Return to flip book view

2023 Tigerton Tools & Resources

Page 1

© 2021 United HealthCare Services, Inc. All Rights Reserved. 20-409451 EI21839250Tigerton School District Plan Overview 2023-2024UnitedHealthcare Tools & Resources 20-409451 EI20409450Get to know your benefits

Page 2

© 2020 United HealthCare Services, Inc. All rights reserved.Plan Overview 2023-20242Key Items to Understand from our time today:- Doctor and Copay Changes for 2023-24- Prescription Rx plan is staying the same- Provider Network is Unchanged (once again there is no out of network providers)- Technology- www.myuhc.com- UHC App for your Smartphone- United Healthcare Healthy Initiatives- Tom Madden, iPlanRx - www.iplanrx.com - Contact info: tom.madden@iplanrx.com / 920-221-1633

Page 3

Unlimited$2,000 Ded.100% Coverage Preventative CareEmployee share of 100% would total $3,000 for Single and $6,000.00 for Single + DependentsKey Points of the EBS Bridge 2023-24Plan:- You will pay the first $2,000 of your deductible. The EBS Plan will pay the $1000.00 after. -Then your coinsurance is paid 100% until $7,700 has been incurred. You pay the next $1,000.00 after $7,700 has been reached. -Your total deductible and coinsurance out of pocket for the year is $3,000.00 -This does not include your $1,000.00 HRA amount which would lower your out of pocket even further-Copays are not eligible to be paid by your EBS policy. 50%/50%Yellow Shaded Areas = Employee Responsibility100%Single $1,000.00 paid by EBS Family $2,000.00 paid by EBS$1,000United Healthcare Broad Provider Network:Aspirus, Aurora, Bellin, Thedacare, Prevea, Marshfield, Children’s Hospital, Froedtert, UW Health

Page 4

© 2020 United HealthCare Services, Inc. All rights reserved.$3,000 Choice Plan4Network care costs.How Benefits Work -Primary Care VisitSpecialist Visit$0.00 Copay $100 Copay for All Specialists, Tier Designation No Longer AppliesEmergency Room $250 copay, then 50% coinsuranceVirtual Visit $0 copayEmbedded DeductibleSelf $3,000Family $6,000Coinsurance50%Out-of-pocket limitSelf $7,350Family $14,700There is NO out-of-network coveragePrimary Care Physician (PCP) Copays are now $0.00. You do not need to pick a Designated Provider. Referrals are not required to see a Specialist. Copay is now $100.00 regardless of Designation.Preventive Care is covered at 100% in our networkIf you go out of network, you will pay 100% of the cost. Please read your plan documents and check your Summary of Benefits for additional information.

Page 5

© 2020 United HealthCare Services, Inc. All rights reserved.Designated Diagnostic5There is NO out-of-network coveragePrimary Care Physician (PCP) Copays are now $0.00. You do not need to pick a Designated Provider. Referrals are not required to see a Specialist. Copay is now $100.00 regardless of Designation.Preventive Care is covered at 100% in our networkIf you go out of network, you will pay 100% of the cost. Please read your plan documents and check your Summary of Benefits for additional information.

Page 6

© 2021 United HealthCare Services, Inc. All Rights Reserved. 20-409451 EI21839250See a doctor 24/7Get 24/7 care by video or phone* with Virtual Visits* Data rates may apply.** Certain prescriptions may not be available, and other restrictions may apply. *** Not available with all providers.May be used for common medical conditions and you can even get a prescription**•Allergies • Pinkeye • Sore throats•Bronchitis • Rashes • And moreTelehealth Visits with Your Doctor***•Stay connected with your local doctor through live audio/video chat•Can be used for routine, chronic, or follow-up care6

Page 7

© 2021 United HealthCare Services, Inc. All Rights Reserved. 20-409451 EI21839250See a provider anywhere, anytimeThrough Behavioral Health virtual care, you may have a real-time, audio- and video-enabled session with a behavioral health providerNOTE: There is a cost for this serviceUse a behavioral health virtual visit for needs such as:• Anxiety• Bipolar disorder• Depression• Neuro-development disorders• Substance disorders7

Page 8

© 2021 United HealthCare Services, Inc. All Rights Reserved. 20-409451 EI21839250Manage your plan and health online (and on the go)8UnitedHealthcare® appRally®myuhc.com®

Page 9

© 2021 United HealthCare Services, Inc. All Rights Reserved.20-409451 EI20445653Go digital and get the most out of your benefits9Activate your myuhc.com® account after enrolling and gain access to:• Find network providers and locations• See what’s covered• View claim details• Check plan balances• Learn about covered preventive care• Find and estimate costs

Page 10

© 2021 United HealthCare Services, Inc. All Rights Reserved. 20-409451 EI21839250Find Care & Costs10

Page 11

© 2021 United HealthCare Services, Inc. All Rights Reserved. 20-409451 EI21839250Rewards for healthier actionsUHC Rewards replaces SimplyEngaged® is a fun and simple digital experience that connects you to personalized health recommendations, content and resources; and offers rewards for certain health and wellness actions.Some available tools and programs include: •Health Survey & Video•Biometric Screening•Coaching•Gym Check-In•Virtual Visit

Page 12

© 2021 United HealthCare Services, Inc. All Rights Reserved. 20-409451 EI2183925012Leveraging the latest in technology, Rally offers tools designed to help employees become more engaged in managing their health. It delivers proven engagement and retention, helping to lead to healthier employees by:•Converting health data into healthy action•Compelling action with a robust systemof rewards and incentives•Maximizing employer investments inhealth and wellness programsRally helps empower employees to take ownership of their healthHealth Management | Rally

