COVID claims by the numbers

The COVID-19 pandemic had a impact on the nation’s health sector both in 2020 and 2021. COVID-19 claims and treatment costs have increased from 2020 to 2021 plan years.

  • COVID-19 claims paid accounted for 4.2% of medical costs in 2021 as compared to 2.5% in 2020
  • 5.9% of the member population received COVID-19 treatments in 2021 as compared to 3.4% in 2020
  • Retirees 65+ accounted for 53.1% (285 admissions) of COVID-19 inpatient admissions and 5.7% ($880K) of COVID-19 claims paid

 

2020 2021
IP Hospital Admissions 256 301
Total COVID Tests 30,677 45,911
Total Paid – Treatment $5,736,900 $10,156,284
Total Paid – Testing $2,503,868 $3,916,892

New Insurance Billing Department Going Live December 1

The new SBA Insurance Billing Office will provide billing and payment processing services for insurance premium payments for all Retirees, Survivors, Graduate Fellows, and employees on leave beginning December 1, 2020. At that time, the P&A Group will no longer be administering billing or ACH services for these groups.

  • If you are currently enrolled in insurance billing, you should have received one or more letters regarding the options you have for potentially changing your method of premium payment.
  • If you are receiving monthly retirement funds from TRS, you can now have your premiums deducted from your monthly annuity before it is deposited to your bank account in the same way that Medicare premiums are deducted from your social security check. This way you do not have to worry about budgeting money to pay your insurance premiums.
  • If you are signed up for automatic draft payments (ACH), you may want to use the new method mentioned above if you are a TRS retiree.
  • If you are a retiree enrolled in insurance billing and would like to go ahead and change your payment method, contact us via email at SBAInsurance-Billing@tamus.edu or by telephone at (979) 845-0015. Our Customer Service hours are Monday through Friday, 8 a.m. to 5 p.m. CST.

The A&M System Office and Insurance Billing Department will be closed for holiday on the following dates, consistent with the A&M System holidays: Noon on December 21, 2020 – January 1, 2020.

A&M System Insurance Billing Office

In an effort to increase efficiency and streamline the payment process, Texas A&M University System Benefits Administration (SBA) is creating a centralized, in-house billing team to administer your insurance billing. The new SBA Insurance Billing Office will provide billing and payment processing services for insurance premium payments for all Retirees, Survivors, Graduate Fellows, and employees on leave beginning December 1, 2020. At that time, the P&A Group will no longer be administering billing or ACH services for these groups.

  • In the coming weeks, if you are enrolled in insurance billing, you will receive one or more letters regarding the options you have for potentially changing your method of premium payment.
    If you are receiving monthly retirement funds from TRS, you can now have your premiums deducted from your monthly annuity before it is deposited to your bank account in the same way that Medicare premiums are deducted from your social security check. This way you do not have to worry about budgeting money to pay your insurance premiums.
  • If you are signed up for automatic draft payments (ACH), you may want to use the new method mentioned above if you are a TRS retiree.

If you are a retiree enrolled in insurance billing and would like to go ahead and change your payment method before your letter reaches you, contact us via email at SBAInsurance-Billing@tamus.edu or by telephone at (979) 845-0015. Our Customer Service hours are Monday through Friday, 8 a.m. to 5 p.m. CST.

Quick Reminders

Navia FSA Deadline

All claims related to your FY19 Flexible Spending Account (9/1/18 – 8/31/19) must be filed by December 31, 2019. Information about how to file your FSA claims and a copy of the FSA claim form can be found at https://www.tamus.edu/business/benefits-administration/flexible-spending-accounts/.

Dependent SNN Reminders

As part of compliance with the Affordable Care Act (ACA), the A&M System Benefits Administration Office is required to request Social Security Numbers (SSNs) for covered dependents. This information will remain confidential. If you have dependents covered through your A&M System health plan for whom you have not provided an SSN or if you are unsure as to whether you have previously provided your dependent’s SSN(s), go online to Workday (http://sso.tamus.edu/) to check and enter an SSN. After logging into Workday, click on the Benefits Worklet. In the Change column, select ‘Dependents’.

2020 Medicare Part B Premium and Deductibles

The Centers for Medicare & Medicaid Services (CMS) has released the 2020 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs. Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A. The standard monthly premium for Medicare Part B enrollees will be $144.60 for 2020, an increase of $9.10 from $135.50. The annual deductible for Medicare Part B beneficiaries is $198 in 2019, an increase of $13 from $185 in 2019.