Corporate Wellness And Health Improvement Programs

1. Corporate Wellness And Health Improvement Programs Presented by Physicians Health Plan

2. AGENDA • PHP Preventive Benefits • MyNurse 24/7 • PHP Website • Treatment Cost Calculator • MyHealth 24/7 • Keeping You Healthy • Member Discounts • Member Handbook • Customer Service Information

3. PREVENTIVE BENEFITS • A sample of services covered at 100%: • Routine well child visits • Routine childhood immunization up to age 19 • Routine annual physical exam office visit • PHP’s Preventive Guidelines: Based on the “A” or “B” list by the U.S. Preventive Services Task Force; immunizations as recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention; and preventive care and screenings for children and women as recommended by the Health Resources and Services Administration. • A complete list of preventive services can be found online at www.phpni.com. • Eye exam benefit: One eye exam is covered per calendar year when you see a PHP network Ophthalmologist or Optometrist (Office visit copay or deductible would still apply.)

4. PREVENTIVE BENEFITS • Immunizations • The following vaccinations are covered and available at retail pharmacies: • Influenza • Pneumococcal (pneumonia) • Zoster (shingles) • TDAP (Tetanus, Diphtheria, Acellular Pertussis) • Please refer to your current schedule of benefits for coverage details

5. 24/7 Call Center 1-800-931-4714 Speak with experienced, knowledgeable nurses about specific health concerns Help line for non-critical situations MYNURSE 24/7 What is MyNurse 24/7?

6. PHP WEBSITE www.phpni.com Members Portal

7. PHP WEBSITE Member Login • First time users must register • Enter User Name • Enter password First Time Users, click here

8. PHP WEBSITE Member Registration • Enter your Member ID Number or Social Security Number • Your ID number can be found • on your PHP Member ID Card • Enter Username & • password. Confirm • password. • Enter your date • of birth • Enter your • email address • Choose Security • Question & Answer

9. TREATMENT COST CALCULATOR • New online tool available for members with over 200 procedures and services. • Based on your benefit and coverage information.

10. TREATMENT COST CALCULATOR • Search over 200 procedures and services by health topic, diseases and conditions, or by name. • Find & compare providers based on your geographic location.

11. TREATMENT COST CALCULATOR • Provides: • Total Cost • Your Share • Plan Share • Costs in Relevant Categories Reminder – This tool is based on your plan benefits and coverage information.

12. TREATMENT COST CALCULATOR Treatment Cost Calculator • Additional Information • Costs related to chronic conditions • Cost savings tips Reminder – This tool is based on your plan benefits and coverage information.

13. QUALITY INFORMATION • HealthGrades • Quality ratings for area providers & hospitals • Health & Human Services Comparison Tools • Hospital Compare • Dialysis Facility Compare

14. MYHEALTH 24/7 • Click here to access MyHealth 24/7 Click on Wellness and Disease Management Select MyHealth 24/7

15. MYHEALTH 24/7 What is MyHealth 24/7? Interactive Web Services: • Health & Symptom Evaluation • Medical Library • Health Helpers Calculators • Pharmacy • My Health Files • News and Communication

16. MYHEALTH 24/7 • Health & Symptom Evaluation • Personal Evaluation System (PES) – evaluates your symptoms and find possible causes • Assessments – create report cards detailing your risk factors in key areas, such as general health, diabetes, congestive heart failure and more. • Medical Library • The medical library is an extensive collection of physician-authored medical articles. You can find relevant texts through typing in a key word in the search engine box on the right, or by browsing the chapters of topics displayed in alphabetical order.

17. MYHEALTH 24/7 Online Health Risk Assessment • Who should complete an Assessment • Who will see My Assessment • Changing health conditions

18. MYHEALTH 24/7 • Health Helpers • Quizzes • Calculators • Pharmacy • Contains information to help you compare and learn more about medications. • Enter your zip code for the national average cost of a particular drug. Note: This will not include any PHP discounts.

19. MYHEALTH 24/7 • My Health Files • My Medications • Personal Profiles • My Chart • News & Communications • Health news articles • Care Navigator transcripts • Forms and more…

20. KEEPING YOU HEALTHY HealthNews Member Newsletter • Quarterly newsletter • Mailed to your home • Health and wellness information • Participating Provider updates • Member discount updates • Special announcements

21. KEEPING YOU HEALTHY Sweet PHP Rewards • Designed to help individuals manage their diabetes and improve their overall health. • Participants must submit test scores • and activity logs, using the care plan • from their doctor • A diabetes care manager will provide • one-on-one, phone-based personal • coaching • Copays will be waived for diabetes • supplies/medications as progress • continues through the program (not to • exceed $599 in reimbursement or gift • cards to local retail stores* in a calendar year) Certain reimbursements may be taxable *VISA gift cards are only given to HDHP members

22. KEEPING YOU HEALTHY Weight Loss Programs • Inches Away Incentive Program • $1,500 lifetime maximum • Initial payment of $500 paid after • participant loses 10% of body weight; $1,000 paid if loss is maintained for one year after initial payment • Adults must have BMI of at least 27 • Measurements must be recorded & reported through a physician • Adolescents must be referred by • physician into a PHP approved program • Must be an active PHP member with group coverage throughout the entire process

23. KEEPING YOU HEALTHY Smoking Cessation • Pharmacy benefit includes coverage for CHANTIX • Covered 100% under preventive services, 30 day supply, 6 months in a 12 month time period. • Includes “GetQuit” online support plan Certain reimbursements may be taxable

24. AHA My Heart. My Life. Program • A call to action that evokes active, year-round participation in walking and reducing the risk of heart disease and stroke by supporting the AHA. • Online tool offers physical activity, nutrition and other health information integrated within a single online resource. • PHP is a AHA Cause Sponsor for Northeast Indiana.

25. MEMBER DISCOUNTS Vision Discount Program brochure with discount and provider information can be found at www.phpni.com, on the Member and Employer portals. • VSP Vision Care • Point-of-service savings • Nationwide access • Provider locator at: www.vsp.com/choice

26. VALUE-ADDED PROGRAMS Discounts at Health Clubs and Community Classes • PHP members receive special discounts when they present their PHP Member ID card • Complete list of participating local organizations at: www.phpni.com under Member Discounts in the Individuals & Families section • Discounts vary with each organization

27. VALUE-ADDED PROGRAMS PHP Card Nights • Supports local sports teams • PHP members enjoy special • discount off ticket price when • they present their PHP ID • Card on PHP Card Nights • Discounts vary by team • Game nights are listed in the quarterly newsletter or also online at www.phpni.com, Individuals & Families section, Member Discounts

28. MEMBER HANDBOOK Comprehensive Member Resource • Mailed to all new members’ home address • Valuable resource helps members make the most of their benefit plan • Provides Customer Service contact numbers, online account access, pharmacy and provider information

29. CUSTOMER SERVICE • MyNurse 24/7: 1-800-931-4714 • My Health 24/7:www.phpni.com • PHP Customer Service: 260-432-6690, ext. 11 1-800-982-6257, ext. 11 email: custsvc@phpni.com