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Spend less on taxes

Only available on the Mainland and in Hawaii.

Do you have children in day care? Are your out-of-pocket prescription drug costs increasing? Do your kids need braces? Does your elderly parent require a caregiver?

These expenses can add up. But with a reimbursement account, administered by PayFlex®, you can set aside pretax dollars and pay yourself back through a Health Care Reimbursement Account or a Dependent Care Assistance Plan.* Just be sure to make your 2023 elections during Annual Enrollment, November 1–22, 2022.

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Save on health care and dependent care costs

Your Costco benefits include two different reimbursement accounts, both administered by PayFlex:

Health Care Reimbursement Account (HCRA)

The HCRA allows you to reimburse yourself for health care costs your medical plan doesn’t cover. For example:

  • Your medical plan deductible
  • Out-of-pocket costs for medications
  • Copays for doctors’ visits
  • WeightWatchers membership
  • Children’s braces
  • LASIK surgery

Here’s a complete list of eligible HCRA expenses.

To enroll or re-enroll in a HCRA, you must make your annual election during Annual Enrollment. You can contribute between $120 and $3,050 per year. The money you elect will be taken out of your paycheck and deposited into your reimbursement account before payroll taxes are calculated.

You can then use the amount you set aside to reimburse eligible health care expenses incurred by you, your spouse and your eligible dependents. To be eligible for reimbursement, expenses must be incurred during the year in which you elect to participate.

After submitting your expense receipts through PayFlex, you’re paid back from your reimbursement account. You can access the full amount of your annual HCRA election on January 1, 2023.

Dependent Care Assistance Plan (DCAP)

The DCAP lets you set aside pretax dollars to reimburse yourself for eligible child (under age 13) and elder care expenses necessary for you and your spouse to work. Here are just a few examples:

  • Licensed child care centers
  • Nursery and preschools
  • In-home care (au pair/nanny) and babysitting
  • Elder/senior care during the day

Here’s a complete list of eligible DCAP expenses.

To enroll, or re-enroll, in a DCAP, you can either make your annual election during Annual Enrollment or when you experience a change in your dependents’ expenses during the year. You can contribute up to $5,000 per year ($2,500 per year if you’re married and filing separately) to a DCAP for work-related dependent care expenses. To be eligible for reimbursement, expenses must be incurred between January 1 of the year you elect to participate and March 15 of the following year. For example, if you elect a DCAP account for 2023, you would have until March 15, 2024 to incur eligible expenses.

The money you elect is taken out of your paycheck and deposited into your reimbursement account before payroll taxes are calculated. Since your payroll taxes are then based on a lower gross amount, the amount of taxes deducted from your paycheck is lower, too.

After submitting your expense receipts through PayFlex, you’re paid back from your reimbursement account. With DCAP, however, you can only access the amount currently in your account at the time of your reimbursement request, not the entire annual amount you elected.

Got money in a PayFlex account? Use it or lose it!

If you have a 2022:

You can carry over into 2023:

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Health Care Reimbursement Account (HCRA)

A maximum of $570

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Dependent Care Assistance Plan (DCAP)

$0


You have until April 30, 2023, to submit reimbursement claims for eligible expenses incurred between January 1 and December 31, 2022.

To enroll or re-enroll in an HCRA or a DCAP for 2023, visit Costcobenefits.com during Annual Enrollment, November 1–22, 2022. See the resources below for more information.

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Learn the basics

LEARN THE BASICS

Explore treatment options for alcohol concerns

People often think there are only two places to get help for alcohol concerns — Alcoholics Anonymous (AA) or residential rehab. But today, there are more choices than you might expect. Health care professionals now provide up-to-date treatments backed by science. Care is offered at different levels of intensity in a variety of settings.

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A two-part treatment approach

Typically, the first step is to see a primary care provider (PCP). After completing an alcohol use disorder assessment, they’ll discuss treatment options and make recommendations, which can include: 

  • Talk therapy. A licensed therapist can help people build coping strategies and skills to stop or reduce drinking. Treatment can include one-on-one, family or group sessions.
  • Medications. A primary care provider or a board-certified addiction doctor can prescribe non-addicting medications. These can help people stop drinking and avoid relapse.  

