2018 Lunchtime Seminar Benefit Series

July 26, 2018

What is Preventive Care/Why is it important?

LAwell Plan Eligibility & Access

◦ Medical, Dental, & Vision presentations

Questions

Preventive Care services are services such as examinations, screenings, education, etc. that are provided with an objective to prevent illness or injury and to identify at-risk diseases as soon as possible.

Preventive Care services can improve your long term health

LAwell members and dependents have access to Preventive Care services through their current Dental, Medical, and Vision plans.

Preventive Care services are generally offered by your plan at low-cost or no cost to you.

Your LIVEwell program, and other wellness programs, are other tools available to you

Preventive Care Service Presentations: ◦ DENTAL

Delta Dental – Dental

◦ VISION

EyeMed - Vision

◦ MEDICAL

Kaiser Permanente – Medical

Anthem Blue Cross – Medical

The Basics of Preventive Care Delta Dental of California

July 26, 2018

deltadentalins.com deltadentalins.com

1. Brush twice a day

2. Floss every day

3. Eat a balance diet

4. Visit the dentist regularly

• Cleanings

• Exams

Preventive care

2

Prevent cavities

Stop tooth loss

Why get a cleaning? 5 things a cleaning can do for you

3

Brighten your smile

Freshen your

breath

Boost your

overall health

• Identify any dental problems early

• Get screened for oral cancer

• Catch symptoms of other diseases

Why get a dental exam?

4

Osteoporosis

Leukemia

Oral cancer

Diabetes

Heart disease

Pancreatic cancer

Symptoms in the mouth

Over 120 conditions have oral symptoms

Acid reflux

Bulimia

Anemia

Psoriasis

Kidney disease

5

• Glaucoma

• Dementia

• Migraines

• Respiratory disease

• Acid reflux

• Cardiovascular disease

• Diabetes

• Kidney disease

• Pre-term baby

• Rheumatoid arthritis

Your mouth and your body The far-reaching impact of oral health

6

2 cleanings and exams a year

100% at an in-network dentist

80% at an out-of-network dentist

PPO

Preventive

DeltaCare USA

Pay nothing for preventive care Compare your options

2 cleanings and exams a year

100% at any Delta Dental dentist

No copayment

7

mysmileway.com es.mysmileway.com

• 100+ articles on everything from acid reflux to x-rays

• Short videos

• Tooth-friendly recipes

• Quizzes to assess your dental risks

• Sign up for Grin! e-magazine

SmileWay® Wellness Site

Dental health resources

8

Brush and floss regularly

Visit your dentist for regular cleanings and exams

Eat a balanced diet

What YOU Can Do

9

We’re pleased to take your questions

Thanks for your time

10

The comprehensive eye exam

Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s).

Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited. 1

The exam includes: Dilation (if needed) Case history Patient observation Clinical diagnostic testing, including binocular function Refractive status Color vision testing Stereopsis testing Assessment, diagnosis and treatment plan

Our providers conduct comprehensive eye examinations to diagnose or detect existing conditions of the eye and vision system. Our standards follow those established by the American Academy of Ophthalmology in the “Preferred Practice Patterns” & the American Optometric Association in Clinical Practice Guidelines.

When should a member visit their medical doctor? For any eye disease or serious condition that may be found during their eye exam.

Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited. 2

Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

• Ocular diseases:

o Glaucoma

o Cataracts

o Macular degeneration

• Systemic diseases

o Diabetes

o High Blood Pressure

o High Cholesterol

Early detection is key

The identification of the high-risk eye and general health conditions can vary due to several factors, including the frequency of examinations and the sharing of family history of eye health with your eye care professional. The following reveals some of the benefits of early detection:

Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited. 3

Answers to member questions

I don’t wear glasses and can see fine! Why do I need an eye exam? Getting an eye exam is not just about finding out if you need glasses; it’s about your health. An eye exam can detect eye health problems like glaucoma or cataracts, but it can also help identify early signs of diseases that impact your whole body- high blood pressure, diabetes and high cholesterol (just to name a few).

How often should I get an eye exam? As with any type of ongoing health care, annual eye exams are a good rule of thumb, unless otherwise directed by your doctor.

Why does the eye doctor perform so many tests? Eye doctors perform various tests to examine all parts of the eye, as well as to gauge your overall health. Some procedures are designed to evaluate your vision, others allow the doctor to look at the structure of the eye, and still others help detect specific diseases. You can visit EyeSiteOnWellness.com for additional information and videos about what to expect during an eye exam.

How do I find a provider in the network? There’s 3 ways to find a provider:

• Via the Enhanced Provider Search tool at www.eyemedvisioncare.com/cityofla (where you can also schedule an appointment at many locations)

• By calling EyeMed’s Customer Care Center 855.695.5418 • Through the EyeMed Members App

PREVENTION

MAKES GOOD HEALTH POSSIBLE.

