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Your 2022 Piedmont Benefits

Former HCA Entities

During Open Enrollment, review the available benefits, choose the coverage that makes sense for you and your family and ensure you’re ready for the year ahead.

What's new for 2022?

  • If you’re enrolled in any MyHealth360 plan, participation in Open Enrollment for 2022 is NOT mandatory (except for Flexible Spending Account elections)
  • Piedmont Choice Plan updates:
    • Calendar-year deductibles and out-of-pocket maximums in Tier One will increase for all coverage levels
  • Piedmont Exclusive Plan updates:
    • Calendar-year deductibles and out-of-pocket maximums in both tiers will increase for all coverage levels
    • Copay for inpatient hospital care in Tier One will increase
    • Copay for high-tech diagnostic services in Tier One will decrease
  • We are continuing to expand the network of providers under the MyHealth360 medical plans
  • Castlight will be available to all Piedmont employees (not just those enrolled in a MyHealth360 medical plan)
  • PTO Cash-In will be introduced to allow employees to make elections during Open Enrollment to sell some of their PTO for the year ahead
  • Wellbeing programs will expand with a new virtual physical therapy program through Physera and Type 1 diabetes management support through Omada
  • Piedmont On-Demand is our newest virtual health service with easy access to Piedmont providers for minor health issues

 It's your choice

Two Medical Plans

A brief video about our two medical plan options at Piedmon

Virtual Benefits Fair

Watch a recorded webinar about your MyHealth360 benefits

MyHealth360 for Former HCA Entities

MyHealth360 provides a comprehensive suite of health and wellbeing benefits including: two medical plans, prescription drug, dental and vision coverage and Flexible Spending Accounts (FSAs). If eligible, you can select one of four coverage levels: Employee Only, Employee + Child(ren), Employee + Spouse/Domestic Partner or Family.

If you are enrolling your spouse/domestic partner and/or dependent children up to age 26 in coverage for Piedmont benefits for the first time during Open Enrollment, you will need to submit documentation of your relationship.

Piedmont Choice Medical Plan

In the Piedmont Choice Plan, your bi-weekly premiums are higher than the Piedmont Exclusive Plan because we’re offering you and your family more choice when it comes to providers and where you receive care.

Provider Networks and Directories

The level of benefits you will receive depends on where you choose to receive care. In the Piedmont Choice Plan, you can choose to receive care in any of these three networks or tiers.

Piedmont Preferred Network (Tier One)

You will receive high-quality care at the most affordable price possible when you use Piedmont Preferred Network (Tier One) providers and services. This includes: All Piedmont Clinic physicians, Piedmont Healthcare facilities, Piedmont-branded urgent care centers, Children’s Healthcare of Atlanta (CHOA) facilities, The Children’s Health Network (TCHN) pediatricians, Kids First Health pediatricians, Middle Georgia Pediatrics, Primary Pediatrics and others, as well as emergency care.

Use the online tool to search for in-network providers and facilities.

Note: Not all physician offices located on Piedmont campuses are in the Piedmont Clinic.

Cigna Open Access Plus (OAP) Network (Tier Two)

You will have higher out-of-pocket costs when seeing providers or receiving services at the Tier Two level, except for select services. Providers or facilities within the Cigna OAP Network include Emory, WellStar Health Systems, Navicent and others.

Use the online tool to search for in-network providers and facilities.

Out-of-Network (Tier Three)

When you select an Out-of-Network (Tier Three) provider, you will incur the highest out-of-pocket expenses. Providers and facilities are those not included in Tier One or Tier Two.

How the Piedmont Choice Plan Works

This example shows coverage using Piedmont Preferred Network (Tier One) providers:

What else should I know about the Piedmont Choice Plan?

Piedmont Exclusive Medical Plan

In the Piedmont Exclusive Plan, you pay lower bi-weekly premiums than you would with the Piedmont Choice Plan because when you visit a Piedmont-network provider or facility, we have the ability to better manage your care and your cost.