These two options can be used in combination and tailored to individual needs.

Four basic levels of care

There are four basic levels of care or intensity for alcohol treatment. These levels, as defined by the American Society of Addiction Medicine, include:

  1. Outpatient. Regular office visits for counseling, medication support or both. Some lower-intensity outpatient-care options, if appropriate, could include:
    • A high-quality, traditional outpatient program.
    • A care team you put together, including therapists and doctors with addiction specialties to team with your primary care provider. It’s a way to get higher quality, one-on-one care that maintains privacy.
    • Telehealth — phone or video sessions. These are phone or video sessions for talk therapy or medical care. They can be particularly useful in locations with few addiction health professionals.
    • eHealth options — online or mobile. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has developed a number of tools that help people overcome alcohol concerns. They include a computer-based cognitive-behavioral therapy program; digital self-help program; and a mobile tool to prevent relapse.
  2. Intensive outpatient or partial hospitalization. Coordinated outpatient care for complex needs.
  3. Residential. Low- or high-intensity programs in 24-hour treatment settings.
  4. Intensive inpatient. Medically directed 24-hour services; may manage withdrawal.

How do you know which level is right for someone? A complete assessment of a person’s alcohol problems and complications can help guide their care team’s recommendations.

Support groups for empathy and accountability.

In addition to professionally led treatment, many people benefit from mutual support groups. Groups can vary widely, so it’s important to try different ones to find a good fit. There are several good options, including:

  • Alcoholics Anonymous (AA) — the most common mutual help group, with meetings in most communities and online. Meetings involve participants sharing their personal histories with drinking and recovery and encourage progress along “12 steps” that have a strong spiritual component.
  • LifeRing — a secular (nonreligious) peer support network supporting abstinence from alcohol and other drugs.
  • Secular Organizations for Sobriety — an alternative to spiritual support groups, this is a network of local and online groups dedicated to helping people achieve and maintain sobriety.
  • SMART Recovery — a research-based support program that focuses on empowering members to build four sets of skills: motivation to abstain, coping with urges, problem solving and lifestyle balance.
  • Women for Sobriety — a self-help program designed by and for women, focusing on emotional and spiritual growth.

For more information on treatment options for alcohol misuse, check out this RFL video.

Regardless of where or how you seek treatment, look for approaches that are “evidence based.” This means the treatments are backed by large, well-designed studies.

Source: NIH NIAA. What types of alcohol treatment are available?

For more information on alcohol treatment services covered by your Costco medical plan, see the resources below and make an appointment with your primary care provider.

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Enhanced benefit

ENHANCED BENEFIT

Find better care with Aetna Smart CompareTM

Choosing the right doctor can be a challenge, especially when you’ve just moved to a new community. How can you be sure the doctor you select will provide you and your family with exceptional care? Now there’s a way: Aetna Smart Compare. This new designation program helps you choose local in-network doctors who meet the highest standards of care.

Aetna Smart Compare is not available in Hawaii or Puerto Rico.

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How to spot a high-quality doctor

Finding an Aetna Smart Compare-designated doctor is easy! When you search for a provider, condition or procedure, your results will list those who meet the Aetna Smart Compare criteria at the top. Also, doctors who meet the criteria will have a purple “Quality & Effective Care” label at the top of their profile. That way, you know you’re getting top-quality care with that provider.

Why is choosing a high-quality doctor important?

To receive an Aetna Smart Compare Quality Care and/or Effective Care designation, providers are measured on the effectiveness of their care decisions and how well they meet clinical guidelines and outcomes. These include:

  • Decisions on when to perform a procedure
  • What procedure and location they recommend
  • Ability to prevent complications
  • Use of standards for preventive screening
  • Treatment plans for brief and severe situations
  • Support for taking medication as prescribed
  • Ordering only the tests you need, not the ones you don’t

What types of providers are rated for quality?

