Florida Miami/Dade, Broward, Palm Beach, Gulf, Treasure & Space Coast, Orlando, Tampa, Ocala, Daytona, Jacksonville, Tallahassee & Pensacola Amerilife Agent Value Prop Overview 9/9/13 AGENT TRAINING ONLY
Florida Statewide 2014 Value Prop RPPO Value Prop Available in all Markets & Counties throughout Florida Plan details & benefits are the same in all markets Robust Network Throughout Florida 20,000+ Doctors in Florida 3,300+ Outpatient Facilities in Florida 170+ Hospitals in Florida Expansive Nationwide Network 425,000+ Nationwide Doctors 44,000+ Nationwide Outpatient Facilities 2,989 Nationwide Hospitals Worldwide Emergency Coverage Covers you in case of emergency throughout the world Land, sea and sky coverage Star Rating 3.5 Stars Overall Florida Regional PPO R5826-074 RPPO All counties and all markets in FL $0 Premium $10 PCP $40 Specialist $0 Home Health Care $0 Lab Services Copay $0 Copay for Preventive Services $300 Days 1-5 Inpatient Hospital $250 Outpatient Copay; $290 in hospital $5,900 MOOP RX: 5 Tier $6/$15/$45/$95/29% ($150 Deductible for tiers 4 & 5 only) $40 Copay Dental $40 Copay Vision $40 Copay Hearing $20 Over The Counter Benefit (New for 2014) Silver Sneakers (New for 2014) Right Source Mail Order Pharmacy Rx Savings Key Markets/Cities Covers the entire state All counties and all markets Agent Training Purposes ONLY
Miami-Dade 2014 Value Prop Local Value Prop Key Local Products Ruben Veliz - Agency Manager Email: rveliz@humana.com Cell: 305-725-1592 Office: 305-698-3100 Key Values Strong brand name in the market Large network of providers Rated 4.5 STAR Plan in Dade County (HMO 1036) Wal-Mart through March 31st - All selected stores are Level 1 On/Off Exchange for IMM opportunity Local Office support for: Marketing and sales supplies Training program available Seminars support Manager of the week/Agent of the day – Daily help available Key Local Products Flagship Plan: HMO MAPD 1036-054 $27 Part B Giveback $0 Premium $0 PCP $0 Specialist $0 In Patient Hospital $3000 MOOP RX: 5 Tiers Formulary $0/$0/$5/$35/33% Dental, Hearing, Vision & Silver Sneakers Transportation to PCP/Spec/Silver Sneaker locations Part B Giveback Plan: HMO MAPD H1036-164 $99.90 Part B Giveback $0 Premium $0 PCP $20 Specialist $75 Days 1-5 for Inpatient Hospital RX: 5 Tiers Formulary $0/$0/$35/$45/33% LPPO/RPPO plans H5415-056: LPPO - $45 premium R5826-074: RPP0 - $0 premium R5826-005: RPPO - $92 premium R5826-018: RPPO - $0 premium (MA ONLY PLAN) Special Needs Plans: H1036-077: For all Dual Eligible levels including partial DE H1036-163: For Full Dual Eligible H1036-188: Diabetic SNP H1036-189: CV SNP/ Cardiovascular Plan Key Markets/Cities Miami Aventura/Miami Beach Hialeah Miami-Dade and Monroe Counties Agent Training Purposes ONLY
