What's New for 2016

2020 and 2021 Plan Year Information

At Morgan Stanley, we offer you and your family valuable benefits to help you achieve or maintain good health, as well as tools and resources to help you make informed and cost-effective benefits decisions.

As you prepare to select your benefits for 2016, you’ll want to evaluate your individual needs, preferences and priorities, the doctors you’ll see, the care you’ll need, the type of services you’ll use and how you prefer to pay for care (for instance, more/less upfront through paycheck contributions and more/less when you need care, or somewhere in between).

Three National Medical Plan Options

To ensure that Morgan Stanley’s benefits continue to meet employees’ needs, the Firm is giving you more coverage options under the Medical Plan. By offering more options, the Firm is doing its part to make sure you have access to quality care at a variety of different price points:

  • Option A (formerly called Premier) has the highest paycheck contributions and the lowest annual deductible and out-of-pocket maximum.
  • Option B (formerly called Standard) has moderate paycheck contributions and a moderate annual deductible and out-of-pocket maximum.
  • The new Option C, consumer-driven health coverage, has the lowest paycheck contributions and the highest annual deductible and out-of-pocket maximum. Unique to Option C, you can open a Health Savings Account, which offers a variety of tax advantages and can help offset the higher deductible.

Note: Employees in California may also enroll in Medical Plan coverage through Kaiser; employees in Hawaii may elect coverage only through the Hawaii Medical Service Association (HMSA) or Kaiser (Cigna and UHC are not available); and eligible US employees with international assignments may enroll in the Cigna Global Health Medical Plan.

And though more choice means more responsibility, you won’t have to make your decisions alone. To help you understand the available options, there are comparison tools, videos, webinars and the My Health suite of programs to help you get the right care, at the right time, at the right price. Additionally, this site is your new online hub for benefits resources in one convenient location. And if you need assistance, our team of Health & Wellness Advisors can review your individual situation and help you select the benefits that are right for you.

Read on for a full list of what’s new in 2016 and more details on the new Option C.

Contribution Rates

To ensure Morgan Stanley can continue to offer comprehensive, valuable benefits, per paycheck contributions will increase in 2016: For Options A and B, contributions will increase by an average of 3% to 6% depending on your earnings. The new Option C has the lowest paycheck contribution rates, but has the highest deductible and out-of-pocket maximum. The Firm will continue to cover a significant portion of the Medical Plan’s total costs.

Option C Coverage Under the Medical Plan

Option C, consumer-driven coverage, works a lot like coverage under Options A and B, but with some important differences. Option C has the lowest paycheck contribution rates (up to 50% less than Option A, depending on your pay band). However, as a tradeoff for lower upfront contributions, Option C has the highest annual deductible and out-of-pocket-maximum amounts, so you may have higher out-of-pocket costs depending on the amount of non-preventive care and prescription drugs you need throughout the year. Whether Option C is the right medical coverage for you will depend on a variety of factors. Be sure to review the resources on this website or speak with a Benefits Advocate for personalized guidance.

Note: The amounts shown below apply to in-network care. Generally, out-of-network amounts are double the amounts for in-network services.

Option C
Preventive Care

In-network preventive care, such as annual physicals and age-appropriate cancer screenings, are covered at no cost to you.
You pay: 0% / Plan pays: 100%

Deductible

You pay the full cost of any non-preventive service until your total medical and prescription drug costs meet your deductible amount.

  • Single: $2,300
  • Family: $4,600
Coinsurance

After you’ve met your family deductible, you and the Medical Plan share a percentage of the cost of services until you meet your out-of-pocket maximum.
You pay: 20% / Plan pays: 80%

Out-of-Pocket Maximum

Once your combined deductible and coinsurance costs for medical and prescription drugs hits this number, the Medical Plan begins to pay 100% of the cost of eligible services for the rest of the year.

  • Single: $5,500
  • Family: $11,000
Health Savings Account (HSA)

Combined Medical and Prescription Drug Deductible

Under Option C, your non-preventive prescription drug costs count toward your deductible and out-of-pocket maximum amounts. So, if you are prescribed a non-preventive prescription drug early in the year, it is possible you’ll receive a bill as high as $2,300 for single coverage or $4,600 for family coverage. If you are enrolled in family coverage, you must meet the family deductible amount before the plan will begin to pay benefits for all non-preventive drugs and services.

If you have a condition requiring regular, high-cost medications, you may want to consider Options A or B.

