Retirees

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Welcome to the Extranet Portal for Retirees of the IDB Group!

This Portal is intended to make available to our retirees, including surviving beneficiaries, relevant and up-to-date information about IDB Group medical, pension and tax benefits. Additionally, this valuable resource provides tools that enable retirees to securely and efficiently access IDB Group services.

Medical Program Announcements

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NEW PLAN ADMINISTRATOR (STARTING 01/01/2023)

Beginning January 1, 2023, Cigna Healthcare will replace Aetna as the medical, dental, and vision administrator for all members who live in the U.S. or Puerto Rico. 

Note that for all members who live in the U.S. or Puerto Rico, Express Scripts will continue to be the administrator for prescription drugs received in the U.S. or Puerto Rico. You will keep using your current Express Scripts ID card.

For members outside the U.S. or Puerto Rico, Cigna Global will be the new administrator replacing Aetna. Cigna Global will administer medical, dental, prescription drugs and vision services

Learn more in the following links:

 

Updates on the Medical Benefits Program (June 2022)

Dear colleagues, 

As members of the IDB Group Medical Benefits Program, we would like to inform you about upcoming updates in the program in response to the evolution of the COVID-19 pandemic.  

Service Updated Provision Effective Date
Reimbursement of claims incurred in 2021 The deadline to submit claims for reimbursement for services incurred in 2021 will be June 30, 2022. We urge you to submit your claims as soon as possible, so you may receive the corresponding reimbursements. June 30, 2022
Rx Prescriptions

Consistent with prior practice, members outside of the U.S. must continue to have a current prescription for any medication for which they are filing a claim for reimbursement.

Remember that you must submit the receipt for the purchase, and a copy of the valid prescription with each reimbursement claim, even if you are taking medication over a period of time. 

July 1, 2022
Telemedicine

The IDB Group Medical Benefits Program will continue to cover until further notice telemedicine visits with members’ primary care physicians and specialists who are offering them in lieu of, or in addition to, office visits. Coinsurance and deductibles for regular office visits will continue to apply.

Out-of-network services in the U.S., both for telemedicine and regular office visits, will be subject to deductibles, coinsurances, and Reasonable and Customary rates.

This applies to all members whose providers directly offer telemedicine services, both in and outside the U.S. 

July 1, 2022

Telemedicine –Behavioral Health

Telemedicine services for behavioral health will continue to be offered until further notice to all members, both in and outside the U.S., with no coinsurance.

Out-of-network services in the US will be subject to deductibles and Reasonable and Customary rates.

Coinsurance and deductibles for in-office visits will apply.

July 1, 2022
vHealth telemedicine program vHealth will continue to be provided until further notice to all the members of the Medical Benefits Program. vHealth is a telemedicine service provided through Aetna International at no charge to members to provide video or telephone appointments with highly qualified primary care physicians who can assist with routine care or referrals as may be needed. July 1, 2022
COVID-19 Testing for exposure/diagnosis purposes

Until further notice, the Medical Benefits Program will continue to cover tests for exposure/diagnosis purposes with no member co-pay when prescribed or ordered by a physician or conducted by another authorized professional. 

Please be advised that in the U.S., PCR tests administered at retail pharmacy chains such as CVS and Walgreens, qualify as ordered by an authorized professional and therefore will be covered. Although members may obtain tests at the offices of their physicians, tests administered at sites such as CVS and Walgreens are covered due to their established procedures for utilizing authorized professionals to administer, process, and read the tests. 

Please note: COVID-19 tests through out-of-network providers in the U.S. will be subject to Reasonable and Customary rates, as defined in our Medical Benefits Handbook.

July 1, 2022
COVID-19 testing for IDB Group business travel The Medical Benefits Program will not cover COVID-19 testing for IDB Group business travel. Consistent with other eligible IDB Group business travel expenses, these tests will have to be paid in advance by the traveling employee, who upon their return will have to request a reimbursement from their respective departments through a Statement of Expenses. July 1, 2022
COVID-19 testing for personal/family travel COVID-19 tests for personal/family travel must be covered exclusively by the traveling member. Neither the IDB Group nor the Medical Benefits Program will pay for COVID-19 tests for personal/family travel. July 1, 2022
COVID-19 Home Test Kits

FOR MEMBERS IN THE U.S.: 

You may continue to obtain - at no cost to you - up to eight (8) COVID-19 home tests per eligible member and eligible dependent per month. 