Broward 2014 Value Prop Local Value Prop Key Local Products Scott Stanton – Agency Manager E: sstanton1@Humana.com P: 954-993-6642 Key Values Large Network of providers Only 4.5 STAR Plan in Broward County (HMO 1036) Wal-Mart through March 31st Almost all of them are Level 1 stores Humana Guidance Center On/Off Exchange for IMM opportunity Local Office support for: Supplies Training Seminars Marketing & Sales Guidance Key Local Products Flagship Plan: HMO MAPD 1036-065 $0 Premium $0 PCP $5 Specialist $0 In Patient Hospital $3400 MOOP RX: 5 Tier $0/$0/$20/$50/33% Dental, Hearing, Vision & Silver Sneakers Transportation to PCP/Spec/Silver Sneaker locations Part B Giveback Plan: HMO MAPD H1036-224 $92 Part B Giveback $0 PCP $40 Specialist $250 Days 1-5 for Inpatient Hospital RX: 5 Tier $0/$10/$45/$95/33% LPPO/RPPO plans H5415-056: LPPO - $45 premium R5826-074: RPP0 - $0 premium R5826-005: RPPO - $92 premium R5826-818: RPPO - $0 premium (MA ONLY PLAN) Special Needs Plans: H1036-103: For all levels including partial DE H1036-162: For Full Dual Eligible H1036-186: CVSNP/ Cardiovascular Plan H1036-121C: Diabetic SNP Key Markets/Cities Fort Lauderdale Hollywood Pembroke Pines Coral Springs Agent Training Purposes ONLY
Palm Beach 2014 Value Prop Local Value Prop Key Local Products Rich Renner - Agency Manager E: rrenner@humana.com P: 561-682-1127 Ext. 1030703 Key Values All hospitals in Palm Beach County are in network Only 4.5 STAR Plan in Palm Beach County (HMO 1036) Wal-Mart through March 31 all of them are Level 1 stores Part B Giveback Plan ($96.90) On Exchange for IMM opportunity Local Office support for: Certification/training Seminars Supplies Marketing & Sales Guidance Key Local Products Flagship Plan: HMO MAPD 1036-062 $0 Premium $0 PCP $20 Specialist $135 days 1-7 Inpatient Hospital $5700 MOOP RX: 5 Tier $0/$0/$40/$90/33% Dental, Hearing, Vision & Silver Sneakers Transportation to PCP/Spec/Silver Sneaker locations Part B Giveback Plan: HMO MAPD H1036-199 $96.90 Part B Giveback $0 PCP $40 Specialist $195 Days 1-9 Inpatient Hospital RX: 5 Tier $4/$10/$44/$95/33% Hearing, Vision & Silver Sneakers LPPO/RPPO plans H5415-056: LPPO - $45 premium R5826-074: RPP0 - $0 premium R5826-005: RPPO - $92 premium R5826-018: RPPO - $0 premium (MA ONLY PLAN) Special Needs Plans: H1036-104A: For all levels including partial DE H1036-152: For Full Dual Eligible H1036-190: CVD/CHF (HMO SNP) H1036-130C: Diabetic (HMO SNP) Key Cities West Palm Beach Boca Raton Boynton Beach Jupiter Agent Training Purposes ONLY
Ft Myers/Gulf Coast 2014 Value Prop Local Value Prop Stewart Sarnac – Sales Manager E: ssarnac@humana.com P: 800-304-6213 Key Values Addition of 2 new 4.5 STAR rated plans in Lee and Collier Counties IMM Opportunity in Charlotte County $0 premium plan to replace existing $32 premium Plan exit of 3 STAR rated H5426 Plan Rich physician network which includes Lee Memorial Health Systems Local Office support for: Supplies Trainings Marketing & Sales Guidance Compliance Questions Key Local Products Flagship Plan: H1036-196 (Charlotte County) H1036-217 (Lee County) Premium: $0 PCP: $0 Specialist: $30 In Patient Hospital: $125/Day MOOP: $3,400 RX: 5 Tier $0/$10/$40/$75/33% Vision & Silver Sneakers Transportation to PCP/Spec/Silver Sneaker locations Flagship Plan: H1036-218 All counties in market Premium: $0 Specialist: $35 Inpatient Hospital: $175/Day (1-7) RX: 5 Tier $0/$10/$45/$80/33% LPPO/RPPO plans R5826-074: RPP0 - $0 premium R5826-005: RPPO - $92 premium R5826-818: RPPO - $0 premium (MA ONLY PLAN) Key Markets/Cities Ft Myers Bonita Springs Lee, Collier, Charlotte, Desoto, Hardee, Glades, and Hendry Counties Agent Training Purposes ONLY
