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It’s a new world for health care Anthem is leading the way

It’s a new world for health care Anthem is leading the way. New plans New services New opportunities. Small Group Market. Anthem is ready to help with a range of compliant solutions, plans, tools and communications for your customers . 2. Health care options for 1-50 employee groups.

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It’s a new world for health care Anthem is leading the way

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  1. It’s a new world for health care Anthem is leading the way • New plans • New services • New opportunities

  2. Small Group Market Anthem is ready to help with a range of compliant solutions, plans, tools and communications for your customers. 2

  3. Health care options for 1-50 employee groups Offer a fully insured plan Offer a fully insured plan through SHOP Stop offering coverage, directing employees to individual market exchanges **Due to recent changes in Federal Guidance, small employers can maintain their current non-ACA plans until 2017 3

  4. A healthy dose of wellness for Small Group Retention 24/7 NurseLine Utilization management American Imaging Management (AIM) Fully Integrated Case Management/ComplexCare Quick Care Options Disease Management (includes 5 conditions) Future Moms (w/proactive ID mailings) ESRD program Healthy Lifestyles Online MyHealth Advantage Gold Behavioral Health UM/CM/DM

  5. New Healthy Support packages for small groups • HSA Qualified Plans contain all of our standard programs plus… • Disease Management incentives ($300/year) • Future Moms incentives ($200/year) • Healthy Lifestyles Online incentives ($150/year) • Healthy Support Plans contain all of the standard programs plus… • Webinars • Healthy Lifestyles Online incentives ($150/year) • Tobacco Free Certification incentives ($50/year) • Fitness Reimbursement ($400/year) • Disease Management incentives ($300/year) • Some Healthy Support Plans also contain all of the standard programs plus… • FitOrbit (online trainers w/ $99 cost share) For those who are less likely to use insurance but still want coverage in case of emergency, we offer "Healthy Support" plans that have higher deductibles and copays, but also cover fitness reimbursement and incentives to award a healthy lifestyle. 

  6. Anthem SHOP Exchange Options

  7. Anthem Small Group: Employee Elect • 2 different suites of products giving small employers the product flexibility usually afforded much larger groups • Employee Elect 1…8 products for your employees to choose from • Employee Elect 2…10 products for your employees to choose from • Products include HMO or POS, PPO and HSA-qualified plans • Speak to an Anthem appointed broker to see which suite is right for you.

  8. Anthem Small Group: Chamber BlueOptions • Anthem has partnered with the Maine State Chamber of Commerce purchasing collaborative since 2007 • Suite of products exclusively packaged for Chamber members • 7 plan designs include HMO or POS plans, PPOs and HSA-qualified plans • Wellness discount available for small businesses • For more information, contact your local Chamber • of Commerce, the State Chamber of Commerce • or speak to your Anthem appointed broker.

  9. Anthem Guided Access HMO and POS Plans • Innovative relationship with MaineHealth, allowing Anthem to offer HMO plans in Southern Maine and POS plans in Northern Maine • Access to the following hospitals and their provider networks in the following counties: • Cumberland: Maine Medical Center, Mid-Coast Hospital • Androscoggin: St. Mary’s Hospital • Oxford: Stevens Memorial Hospital • Franklin: Franklin Memorial Hospital • Kennebec: Maine General Medical Center • Knox: Penobscot Bay Medical Center • Lincoln: Miles Memorial Hospital • Waldo: Waldo County Healthcare • York: Southern Maine Medical Center, Goodall Hospital • Also includes Intermed and Martin’s Point providers

  10. Pediatric Dental Solutions for Small Employers • For Anthem small group business, we are offering a pediatric dental rider • Members will be auto-enrolled in pediatric dental unless they attest to having other coverage • We are also offering stand-alone pediatric and family dental plans on and off Exchange (benefits differ)

  11. On Exchange Stand-Alone Dental Plans

  12. Questions? Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc.  Independent licensee of the Blue Cross and Blue Shield Association. ®ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.

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