Disclaimers and Legal The Live Healthy Discounts Program is NOT Insurance. The Prescription Discount Card is operated by CVS/caremark. Discounts are only.

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Presentation transcript:

Disclaimers and Legal The Live Healthy Discounts Program is NOT Insurance. The Prescription Discount Card is operated by CVS/caremark. Discounts are only available at participating pharmacies. The Discount Medical Organization for NACo Health and Dental Discounts is Alliance HealthCard of Florida, Inc. This presentation contains confidential and proprietary information of CVS/caremark and cannot be reproduced, distributed, or printed without written permission from CVS/caremark. 2015 CVS/caremark. All rights reserved

Prescription Discount Program

Where the Program Is Today Since December 2004: More than 1,300 counties have joined the National Association of Counties (NACo) Prescription Discount Card Program Over 47 million prescriptions have been processed Over $633 million has been saved Based on all claims adjudicated by CVS/caremark for NACo 12/1/2004 through 12/31/2015.

Who Can Use The Prescription Discount Card? The NACo Live Healthy program can be used anytime a prescription is not covered by insurance – even for pets! Uninsured residents When a prescription is not covered: Underinsured residents Prescription not covered on resident’s plan Resident has high front-end deductible Medicare Plan D participants non-covered drugs Pet prescriptions Underinsured residents are one of the most important demographics. With the ACA, it’s becoming more important to focus on the residents who have insurance but have huge gaps. We align our MAC list and our brand pricing to help cover gaps in Medicare Part D and ACA plans. *MAC – An Acronym for Maximum Allowable Cost. It’s a list of generic drugs where “pricing ceilings” are put in place to control the cost of generic medications. For example if there are 7 generic manufacturers making one drug and four of them are pricing it between $0.10-$0.20/tablet and three of them are pricing it between $0.85-$0.98/tablet, the MAC list will only let pharmacies be reimbursed the MAC price which could be set at $0.20/tablet for all clinically acceptable alternatives. This prevents “price jacking” and also makes pharmacies buy smarter. The outcome is significant savings on generic drugs for residents.

Participating Pharmacy Network “Pharmacy-friendly” Prescriptions can be filled at more than 68,000 participating pharmacies nationwide = over 9 out of 10 pharmacies. All major chain pharmacies participate, including: Rite-Aid, Walgreens, CVS, Wal-Mart, Target, grocery store chains, most independents Solid reputation with participating pharmacies since 1969 Optional agreement to accept the prescription discount card Acceptance of online claims processing system

Real Value Program 2015 Average savings of $20.24 per prescription Actual average savings of 32% Savings up to 75% Generic medication average savings 37% off retail $15.86 per prescription Brand medication average savings 25% off retail $61.69 per prescription Based on 2015 claims adjudicated by CVS/caremark for NACo.

Health & Dental Discount Programs

Why are NACo Dental & Health Discount Programs Important? Dental and vision care are NOT included in the Affordable Care Act Over 100 million Americans lack dental and vision insurance coverage today. Discount programs are a great way to offer discounted negotiated rates for service, without the commitment of an insured product.

What Are the Services? Along with our Dental Discount program, we offer our Health Discount program that includes discounts on: Vision Care LASIK & PRK Hearing Prepaid Lab Prepaid Diagnostic Imaging Prescriptions Diabetic Supplies

Who Can Be Helped By the NACo Dental & Health Discount Programs? Individuals Growing Families Single Parents Empty Nesters Caregivers with parents over age 60 Anyone that does not have access to or cannot pay for auxiliary insurance In other words, EVERYONE

What Does It Cost Residents? Residents can save on dental and health care, whenever they need and as often as they need with: NO annual limits NO claims to file NO waiting periods Flexibility to move in and out of program as needed Both Dental Discount and Health Discount Programs have the same monthly and annual fees: Monthly Annually Individual $6.95 $69.00 Family $8.95 $79.00

Dental Network Cigna and Aetna Dental Savings Benefit Summary Save 15% to 50% off most dental procedures Over 110,000 general dentists and specialist to choose from Covers everything from routine check-ups, to filling and crowns and even dentures, braces and cosmetic procedures Benefit Summary NO claim forms NO deductibles NO age limits NO waiting periods NO maximums NO frequency limitations, and NO pre-existing condition limitations Residents of MT, ND, SD and WY All other states Dental Savings Network Exclusions: AK, WA, VT