Treasure Coast 2014 Value Prop Local Value Prop Kathy Wodraska – Sales Manager E: kwodraska@humana.com P: 866-503-8185 Key Values 4.5 STAR rated 1036 plan(s) Plan exit of 3 STAR rated H5426 plan(s) Rich physician network Strong brand name through the Treasure Coast Addition of two Chronic Special Needs Plans Local Office support for: Supplies Trainings Marketing & Sales Guidance Compliance Questions Key Local Products Flagship Plan: H1036-229 Premium: $0 PCP: $0 Specialist: $30 In Patient Hospital: $145/Day (1-10) MOOP: $6,700 RX: 5 Tier 0/7/35/75/33% Vision & Silver Sneakers Diabetic SNP: H1036-225 Premium: $0 PCP: $0 Specialist: $30 Inpatient Hospital: $165/Day (1-8) RX: 5 Tier 0/7/35/75/33% LPPO/RPPO plans H5415-070: LPPO - $45 premium R5826-074: RPP0 - $0 premium R5826-005: RPPO - $92 premium R5826-018: RPPO - $0 premium (MA ONLY PLAN) Special Needs Plans: H1036-226: Partial Dual Eligible H1036-228: Full Dual Eligible H1036-227: CVSNP/ Cardiovascular Plan H1036-225: Diabetic SNP Key Markets/Cities Stuart Ft Pierce Martin, Okeechobee, and Highlands Counties Agent Training Purposes ONLY
Space Coast 2014 Value Prop Local Value Prop Key Local Products Todd Zazulia – Sales Manager E: tzazulia@humana.com P: 800-948-1572 Key Values RPPO only Humana product offered in the two counties Strong RPPO physician network 6 WalMart locations Strong RPPO Product with nationwide coverage Local Office support for: Supplies Trainings Marketing & Sales Guidance Compliance Questions Key Local Products Statewide RPPO Plan: R5826-074 RPPO Plan Premium: $0 PCP: $10 Specialist: $40 In Patient Hospital: $300/Day (1-5) MOOP: $5,900 RX: 5 Tier 6/15/45/95/33% $40 Copay Dental $40 Copay Vision $40 Copay Hearing $20 Over The Counter Benefit (New for 2014) Silver Sneakers (New for 2014) Right Source Mail Order Pharmacy Rx Savings Key Market RPPO Plan: R5826-005 RPPO Plan Premium: $92 PCP: $5 IN Specialist: $35 IN Inpatient Hospital: $225/Day (1-7) IN / 30% ON RX: 5 Tier 3/8/40/85/33% Dental, Vision, Silver Sneakers & OTC LPPO/RPPO plans R5826-074: RPP0 - $0 premium R5826-005: RPPO - $92 premium R5826-018: RPPO - $0 premium (MA ONLY PLAN) Key Markets/Cities Titusville Port St Lucie Fort Pierce Brevard, St Lucie and Indian River Counties Agent Training Purposes ONLY
Orlando 2014 Value Prop Local Value Prop Key Local Products Ruben Rodriguez – Sales Manager E: rrodriguez29@humana.com P: 321-663-1979 Key Values Large Network of Providers Every Hospital in Orange, Seminole, and Osceola County 4.5 STAR RATING Humana Guidance Center in Kissimmee On/Off Exchange for IMM Opportunity Local Office support for: Supplies Marketing and Sales Guidance Training Key Local Products Flagship Plan: HMO H1036-146 $0 Premium $0 PCP $27 Specialist $75 In Patient Hospital $3,400 MOOP RX: 5 Tier 0/5/30/85/33% Dental, Hearing, Vision & Silver Sneakers Statewide RPPO Plan: R5826-074 RPPO Plan Premium: $0 PCP: $10 Specialist: $40 In Patient Hospital: $300/Day (1-5) MOOP: $5,900 RX: 5 Tier 6/15/45/95/33% Dental, Vision & Hearing $20 Over The Counter Benefit (New for 2014) Silver Sneakers (New for 2014) Other PPO Plans: R5826-005: RPPO - $92 premium R5826-018: RPPO - $0 premium (MA ONLY PLAN) Special Needs Plans: H1036-213: For all levels including partial DE H1036-159: For Full Dual Eligible H1036-193: Diabetic SNP Key Markets/Cities Orlando Kissimmee Altamonte Springs Orange, Osceola and Seminole Counties Agent Training Purposes ONLY
