The pandemic has challenged all of us in many unexpected ways. Through it all, your Wells Fargo benefits have been there for you, with care and support you can count on. To help ease our transition back to normal, we’ve kept changes to a minimum for 2022. But what changes there are could make a difference in the coverage you choose for 2022. So take time to learn what’s new for next year, and choose what’s best for you.
- If you live in Iowa: The network of providers available through the Narrow Network — Aetna plan will be UnityPoint Health in 2022. Take a second look, whether you’re enrolled today or not.
- If you use telemedicine services: You’ll see a return to pre-pandemic cost-sharing for telemedicine/virtual visits.
- If you are interested in fertility treatment: We have expanded fertility coverage so that you no longer need a diagnosis of infertility to be eligible.
- If you take specialty prescription drugs: There are changes to what you’ll pay for specific, high-cost medications based on the medical plan you choose.
- If you’re enrolled in the Copay Plan with HRA or Narrow Network Copay Plan: You may be eligible for a $0 copay on certain specialty drugs. If you take one of the approximately 250 medications that is eligible for this program, you will be contacted by ESI with information about how to participate.
- If you’re enrolled in a medical plan compatible with a health savings account (HSA): Payment assistance on specialty drugs from drug makers will no longer count toward meeting your annual deductible or annual out-of-pocket maximum. This is a regulatory change. If you are taking a drug that qualifies for payment assistance, you might want to compare your estimated out-of-pocket costs in other, non-HSA-compatible medical plans before you enroll for 2022. You could pay as little as $0 in the Copay Plan with HRA or Narrow Network Copay Plan.
- If you have an HSA: The annual maximum you can contribute will increase.
- If you’re enrolled in the Accidental Death & Dismemberment (AD&D Plan): Premiums will increase.
- If you have been diagnosed with lipedema or lymphedema: Liposuction/lipectomy will now be covered when you meet certain conditions.
Expanded fertility coverage
We listened to feedback and have expanded fertility coverage to members who do not have a diagnosis of infertility. This includes office visits, and services and treatment for fertility services, regardless of infertility diagnosis.
The expanded coverage applies to those enrolled in certain Wells Fargo medical plans, including the Copay Plan with HRA, Lower Use Plan with HSA, Higher Use Plan with HSA, Narrow Network Plan with HSA, and Narrow Network Copay Plan.
These fertility solutions benefits are still subject pre-service authorization, and a designated network of providers must be utilized. The same lifetime maximums of $25,000 for medical and $10,000 for related prescription drugs apply. Contact your claims administrator for more information prior to beginning any services or treatments related to fertility/infertility.
Iowa Narrow Network plans transition to UnityPoint Health providers
Aetna is moving its narrow network provider contract from Mercy to UnityPoint Health. (This change affects only the Aetna Narrow Network plans serving the greater Des Moines area and Central and Eastern Iowa.)
UnityPoint Health is a larger network, offering a wider choice of doctors and hospitals, across more of Iowa, than Mercy Health. And, because narrow networks have exclusive arrangements with providers (which helps keep costs low), Mercy providers are not in the UnityPoint Health network.
- If you live in Iowa and are not currently enrolled in a Narrow Network plan, this is an opportunity to explore a potentially lower cost medical plan option that will serve a wide area of Central and Eastern Iowa, including the greater Des Moines area.
- If you live in Iowa and are currently enrolled in a Narrow Network plan: You will need to evaluate your medical plan options for 2022 since the available provider network will change starting January 1, 2022. If you like the potentially lower cost of one of these plans and are willing to switch to a provider in the UnityPoint network, you can re-enroll in the plan. Or, if you want to stay with your current provider and that provider is not in the UnityPoint network, you can elect a broad network plan. Before you decide, see Get to know my enrollment options.
Cost-sharing returns to telemedicine
At the start of the COVID-19 pandemic, Wells Fargo waived the cost of in-network telemedicine/virtual visits from certain providers for the safety and convenience of our employees and their families. Now that health care providers are returning to normal, the costs for these visits will revert to their pre-pandemic levels:
- $10 copay in the Copay Plan with HRA or Narrow Network Copay Plan
- 20% coinsurance, after the deductible is met, in HSA-compatible medical plans
This change affects telemedicine/virtual visits from providers in Teladoc (Aetna and UnitedHealthcare); LiveHealth Online (Anthem); and Amwell and Doctor on Demand (UnitedHealthcare). An office visit that happens virtually outside of one of these providers listed above is charged as a regular office visit.
Telemedicine and virtual visits continue to offer excellent value and convenience. Typically, the cost is lower than an office visit with a doctor, psychologist, or psychiatrist. And as many have learned during the pandemic, these visits can deliver quality care for both body and mind, without leaving home.
