Cambridge-Isanti ISD 911. Understand your coverage and benefits Today you will Get an overview of your plan options Learn how you’re supported by HealthPartners.

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Presentation transcript:

Cambridge-Isanti ISD 911

Understand your coverage and benefits Today you will Get an overview of your plan options Learn how you’re supported by HealthPartners

Your medical plan

NationalOne Network You More than 700,000 doctors 6,000 hospitals

Preventive care is covered 100 percent Screenings Checkups Counseling What is routine preventive care?

In-networkOut-of-network Deductible $3,000/ person $6,000/ family $3,000/ person $6,000/ family Out-of-pocket maximum $4,000/ person $7,000/ family $6,000/ person $9,000/ family Preventive care You pay nothing You pay 40% after deductible Office visit You pay 20% after deductible You pay 40% after deductible Your NationalONE benefits

In-networkOut-of-network Inpatient hospital You pay 20% after deductible You pay 40% after deductible Outpatient hospital You pay 20% after deductible You pay 40% after deductible Emergency You pay 20% after deductible You pay 40% after deductible Urgent care You pay 20% after deductible You pay 40% after deductible Convenience care You pay 20% after deductible You pay 40% after deductible Durable medical equipment You pay 20% after deductible You pay 40% after deductible Your NationalONE benefits

Your NationalOne Benefits In-networkOut-of-network Generic from the formulary You pay $10 You pay 40% after deductible Brand from the formulary You pay $25 You pay 40% after deductible Medications not on the formulary You pay $50 You pay 40% after deductible Specialty Drugs You pay 20% up to $200 maximum per prescription per month You pay 40% after deductible

Get three free visits! Simple, convenient and safe Treats over 40 common conditions 98 percent of customers highly recommend* *Source: virtuwell patient satisfaction survey 24/7 online care

Get healthy and save! with healthy discounts Health club and exercise savings Diapers, child care and kids items Healthy eating discounts Eyewear, braces, spa treatments and more

Get gym discounts! HealthPartners Frequent Fitness Save up to $40 per household Step 1 Step 2 Workout 12+ times each month Save $20 on your gym membership

Using your plan

Your questions answered How your plan works Your coverage and benefits Your claims and EOBs Finding covered care If you have questions about: Call Member Services Here to support you with your plan

Your questions answered If you should see a doctor Home treatment options Medicines you’re taking Finding covered care If you have questions about: Call CareLine SM Service 24/7 trusted nurse advice

Your questions answered Your health care and benefits How to choose a treatment option If you have questions about: Call HealthPartners Nurse Navigator SM program Monday - Friday, 7 a.m. – 7 p.m.

Your questions answered Your pregnancy If you have questions about: Call BabyLine phone service 24/7 trusted advice Contractions you’re having Your new baby

Your plan at your fingertips View and fax your ID card Find care near you Check your plan balances ( deductible, out-of-pocket, HSA and more ) Learn more at healthpartners.com/gomobile

Your plan made easy Create a myHealthPartners account Manage your plan and feel confident when you get care See your benefits, claims and plan balances Search for a doctor in your network Find cost saving tools and tips