Greater Tampa 2014 Value Prop Local Value Prop Dave Heizer – Agency Manager E: dheizer@humana.com P: 813-220-9398 Key Values Large Network of providers Only 4.5 STAR Plan in Market (HMO 1036) for 2014 25 + years serving Tampa Bay On/Off Exchange for IMM opportunity New H1036-215 HMO for Sarasota County Local Office support for: Training Marketing and Sales Guidance Seminars Supplies Key Local Products Flagship Plan: H1036-025, 052, 074 Hillsborough (025), Pinellas (052), Manatee (074) $0 Premium $0 PCP $30 Specialist $95 Days 1-5 In Patient Hospital $3400 MOOP RX: 5 Tier $0/$0/$10/$60/33% Dental, Vision & Silver Sneakers Transportation Unlimited- to PCP/Spec/Silver Sneaker Part B Giveback Plan: H1036-141 $96.40 Hillsborough, Pinellas, Pasco, Hernando, & Manatee $0 Premium $35 Specialist $150 Days 1-5 In Patient Hospital $5000 MOOP RX: 5 Tier $0/$0/$25/$60/33% $10 OTC, Dental, Vision & Silver Sneakers LPPO/RPPO plans R5826-074: RPP0 - $0 premium R5826-005: RPPO - $92 premium R5826-018: RPPO - $0 premium (MA ONLY PLAN) H5415-056: LPPO - $155 premium Key Markets/Cities Tampa & Clearwater Pinellas, Hillsborough, Pasco, Polk, Hernando, Citrus, Manatee and Sarasota Counties Agent Training Purposes ONLY
Greater Tampa 2014 Value Prop (Continued) Key Local Products Key Local Special Needs Plans (SNPs) Flagship Plan: H1036-040, 067 Pasco (040), Hernando (067) $0 Premium $0 PCP $24 Specialist $75 Days 1-5 for Inpatient Hospital $3400 MOOP RX: 5 Tier 0/0/0/55/33% Dental, Hearing, Vision & Silver Sneakers Transportation unlimited to PCP/Spec/Silver Sneakers Flagship Plan: H1036-140 Citrus County $0 Premium $0 PCP $30 Specialist $75 Days 1-7 In Patient Hospital $3400 MOOP RX: 5 Tier 0/5/40/75/33% $10 OTC, Vision & Silver Sneakers Transportation unlimited to PCP/Spec/Silver Sneakers Flagship Plan: H1036-215 Sarasota County $0 Premium $35 Specialist $150 1-7Days for Inpatient Hospital RX: 5 Tier 0/10/40/80/33% $5 OTC, Vision & Silver Sneakers Partial Dual Eligible Plan: H1036-102 (All dual eligibles) Hillsborough, Pinellas, Pasco, Hernando, Manatee & Citrus $8.60 Premium $0 PCP & $0 Specialist $0 per admit for Inpatient Hospital $3400 MOOP RX: 5 Tier 0/0/$45/$95/25% $0 copays for Dental, Hearing, Vision Full Dual Eligible Plan: H1036-161 (QMB & QMB+ only) $10.90 Premium Diabetic SNP: H1036-160 Hillsborough, Pinellas, Pasco, Hernando & Manatee $0 Premium $0 PCP $30 Specialist $125 days 1 -7 for Inpatient Hospital RX: $0 Deductible & 5 Tier 0/0/$45/$95/25% $30 copays for Dental, Hearing, Vision Agent Training Purposes ONLY