  • Primary care physicians (PCPs), such as internists, family practice providers, physician assistants and pediatricians
  • Orthopedics who specialize in hip and/or knee care
  • Orthopedics and neurosurgeons who specialize in spine care
  • Obstetricians and gynecologists (new in 2022)
  • Cardiologists (new in 2022)

Aetna will be expanding the program in late 2022 to include additional specialties, such as general surgery, cardiothoracic surgery, endocrinology, pulmonary medicine, vascular surgery and more

Get started

For more information or to start your search for a local in-network provider, see the resource below.

 

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Take action

TAKE ACTION

Make preventive care a habit

Getting routine care, like annual physicals, screenings and vaccines, can help you stay healthy or catch health issues early, when they’re most treatable. Your Costco medical plan covers routine care at 100% when you see an in-network doctor — and that helps keep your wallet healthy, too.

According to a study published in PubMed, US adults who have a primary care physician have 33% lower health care costs and 19% lower odds of dying than those who see only a specialist.1

Preventive care starts with a yearly physical. Honest talks with your doctor about a healthy lifestyle, including eating better, exercising or quitting smoking, are part of your visit, too. Depending upon your age, sex, and personal and family medical history, your doctor will also recommend the appropriate screenings and vaccines to protect your health.

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Stay current with vaccines and screenings

The following chart shows what’s generally recommended by the Centers for Disease Control and Prevention (CDC). Not all tests and screenings are needed annually. Talk to your doctor about what’s right for you.

PHYSICAL EXAM

Age: All

Frequency: Ask your doctor

Cholesterol test

Age: 18+

Frequency: Every 5 years from age 20

Flu shot

Age: 6 months and older

Frequency: Annually

Colorectal cancer screening

Age: 45+

Frequency: Every 10 years

Routine OB/GYN exam

Age: 21+

Frequency: Annually

Cervical cancer screening (pap smear)

Age: 21+

Frequency: Every 3 years

Breast cancer screening (mammogram)

Age: 40+

Frequency: Varies by age & risk

Prostate cancer screening

Age: 50+

Frequency: Every 2 years

Dental exams

Age: N/A

Frequency: Twice per year

1Bhat, Samidha S., MD. Health benefits of primary care. Pennsylvania Academy of Family Physicians.

Want to be more proactive about your health? Your Costco benefits include preventive health care resources that can make a difference.

 

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LEARN MORE

6 financial tips for the sandwich generation

It seems like only yesterday that your kids were toddlers. Now they’re heading to college — just as your aging parents need your help. Congratulations, you’ve joined the sandwich generation. Whether this is your current situation — or one you may face in the future — taking care of multiple generations of your family can be tough on your stress level and your wallet.

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Here are six tips to help you support your loved ones while safeguarding your own financial well-being.

1. Get your finances on track.

Whether you’re currently caring for your kids and aging parents, or you’re on your own, now’s the time to get rid of your debt. Need help? Sign up for SmartDollar® and follow the 7 Baby Steps to restore your financial health.

2. Talk about finances early and often.

If you’re caring for your parents, don’t be afraid to ask them tough questions. Are they in debt? Do they have life insurance or long-term care insurance? Do they understand their investments? Do they have a will?  Can they share its location with you? As for your grown children, ask them about their goals. Talk to them about lifestyle changes they need to make to get where they want to be.

3. Start planning for the right kind of elder care

If your parents need in-home care, an assisted living facility or a nursing home, you’ll need to discuss the financial impact with them. Decide what type of care fits their budget (or yours, if you’re the one supporting them). Visit Resources For Living® for adult and elder care referrals and to find out more about the 30-minute free legal consultations available to you.

4. Save and invest for your own retirement.

If you aren’t already doing it, start saving for retirement. By making your retirement savings a priority, you can save your kids from the same stress you might be going through now with your own parents. The sooner you take advantage of your Costco Retirement Plan, the more you’ll save.

5. Save for your children’s college.

It’s never too early to start exploring the best ways to save for your kid’s college education. If they’re still in high school, make sure their dream college is one you can afford. Help them look into scholarships, and encourage them to get a part-time job. This way, they can start saving before entering college. If you have kids who are already in college, talk to them about getting a part-time job during the school year and a full-time job for the summer to help them avoid accruing debt. Finally, talk with them about learning to live on a budget.

