SLIDE 1
Today, you’ll
Get an overview
- f your THREE
Today, youll Get an overview Understand your Learn how of your - - PowerPoint PPT Presentation
Today, youll Get an overview Understand your Learn how of your - - PowerPoint PPT Presentation
Today, youll 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
SLIDE 2
SLIDE 3
Plan Options
$25 Copay $500 Deductible $2,750 Deductible HSA
SLIDE 4
Copay plan
Copay: Set amount you pay for care or meds
This is an example. Your actual medical costs may vary.
You go to the doctor You pay your $25 copay
“A copay plan makes it easy to deal with the unexpected.”
SLIDE 5
Deductible plan- $500
Your deductible
“Your plan kicks in after you pay a certain
- amount. That’s
your deductible.”
OOP MAX $1,500/3,000
SLIDE 6
Deductible plan- $2,750
“Your plan kicks in after you pay a certain amount. That’s your deductible.”
Your deductible = OOP Max
SLIDE 7
HSA Plan- How Does It Work? Optum
You spend $400 on medical expenses You still have $600 in your HSA Next year you add $1,000 more You add $1,000 to your HSA
SLIDE 8
On All Plans:
You’re covered.
Preventive care Convenience and online care Specialty care Prescriptions
SLIDE 9
Open Access Network
You’re here
healthpartners.com/openaccess
Get the most choices
- f doctors and clinics
SLIDE 10
Your Benefits by Plan
$25 Copay $500 Deductible $2,750 Deductible H.S.A.
Network Options Open Access Open Access Open Access Calendar year deductible (embedded) None $500 per person $1,000 per family $2,750 per person $5,500 per family Calendar year OOP maximum
- $3,500 per person
- $5,700 per family
- Rx= $300 combined
- $1,500 per person
- $3,000 per family
- Rx $500 per person; $750 per
family $2,750 per person $5,500 per family Preventive care You Pay Nothing You Pay Nothing You Pay Nothing Office visits $25 per visit 20% after deductible up to OOP Max You pay nothing after the deductible Hospital You Pay Nothing 20% after deductible 20% after deductible up to OOP Max You pay nothing after the deductible Retail pharmacy 31-day supply Generic: $14.80 Brand: $30 Non-Formulary: $45 Generic: $14.80 Brand: $30 Non-Formulary: $45 You pay nothing after the deductible
SLIDE 11
Prescription coverage
“Savings tip: Check your drug list and choose generics when possible!” healthpartners.com/preferredrx
How to read your formulary
Not covered Might be covered but costs more Covered
SLIDE 12
Save money on your medicines
Search for the best price with the drug cost calculator at healthpartners.com/pharmacy
BRAND ORAL CONTRACEPTIVES ACCUTANE GENERICS
generics
SLIDE 13
- Simple, convenient and safe
- Treats more than 60 common conditions
- You’re only charged if we can treat you
- Never pay more than $45
We’re real people, giving you real treatment, really fast.
virtuwell.com - 24/7 online care
“Feel better, faster, with virtuwell.” virtuwell.com
SLIDE 14
Care today for a healthier tomorrow
What counts as preventive care?
“Regular checkups keep people happy and healthy.” healthpartners.com/preventive
Alcohol, tobacco and weight screenings Blood pressure, diabetes & cholesterol tests Breast, cervical and colorectal cancer screenings Routine pre- and post-natal care Vaccines Well-child visits
SLIDE 15
Here for you 24/7
Member Services
Help with all things related to your plan Mon – Fri, 7 a.m. to 7 p.m., CT
CareLineSM service nurse line
Trusted nurse advice 24/7, 365 days a year
Nurse NavigatorSM program
Support in managing your care Mon – Fri, 8 a.m. to 5 p.m., CT
BabyLine phone service
Expert guidance on your pregnancy or new baby 24/7, 365 days a year
Behavioral Health Navigators
Help with mental or chemical health benefits Mon – Fri, 8 a.m. to 5 p.m., CT
“We’re here to help you be your healthiest you.”
SLIDE 16
Manage your health on the go
See recent claims and how much you owe Search for doctors or clinics Check your balances Get estimates, specific to your plan View and fax your member ID card
“Get the help you need, even after hours”
SLIDE 17
Healthy choices = hefty savings
“A little support – and savings – can help you be healthy.”
Eyewear Swim lessons Recreational equipment Healthy mom and baby products Healthy eating delivery services And more!
healthpartners.com/discounts
SLIDE 18
SAVE UP TO $40 PER HOUSEHOLD
Get paid for going to the gym
Work out
12+ days
each month
Save $20
- n your gym
membership
“Work out. Save money. Win/win.”
SLIDE 19
Plan For Me:
Help finding the best plan for you
healthpartners.com/planforme
Compare your plan
- ptions
Estimate your health care costs See how your meds are covered Check if your doctor is in-network
Costs made clear, choices made easy
Group number: 2902 Site number: 0 Effective date (plan start date): 07/01/2016
“See how each plan can help you manage your unique costs”
SLIDE 20