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Slide 1: Simple Helping you understand your 2011 medical plan benefits Southeast Missouri State University © 2008 UnitedHealthcare
Slide 2: What you can expect with UnitedHealthcare Dedicated Customer Care telephone and online services messages, e.g., preventive care reminders Personal 24/7 personal support from nurses and Health Coaches One of the largest Help finding the networks in right the U.S. doctors, hospitals and services Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 2
Slide 3: You have a lot to consider before you enroll in a medical plan Is my doctor in the network? What coverage best fits my needs? What is my total cost of health care? What will I pay for premium and other costs? What tools do I have to help keep my costs low? Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 3
Slide 4: You have a lot to consider when you sign up for your health plan Is my doctor in the network? What coverage best fits my needs? What is my total cost of health care? What will I pay for premium and other costs? What tools do I have to help keep my costs low? Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 4
Slide 5: Find a network doctor or hospital Visit www.welcometouhc.com/ Customized site available 11/8/2011: www.myuhc.com/groups/semo • • • • • • • • Search by: Name or specialty Procedure Office hours Gender Education Driving directions Languages spoken Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 5
Slide 6: You have a lot to consider when you sign up for your health plan Is my doctor in the network? What coverage best fits my needs? What is my total cost of health care? What will I pay for premium and other costs? What tools do I have to help keep my costs low? Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 6
Slide 7: UnitedHealthcare Choice Plus plan • Visit any physician or hospital in our network without a referral • No need to submit claims • Lower out-of-pocket costs for network care • Notification responsibility of network providers • Personalized care coordination services • Routine checkups included • Non-network care covered; at a higher deductible and copayment. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 7
Slide 8: Preventive care coverage Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 8
Slide 9: Take advantage of your preventive care coverage • Preventive care is covered at 100% • Regular preventive care helps – Reduce risk of disease – Detect health problems early – Protect you from higher costs down the road – May save your life • No copayments – take advantage Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 9
Slide 10: Preventive care services include Adult Annual routine office visit and exam Tetanus/Diphtheria booster Annual influenza vaccination (flu shot) Cholesterol screening Annual mammogram after age 40 Annual Pap smear and pelvic exam Labs, pathology, chest X-ray, and EKG (when performed as preventive care) Child Six visits 0-12 months Three visits 12-24 months Annual visits age 24 months through age 18 Annual Pap smear and pelvic exam, as appropriate by age Lead-level testing Immunizations Labs, pathology, chest X-ray, and EKG (when performed as preventive care) Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 10
Slide 11: Pharmacy benefit • You have a big network – Extensive network retail pharmacies available locally and across the country • You have mail order – 90-day supply – Buy lower prices than retail – Delivered to your home with free standard shipping Using mail order now? You may need to request a new prescription. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 11
Slide 12: Pharmacy benefit What is the Prescription Drug List (PDL)? • List of brand and generic medications – Approved by the U.S. Food and Drug Administration • Placed into tiers Check your benefit plan information to find out what is covered Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 12
Slide 13: Pharmacy Copays Base/Accelerated Plans Note: Base HSA-MRA copays after deductible Retail Tier 1 Tier 2 Tier 3 $10 Copayment 31-Day Supply $30 Copayment 31-Day Supply $50 Copayment 31-Day Supply Mail order $25 Copayment 90-Day Supply $75 Copayment 90-Day Supply $125 Copayment 90-Day Supply Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 13
Slide 14: You have a lot to consider when you sign up for your health plan Is my doctor in the network? What coverage best fits my needs? What is my total cost of health care? What will I pay for premium and other costs? What tools do I have to help keep my costs low? Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 14
Slide 15: Plan Cost Estimator tool • Helps in choosing best health plan available to you • Generates cost estimates for each plan being offered • Generates cost comparisons in less than 30 minutes Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 15
Slide 16: Treatment Cost Estimator tool • Get cost estimates for specific treatments based on doctor charges • Helps you understand the cost of treatment • Helps you to plan in advance Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 16
Slide 17: Quicken Health Expense Tracker • Simplifies claims information and medical terms • Shows what you owe your provider • Shows account balances • Alerts you to possible physician billing errors • Pay bills quickly Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 17
Slide 18: You have a lot to consider when you sign up for your health plan Is my doctor in the network? What coverage best fits my needs? What is my total cost of health care? What will I pay for premium and other costs? What tools do I have to help keep my costs low? Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 18
Slide 19: myuhc.com • Find network doctors/hospitals • Estimate costs • Track claims status • Build a health improvement program • Keep a Personal Health Record • Get health product discounts • Review plan details Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 19
Slide 20: Hospital Comparison Program • On myuhc.com • Find national quality ratings and cost information on 54 procedures and conditions • Side-by-side hospital comparisons on cost and quality based on specific procedures Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 20
Slide 21: Health Statements • Easy-to-read and convenient • Health care and financial information • Receive personalized health care tips Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 21
Slide 22: Personal Health Record • Keep health and medical history • Manage health history and lifestyle habits; track stats: blood pressure, cholesterol, and weight • Summary of conditions, medications, procedures, and lab results • Download it to computer; print to share with doctor www.myuhc.com Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 22
Slide 23: www.myuhc.com Wellness resources • Health assessment and personalized program information • Latest health news, including healthy recipes • Online quizzes to test your health knowledge • Online health coach to help guide you to better health Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 23
Slide 24: Health Coaches • • • • • Connect 24/7 Health facts and tips from health care professionals Learn to treat symptoms Get treatment options for conditions Find support for chronic conditions Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 24
Slide 25: www.myuhc.com Care24® • Connect with a registered nurse and highly experienced counselors • Get help with legal, financial and emotional needs • Prepare yourself before you seek a doctor’s care • Access recorded messages on health topics • Communicate in live, one-to-one Nurse Chats at myuhc.com Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 25
Slide 26: Behavioral health support • Receive confidential, specialized help • For anxiety, stress, depression and coping with change • Licensed and certified professionals Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 26
Slide 27: Personal health support • Get support for chronic conditions, complex health care needs and treatment decisions • Talk by telephone with a registered nurse • Coaching on communicating with doctors/specialists • Learn about diagnosis, treatment options and what to expect from surgery Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 27
Slide 28: Healthy Pregnancy Program • • • • • Get support through every stage of pregnancy Nurses available, toll-free, 24/7 Personalized pregnancy assessment Educational materials and resources Complimentary Gifts and Savings – Your Journey Through Pregnancy book   – Two booklets from Johnson & Johnson: Having a Baby Changes Everything and What’s Next?: The first days at home with your baby. – Discount on PJ’s Comfort, a hospital-grade breast pump by Limerick, Inc. – Ten percent discount at the Healthy Pregnancy Bookstore, powered by BarnesandNoble.com. 28 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
Slide 29: Health Discounts Save on products and services not typically covered by your plan, including: • Laser eye surgery • Cosmetic dentistry • Health club memberships • Weight loss programs and more Current members Under “Health & Wellness” Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 29
Slide 30: Healthy Mind Healthy Body® e-Newsletter • Choose the health topics that interest you • Receive those stories by email each month • Information comes from leading, national clinicians • Sign up today at uhc.com/myhealthnews Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 30
Slide 31: Source4Women • Health plan information in plain language • Chat with others about health and wellness • Get tips on getting and staying healthy • Attend online seminars and events uhc.com/Source4Women Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 31
Slide 32: Explore Health Care Lane today! A fun and interactive way to learn about health insurance healthcarelane.com Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 32
Slide 33: Simple Health plan benefits you can understand. November 2010 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. © 2008 UnitedHealthcare © 2010 United HealthCare Services, Inc. UHCEW439246-000