6. Set clear boundaries.

Balancing money and relationships can be complicated. The best thing to do is set healthy boundaries and talk about expectations. It’s hard to say no to parents or children when you’re trying to work on your finances. But don’t let anyone make you feel guilty for trying to take care of your own household first.

Source: RamseySolutions.com

The following resources are available to help you stay financially fit — whether you’re single or caring for aging parents or children. These resources are confidential and available to you at no extra cost.

 

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Take action

TAKE ACTION

Start preparing for retirement

Take a moment to focus on your financial well-being and make the most of your Costco Retirement Plan,* administered by T. Rowe Price.

*For Mainland and Hawaii employees, the plan is called the Costco Retirement Plan. For employees in Puerto Rico, it’s called the Costco Puerto Rico Retirement Plan. 

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Make saving for retirement a priority

Whether your retirement is decades away, or just a few years down the road, use this list and your Costco Retirement Plan to get ready. Start by visiting RPS.TRowePrice.com to view your Costco Retirement Plan.

Add an extra layer of security for your plan account by setting up multi-factor authentication. Multi-factor authentication helps keep your financial information secure by requiring two or more forms of authentication to verify your identity.

Name your beneficiary, the person (or persons) you choose to inherit your assets if anything should happen to you. If it’s been a while, check to ensure your beneficiary information is up to date.

Update your email address to receive timely newsletters and valuable saving insights.

Contribute enough to get the full matching contribution. Review your contribution now.

See if you qualify for the Retirement Savings Contributions Credit (Saver’s Credit). For low- to moderate-income employees who qualify, the Saver’s Credit means you can get a tax credit based on your tax filing status, adjusted gross income and how much you contribute. 

Make sure your T. Rowe Price Automatic Increase is turned on, so your contribution will be increased by 1% each year.

Strive to save 15% of your annual pay — it’s OK to work your way up to the suggested target gradually.

If you’re age 50 or older, consider making catch-up contributions. This allows up to an additional $6,500 (for 2022) to help you move closer to your retirement goal.

Get your financial house in order

Learn to budget, free yourself from high-interest debt and aim for higher savings goals with help from SmartDollar®.

Build an emergency fund equal to three to six months’ expenses to help you in case there are unexpected changes in your income.

Make a budget that matches your lifestyle and gives you room to save.

Create a plan to pay down credit card debt; paying off small balances first can motivate you to keep going.

Use your emergency fund instead of credit cards to offset surprise costs.

The following resources are available to help you get started on your retirement plan. They are confidential and are available to you at no extra cost.

 

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LEARN THE BASICS

Managing cancer’s financial challenges

There’s a lot to think about when you’re diagnosed with cancer — and your worries don’t end with physical and emotional issues. You may need to keep working throughout your illness in order to pay your bills, including medical expenses. Now’s the time to explore your options and learn how your Costco benefits can help.

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Tips to help you stay financially healthy during cancer treatment

Breathe, but think ahead.

Give yourself time to deal with your diagnosis and prepare for the road ahead. Whenever you talk to your doctor or their office staff about what to expect, timing and other concerns, have your questions ready and take notes.

Get support with financial planning.

Talk to a financial consultant. Through Resources For Living® (RFL®), you can get a free 30-minute consultation for each issue you’d like to ask about, including:  

  • Creating a budget and managing expenses  
  • Understanding bankruptcy options and requirements  
  • Avoiding foreclosure and handling creditors  
  • Making the most of your insurance coverage 
  • Keeping your retirement plan on track through tough times 
  • Estate planning
  • Medicare/Social Security information and more 
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Enhanced benefit

ENHANCED BENEFIT

Get relief from pain

Are your shoulders sore by the end of each day? Do your knees hurt when you walk down stairs? Is hip pain keeping you from the activities you love? Omada for Joint & Muscle Health, an enhanced Costco benefit, is available starting January 1, 2022. This program can help relieve your joint and muscle pain in less than 10 minutes a day with virtual physical therapy from your phone — anytime, anywhere and at no cost to you.