You may obtain the tests at any in-network pharmacy with Express Scripts. Most large retail chain pharmacies such as CVS, Walgreens, and large grocery store chains are in-network. It is important for members who purchase tests to note that the maximum reimbursement amount allowable per test is $12.00. Regardless of the amount paid for tests, reimbursement per test will be $12.00. 

How to obtain your home tests?
  • To check out with your supply of tests, you must go to the pharmacy window and present your Express Scripts ID card.
  • The Express Scripts system will track the number of tests obtained for you and your eligible dependents, and you will not be charged unless you exceed the 8-test per member per month limit.
  • If you choose to purchase any of the eligible home tests online, you must pay out-of-pocket and file a claim for reimbursement with Express Scripts.
  • If you purchase more than the allowed quantities, you must pay out-of-pocket, and you will not be reimbursed.
  • Note that Express Scripts is working to ensure an adequate supply of tests, but due to current circumstances supplies may be low at any given time. 
Which brands of tests are covered through the program?

The following brands of home tests are eligible under this program: 

  • INTELISWAB COVID-19 RAPID TEST -> COVID-19 ANTIGEN TEST -> 2
  • BINAXNOW COVID-19 AG SELF TEST -> COVID-19 ANTIGEN TEST -> 2
  • QUICKVUE AT-HOME COVID-19 TEST -> COVID-19 ANTIGEN TEST   25
  • QUICKVUE AT-HOME COVID-19 TEST -> COVID-19 ANTIGEN TEST -> 5
  • QUICKVUE AT-HOME COVID-19 TEST -> COVID-19 ANTIGEN TEST -> 2
  • ELLUME COVID-19 HOME TEST -> COVID-19 ANTIGEN TEST -> 1
  • FLOWFLEX COVID-19 AG HOME TEST -> COVID-19 ANTIGEN TEST -> 1
  • FLOWFLEX COVID-19 AG HOME TEST -> COVID-19 ANTIGEN TEST -> 2

How to find an in-network pharmacy?

If you have any doubt about whether a pharmacy is in-network, you may: 

  • Use the “Find a Pharmacy” link on the Express Scripts mobile app, or
  • Search on the Express Scripts website under “Help,” and choose the “Find a Pharmacy” icon. 
  • Attention Medicare Members: Medicare members may obtain up to 8 over the counter COVID-19 tests per month for free using their Medicare card at participating pharmacies. 

    We recommend that Medicare Members take advantage of this option, if possible, to help manage costs under the Medical Benefits Program. A list of participating pharmacies can be found at this link: Medicare & Coronavirus.
Tips for filing claims for reimbursement: 
  • To file for reimbursement through Express Scripts, you should retain your receipt and file your claim with Express Scripts using only this form or online on the Express Scripts website. 
  • When using this form, complete the cardholder, patient, and pharmacy fields, and check only the box for “COVID Test Kits” on the right-hand side of the form under “Claim Receipts”, and complete the requested information. No other prescription-related information is required on this form. Follow the instructions for submitting the form to Express Scripts along with your receipt. Instructions for submitting electronically are at the top of the claim form; instructions for filing by fax or by mail are included at the bottom of the claim form. 
  • When submitting an online claim at Express Scripts, after logging in, go to “Benefits” on the main menu and then “Forms”. You’ll see a box to “Start a Claim” under the “Request reimbursement” section. At that point, there are further instructions on how to submit the claim. You will have to provide a UPC code instead of an NDC code for the test kits, which Express Scripts lists on the online form. You will have to upload a photo of your receipt.   
  • Express Scripts has also established a mail-order process so you can order the test kits at no cost to you. Please note that the shipping time for mail order tests is approximately 3 to 4 weeks. To order online, follow these steps, and refer to this guide.
    • Log or register at Express Scripts.
    • Click “Order At-Home COVID-19 Tests” on the home page.
    • Submit your order. 

