2021 Overview

Below is an overview of what’s changing for 2021.

For complete details about your benefits, please refer to the Summary Plan Descriptions (SPDs) on Pulse, or view the 2021 Summary of Benefits and Coverages (SBCs) for each plan: Basic SBC, Enhanced SBC, Premium SBC. View the annual required legal notices here.

Medical and Prescription Drug Changes

  • Changes to deductibles and out-of-pocket maximums in the Basic and Premium medical plan options.
  • Extended telehealth coverage to give you more flexibility and choice in your care.
    • Telehealth visits through your regular providers will now be covered under our medical plans, at the same cost to you as an in-person office visit.
    • Telehealth visits through LiveHealth Online and onsite clinic providers will still be offered at no cost to you!
  • Expanded family planning benefits:
    • You will pay your plan’s regular co-insurance for family planning-related services, rather than 50% co-insurance.
    • We are removing some eligibility requirements so it will be easier for associates or spouses/domestic partners to access these treatments.
    • You and your family members will have access to FertilityIQ.com – a comprehensive resource to help with family planning, regardless of your enrollment in our medical plans.
  • Enhanced transgender benefits will include breast augmentation and male chest reconstruction.
  • New cancer support services through Anthem’s Cancer Concierge Program.
  • Under the prescription drug benefits, oral immunotherapy drugs will be covered with prior authorization. Seasonal and non-seasonal vaccines from in-network pharmacies will be available at no cost. Additionally, HIV PReP medication will now be covered at 100%.

As you review the plan changes, be sure to take into account how these changes impact your health care expenses and review the 2021 per-paycheck costs.

Health Care and Dependent Care Flexible Spending Account Changes

In 2021, we are adjusting how we match your contributions to the Flexible Spending Accounts. We will continue to match $0.50 per $1.00 you contribute; however, instead of having a combined match, we will match up to $500 to your Health Care FSA and up to $500 to your Dependent Care FSA.

Also, the Health Care FSA contribution limit for associates is increasing to $2,750 for 2021. The maximum contribution, including Capital One’s contribution, is $3,250.

Additional Changes

  • Anthem (through Consumer Medical) will be replacing Advance Medical as the second opinion provider. You or your family members can use the service, even if you are not enrolled in a medical plan.
  • Time Off: Don’t forget that you will be able to carry over up to 80 hours of unused granted time off from 2020 to 2021 (subject to state and local laws). Keep this in mind when deciding if you want to purchase time off in 2021. Unused Time Off purchased in 2021 will not be paid out or carried over to future years.