Specialty prescription drug changes for the Copay Plan with HRA and Narrow Network Copay Plan
If you’re enrolled in the Copay Plan with Health Reimbursement Account (HRA) or Narrow Network Copay Plan in 2022, you may be eligible to pay a $0 copay for certain high-cost specialty drugs.
Wells Fargo has arranged for Express Scripts, through its SaveOnSP Program, to apply drug maker discounts to qualified expenses by our employees. The discounts reduce Wells Fargo’s share of specialty drug costs, allowing us to pass the savings on to you.
To be eligible for the $0 copay, you must enroll in the SaveOnSP Program. To learn which specialty drugs qualify for the $0 copay and to enroll in the program, call Express Scripts at 1-800-683-1074. If you take one of the approximately 250 medications that is eligible for this program, you will be contacted by Express Scripts with information about how to participate.
Specialty prescription changes: HSA-compatible medical plans
Starting in 2022, manufacturer discounts on specialty drugs (either as part of a discount program or patient assistance program) will no longer count toward meeting your annual deductible or out-of-pocket maximum in HSA-compatible medical plans. This is a regulatory change. This change applies to the Lower Use Plan with HSA, Higher Use Plan with HSA, Narrow Network Plan with HSA, and High Deductible Health Plan — Kaiser (an HSA-compatible plan). While you can still use a manufacturer discount to reduce the cost of your drug, this change, in accordance with IRS guidance, means only the amount you pay out of pocket after your discount, applies to your annual deductible and out-of-pocket maximum. It also means that you might pay more for prescription drugs in 2022 than you did in 2021.
If you are currently enrolled in an HSA-compatible medical plan and are taking a specialty drug that qualifies for payment assistance, consider comparing your estimated costs in your current plan with estimated costs in the Copay Plan with HRA or Narrow Network Copay Plan. (In 2022, these two plans will have a $0 copay for certain specialty drugs if you sign up to participate in the SaveOnSP program. See above for more information.)
You can call Express Scripts at 1-800-683-1074 to understand what you will pay for your prescription in each medical plan. And consider setting aside enough in your HSA or Full-Purpose Health Care Flexible Spending Account (FSA) to cover your out-of-pocket prescription drug costs.
The HSA contribution limit is going up
An HSA is a great way to save for qualified health care expenses. You can use the money to pay current or future expenses, even in retirement. To contribute, you must be a regular or part-time employee and enrolled in an HSA-compatible medical plan. See the Health Savings Account page on Teamworks at Work for more information.
For the 2022 tax year, the new annual limits, set by federal law, are:
- $3,650 if you cover only yourself (up from $3,600 in 2021)
- $7,300 if you cover any dependents (up from $7,200 in 2021)
- Catch-up contributions (age 55 or older) remain $1,000 (no change)
You must make an election if you want to contribute to an HSA in 2022 — HSA elections don’t roll over. See the maximum amount you can contribute when you sign on to the Your Benefits tool on Teamworks or Teamworks at Home.
Remember: Any employer contribution from Wells Fargo counts toward the annual maximum.
- If you complete certain health and wellness activities, you can earn up to $800 in your HSA and your covered spouse or domestic partner can earn up to $800, too.
- Based on your compensation category, Wells Fargo may make a separate employer contribution to your HSA.
In 2022, you will no longer be able to designate differing HSA employee payroll contributions for each paycheck. Your annual HSA employee payroll contribution election will be equally distributed throughout remaining paychecks in the year (until you hit the maximum allowable amounts, if applicable).
AD&D Plan premiums are increasing
If you’re enrolled, you’ll see higher per pay period costs for the Accidental Death and Dismemberment (AD&D) Plan.
AD&D is financial protection, not health coverage. This optional benefit plan pays a lump sum if someone covered under the plan is involved in a sudden covered accident that causes death or certain permanent impairment. You can buy coverage for you and your eligible dependents. Your premiums are based on your chosen coverage amount and the persons you elect to cover (you alone, or you and your family of eligible dependents).
You might also want to consider coverage under the Optional Critical illness Insurance Plan and Optional Accident Insurance Plan for additional protection against the unexpected. Both pay a lump sum that you can spend on anything you like. For details, see the Optional Critical Illness Insurance Plan and Optional Accident Insurances Plan pages on Teamworks at Work.
Liposuction/lipectomy for the treatment of lipedema or lymphedema
For those enrolled in certain Wells Fargo medical plans, liposuction/lipectomy for the treatment of lipedema or lymphedema will now be covered, subject to regular plan provisions. (This includes the Copay Plan with HRA, Lower Use Plan with HSA, Higher Use Plan with HSA, Narrow Network Plan with HSA, and Narrow Network Copay Plan.) Contact your medical claims administrator prior to obtaining this type of care.