FOR MEMBERS OUTSIDE OF THE U.S.: 

You may continue to obtain up to eight (8) COVID-19 home tests per eligible member and eligible dependent per month. Members outside of the U.S. must pay out-of-pocket for purchasing home COVID-19 tests and file claims for reimbursement through Aetna International using the standard claim submission process. 

You will not be reimbursed for purchases exceeding eight (8) tests per month per eligible member and eligible dependents.

July 1, 2022

*

Finally, we would like to remind you that in 2022 you will continue to be enrolled in Teladoc Medical Experts, a firm that provides medical second opinion services. You should have received a communication from Teladoc with a link to set up an account. If you did not receive this communication, please contact HRD/INS at HRD-INS@iadb.org or at (202) 623-3090. 

We continue to monitor the health aspects of the COVID-19 pandemic closely and work with our administrators, Aetna International and Express Scripts, Inc., to assist you with your healthcare needs as the pandemic evolves.   

Regards,

Human Resources Department

 

Applied Behavioral Analysis (ABA) Therapy is Now a Covered Benefit for Autism  - 12/20/2019

Dear members of the Medical Benefits Program,

After careful consideration, the IDB Administration has approved the inclusion of Applied Behavioral Analysis (ABA) therapy as a covered benefit for dependent children under 19 years of age  who have a formal diagnosis of autism, effectively immediately. This benefit will carry an annual limit of $40,000 for ABA services for each properly diagnosed child. Any costs for ABA therapy in excess of $40,000 annually will be the responsibility of the plan member. 

Plan members are strongly encouraged to contact Aetna International in advance of beginning ABA therapy to ensure that pre-treatment assessments to determine the proper treatment plan for the child and to confirm medical necessity for this type of therapy are completed. Completing these initial steps will assist in ensuring coverage of the requested services and payment of claims without delay. 

Members in the US will have access to Aetna’s specially trained Autism Advocates to assist with these pre-treatment steps. They can also assist in locating licensed in-network providers and in coordinating other resources for family support. As always, use of in-network providers is encouraged as the out-of-pocket cost of care will be less than when out-of-network providers are selected.  To connect with an Autism Advocate, members in the US should call 1-866-724-0604 (TTY: 711), Option 5.  Members desiring ABA therapy outside the US should call Aetna Member Services at 1-888-633-1055 and ask to be transferred to the IDB Care Team Manager for assistance in locating providers and establishing ABA therapy in their respective countries.  

This benefit will be covered at 90% in-network, or 80% of Reasonable & Customary charges out-of-network after the applicable deductible has been met for International Plan members; and at 50% for National Plan members.

If you have questions about this benefit, you may contact the Well-Being and Health Benefits Team at (202) 623-3090 or by e-mail at HRD/INS@iadb.org 

Sincerely,

Well-Being and Health Benefits Team 

 

Medicare Reimbursement Announcement

Dear IADB retirees,

Please note that in accordance with Article 12 of PE-333, if you are a Medicare Part B participant, you must submit your premium reimbursement claims to the P&A Group within 24 months of the date of the invoice with proof of payment attached; otherwise, unreimbursed Medicare Part B premium claims older than two (2) years will lapse and become ineligible for reimbursement.

If you have any questions about this policy or the P&A Group reimbursement program in general, please contact Carmen Sanabria for assistance at mariadcs@iadb.org or calling (202) 623-3137.

Sincerely,

HRD/INS

 

Medicare Part D Announcement                                                                                         

Dear Retiree:

This letter serves as notice to all Medicare-eligible and Medicare participating retirees about your option NOT to participate in Medicare Part D coverage because the IDB health plan already provides pharmacy benefits for you and your eligible dependents.   

 

Please read this notice carefully and keep it where you can find it.  This notice has information about your current prescription drug coverage with the Inter-American Development Bank through Cigna and prescription drug coverage available for people with Medicare.  It also explains the options you have under Medicare prescription drug coverage and can help you decide whether or not you want to enroll.  At the end of this notice is information about where you can get help to make decisions about your prescription drug coverage.

