Cape Fear Valley Health System

Fayetteville, NC

Eligibility

New employees have the opportunity to enroll in benefits during New Employee Orientation. If you do not enroll, you will be unable to elect any benefit options until the next annual enrollment time, except within 30 days of a life event. Due to the fact medical premiums are paid on a pre-tax basis, the IRS regulates when employees may make changes to their current benefit plans. You may make changes once a year during Annual Enrollment with the changes to be effective the following October 1. However, if a qualifying life event occurs during the plan year, you may make a benefit change within 30 days with proper documentation. These events are:

• Marriage
• Divorce
• Change in work status
• Birth/Adoption
• Death

Loss of eligibility of coverage
If the employee does not make the change within 30 days of the life event, he or she will be required to wait until Annual Enrollment to make a change.
If you change status to per diem or terminate employment, your Health and Dental end on
your last day of full-time or half-time employment.
Health and Dental may be continued through the COBRA option for up to 18 months, with the employee paying the full cost of the plan plus two percent. Life Insurance coverage will end the last day of full-time employment. Portability is available within 30 days after termination, upon request of the employee.
Disability coverage ends the last day of full-time employment.

Healthcare Plan
Full-time, half-time and flexible weekend plan employees are eligible to enroll.
Dependents may include the employee’s spouse or dependent children. Children must be
unmarried and under age 19 unless they are a full-time student. If they are a full-time student,
they may be covered until age 26.
Paycheck deductions for healthcare are made on a pre-tax basis.
The healthcare plan available to employees is a Preferred Provider Organization (PPO) plan with
an In-Network and an Out-of-Network benefit.
Employees are not required to select a Primary Care Physician.
If a covered member receives care from any healthcare provider who is designated as In-Network,
the In-Network benefit will be considered.
A covered member may access healthcare from any non-network provider, and the
Out-of-Network benefit will be considered.
Covered members have the opportunity to go to a specialist without obtaining a referral.
All employees who elect health and/or dental coverage will be subject to a pre-existing condition clause. If the employee, or covered dependent, receives care or treatment for any condition within the three months prior to their effective date, claims may not be considered for the first 12 months of coverage. However, if the employee or covered dependent can provide a certificate of creditable coverage (HIPPA letter) stating 12 months of continuous coverage has been maintained prior to their effective date with CFVHS, all pre-existing conditions will be waived. Please provide a copy of the certificate of creditable coverage, (HIPPA letter), during your enrollment session if applicable.

Wellness Initiative
Employees who have participated in a voluntary wellness initiative will pay the lesser premiums reflected in Column C (see chart below). Employees who chose not to participate will pay the higher premiums reflected in Column D. New employees, or employees who have a status change, will pay the lesser premiums. If you choose not to participate in the wellness initiatives offered the next plan year, your premiums will be adjusted to the higher level.

The 9th largest health system in the state, with more than 935,000 patient visits annually, Cape Fear Valley Health System is Cumberland County's largest non-government employer.

Since 1956, we’ve grown from a 200-bed, one-building hospital to a regional health system with 765 beds, five hospitals, and primary care physician offices throughout Cumberland County and surrounding areas.

 Cape Fear Valley Medical Center is an acute-care hospital offering quality care in open-heart surgery, home health and hospice, cancer treatment, maternity services, emergency medicine, pediatric intensive care, wellness programs and more. Highsmith-Rainey Specialty Hospital provides long-term acute care as well as an urgent care facility. Cape Fear Valley Rehabilitation Center is a physical rehabilitation facility offering inpatient and outpatient care for brain- and spinal-cord injured, neurologically impaired patients, stroke patients and orthopedic patients. Behavioral Health Care is a comprehensive psychiatric hospital with inpatient and outpatient services for children, adolescents and adults. Located in Elizabethtown, Bladen County Hospital is a public, not-for-profit 58-bed facility that includes a 24-hour Emergency Department, 40-bed Medical/Surgical Unit, an Intensive Care Unit and an up-to-date Birthing Center. HealthPlex is an award-winning fitness and wellness facility with 65,000 square feet containing two pools, multiple exercise classrooms, a running track and more. Our physician offices are located throughout Fayetteville and surrounding counties for convenient access. They include family-practice physicians as well as specialists in pediatrics, obstetrics/gynecology and geriatrics.