Provider Networks and Directories

The level of benefits you will receive depends on where you choose to receive care. In the Piedmont Exclusive Plan, you can receive care in two main networks or tiers.

Piedmont Preferred Network (Tier One)

This is the same Tier One network as the Piedmont Choice Plan.

You will receive high-quality care at the most affordable price possible when you use Piedmont Network (Tier One) providers and services. This includes: All Piedmont Clinic physicians, Piedmont Healthcare facilities, Piedmont-branded urgent care centers, Children’s Healthcare of Atlanta (CHOA) facilities, The Children’s Health Network (TCHN) pediatricians, Kids First Health pediatricians, Middle Georgia Pediatrics, Primary Pediatrics and others, as well as emergency care.

Use the online tool to search for in-network providers and facilities.

Note: Not all physician offices located on Piedmont campuses are in the Piedmont Clinic.

Cigna LocalPlus Network (Tier Two)

This is NOT the same (or as large) as the Tier Two network as the Piedmont Choice Plan.

You will have higher out-of-pocket costs when seeing providers or receiving services at the Tier Two level. The Cigna LocalPlus Network (Tier Two) consists of any providers within this network who are not listed as Tier One.

Use the online tool to search for in-network providers and facilities.

Out-of-Network for Emergencies and Limited Cases

You will not have coverage outside of the Piedmont Network (Tier One) or Cigna LocalPlus Network (Tier Two) except for:

  • Urgent care centers
  • True emergency care (emergency room and emergency admissions)
  • Medically necessary (and approved) healthcare services not performed at any locations within the network

How the Piedmont Exclusive Plan Works

This example shows coverage using Piedmont Preferred Network (Tier One) providers:

What else should I know about the Piedmont Exclusive Plan?

Not sure which plan to choose? Scroll through these examples:

Meet William

Plan: Piedmont Exclusive Plan
Who’s Covered: Employee Only
Premium: $41.54 (full-time, bi-weekly)
Out-of-Network Coverage: Emergency Only
Deductible: $500 (Tier One: Piedmont Preferred Network)
Out-of-Pocket Maximum: $3,500 (Tier One: Piedmont Preferred Network)

Situation:

Since William’s doctor is in the Piedmont Preferred Network, the Piedmont Exclusive Plan offers lower costs across the board. William is on vacation and gets into an accident. His four-day, out-of-state hospital stay costs $900 in copays (emergencies are covered at the highest benefit level). William also needs a wheelchair for $700. He pays the $500 deductible (copays don’t count toward the deductible), and he and the plan split the remaining $200 (he pays 15% – $30).

Meet Martha

Plan: Piedmont Choice Plan
Who’s Covered: Employee + Spouse
Premium: $196.15 (full-time, bi-weekly)
Out-of-Network Coverage: Yes
Deductible: $6,000 (Tier Two: Cigna OAP Network)
Out-of-Pocket Maximum: $10,000 (Tier Two: Cigna OAP Network)

Situation:

Martha is undergoing cancer treatment at Emory. She has seen the same doctor for two years, and she doesn’t want to switch. Martha chooses the Piedmont Choice Plan because she wants to continue receiving care from her cancer doctor, who is in the Cigna Open Access Plus (OAP) Network (Tier Two).

Meet Jill

Plan: Piedmont Exclusive Plan
Who’s Covered: Family
Premium: $221.54 (full-time, bi-weekly)
Out-of-Network Coverage: Emergency Only
Deductible: $1,000 (Tier One: Piedmont Preferred Network)
Out-of-Pocket Maximum: $7,000 (Tier One: Piedmont Preferred Network)

Situation:

Since the family’s doctors and pediatricians are in the Piedmont Preferred Network, the Piedmont Exclusive Plan offers lower costs across the board for Jill and her family, including most healthcare services being covered with copays.

Castlight

Beginning Jan. 1, 2022, Castlight, our one-stop shop for benefits navigation and wellbeing activity tracking, will be available to all Piedmont employees (not just those enrolled in a MyHealth360 medical plan).

