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Regence Activate SM Healthy Living Rewarded Get Started How to use this presentation REPLAY REPLAY This 5 minute tutorial will show how Regence Activate works for a typical family
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Regence ActivateSM Healthy Living Rewarded Get Started
How to use this presentation REPLAY REPLAY • This 5 minute tutorial will show how Regence Activate works for a typical family • If you want to replay the current slide before moving forward, a “replay” button is located at the top of the slide • When each slide finishes animating, a “next” button will appear at the bottom of the slide so that you can advance to the next slide NEXT NEXT
Regence ActivateSM REPLAY REPLAY • To help you learn how Activate coverage may work for you… • Let’s take a trip through the calendar year with the Murphys, a Regence Activate family NEXT NEXT
Meet the Murphys REPLAY REPLAY • They have Activate coverage through Dan’s job • Their plan starts Jan 1 Rachel, 34 Kate, 4 Dan, 36 Ryan, 12 NEXT NEXT
Meet the Murphys REPLAY REPLAY • They – like you – need different kinds of health care during the course of a year • Let’s learn how Activate works for them – and you can apply it to your own health care needs NEXT NEXT
Their Activate coverage REPLAY REPLAY • They have a $1,500 per person deductible, with a family max of $4,500 • Each family member can earn up to $600 in their Member Choice Account(MCA)for making healthy choices $1500 deductible Member Choice Account $200 $100 $100 complete an online health assessment $100 $100 track healthy activities online NEXT NEXT
The family gets started REPLAY REPLAY • The family signs on to myRegence.com and completes their online health assessments, earning $200 each • Dan or Rachel can view and manage the kids’ accounts Member Choice Account $200 $100 $100 complete an online health assessment $100 $100 track healthy activities online Dan’s MCA Rachel’s MCA $100 $100 $200 $100 $100 $200 $100 $100 $100 $100 Kate’s MCA Ryan’s MCA NEXT NEXT $100 $100 $100 $100 $200 $200 $100 $100 $100 $100
The family starts to get active REPLAY REPLAY • Dan starts a new year’s resolution to cut back portion sizes at each meal • Rachel swims with Kate weekly at the local pool • Ryan practices with his little league baseball team Dan’s MCA $200 $100 $100 $100 $100 Kate’s MCA Rachel’s MCA $100 $100 $100 $100 $200 $200 $100 $100 $100 $100 Ryan’s MCA $200 $100 $100 $100 $100 NEXT NEXT
February 2nd REPLAY REPLAY • Rachel has her annual women’s exam • The total cost is $210 • She sees the claim on myRegence.com and pays her provider online through her Member Choice Account $1500 deductible Member Choice Account NEXT $100 $100 NEXT $200 $100 $100
March 13th REPLAY REPLAY • Kate comes down with a cold that turns into an infection, requiring a visit to the pediatrician • The bill comes to $105 • Rachel logs on to view Kate’s claims and applies her daughter’s funds towards the expense $1500 deductible Member Choice Account NEXT $100 $100 NEXT $200 $100 $100
June 8th REPLAY REPLAY • Ryan & Kate go in for well-child exams and immunizations • The cost is $120 each • Rachel pays the claims through each child’s MCA $1500 deductible Member Choice Account $100 $100 $200 $100 $100 $1500 deductible Member Choice Account NEXT $100 $100 NEXT $200 $100 $100
The family makes more healthy choices REPLAY REPLAY Dan’s MCA Rachel’s MCA Kate’s MCA Ryan’s MCA $200 $100 $100 $100 $100 $100 $200 $200 $100 $100 $100 $200 $100 $100 $100 $100 $100 $100 $100 $100 • Walks the dog daily • Had annual exam • Attended a class on household finance • Joined the heart healthy program • Joins community discussion threads on myRegence.com • Increased her daily fiber intake • Joined the track team at school • Brushes and flosses teeth daily • Eats 2-3 servings of fruits & veggies • Had a well-child exam and flu shots • Plays outside with mom each day • Brushes and flosses teeth daily • Eats 2-3 servings of fruits & veggies • Had a well-child exam and flu shots • Started a morning jogging routine • Watches Regence podcasts • Joined the heart healthy program • Posts reviews of his providers at myRegence.com • Decreased his meal portions NEXT NEXT
August 17th REPLAY REPLAY • Rachel sees the doctor to treat her recurring migraines • The total cost is $140 • She has remained active throughout the entire year, so she has plenty of funds to cover the bill $1500 deductible Member Choice Account NEXT $100 $100 NEXT $200 $100 $100
November 5th REPLAY REPLAY • Dan falls while hiking and breaks his arm. At the hospital, he has multiple x-rays and his arm is set in a cast. The bill comes to $1,800. • The Murphys pay the first $1,500, satisfying Dan’s deductible and leaving a balance of $300. Because the deductible has been met, Regence pays 80% of the $300 and the Murphys pay the rest. • Dan applies all of the funds he has earned in his MCA so far, lowering their overall bill by $550. NEXT NEXT 100% coverage 80% coverage until member has paid $2000 in coinsurance $1500 deductible Member Choice Account $100 $100 $200 $100 $100
December 12th REPLAY REPLAY • Rachel, Ryan, and Kate all visit the doctor for the flu • The cost is $105 each • Each of them has enough funds left to cover the cost NEXT NEXT Rachel’s MCA Kate’s MCA Ryan’s MCA $100 $100 $100 $100 $200 $200 $100 $100 $200 $100 $100 $100 $100 $100 $100
December 31st REPLAY REPLAY • The Murphys were pleased with their coverage • 3 out of 4 family member’s expenses were covered by the funds they earned through making healthy choices • 3 family members had funds to keep and roll over into the next year • The family never had to pay a copay • Rachel was able to manage the family’s accounts and pay their doctor bills online through myRegence.com View Summary View Summary
December 31st THE END THE END Rolls over to next year! Out-of-Pocket Expenses MCA Funds Earned MCA Ending Balance MCA Funds Spent Dan, 36 $550 $550 $1,010 $0 Rachel, 34 $510 $455 $55 $0 Ryan, 12 $600 $225 $375 $0 Kate, 4 $525 $330 $195 $0 $2,185 $1,560 $625 $1,010