Note: Preventive drugs are generally prescribed for people who may be at risk for certain diseases or conditions. This does not include drugs or medicines for treatment of an existing illness or condition.

View the current Express Scripts preventive prescription drug list.

True Family Deductible

With Option C, your family’s expenses must meet the full family deductible before the Plan begins to pay coinsurance. Note that under Options A and B, each individual member of your family needs to meet only the single deductible for his or her coinsurance to begin. Learn how the family deductible works.

Non-Tax Qualified Dependents

You cannot use HSA or Flexible Spending Account funds to reimburse health care expenses for non-tax qualified dependents. Any HSA withdrawals associated with expenses for such dependents are taxable income and subject to a 20 percent tax.

Maximize Your Savings with a Limited Purpose FSA

A Limited Purpose FSA is like a traditional FSA, but may be used only for eligible dental and vision expenses. If you enroll in Option C, you may elect to contribute to an LPFSA in addition to, or instead of, your HSA. If you use your LPFSA for dental and vision expenses, you can save your HSA money for health care expenses in the future. You may not elect to contribute to an LPFSA if you enroll in Options A or B under the Medical Plan (but you can contribute to a Health Care FSA).

The 2021 annual LPFSA contribution limit is $2,750.

Note: If you do not elect to contribute to a LPFSA, you may pay for dental and vision expenses from your HSA. When making your election on the benefits election website, note that this option will appear as “Health Care FSA.”

Applied Behavior Analysis (ABA) Therapy for Children with Autism

Specialized, personal attention can be the key to the successful diagnosis and treatment of autism and other conditions that may affect how a child learns. ABA therapy uses principles like positive reinforcement as a learning and behavior change technique. ABA therapy is now covered for children by the Medical Plan. Prior authorization is required prior to treatment. For UnitedHealthcare (UHC) and Cigna, the ABA therapy program consists of a dedicated group of behavioral health specialists that will help you locate providers and other community resources, identify treatment options, coordinate care and more.

Introducing 2nd.MD for You and Your Entire Family

We’re enhancing our free second medical opinion service to offer you and your extended family — including your dependents, adult children, parents and in-laws — timely access to independent physicians who will review your diagnosis or treatment plan and make recommendations. The second opinion service is provided by 2nd.MD. Additionally, in early 2016, you’ll have the chance to purchase a new health care concierge service through PinnacleCare.

Onsite Health Center Costs for Option C Participants

Employees in New York City and Purchase have access to onsite Health Centers that deliver commonly needed medical services, most at no cost to you. Onsite Health Center services are typically free of charge and include well-woman exams, allergy shots with a prescription from an allergist, preventive screenings and immunizations, whether or not you are covered by the Medical Plan.

As required by IRS guidelines, employees who enroll in Option C must pay a fee for any non-preventive services received through the Onsite Health Centers. Such fees will count toward a participant’s deductible and out-of-pocket maximum.

Below is the Health Center fee schedule for employees enrolled in Option C:

Fee Schedule
Preventive visit and screenings

$0

Nurse or medical assistant visit

$0

Preventive Care

$0

Office visit (sick or non-preventive)

$45 until annual deductible is met ($9 thereafter)

Procedures (non-preventive)

$25 until annual deductible is met ($5 thereafter)

Offsite labs and prescriptions

Fees based on services rendered.

California Residents

In addition to the three national Medical Plan options — Options A, B and C — you may choose an HMO option through Kaiser. If you elect the HMO option, you will be enrolled in coverage based on your ZIP code, either Northern or Southern California.

What’s new for the Kaiser California HMO option in 2016:

  • Residential treatment for mental health and chemical dependency: Coverage for care in a skilled nursing facility for medical and surgical diagnosis will be expanded to include coverage for mental health and chemical dependency.
  • Contraceptive products and services: Over-the-counter contraceptives will now be covered under the plan when prescribed by a plan provider.
  • Expanded coverage for hospice care and outpatient rehabilitative therapy: Hospice eligibility requirements have been redefined from a six-month life expectancy to a 12-month life expectancy. The 60-visit annual limit on outpatient rehabilitative and multidisciplinary therapy visits has been removed. There will now be no annual limit.
  • Autism spectrum disorders: The plan will provide coverage for the diagnosis and treatment of autism spectrum disorders, including Applied Behavioral Analysis (ABA) Therapy. The treatment for autism must be coordinated with your primary care provider. Contact Kaiser for further details regarding coverage.

For a plan design chart, see the California Medical Coverage Options.