CITY OF LOS ANGELES

MARISOL GARRIDO, ENGAGEMENT SPECIALIST

A BETTER WAY TO TAKE CARE OF BUSINESS

Population Health Management

Leading California in 39

effectiveness-of-care

measures

In 2017, Kaiser Permanente

led California as the top

performer in 39 HEDIS®

effectiveness-of-care

measures — the most of any

health plan.2

The measures include:

• Care for cardiovascular and

respiratory conditions

• Comprehensive diabetes

care

• Maternal care

• Medication management

• Mental health

• Prevention and screening

• Smoking cessation

• Prevention

• Health Promotion

• Chronic Disease Management

• Technology-Enabled

• Culturally Responsive

• Evidence-Based

2

2Kaiser Permanente 2017 HEDIS® (Healthcare Effectiveness Data

and Information Set) scores. Benchmarks provided by the National

Committee for Quality Assurance (NCQA) Quality Compass® and

represent all lines of business. Kaiser Permanente combined region

scores were provided by the Kaiser Permanente Department of Care

and Service Quality.

A BETTER WAY TO TAKE CARE OF BUSINESS

What is Preventive Care?

Keep track of your health when you have

not shown any symptoms

Includes routine check-ups and preventive

screenings

Preventive vs Diagnostic Services – Cost of sharing

may apply if the primary reason for the office visit

is other than the delivery of preventive care services

A BETTER WAY TO TAKE CARE OF BUSINESS

Covered without a copayment when delivered by a network provider

Age-appropriate preventive medical examinations

Blood pressure, cholesterol, and type-2 diabetes screenings

Colon cancer, Mammogram and prostate cancer screenings

Immunizations

– Hepatitis A, Hepatitis B, influenza, measles, mumps, rubella, pneumococcal, tetanus, diphtheria, pertussis, varicella

Certain over-the-counter drugs prescribed by a physician

– Aspirin to reduce rick of heart attack,

– Folic acid for women to reduce the risk of birth defects

Preventive Services

A BETTER WAY TO TAKE CARE OF BUSINESS

Member Resources

Medical Centers

• Center for Healthy Living Classes

• Preventive Services

• Flu Shots

• Chronic Disease Management

Online and Telephone

• Total Health Assessment

• Healthy Lifestyle Programs

• Telephonic Coaching

Kp.org

kp.org/centerforhealthyliving

kp.org/healthybalance

A BETTER WAY TO TAKE CARE OF BUSINESS

kp.org — a hub for health management

TELEHEALTH AT KAISER PERMANENTE | COLORADO

What it is: A single portal for connecting with Kaiser Permanente doctors

and care providers

What it offers:

Scheduling and changing routine appointments

Checking most lab results

Refilling most prescriptions

Making personal action plans for ongoing care

Managing a family member’s care

Getting timely reminders for screenings and more

I love that I scheduled my doctor appointment online and by

the time I got home, I saw my lab results. “ ” — Kaiser Permanente member, 2016

Laurie’s Personal Action Plan

Pregnancy

Pediatrics Laurie looks up her son Jack’s

Personal Action Plan

Andrew’s Personal Action

Plan

Message

displayed when

PDC < 75

Chronic Medication Section

Kaiser Permanente Traditional Plan

(1/1/18—12/31/18)

kp.org/action-plan

Go to …

and log in with your username and password

Questions?

1

Your members need to beInformed, invested and in charge of their health care

City of Los Angeles

Preventive Care

July 2018

2

Your members need to beInformed, invested and in charge of their health care

What is Preventive care?

Preventive Care Services include routine

examinations, screenings, tests, education, and

immunizations administered with the intent of

preventing future disease, illness, or injury.

Services are considered preventive if you have

no current symptoms or prior history of a

medical condition associated with that

screening or service.

Preventive Care Services and Immunizations

are at no cost to you.

3

Your members need to beInformed, invested and in charge of their health care

3

What is included?

Adult Preventive Care• Physical Exams

• Screening Tests

• Immunizations

• Women Well Visits

• Male Well Visits

Child Preventive Care• Physical Exams

• Screening tests

• Immunizations

For more information refer to the

Preventive Health Guidelines on the

website below:

https://www13.anthem.com/cp/web/cityofla/

health-wellness

4

Your members need to beInformed, invested and in charge of their health care

Programs That Can Help

Solera

• Diabetes Prevention Program (DPP) at

no cost (if qualified)

• Helps participants lose weight, adopt

health habits and reduce their risk for

type 2 diabetes

• The program is 16 weeks

• Take a 1 minute quiz to see if you

qualify at solera4me.com/anthemca

5

Your members need to beInformed, invested and in charge of their health care

Programs Continued

Future Moms

A program that can answer your questions, help

you make good choices and follow your health care

provider’s plan of care. It can help you have a safe

delivery and a healthy child

• Talk to a nurse coach 24/7 about your pregnancy

• The Mayo Clinic Guide to a Healthy Pregnancy

book that shows changes you can expect for you

and your baby during the next nine months

• Other helpful information on labor and delivery,

including options and how to prepare5

6

Your members need to beInformed, invested and in charge of their health care

• Doctor House Calls

• Appointment times from 8am to

8pm, 7 days a week, 365 days a

year

• No cost for Preventive

• Easy to schedule a doctor via an

App, Phone or Web

6

Programs Continued

7

Your members need to beInformed, invested and in charge of their health care

Anthem Blue Cross Life and Health Insurance Company is an independent

licensee of the Blue Cross Association. ANTHEM is a registered trademark

of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are

registered marks of the Blue Cross Association.

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