Today, youll Get an overview Understand your Learn how of your - PowerPoint PPT Presentation

Today, you’ll Get an overview Understand your Learn how of your THREE coverage and HealthPartners plan options benefits supports you

Plan Options $25 Copay $500 Deductible $2,750 Deductible HSA

Copay plan “A copay Copay: Set amount you pay for care or meds plan makes it easy to deal with the unexpected.” You pay You go to your $25 the doctor copay This is an example. Your actual medical costs may vary.

Deductible plan- $500 OOP MAX $1,500/3,000 “Your plan kicks in after you pay a certain amount. That’s your deductible.” Your deductible

Deductible plan- $2,750 “Your plan kicks in after you pay a certain amount. That’s your deductible.” Your deductible = OOP Max

HSA Plan- How Does It Work? Optum You spend $400 on medical expenses You still You add have $600 $1,000 to in your HSA your HSA Next year you add $1,000 more

On All Plans:  You’re Preventive care  covered. Convenience and online care  Specialty care  Prescriptions

Open Access Network You’re here Get the most choices of doctors and clinics healthpartners.com/openaccess

Your Benefits by Plan $2,750 $25 Copay $500 Deductible Deductible H.S.A. Network Options Open Access Open Access Open Access Calendar year None $500 per person $2,750 per person deductible (embedded) $1,000 per family $5,500 per family Calendar year OOP -$3,500 per person -$1,500 per person $2,750 per person maximum -$5,700 per family -$3,000 per family -Rx= $300 combined -Rx $500 per person; $750 per $5,500 per family family Preventive care You Pay Nothing You Pay Nothing You Pay Nothing Office visits $25 per visit 20% after deductible up to OOP You pay nothing after the Max deductible Hospital You Pay Nothing 20% after deductible 20% after You pay nothing after the deductible up to OOP Max deductible Retail pharmacy Generic: $14.80 Generic: $14.80 You pay nothing after 31-day supply Brand: $30 Brand: $30 the deductible Non-Formulary: $45 Non-Formulary: $45

Prescription coverage “Savings tip: Check your drug list and choose How to read your formulary generics when possible!” Covered Might be covered Not covered but costs more healthpartners.com/preferredrx

Save money on your medicines BRAND generics ORAL CONTRACEPTIVES ACCUTANE GENERICS Search for the best price with the drug cost calculator at healthpartners.com/pharmacy

virtuwell.com - 24/7 online care We’re real people, “Feel better, giving you real faster, with treatment, really fast . virtuwell.” • Simple, convenient and safe • Treats more than 60 common conditions • You’re only charged if we can treat you • Never pay more than $45 virtuwell.com

Care today for a healthier tomorrow “Regular What counts as preventive care? checkups keep people happy and Alcohol, tobacco Blood pressure, Breast, cervical healthy.” and weight diabetes & and colorectal screenings cholesterol tests cancer screenings Routine pre- and Vaccines Well-child visits post-natal care healthpartners.com/preventive

Here for you 24/7 Help with all things related to your plan Member Services “We’re here Mon – Fri, 7 a.m. to 7 p.m., CT to help you be your CareLine SM service Trusted nurse advice healthiest 24/7, 365 days a year nurse line you.” Nurse Navigator SM Support in managing your care Mon – Fri, 8 a.m. to 5 p.m., CT program Expert guidance on your pregnancy or BabyLine phone new baby service 24/7, 365 days a year Help with mental or chemical health Behavioral Health benefits Navigators Mon – Fri, 8 a.m. to 5 p.m., CT

Manage your health on the go See recent “Get the help claims and how you need, much you owe Get estimates, even after specific to hours” your plan Check your balances Search for doctors or clinics View and fax your member ID card

Healthy choices = hefty savings “A little support – and savings – can Eyewear help you be healthy.” Swim lessons Recreational equipment Healthy mom and baby products Healthy eating delivery services And more! healthpartners.com/discounts

Get paid for going to the gym “Work out. Save money. Work out Save $20 Win/win.” 12+ days on your gym each month membership SAVE UP TO $40 PER HOUSEHOLD

Plan For Me: Help finding the best plan for you “See how Compare your plan Estimate your health each plan can options care costs help you Costs made manage your clear, choices unique costs” made easy See how your Check if your meds are covered doctor is in-network Group number: 2902 Site number: 0 Effective date (plan start date) : 07/01/2016 healthpartners.com/planforme

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