© 2008 UnitedHealthcare Simple Simple Helping you

© 2008 UnitedHealthcare

Simple Simple Helping you understand your 2011 medical plan benefits

Southeast Missouri State University

Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.

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DedicatedCustomer Care telephone and online services

Personalmessages, e.g.,preventive care

reminders

24/7 personal support from nurses and Health Coaches

Help finding theright doctors, hospitals

and services

One of the largest

networks inthe U.S.

What you can expect with UnitedHealthcare


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You have a lot to consider before you enroll in a medical plan

Is my doctor in the network?

What is my total cost of health care?

What will I pay for premium and other costs?

What coverage best fits my needs?

What tools do I have to help keep my costs low?


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You have a lot to consider when you sign up for your health plan







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Find a network doctor or hospitalVisit 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


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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.8

Preventive care coverage


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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


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Preventive care services includeAdult Child

Annual routine office visit and exam Six visits 0-12 months

Tetanus/Diphtheria booster Three visits 12-24 months

Annual influenza vaccination (flu shot) Annual visits age 24 months through age 18

Cholesterol screening Annual Pap smear and pelvic exam, as appropriate by age

Annual mammogram after age 40 Lead-level testing

Annual Pap smear and pelvic exam Immunizations

Labs, pathology, chest X-ray, and EKG (when performed as preventive care)

Labs, pathology, chest X-ray, and EKG (when performed as preventive care)


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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.


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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


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Retail Mail order

Tier 1 $10 Copayment31-Day Supply

$25 Copayment90-Day Supply

Tier 2$30 Copayment31-Day Supply $75 Copayment

90-Day Supply

Tier 3 $50 Copayment31-Day Supply

$125 Copayment90-Day Supply

Pharmacy Copays Base/Accelerated PlansNote: Base HSA-MRA copays after deductible


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What is my total cost of health care? What will I pay for premium and other costs?




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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


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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


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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


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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


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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


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Health Statements

• Easy-to-read and convenient

• Health care and financial information

• Receive personalized health care tips


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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


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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

www.myuhc.com


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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


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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

www.myuhc.com


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Behavioral health support

• Receive confidential, specialized help • For anxiety, stress, depression and coping with change • Licensed and certified professionals


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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


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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.

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Please verify with Kathie what the free items are - they often change.


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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

Health Discounts

Under “Health & Wellness”


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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 atuhc.com/myhealthnews


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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


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Explore Health Care Lane today!

healthcarelane.com

A fun and interactive way to learn about health insurance

© 2008 UnitedHealthcare

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. © 2010 United HealthCare Services, Inc.UHCEW439246-000

© 2008 UnitedHealthcare Simple Simple Helping you

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