Retiree Health Care Benefits
What’s New for 2023?
The following changes to your benefits begin on Jan.1, 2023.
Consumer-Directed Health (CDHP) Plan Deductibles
To comply with IRS regulations, the in-network deductibles for the CDHP are increasing to $1,500 for individuals and $3,000 for families.
Telehealth Services Moving to Teladoc Health
Starting January 1, 24/7 telehealth services will be available through Teladoc Health. Visits can be scheduled by logging in to BCBST.com.
Mental health visits with psychologists & psychiatrists will be available. In addition, you will also be able to visit specialists for dermatology, neck/back care, nutrition counseling, and tobacco cessation.
Mental Health Services
TVA will provide one preventive mental health screening per year at no cost to BCBST medical plan participants.
In addition, TVA is making it easier to find a therapist that works for you by opening up the mental health network. Once your out-of-network claim has been submitted, you will only be responsible for the in-network cost share for the visit. Please confirm with your out-of-network provider prior to your visit if they will provide you with the appropriate codes to file an insurance claim. Contact BCBST with any questions.
Expanded Travel Benefit
BCBST will reimburse you for travel expenses to receive certain covered services in the event the service is not available at an in-network provider within 100 miles of your home. Contact BCBST for more information on how to submit a reimbursement request for review.
Increased Health Savings Account Limits
For employees with an HSA Account, the maximum contribution for 2023 (including TVA's employer contribution) is $3,850 for individuals and $7,750 for families. Individuals age 55 and over are permitted to contribute an additional $1,000.
It is the employee's responsibility to ensure that they do not contribute more than the annual maximum. Note: HSA payroll deductions can be changed in PeopleGateway at any time throughout the year. Be sure to take into account the employer contribution for 2023.
2023 Monthly Premiums
The following monthly premiums are the total premiums and do not reflect any pension supplement or contribution you may receive to help offset the cost of your medical coverage.
|80 Percent PPO||$815||$1,961|
If eligible for retiree medical coverage, retirees and their eligible dependents not yet eligible for Medicare may choose from medical plan options that include medical, prescription drug coverage, and vision-care benefits.
Note: When retirees or their eligible dependents become eligible for Medicare, they cannot continue in these plans but are instead eligible to enroll in healthcare coverage through a private Medicare exchange provided by Via Benefits as described below in Medicare Retirees.
Summary of Benefits and Coverage
In accordance with the Patient Protection and Affordable Care Act, a Summary of Benefits and Coverage (SBC) for the TVA Medical Plan options is being made available to you. The SBC provides information to help you understand your medical plan options and make decisions about which medical plan to choose.
View and/or print the TVA Medical Plan’s SBCs below.
Medicare Retirees (Age 65 and Older)
If eligible for retiree medical coverage, retirees and their eligible dependents that are eligible for Medicare, and are at least age 65, are eligible to enroll in healthcare coverage through a private Medicare exchange provided by Via Benefits. Other plans are available outside of Via Benefits.
Through Via Benefits, eligible retirees and dependents can enroll in medical, prescription drug, dental and vision coverage. They also have access to Benefit Advisors to help them shop for and select the coverage that’s best for their situation.
When becoming eligible for Medicare upon reaching age 65, retirees and dependents have a choice among competitively priced, guaranteed-issued individual health plans through the individual marketplace.
If enrolled in TVA’s retiree medical coverage, retirees and dependents will begin receiving information from Via Benefits as early as their 64th birthday. This information will provide details about their retiree healthcare benefits as well as information about how and when to enroll.
Retirees and their Medicare-eligible dependents can enroll through Via Benefits during the Initial Enrollment Period (IEP). The IEP is a seven-month period that starts three months before their Medicare-eligible date, includes the month of their Medicare-eligible date, and the three months after their Medicare-eligible date.
For more information, contact Via Benefits at my.viabenefits.com/tva or 1-844-620-5725.
Medicare Retirees (Under Age 65)
If eligible for retiree medical coverage, retirees and their eligible dependents that become eligible for Medicare before reaching age 65 due to disability, are given the option to stay in the plan they’re currently enrolled in, or enroll in a plan through Via Benefits.
Retirees or dependents who become eligible for Medicare early must contact TVA Employee Benefits within three months of their Medicare effective date. Otherwise, they will remain in the plan they’re currently enrolled in.
For additional information on medical benefits available to TVA retirees, contact TVA Employee Benefits by calling the People First Solution Center at (888) 275-8094.
Health Savings Account
A Health Savings Account, or HSA, is available to retirees who are enrolled in TVA’s Consumer-Directed Health Plan (CDHP). The HSA gives you, the consumer, more control over how and when you spend your healthcare resources.
The HSA trustee is HSA Bank. The HSA trustee holds your balances for you, receives and records contributions, and processes distributions. TVA contributions to the HSA are made to HSA Bank. TVA’s contributions for 2023 to the HSA are $600/individual and $1,200/family. The maximum annual HSA contribution from all sources is $3,850/individual and $7,750/family. The maximum is set by the IRS. If you are age 55 or older you can also make additional “catch-up” contributions. The maximum annual catch-up contribution is $1,000 beginning the year you turn 55.
There is a monthly HSA administrative fee of $0.25 if your account balance is under $3,000. There is no fee if you maintain a balance of $3,000 or more.
Important: If you currently have an HSA with HSA Bank you do not need to take any action. If you continue to be enrolled in the CDHP in 2023, TVA will deposit its HSA contribution into your account.
If you are a new retiree, please refer to the Benefits Summary for Terminating Employees for instructions regarding your HSA.
The retiree dental insurance plan is designed to help retirees with the cost of dental expenses. This plan is not tied to the retiree's medical plan. Future retirees may choose not to enroll in dental but still maintain their medical coverage.
Delta Dental Plan of Tennessee is the carrier for this benefit. Delta allows participants to use any dentist but offers incentives to those who choose a participating dentist. Visit Delta Dental’s Web site for a list of participating dentists.
The monthly premiums are $33.42 for individual coverage and $78.87 for family coverage.
Future retirees who wish to enroll must sign up within 30 days of their retirement. Coverage will be effective the first of the month following Delta Dental’s receipt of the enrollment form.
The following documents outline the dental plan and provide forms that can be printed out and mailed to Delta Dental.
Guidelines for Retiree Dental. Explains participants’ responsibilities under the plan, eligibility, payment of premiums, and more (58 kb).
The Retiree Dental Open Enrollment is Nov. 1 – Dec. 2, 2022, for coverage beginning Jan. 1, 2023.
Federal Long-Term Care Insurance
The U.S. Office of Personnel Management offers this program to all federal employees and retirees, including those from TVA. Spouses and adult children of retirees are also eligible to enroll.
The program is designed to help with the costs of nursing-home care, assisted-living facilities, in-home care and other expenses not covered by medical plans. It is offered through Long Term Care Partners, a partnership of MetLife and John Hancock.
Those who wish to enroll in the program must request an enrollment application packet from Long Term Care Partners. TVA does not have application packets. Enrollment packets can only be requested from the Long Term Care Partners Web site or by calling (800) 582-3337.
The Web site has information on plan premiums and coverage options, as well as average nursing-home costs for major U.S. cities. The site also lists the health questions that all applicants are required to answer before being approved for coverage.
The premiums for this coverage are paid entirely by the retiree. Premiums can be paid through a deduction from the monthly pension benefit.
Prescription Safety Eyewear
The safety eyewear program is a courtesy offering as part of a contract with TVA’s safety eyewear vendor.