Open Access Plus Plan for State of New Mexico Employees Welcome New Mexico State University 590867a.

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Presentation transcript:

Open Access Plus Plan for State of New Mexico Employees Welcome New Mexico State University a

What If You Could Find More Value In Your Health Plan Knowing what your plan offers – and using it effectively – will help you get healthy and stay healthy YOU CAN

Open Access Plus With a CIGNA HealthCare Open Access Plus plan, you get: Access to a nationwide network of doctors and hospitals – Services received outside of New Mexico receive the same coverage No Borders --- seeking care including El Paso works the same way – full network of Providers –Sierra, Providence, Del Sol, Las Palmas, Physicians Hospitals Freedom to visit any provider — Including non-contracted providers

Plan Highlights Focus on wellness and preventive care Lower out-of-pocket costs and no claim forms with participating providers No Primary Care Physician Required No Referrals Required for Specialty Care

Plan Highlights BENEFITIn-NetworkOut-of-Network Wellness Office VisitNo Charge* Primary Care$10 copay per visit* 30% after plan deductible Specialty Care$25 copay per visit 30% after plan deductible Urgent Care Emergency Room $35 copay per visit $150 copay per visit 30% after plan deductible Laboratory ServicesNo Charge* 30% after plan deductible X-Ray MRI/PET Scans No Charge 10% Coinsurance 30% after plan deductible *Deductible does not apply

Plan Highlights BENEFITIn-NetworkOut-of-Network Inpatient Hospital$300 copay 30% after plan deductible Outpatient Facility (other services 100%) 10% Coinsurance 30% after plan deductible Short Term Rehab (Physical, Speech Occupational, Pulmonary, Cardiac) $25 copay per visit 30% after plan deductible Rehabilitative Therapy ( Chiropractic, Napropathy, Acupuncture, Massage Therapy, Rolfing) ($1,500 maximum/yr) $25 copay per visit30% after plan deductible

Informed Turn to myCIGNA.com for Facts and Guidance Cost Reference Tool Learn more about hospitals — Select Quality Care — “Centers of Excellence” WebMD SM Health Record WebMD SM Personal Health Manager Healthwise® Medical Encyclopedia

Prevention Get an ounce (or more) of prevention 100% Coverage for Wellness Exams Visit myCIGNA.com for easy, secure access to health and wellness tools, including guidelines for proper preventive care “My Health at-a-Glance” – CIGNA/WebMD Health Quotient Risk Assessment

Awareness Let CIGNA HealthCare be your consumer health source – online or on the phone Assistance and direction from a nurse – 24-Hour Health Information Line Guidance for a happy and healthy pregnancy – Healthy Babies Help managing chronic conditions – Well Aware for Better Health

Awareness Resources for members with chronic conditions - Cardiac, Pulmonary Disease, Diabetes, Low Back Pain and Asthma Educational materials Self-care tools Support and information Case Management Well Aware for Better Health

Rewarded Just Walk 10,000 Steps-A-Day Walking Program 8-week online program allows Fitness Club Memberships Reduced rates at over 1600 participating fitness clubs Weight Loss Program Discounts Discounted membership for traditional meetings, online, or at home Book, Magazines, Videos & Tapes Discounts on a variety of health education and skill-building resources. Health & Wellness Products 5% Discount Complementary & Alternative Medicine Reduced rates at over 20,000 participating providers offering chiropractic, acupuncture, naturopathic medicine and massage therapy. Discounts on yoga magazines, books and CDs. Laser Vision Correction (LASIK) Reduced rates at over 240 participating facilities Eyeglasses & Contacts Reduced rates at nearly 15,000 participating retailers and providers. 30% off on eyeglasses, 15% off contact lenses, and $5 vision exams. Tobacco Cessation Employee-pay tobacco cessation program. Discounts on Habitrol nicotine replacement therapy. Book, Magazines, Videos & Tapes Discounts on a variety of health education and skill-building resources.

“CIGNA HealthCare” refers to various operating subsidiaries of CIGNA Corporation. Products and services are provided by these subsidiaries and not by CIGNA Corporation. These subsidiaries include Connecticut General Life Insurance Company, Tel-Drug, Inc. and its affiliates, CIGNA Behavioral Health, Inc., Intracorp, and HMO or service company subsidiaries of CIGNA Health Corporation and CIGNA Dental Health, Inc. In Arizona, HMO plans are offered by CIGNA HealthCare of Arizona, Inc. In California, HMO plans are offered by CIGNA HealthCare of California, Inc. In Virginia, HMO plans are offered by CIGNA HealthCare of Virginia, Inc. and CIGNA HealthCare Mid-Atlantic, Inc. In North Carolina, HMO plans are offered by CIGNA HealthCare of North Carolina, Inc. All other medical plans in these states are insured or administered by Connecticut General Life Insurance Company. A Business of Caring  Our business is your health. We provide: Access to quality health care We want to make things simple for you. Call the helpful pre-enrollment hotline CIGNA24 and press 3