  • Search for care from local doctors, dentists and specialists
  • Find local providers for testing, imaging and other healthcare services
  • Estimate the price of medical treatments, procedures and prescription drugs
  • See quality ratings and patient reviews for physicians and hospitals
  • View your claims history
  • Access your customized insurance card from your mobile device

Get Started

  • Step 1: From a laptop or desktop computer, go to mycastlight.com/piedmont
  • Step 2: From your smart phone or other mobile device, download Castlight via the Apple App Store or Google Play Store (make sure your Bluetooth is enabled)
    • Activate your account using your work or personal email address.
    • Create a password (at least eight characters; must include at least one uppercase, one lowercase and one number)
    • Enter your information (date of birth, name and Piedmont Employee ID number)
    • Need to register your covered spouse or domestic partner with Castlight? Follow this guide to learn more.

Questions?

All of your benefits information and vendor contacts are conveniently accessible to you 24/7 through Castlight. Within your mobile app, just click on “Explore.”

  • HR Service Center: Call 678-503-1900 (Monday – Friday, 8:30 a.m. – 5 p.m.)
  • Castlight: Call 855-545-5948 (Monday – Friday, 8 a.m. to 9 p.m.) or email support@castlighthealth.com

Prescription Drugs

Prescription drug coverage through Cigna/Express Scripts is provided automatically when you enroll in one of Piedmont’s medical plan options. The coverage for your medications is the same regardless of the medical plan you choose.
When it comes to prescriptions, there are five easy guidelines to follow:
  1. Use generic drugs when you can. Be sure to ask your physician or pharmacist if a generic substitute is available—it could save you money!
  2. Take advantage of preventive medication at no cost to you. To help you maintain a steady treatment regimen, certain preventive medicines are paid at 100% with no deductible when you visit an in-network pharmacy. This includes many diabetes, cholesterol, blood pressure and other select medication categories.
  3. When you use the broad Cigna/Express Scripts network of retail pharmacies, including Piedmont pharmacies, Oconee Drugs, Walgreens, Kroger, and Walmart retail pharmacies, you can get a 90-day supply of your medication for just two times your 30-day copay amount.
  4. Consider using Cigna’s Home Delivery Pharmacy mail-order option for your maintenance medications—often at lower prices than at retail pharmacies. Review the Home Delivery FAQs for more details.
  5. Remember to explore drug options with your physician to avoid costly name-brand and specialty drug copays that may not be necessary. If you must use brand or specialty drugs, to help offset the cost, take advantage of manufacturer coupons.
How the prescription drug deductible works:
  • A $150 annual deductible for brand-name prescriptions (preferred and non-preferred applies to each member, so you may incur this more than once.
  • You will not need to meet this deductible for generic prescriptions.
  • This is a separate deductible from the medical plan deductible.
  • Some specialty medications may be covered under your medical plan benefits; please refer to the benefits summary regarding costs.
Piedmont Direct Pharmacy

We now offer life-changing specialty pharmacy services designed to simplify every aspect of your care. From obtaining financial assistance, to navigating through your insurance benefits, coordinating with providers, and managing refills, Piedmont Specialty Pharmacy patient liaisons are ready to help you and your family.

Our team can answer and address insurance-related questions and conduct prior authorizations for complex, rare and chronic medical conditions that require specialized medication therapy.

For more information, visit Piedmont Direct Pharmacy, call 833-551-2024 (Monday through Friday, 8am – 4:30pm) or email piedmontdirect@piedmont.org.

Other Benefits to Consider

Dental Coverage

Vision Coverage

Flexible Spending Accounts (FSAs)

Life Insurance

Retirement

Voluntary Benefits

Ready to enroll in benefits?

Onsite

Log in to PeopleSoft HCM ESS using your (1) Employee/ Network ID and (2) Password. Check your work email for your Piedmont credentials. Ensure that your personal email address, phone number, home/mailing address, Social Security number and emergency contacts are correct.

PRNs

Call Piedmont’s HR Service Center at 678-503-1900 (Monday-Friday, 8:30 a.m. to 5:00 p.m.).

Questions?