Greater Ocala 2014 Value Prop Local Value Prop Cas Fitzpatrick II – Agency Manager E: cfitzpatrick3@humana.com P: 850-473-3925 x1030814 C: 850-450-1259 Key Values PPO Network Reciprocity (50 States) (11) Wal-Mart Stores (OCT 1 thru DEC 7) 3.5 CMS Star Rating Strong Network of Providers & Hospitals OFF the Exchange IMM Opportunity Local Office support for: Certification Classes Product Training (On & Offsite) Emergency Sales Supplies Compliance, Marketing & Sales Assistance Key Local Products Statewide RPPO Plan: R5826-074 RPPO $0 Premium $10 PCP $40 Specialist $300 Days 1-5 In-Patient Hospital $5,900 MOOP RX: 5 Tier $6 / $15 / $45 /100% / 100% ($150 Deduct) Dental & Vision $20 OTC Benefit Silver Sneakers Right Source Mail Order Pharmacy Rx Savings Key Market PPO Plan: R5826-018 RPPO (MA ONLY) $0 Premium $5 PCP $30 Specialist $150 Days 1-10 for In-Patient Hospital $4,000 MOOP Dental & Vision, $20 OTC Benefit Silver Sneakers Safety Equipment 35% Discount RPPO/PFFS plans R5826-074: RPPO - $0 premium R5826-005: RPP0 - $92 premium R5826-018: RPPO - $0 premium (MA ONLY PLAN) H8145-061: PFFS - $103 premium Key Markets/Cities Ocala & The Villages Gainesville Alachua, Dixie, Gilchrist, Lake, Levy, Marion and Sumter Counties Agent Training Purposes ONLY
Daytona 2014 Value Prop Local Value Prop Key Local Products John Bakas – Sales Manager E: JBakas@humana.com P: 386-663-1422 Key Values All Hospitals Contracted for all lines of business Solid HMO and PPO networks Largest Medicare membership of all carriers Serving the Daytona market for over 23 years Great network of Silver Sneaker locations Local Office support for: Training Emergency Materials Marketing opportunities Seminar support Key Local Products Flagship Plan: HMO MAPD 1036-044 (Volusia/Flagler) $0 Premium $0 PCP $20 Specialist $100/day 1-10 Inpatient Hospital $3400 MOOP RX: 5 Tier 0/0/40/80/33% Dental, Hearing, Vision , OTC & Silver Sneakers Limited Transportation Part B Giveback Plan: HMO MAPD 1036-157 (Volusia/Flagler) $93.70 Part B Reduction $5 PCP $35 Specialist $175 /day 1-10 Inpatient Hospital RX: 5 Tier 3/9/40/80/33% Hearing, Vision, OTC & Silver Sneakers Putnam Flagship Plan: HMO MAPD 1036-068 RPPO plans R5826-074: RPP0 - $0 premium R5826-005: RPPO - $92 premium R5826-818: RPPO - $0 premium (MA ONLY PLAN) Special Needs Plans: H1036-209 (Vol/Flg); H1036- 211(Putnam): Partial Duals H1036-154 (Vol/Flg); H1036-192(Putnam): Full Duals H1036-156 (Vol/Flg); H1036-175 (Putnam) Diabetic SNPs Key Markets/Cities Daytona Beach Deltona Palm Coast & Palatka Volusia, Flagler and Putnam Counties Agent Training Purposes ONLY
NE FL Jacksonville 2014 Value Prop Local Value Prop Karen Lyndel – Sales Manager E: Klyndel@humana.com P: 904-571-5284 Key Values New Humana Partial & Full Dual Eligible Plans in five core counties New Wholly-Owned MCCI Center in Clay County across from new St. Vincent’s Hospital Humana HMO – only 4.5 Star Plan in Service Area Strong Zero Premium RPPO Plan Local Office support for: Supplies Training Marketing & Sales Guidance Events Key Local Products Flagship Plan: HMO MAPD 1036-081 (Baker, Duval, Nassau) $0 Premium $0 PCP $20 Specialist $150/day (days 1-10 )In Patient Hospital $6,700 MOOP RX: 5 Tier 0/4/45/85/33% Vision, Silver Sneakers, Transportation, Humana First, Rewards Program, OTC and Humana Active Outlook Flagship Plan: HMO MAPD 1036-068 (Clay, St. Johns, Putnam) $0 Premium $0 PCP $20 Specialist $150/day (days 1-10) Inpatient Hospital RX: 5 Tier 0/4/40/85/33% Silver Sneakers, Vision, Transportation, Humana First, Rewards Program, Humana Active Outlook, Dental, OTC RPPO plans R5826-074: RPP0 - $0 premium