What’s in the presentation? Who is Cigna NRS Medical Plan What’s new Out-patient Money back Who are covered 1958 – year Cigna was established as a global health service provider and insurance broker that provides international employee benefits 10 CG Centers have joined from 2007 to 2014 4,141 members in CG system as at December 2014 In-patient What to do… What are covered

myWellness.irri.org NRS Medical Plan Safety at Work

Expert in international health insurance Who is Cigna? 1958 Expert in international health insurance 60M Customers worldwide 10 4,222 CG members 1958 – year Cigna was established as a global health service provider and insurance broker that provides international employee benefits 10 CG Centers have joined from 2007 to 2014 4,141 members in CG system as at December 2014 2011 IRRI NRS-CO joined the plan

What’s new in the plan? NRS Medical Plan ≈ PhP 1.1M Medical insurance coverage of a maximum $25,000 per calendar year; 100% reimbursement for medical ambulatory (not requiring hospitalization) and hospitalization ; Reimbursement of expenses for dental (80%) and psychiatric (50%) treatment up to a maximum of $500 and $600, respectively, per person per calendar year; Reimbursement of medical expenses related to the HIV virus. This includes the cost of medication, testing, vaccines, and consultation; Emergency treatment is covered anywhere in the world.

Spouse or domestic partner Who are covered? NRS Member & Approved Dependants Spouse or domestic partner (over 65) Children (below 21)

What medical services are covered? Pharma products Lab test HIV test Annual checkup Outpatient & Inpatient Preventive screening Dental care Optical care Physical med & rehab Pregnancy & childbirth Psych treatment

Outpatient services Chemo- therapy Radio- therapy Hemo- dialysis Outpatient surgery / day case

Inpatient services Semi-private room

Children’s care MMR Polio DPT Hepa B Chicken pox New- born Birth to age 1 Age 1 to 2 Age 3 to 6 Age 7 to 19 1 6/2mos 3/6mos 4/yr 6/2yrs Polio MMR DPT Hepa B Chicken pox

Women’s care Physical exam Mammo-graphy Papsmear Once a year

Men’s care Urological exam PSA screening

Treatment by Psychiatrist Psychiatric care ≈PhP26,000/ year Treatment by Psychiatrist

Optical care 1 exam / 2 years ≈ PhP2,500 per lens / 2 years Frames not covered

Dental care ≈PhP22,000 per member/ year Scaling Implants X-ray Dentures Ceiling of PHP22k Surgical treatment Orthodontic

Paramedical fees Physio-therapy Speech therapy Wound dressing Osteo-pathy Chiro-practic

Pharmaceutical products Medication treatment General Maintenance medicines

Diagnostic imaging MRI CT scan Ultra-sound X-rays CT scans Nuclear medicine scans MRI scans Ultrasound Ultra-sound

Laboratory test CBC Blood sugar Uric acid X-rays CT scans Nuclear medicine scans MRI scans Ultrasound Uric acid

Annual check up Blood analysis Urine test Stool test Chest x-ray ECG X-rays CT scans Nuclear medicine scans MRI scans Ultrasound

With approval of Cigna consultant HIV test With approval of Cigna consultant X-rays CT scans Nuclear medicine scans MRI scans Ultrasound

Pregnancy & childbirth Pre- and post-natal care Hospital care Amniotic fluid test (with approval of medical consultant) X-rays CT scans Nuclear medicine scans MRI scans Ultrasound

Life threatening situations Ambulance Life threatening situations X-rays CT scans Nuclear medicine scans MRI scans Ultrasound

Some exclusions “to name a few” USA & Singapore

Where can I get more details? myWellness.irri.org

Your CIGNA card 1 2 3 4 Cigna dedicated Web site that the members can log in to for information related to the plan The RESNO is your Cigna personal reference number that needs to be mentioned in all correspondence with Cigna 1 2 3 4 Personal details of the plan member: name, gender, and date of birth How to read your card Front 1 – dedicated web site 2 – personal details – name, gender, birthdate 3 – personal reference number – 1 for every family plan 288 – group identification couples both working in IRRI – the one with the email address is the principal member – RESNO of the principal member if both have email addresses – automatic husband is the principal member – husband’s RESNO 4 – Cigna contact details Cigna’s phone number, fax number dedicated email address for plan 288 members mailing address of Cigna’s office that caters to our area Cigna contact details that the members can use to get in touch with Cigna

Your CIGNA card Percentage of costs covered for outpatient treatment 5 5 Contact details to be used by health care providers

What to do: Inpatient (accredited) Member Care Provider Cigna Accomplish cost estimate form Present Cigna card Provide guarantee of payment Provide treatment Pay excess, if any Submit Philhealth documents Bill the patient for excess, if any, then send final billing to Cigna

What to do: In/Outpatient (non-accredited) Member Care Provider Cigna Go to hospital Provide treatment Pay bill Submit Philhealth File claim Process claim Receive reimbursement

What to do: Planned Outpatient (accredited) Member Care Provider Cigna Accomplish cost estimate form Provide cost of procedure Send cost estimate form Provide GOP Get treatment Submit Philhealth Bill Cigna

How do I log in? www.cignahealthbenefits.com

How do I log in?

How do I log in?

How do I log in?

How do I file a claim online? Step 1 Scan all your documents (.pdf, .jpeg, .jpg, .tif, .tiff, and .gif).

How do I file a claim online? Step 2 Log in to www.cignahealthbenefits.com and click “Online”.

How do I file a claim online? Step 3 Read the important reminders and click “Claim Online”.

How do I file a claim online? Step 4 Fill out the claim form.

How do I file a claim online? Step 5 Fill out the payment details.

How do I file a claim online? Step 6 Attach the scanned documents, accept the terms and conditions, and click “Send”.

How do I file a claim online? Your claim has been sent successfully.

Questions?

Who do I contact? Janet Lazarte Cheryll Mercado Kentjie Masaredo cignaplanadmin@irri.org Compensation, Benefits & Reporting Services FF Hill Building x2353 Janet Lazarte Cheryll Mercado Kentjie Masaredo