Sample Savings – Dental

Real Solutions for Everyday Health Problems SAVINGS PROVIDER NETWORK VISION CARE 35% off retail price of frames with purchase of complete pair. Discounts on other products and services in the program include exams, lenses, accessories, contact lenses & more. More than 50,000 participating providers including LensCrafters, Pearle Vision, Target Optical, and independent optometrists, ophthalmologists & opticians LASIK & PRK VISION 15% off retail prices and 5% off promotional pricing More than 600 participating locations PRESCRIPTIONS Save up to 75% with average savings of 24% off of the retail price of prescription medications More than 68,000 participating retail pharmacies, available for residents & their pets DIABETIC SUPPLIES Save on prescription and over-the-counter diabetic supplies PREPAID LAB 20-70% off a wide variety of physician approved lab testing services, with confidential results More than 4,000 participating service centers PREPAID DIAGNOSTIC IMAGING 40-75% off MRI and CT scans More than 2,900 radiology centers HEARING 35% off hearing aid prices & complimentary screenings More than 3,000 participating locations

Vision Network EyeMed Vision Care Benefit Summary Save 35% off retail on frames Save 20% of lenses and lens add-ons Over 45,000 providers including LensCrafters, Pearle Vision, Sears Optical, Target Optical, JCPenney Optical, and independent optometrists, ophthalmologists, and opticians Benefit Summary Visit multiple participating providers at any time, for any reason No limit to the number of visits No waiting period, no paperwork to file Vision Network Exclusions: AK, WA, VT and Puerto Rico

Hearing Network Connect Hearing Benefit Summary Over 3,000 locations 35% off hearing aids 3 year extended warranties Complimentary hearing exam, follow up hearing aid fittings & routine cleanings 3 year supply of hearing aid batteries Price match guarantee Benefit Summary One of the largest national networks of independent audiologists Hearing Savings Network Exclusions: AK, IL, WA, VT & Puerto Rico

Prepaid Lab & Diagnostic Imaging Network Galaxy Health Network Over 2,900 radiology centers nationwide Save 40%-75% off MRI and CT scans Save 20%-70% off blood tests, allergy tests, cardiac & cholesterol screens, maternity & infertility tests Benefit Summary Personalized scan scheduling with a service representative Lab results are confidential Results for most tests are available via email within 48 hours (Cultures, reflex and specialty test results typically 14-28 days) Lab & Diagnostic Network Exclusions: AK, NY, NJ, MA, RI, VT, WA & Puerto Rico

Program Marketing NEW design for FREE prescription cards NEW displays & posters www.NACoHealth.org NEW plastic membership ID cards & keyfobs for NACo Health Discount Program members

Easy For Residents To Join and Save Resident Enrollment is easy Online at www.NACoHealth.org or by phone 1-877-573-2395 Start Saving Today Check your email for your temporary membership card Save Again & Again Check your mailbox for your permanent member materials

Resources for Residents Toll-free phone number to the award winning CVS/caremark Customer Care By visiting www.nacorx.org, residents have access to: Print ID card Locate a pharmacy Check drug pricing

Resident Communication Materials CVS/caremark continues to provide standard participant materials at no charge to the county ID card/brochures, posters, display stands, and mailing inserts

County Benefits No cost to county Easy to administer Proven results Program provided at no cost Standard marketing materials provided at no cost Easy to administer No enrollment paperwork No eligibility transmission required NACo and CVS/caremark provide full support for the program Customer Care managed by CVS/caremark Proven results Average savings of 32%* Over 1,300 counties participate in the program with their residents savings over $633 million dollars on more than 47 million prescriptions* Savings up to 75% *Based on 2015 claims adjudicated by CVS/caremark for NACo.

Our Advantages Experience – Administrating the first and best discount card program since 1992! Pricing – Our Prescription Discount Card, Dental Discount and Health Discount programs are the best priced program in the country! Network – Largest prescription discount card network in the nation Marketing – Extensive marketing support for your county Resident Support – J.D. Power & Associates #1 award winning support for your residents Legal Support – Legal expertise regarding U.S. laws and registration requirements.