Page 13

© 2021 United HealthCare Services, Inc. All Rights Reserved.20-409451 EI20445653Your path to better health with Rally®Take the Rally Health SurveyKnow your overall health before setting simple goalsGet personalized recommendationsBuild healthy habits for well-being, activities and moreEarn sweet rewardsTake healthy actions and achieve goals—earn Rally coins13

Page 14

© 2020 United HealthCare Services, Inc. All rights reserved.Real Appeal®14Uniting clinically proven science with a Transformation Coach and engaging content.The Real Appeal weight-loss program helps employees prevent disease, change behavior and save on medical expenses.Success KitEntertaining and aspirational messaging Group classesTransformation CoachDigital support and tracking

Page 15

© 2020 United HealthCare Services, Inc. All rights reserved.15* Based on eligibility.Built to help lower chronic illness rates and medical expenses, this accredited program may help members stop using cigarettes, e-cigarettes, vaping and tobacco. The clinically proven program includes: • An app and other digital resources to help manage cravings 24/7• A Quit Coach® who customizes plans for employees • Text messages offering daily tips and encouragement• Medication to help members quit—at no extra charge*Quit For Life is designed to help empower employees to end tobacco useHealth Management | Quit For Life

Page 16

© 2020 United HealthCare Services, Inc. All rights reserved.Personalization is built to help boost success16Setting a quit dateManaging urges with cessation medicationsTobacco-proofing the environmentHealth Management | Quit For LifeA Quit Coach develops a Quit Plan for each employee using behavior-change strategies based on their goals. It works by:Using social support

Page 17

© 2021 United HealthCare Services, Inc. All Rights Reserved.17Consultations and counseling•Designed to help employees address grief or loss as well as family, relationship and workplace concerns•Unlimited, 24/7 access to an EAP team who can provide in-person referrals to one of more than 180,000 network clinicians nationwideLegal assistance and financial coaching•Brief consultations on specific legal or financial issues at no initial cost for employees•Discounted fees for attorneys retainedthrough the EAPEmployee Assistance Program helps employees tackle challenges confidentiallyHealth Management | Employee Assistance Program

Page 18

© 2021 United HealthCare Services, Inc. All Rights Reserved.20-409451 EI20445653Tools to help managestress and anxietySanvello™ is an app that offers clinical techniques to help dial down the symptoms of stress, anxiety and depression—anytimeRelieve symptoms and build life skills through:•Coping tools•Daily mood tracking•Peer support•Guided journeys18

Page 19

UnitedHealthcare will Provide Members with Year-Long Access to the Peloton App Starting Sept. 1, eligible UnitedHealthcare members are able to access thousands of live and on-demand classes via the Peloton App for up to 12 months, or receive a four-month waiver toward their All-Access Membership, at no additional cost Access to Peloton’s exciting fitness and meditation classesRegister at myuhc.com/peloton to receive an email reminder beginning September 1, 2021.Stronger with Peloton

Page 20

20A variety of class types1. Welcome • Receive communication from UHC2. Activation • Log in to myuhc.com/pelotonto activate the program • Offer code will be displayed3. Engagement• Create a Peloton account using the offer code • No need to enter credit card information

Page 21

© 2021 United HealthCare Services, Inc. All Rights Reserved.Apple Fitness+ adds value to your benefits and helps inspire healthier behavior21*NOTE: Apple Fitness+ requires Apple Watch Series 3 or later with watchOS 7.2 or later and one of the following Apple devices: iPhone 6s or later with iOS 14.3 or later, iPad with iPadOS 14.3 or later, or Apple TV with tvOS 14.3 or later. Available to applicable UnitedHealthcare plans for fully insured customers. Subject to state legal and regulatory review. Policies/certificates with situs in the state of Kansas may neither advertise nor include this offer in any pre-sale promotion of the policy/certificate, nor shall it be promoted as an inducement for member enrollment in plans. **Retail price is $9.99/month or $79.99/year if paid annually. Must be 13+ years of age and covered under applicable health plan. The information provided under this program is for general informational purposes only and is not intended to be nor should be construed as medical advice. You should consult with an appropriate health care professional before beginning any exercise program and/or to determine what may be right for you. The value of the application may be taxable. You should consult with an appropriate tax professional to determine if you have any tax obligations from having access to this application at no additional cost. Apple Fitness+, Apple Watch, iPhone, iPad, Apple Music and Apple TV are trademarks of Apple Inc.UnitedHealthcare plans include a 1-year subscription to Apple Fitness+*This $79 value per employee can be shared with up to 5 family members**A single, comprehensive offering for various fitness levels — powered by Apple Watch* Access to on-demand workouts on iPhone, iPad and Apple TV, with new workouts and meditations added every weekHealth Management | 1-year Apple Fitness+ Subscription

Page 22

© 2021 United HealthCare Services, Inc. All Rights Reserved.Here’s how employees start their Apple Fitness+ subscription 223. Engagement• Employee redeems the offer provided by UnitedHealthcare• Employee enjoys 1-year Apple Fitness+ subscription2. Activation • Employee logs in to myuhc.com®to activate the program • Employee accepts offer and agrees to UnitedHealthcare terms and privacy policy• Offer code will be displayed1. Welcome Employee receives communication from UnitedHealthcareHealth Management | 1-year Apple Fitness+ Subscription

Page 23

© 2020 United HealthCare Services, Inc. All rights reserved.Thank YouQ & AQuestions: Please contact Tom Madden and/ or Susie Prokop, Account Manager at: 920-569-250823