are making it easier to understand your total out-of-pocket costs. Instead of showing a co-insurance maximum that did not include the deductible, we’ll show the out-of-pocket maximum that includes your deductible. The total dollar amounts are staying the same.
- If you choose to see an out-of-network provider, your co-insurance amount will be higher than in past years. Always remember that in-network providers have agreed to negotiated rates and cost you significantly less than using an out-of-network provider.
As you review the plan changes, be sure to take into account how these changes impact your health care expenses. You’ll want to consider that when you plan how much you may want to contribute to a Health Care Flexible Spending Account.
Also, be on the lookout for a new medical plan ID card from Anthem in late December.
Prescription Drug Plan Changes
To keep pace with rising costs and changing prices in the prescription drug market, our pharmacy benefits are moving to a co-pay design. Switching to co-pays will cause the cost of some drugs to increase and some to decrease but it will make it easier to understand what you will pay when filling a prescription. We are also adding a new tier for Specialty drugs to differentiate the cost of these medications from less expensive non-specialty medications.
Health Care Flexible Spending Account Changes
- The Health Care FSA contribution limit for associates is increasing to $2,700 for 2020. The maximum contribution, including Capital One’s contribution, is $3,700.
- If you enroll in a Health Care FSA for 2020, you must incur all eligible expenses by December 31, 2020, and submit for reimbursement by April 30, 2021.
- If you have a remaining balance after April 30, you can roll over up to $500 into 2021 to be added to your available balance for use throughout the calendar year.
- Be sure to factor in the health plan changes when deciding how much to contribute to your HC FSA!
WATCH A WEBINAR TO LEARN ABOUT YOUR BENEFITS
All changes Take Effect January 1, 2020*