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The support you need to feel better 

When you join Omada for Joint & Muscle Health, you get:

  • A personalized plan from a licensed physical therapist for a new or existing pain/injury
  • Unlimited one-on-one chats and video visits
  • A free exercise kit and tools to help you achieve your goals

This program is available at no cost to Costco medical plan members age 13 and older.

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I liked the convenience of doing exercises at home and video chat appointments with my physical therapist. In just a few days, I felt stronger. I highly recommend this program to everyone.

Heather, Omada member

More for your well-being journey

Those enrolled in a Costco medical plan (age 18 and older) also have access to other programs from Omada to help you lower your risk for or manage diabetes, lose weight and improve your overall health. To see if you’re eligible for the diabetes or prediabetes program, click here or call 888-409-8687.

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ENHANCED BENEFIT

Need a second opinion?

Whether you’re facing surgery, cancer treatment, a difficult diagnosis or another challenging medical condition, 2nd.MD offers the expert guidance you need to make an informed decision about your care. And it’s available to you, starting January 1, 2022.

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Get prompt answers and advice with 2nd.MD 

2nd.MD gives you access to medical specialists who can offer their professional advice and answer your questions about a diagnosis, upcoming surgery or health care decision. Or use them to get reliable information on:

  • A disease, cancer or chronic conditions
  • Medical procedures
  • Medications and treatment plans

When you’re concerned about a medical condition, you don’t want to wait weeks to get information and guidance about your options. With 2nd.MD, you’ll hear from a medical professional in about three to five days after they receive your medical records.

This service is offered at no cost to Costco employees and their dependents enrolled in a Costco medical plan. Consultations are confidential.


Get ready to activate your account

Starting January 1, you can activate your account and connect with 2nd.MD in three simple steps:

1. Activate your account and request a consult.

Visit the 2nd.MD website or call 833-579-2509 or download the app.

2. Speak with a care team nurse.

Explain your medical issues, and a nurse will handle the rest. This includes collecting medical records and connecting you with a leading specialist who’s an expert in your condition.

3. Consult with a leading specialist.

Have a virtual conversation with an expert physician, by phone or video, within three to five days of speaking with a care team nurse. On average, consultations last for 30 minutes, or as long as you need to have questions answered and feel confident with your diagnosis and treatment plan.

Within 24 hours of your consultation, you’ll receive a written summary explaining recommended next steps. The care team nurse can then support you as you move forward. This may include appointment scheduling at centers of excellence, pathology re-tests, peer-to-peer consultations with the physician who has been treating you, and more.

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Enhanced benefit

ENHANCED BENEFIT

Support for everyday life

Some days, the pressures of life can be overwhelming. During challenging times, expert help and support are here for you. Starting January 1, 2022, you can access your Costco well-being benefits more easily than ever with Resources For Living® (RFL®)*, your enhanced Employee Assistance Program (EAP).

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Find the help you need

Whether you’re looking for help to manage everyday life, or overcome a major challenge, a team of Care Partners can guide you. They’ll help you understand your options and connect you to services that work for you.

With Resources For Living, you and the members of your household have free, 24/7 access to mental health benefits that include:

  • Talkspace, confidential, on-demand chat therapy with a licensed therapist. After your sixth no-cost visit, you can continue to use Talkspace under your medical plan, with a copay.
  • Digital self-paced support: Access to evidence-based support tools to help manage depression, anxiety, work/life balance, stress, substance misuse and more.

You can also access many online resources and other services, including:

  • Legal consultation and will preparation
  • Financial coaching or advocacy
  • Tax consultation
  • Credit counseling
  • Identity theft assistance

And if you need child or elder care, someone to mow your lawn, walk your dog or clean your home, a Care Partner can even refer you to services that fit your family and your budget.

Register and personalize your experience

Starting January 1, visit RFL.com/Costco to:

  • Set up your account for easy access
  • Find services and care providers near you
  • Choose the topics and resources that most interest you
  • Chat live with a Care Partner

*Resources for Living is available to all employees and members of their household, including children up to age 26 living away from home.