Hawaii Residents

If you live in Hawaii, you may choose from two Medical Plan options: Hawaii Medical Service Association (HMSA) or Kaiser Hawaii HMO. You may not enroll in the national Medical Plan options through Cigna or UnitedHealthcare. Coverage eligibility is based on your home ZIP code.

What’s new for the HMSA option in 2016:

  • Autism spectrum disorders: The plan as mandated by state law will provide coverage for the diagnosis and treatment of autism spectrum disorders, including Applied Behavioral Analysis (ABA) Therapy. Contact HMSA for further details regarding coverage.
  • New benefits as required by state law: All of HMSA health plans will include state-mandated benefits, such as medically necessary orthodontic services for treatment of orofacial anomalies due to birth defects and coverage for the diagnosis and treatment of autism.
  • IRS tax form: For 2016, you will receive an IRS form called the Affordable Care Act (ACA) 1095 Form. This form shows the months of the year that you and/or your dependents were offered or enrolled in medical coverage in 2016. This form will not replace any state forms you may receive providing proof of medical insurance. This form will be in addition to your 2016 IRS Form W2. You will receive the form by January 31, 2017.

See the Hawaii Medical plan design chart.

What’s new for the Kaiser Hawaii option in 2016:

  • No day limit for visiting members: Visiting members seeking care at Kaiser Permanente facilities outside their home region no longer have a 90-day limit on the coverage for those services.
  • In vitro fertilization update: In vitro fertilization is now covered for unmarried women and for women using a non-spousal sperm donor. All other benefit limitations still apply.
  • Benefits covered with a single copay or coinsurance: To simplify paying for care, services provided as part of the hospital, observation, outpatient surgery1, skilled nursing facility, dialysis, radiation therapy and emergency room2 benefits categories are covered under a single copay or coinsurance.
  • Specialty drugs: There is a new $75 copay tier option for certain specialty drugs.
  • New benefits as required by state law: All of Kaiser 2016 health plans will include state-mandated benefits, such as medically necessary orthodontic services for treatment of orofacial anomalies due to birth defects and coverage for the diagnosis and treatment of autism.

See the Hawaii Medical plan design chart.

Hawaii Notes

1 Applies to outpatient surgery/procedures performed in an ambulatory surgery center or outpatient hospital setting.
2 The complex imaging cost share continues to apply if the benefit is used during an emergency room visit.

Help Selecting Your Health Care Benefits for 2016

Take advantage of these resources for additional information on what’s new and guidance choosing your 2016 Morgan Stanley benefits. All resources are available to both employees and their spouses or domestic partners.

  • Health & Wellness Advisors: Call a Health & Wellness Advisor during Annual Enrollment for an explanation of the newly available options and help selecting the benefits that are right for you. Advisors are also available year round to help you and your family find quality doctors, explain health care bills, resolve claims and connect you with benefits and perks the Firm offers. Health & Wellness Advisors are also available to you, your spouse or domestic partner, adult children, parents, in-laws and grandparents. .
  • Enhanced Benefits Website: Visit this site to read about our programs and offerings, watch videos, register for an Annual Enrollment webinar, find contribution rates and learn all about the Morgan Stanley benefit plans.
  • 2016 Benefits Enrollment Guide: Find easy-to-understand information about the many programs available to you and your family, tips on how to save time and money and avoid costly medical bills, important terms, and resources to help you select your 2016 benefits.
  • My Health Tools: Learn about these tools to save you time and money, including finding quality doctors and seeing cost estimates for medical services before seeking care, expert second opinions, 24/7 telemedicine and around-the-clock access to confidential counseling. With so many great programs, it’s important to know which one to use when you need care. Learn more.

    Note: Castlight and Teladoc are available only to employees and their family members who are enrolled in the Medical Plan through Cigna or UnitedHealthcare.

  • Benefit Center Website: Compare your costs under the Medical Plan coverage options, calculate how much you can save with a Flexible Spending Account or the new Health Savings Account, and get suggestions on your 2016 benefits elections based on your anticipated health care needs.

Before you enroll, review the for updates regarding prior authorization rules for medical procedures and services and prescription drugs.

Default Coverage Note

1 Also applies to employees who become newly eligible for benefits due to a status change.

Questions About Your Benefits Enrollment

Visit mybenefits.morganstanley.com or attend a webinar.

Call Health & Wellness Advisors with questions or for help choosing 2016 benefits 8 a.m. to 7 p.m. ET, weekdays, except certain US holidays.