R5826-005: RPPO - $92 premium R5826-018: RPPO - $0 premium (MA ONLY PLAN) Special Needs Plans: H1036-192: Full Dual Eligible (Clay, St. Johns, Putnam) H1036-211: Partial Dual Eligible (Clay, St. Johns, Putnam) H1036-212: Full Dual Eligible (Baker, Duval, Nassau) H1036-210: Partial Dual Eligible (Baker, Duval, Nassau) H1036-175: Diabetic HMO (Baker, Clay, Duval, St. Johns, Nassau, Putnam) Key Markets/Cities Jacksonville Nassau, Duval, St Johns, Clay, Baker, Bradford, Union, Suwannee and Hamilton Counties Agent Training Purposes ONLY
Greater Panama City/Tallahassee 2014 Value Prop Local Value Prop Cas Fitzpatrick II – Agency Manager E: cfitzpatrick3@humana.com P: 850-473-3925 x1030814 C: 850-450-1259 Key Values PPO Network Reciprocity (50 States) (17) Wal-Mart Stores (OCT 1 thru DEC 7) 3.5 CMS Star Rating Solid Network of Providers & Hospitals OFF the Exchange IMM Opportunity Local support for: Certification Classes Product Training (Offsite) Emergency Sales Supplies Compliance , Marketing & Sales Assistance Key Local Products Statewide RPPO Plan: R5826-074 RPPO $0 Premium $10 PCP $40 Specialist $300 Days 1-5 In-Patient Hospital $5,900 MOOP RX: 5 Tier $6 / $15 / $45 /100% / 100% ($150 Deduct) Dental, Vision & Hearing $20 OTC Benefit Silver Sneakers Right Source Mail Order Pharmacy Rx Savings Key Market RPPO Plan: R5826-018 RPPO (MA ONLY) $0 Premium $5 PCP $30 Specialist $150 Days 1-10 for In-Patient Hospital $4,000 MOOP Dental, Vision & Hearing $20 OTC Benefit Silver Sneakers Safety Equipment 35% Discount RPPO/PFFS plans R5826-074: RPPO - $0 premium R5826-005: RPP0 - $92 premium R5826-018: RPPO - $0 premium (MA ONLY PLAN) H8145-061: PFFS - $103 premium Key Markets Bay, Okaloosa, Walton, Jackson, Holmes, Washington, Calhoun, Gulf, Liberty, Franklin, Leon Gadsden, Wakulla, Jefferson, Taylor and Madison Counties Agent Training Purposes ONLY
Greater Pensacola 2014 Value Prop Local Value Prop Cas Fitzpatrick II – Agency Manager E: cfitzpatrick3@humana.com P: 850-473-3925 x1030814 C: 850-450-1259 Key Values 4.5 CMS Star Rating (HMO) Solid Network of Providers & Hospitals (9) Wal-Mart Stores (OCT 1 thru DEC 7) PPO Network Reciprocity (50 States) OFF the Exchange IMM Opportunity Local Office Support For: Certification Classes Product Training (On & Offsite) Emergency Sales Supplies Compliance, Marketing & Sales Assistance Key Local Products Flagship Plan: H1036-143 HMO $0 Premium $0 PCP $30 Specialist $150 Days 1-7 In-Patient Hospital $3,400 MOOP RX: 5 Tier $0 / $5 / $40 / $80 / 33% Dental, Vision, $10 OTC Benefit & Silver Sneakers Right Source Mail Order Rx Savings Diabetic SNP: H1036-194 $0 Premium $5 PCP $30 Specialist $150 Days 1-10 for Inpatient Hospital $3,400 MOOP RX: 5 Tier $0 / $5 / $40 / $80 / 33% Vision, Silver Sneakers, Right Source Mail Order Rx Savings RPPO/PFFS plans R5826-074: RPPO - $0 premium R5826-005: RPP0 - $92 premium R5826-018: RPPO - $0 premium (MA ONLY PLAN) H8145-061: PFFS - $103 premium Special Needs Plans: H1036-214: For all levels including partial DE H1036-195: For Full Dual Eligible H1036-194: Diabetic SNP Key Markets/Cities Pensacola Gulf Breeze Escambia and Santa Rosa Counties Agent Training Purposes ONLY Agent Training Purposes ONLY