Morrow County Effectively Using Your Benefits September 24,2013.

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Presentation transcript:

Morrow County Effectively Using Your Benefits September 24,2013

Do you know your Preventive Care Benefits (See Brochure and take with you to your next visit.) 100% In-Network Benefit for Preventive Services (No co-pays) ◦ Immunizations and wellness visits for children ◦ Routine preventive exams for adults ◦ Adult Immunizations ◦ Adult Screenings (e.g. mammogram, PSA) ◦ Colonoscopies (Preventive and Diagnostic) ◦ Routine vision exam ◦ Routine hearing exam

Do you have a Primary Care Physician? If so, do you see your doctor once a year for a Preventive visit? If you do not have a Primary Care Physician…. Did you know that Morrow County Hospital will assist you in locating a Primary Care Physician?

Women’s Preventive Care Enhancements As provided through the Affordable Care Act (ACA) without member cost sharing effective January 1, 2013  Well-women visits  Screening for gestational diabetes  Testing for human papillomavirus (HPV)  Counseling for sexually transmitted infections  Screening and counseling for human immunodeficiency virus (HIV)  FDA-approved contraception methods and contraceptive counseling  Breastfeeding support, supplies and counseling  Screening and counseling for interpersonal and domestic violence  Coverage for Generic Birth control at no cost to member

The Anthem Care Comparison Tool:  It’s an innovative tool to help take some of the mystery out of health care. You can see cost estimates for most common elective, non- emergency procedures at different places in your area. If different places charge different amounts for the same service, having a clear understanding of cost can help you make more informed decisions.  TRY ANTHEM CARE COMPARISON TODAY! Just log in at anthem.com. Go to your Account Summary page and select “Compare Facility Cost and Quality.”

ANTHEM Coverage reminders…… ◦ Lab services at Quest Diagnostics, LabCorp, and other Anthem preferred in-network labs are covered at 100%, no deductible, for both diagnostic and preventive covered services  Hospital labs are typically apply deductible/coinsurance ◦ Primary Care Physician : family practice, general practice, internist, pediatrics, OB/GYN, or Geriatric, and behavioral health providers All other providers classified as specialists

Did you know you have a NEW Urgent Care in town? Urgent Care at Morrow County Hospital 651 West Marion Road, Mt. Gilead, Ohio Monday- Friday (4:00-11:00 PM)

NEW for 2014  Your co-pays on your Medical Coverage will now contribute to your Out of Pocket (OOP)  Prescription Drug will be through RxOC/Express Scripts Plan to Attend an Open Enrollment Meeting on October 24 or 31 to learn more about these changes!

ALSO NEW for 2014…..  CEBCO has an RFP for a “Wellness Vendor” to provide additional wellness services to our member counties for  Look for announcement later this Fall!

QUESTIONS ?????