  1. Medicare prescription drug coverage became available in 2006 to everyone with Medicare through Medicare prescription drug plans and Medicare Advantage Plans (like an HMO or PPO) that offer prescription drug coverage. All Medicare prescription drug plans provide at least a standard level of coverage set by Medicare. Some plans may also offer more coverage for a higher monthly premium. 
  2. The Bank’s Benefit Consultants have determined that the prescription drug coverage offered by the Inter-American Development Bank is, on average for all plan participants, expected to pay out as much as the standard Medicare prescription drug coverage will pay and is considered Creditable Coverage.

 

Because your existing coverage is on average at least as good as standard Medicare prescription drug coverage, you can keep this coverage and not pay extra if you later decide to enroll in Medicare prescription drug coverage.

 

The IDB Plan includes a prescription drug benefit for all participants. Benefits are provided for brand name and generic prescription drugs. The Plan pays 100% of the charges less the corresponding co-pays per the table below.

 

PRESCRIPTION DRUG BENEFITS

In the USA

Tier

Co-pay Retail

Co-pay Mail-order*

 

30-day supply

90-day supply

Generic

$5

$10

Formulary (preferred) Brand

$15

$30

Non-Formulary Brand

$30

$60

Specialty

$40

$80

Outside the USA

Co-pay

$5

N/A

Lifestyle drugs (e.g. erectile dysfunction, impotence) • Limit of 4 pills per month

* $0 mail order co-pay for generic and preferred brands, for preventive conditions only such as high blood pressure, high cholesterol, diabetes, asthma, osteoporosis, heart attack and stroke, and prenatal nutrient deficiency

Prescription drugs and medicines covered under the IDB Plan are those that are medically necessary and can be obtained only when prescribed by a Provider who is a physician or a dentist. (More information about the prescription drug benefit is available in the Insurable Benefits Handbook.)

Since the IDB Plan is, on average for all participants, expected to pay out at least as much as the standard Medicare prescription drug coverage will pay, current participants in the IDB Plan would not gain any additional prescription coverage by participating in a Medicare plan.

You may enroll for Medicare prescription drug coverage when you are first eligible for Medicare and each year from October 15th through December 7th.  However, if you lose your current creditable prescription drug coverage through no fault of your own, or if you decide to terminate your IDB coverage, you will be eligible for a two (2) month special enrollment period to enroll in a Part D plan.

Because your IDB plan is considered Creditable Coverage, if you decide to continue to participate in the IDB plan without enrolling in Medicare Part D at this time, you will not be subject to a late enrollment penalty if you enroll in Part D at a later date. 

If you decide to join a Medicare drug plan, your current IDB coverage will not be affected, but will pay secondary to Medicare.  If you drop your IDB coverage, you will not be able to get it back.

Keep in mind that if you drop your IDB coverage and go 63 days or longer without prescription drug coverage that’s at least as good as Medicare’s prescription drug coverage, your monthly premium will go up by at least 1% of the Medicare base beneficiary premium per month for every month that you did not have that coverage. For example, if you go nineteen months without creditable coverage, your premium will always be at least 19% higher than the Medicare base beneficiary premium. You may have to pay this higher premium as long as you have Medicare prescription drug coverage.  In addition, you may have to wait until the following October to enroll.

You will receive this notice annually and at other times in the future such as before the next period you can enroll in Medicare prescription drug coverage, and if this coverage through Cigna changes.  You also may request a copy.

More detailed information about Medicare plans that offer prescription drug coverage is in the “Medicare & You” handbook. You’ll get a copy of the handbook in the mail every year from Medicare.  You may also be contacted directly by Medicare prescription drug plans. For more information about Medicare prescription drug plans:

  • Visit www.medicare.gov
  • Call your State Health Insurance Assistance Program (see the inside back cover of the Medicare & You handbook for their telephone number) for personalized help,
  • Call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

For people with limited income and resources, extra help paying for Medicare prescription drug coverage is available.  Information about this extra help is available from the Social Security Administration (SSA) online at www.socialsecurity.gov, or you can call them at 1-800-772-1213 (TTY 1-800-325-0778).

 

Remember: Keep this Creditable Coverage notice handy. If you enroll in one of the Medicare drug plans, you may be required to provide a copy of this notice when you join to show that whether or not you are required to pay a higher premium (a penalty). 

 

HRD/INS

 

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Tax Reimbursement Announcements

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2022 Tax Seminar for Retirees March 4th, 2022

The Tax Administration Office held an online seminar for US Tax payer Retirees on Monday, March 24th, 2022. The session focused on the tax reimbursement process and frequently asked questions. The presentation and video of the event are available on the links below:

IDB Tax Administration Office

 

2019 Tax Seminar for Retirees October 10th, 2019

The Tax Administration Office held information sessions for Retirees on Thursday October 3rd, 2019. The sessions focused on the tax reimbursement process, highlights of the changes in the tax reimbursement policy and frequently asked questions. 
The presentation and video of the event are available on the links below.

IDB Tax Administration Office

 

2018 Settlement Process Instructions and Forms March 15th, 2019

The 2018 settlement process is now open. Instructions and forms for US Tax Residents and Non-US tax filers have been sent by email and regular postal service. The instructions and forms are also available here.

The deadline for submitting the applicable required documents for the 2018 tax year is July 8, 2019

If you have any questions about this process, please contact TaxConsultants@iadb.org

IDB Tax Administration Office

 

2018 Forms 1099-R January 24th, 2019

Your 1099-R forms reporting the taxable IDB Group retirement income paid to you in 2018 has been mailed to your home address recorded in IDB Group systems, via the U.S. postal service.

Your 2018 Form 1099-R is also available electronically, and you may download it from Retiree Self Services by following the instructions in the Retirees IRS Form 1099-R Job Aid.  If you need instructions on how to use Retiree Self Services or if you would like to activate your account, please refer to these resources.  

If you choose to download your Form 1099-R, please review the “Retiree 1099R Instr with FATCA notice”, which includes instructions for reporting your IDB Group retirement income on your federal tax return and the annual notice concerning FATCA requirements for U.S. tax residents receiving Staff Retirement Plan benefits.  You are encouraged to forward these instructions to your tax return preparer (if you engage one) along with the form 1099-R  These instructions were also provided in hard copy along with the 1099-R that was mailed to you, via U.S. postal service.

If you do not receive your Form 1099-R in the mail in the next few days, or if you have questions about the form, please contact TaxConsultants@IADB.org.

IDB Tax Administration Office

 

Update on U.S Tax Reform and Changes to IDB Tax Reimbursement Policy December 21th, 2018

Recent changes to the Bank regulation on “Reimbursement of Income Tax on Pensions” are effective beginning with the 2018 tax year.  You may download the text of the revised regulation from the Important Links Section or by clicking here.  

The regulation change will not affect you if you are not paying taxes on your pension.

The revised regulation takes into consideration changes brought about by the recent U.S. tax reform legislation, and they more closely align the retiree and staff tax reimbursement processes.  Here are some highlights of the changes:

  • The standard deduction will be applied in calculating U.S. tax reimbursements regardless of the actual deductions claimed.  The standard deduction is the lowest possible deduction.   Previously, tax reimbursements were calculated based on the retiree’s actual deductions. 
  • Reimbursements of U.S income taxes will be calculated by applying any applicable expanded child tax credit for dependent children under age 17.  The expanded child tax credit was introduced by U.S. tax reform to replace federal exemptions.  Formerly, the calculation of U.S. tax reimbursements took into account the federal exemptions that staff could claim for themselves, a spouse, and any dependent children.    
  • In lieu of the current settlement process, retirees who are subject to U.S. taxes will annually need to provide certain data from their tax return, including information about spouse income, that will be used to finalize the tax reimbursement calculations for the preceding year.  They will also need to update this data as circumstances change, to ensure the accuracy of ongoing quarterly payments. 
  • For reimbursement of taxes imposed by countries other than the U.S., the regulation provide that reimbursements will be calculated by applying a methodology determined by the Bank that is consistent with the general principles that apply to U.S. tax reimbursements, while taking into account the particular rules and requirements of the applicable national tax system.

Recipients of U.S. tax reimbursements should keep in mind that U.S. tax reform may decrease or increase their income tax liability on their IDB Group retirement income, and this will in turn be reflected in the amount of tax reimbursement they receive for 2018 and subsequent tax years.

During the first quarter of 2019, the Tax Administration Office will provide those who receive tax reimbursements with more information about the process for the coming year as well as details about an upcoming informational session regarding the changes.

IDB Tax Administration Office

 

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