Personal Health Record Alerts Print Personal Health Record Personal Health Record for: Vitals view history view details John Type of Service Office Visits Physicals Preventive Screening Immunizations Chiropractic Visits Lab and Radiology Tests Emergency Room Visits Outpatient Surgeries Inpatient Admissions Prescriptions Total Medical History from: # of events Paid by Insurance $ 0.00 $ $ $ 0.00 $ $ Paid by You $ $ $ 0.00 $ 1, $ 0.00 $ $ 2, Height Weight Heart Rate Blood Pres. Cholesterol Immunizations Blood Type 6 ‘ 0” 210 lbs 65/min 120/ On Track A+ Potential Savings $ view details $ view details $ view details $ view details Change Date Medical Conditions & Allergies Update Allergy Dairy Products Mold Condition Save $ Hypertension $ Diabetes $$$ Found out on: 01/21/1978 Gap in Care No details Yes details Update Medications Update Name Save $ Diovan $ Prilosec Last filled on: 01/21/ /21/2007 View Your DoctorsView Your Emergency Contact Info January June to Total Cost $ $ $ 0.00 $ 1, $ $ 0.00 $ $ Personal Health Record powered by Print Personal Health Record

Personal Health Record Alerts Print Personal Health Record Personal Health Record - John Vitals: Weight – View History powered by Print Weight History Date06/04/0708/04/07010/04/07012/04/07[date] Weight Update Weight History 06/04/0708/04/0710/04/07 12/04/ lbs 205 lbs 200 lbs 205 lbs Weight (lbs)

Personal Health Record Alerts Print Personal Health Record Personal Health Record - John Medical Conditions & Allergies: Diabetes powered by ServiceFrequencyStatus Date of Last Event Result/ Score Status Eye Exam more info At least once per yearOverdue02/04/200520/20 HbA1c Test more info At least once per yearMissing -- ? Lipid Test more info At least once per yearMissing -- ? Mircoalbumin Test more info At least once per yearComplete06/04/ The information below is based on claim data and self entered information. You can update information by selecting the “Update Info” button. View the Diabetes Guide Learn how to cost effectively Manage Diabetes Update Info Understanding diabetes is the first step to managing it. Get information on diabetes causes, risk factors, warning signs, and prevention tips. Click Here Staying on op of your diabetes is the best way to avoid major costs due down the road, however here are ways to control costs today. Click Here

Personal Health Record Alerts Print Personal Health Record Personal Health Record - John Medical Conditions & Allergies: Diabetes powered by ServiceFrequencyStatusDate of Last EventResult/Score Eye Exam more info At least once per yearOverdue02/04/2005 HbA1c Test more info At least once per yearMissing Lipid Test more info At least once per year Mircoalbumin Test more info The information below is based on claim data and self entered information. You can update information by selecting the “Update Info” button. View the Diabetes Guide Learn how to cost effectively Manage Diabetes Update Info Understanding diabetes is the first step to managing it. Get information on diabetes causes, risk factors, warning signs, and prevention tips. Click Here Staying on op of your diabetes is the best way to avoid major costs due down the road, however here are ways to control costs today. Click Here Close X

Personal Health Record Alerts Print Personal Health Record Personal Health Record - John Medical Conditions & Allergies: Diabetes Guide powered by

Personal Health Record Alerts Print Personal Health Record Personal Health Record - John Medical Conditions & Allergies: Diabetes - Cost Effective Management Overview: Your records indicate a recent diagnosis of Type II Diabetes. This Financial Planner for Chronic Disease is intended to help you understand some of the important financial decisions that relate to this clinical disease. We hope to empower you with the knowledge to take care of this chronic condition by understanding the cost, quality, and outcomes issues that will affect your financial burden as it relates to Type II Diabetes. The Financial Planner presents three alternative management scenarios with the financial impact of each choice. The Financial Planner enables you to stay informed and in control of your personal health future. powered by Option 1 Don’t Manage It Potential Out of Pocket Costs $5, View Details Option2: Manage It: High Cost Potential Out of Pocket Costs $3, View Details Option3 Manage It: Low Cost $1, View Details Potential Out of Pocket Costs Print Report

Personal Health Record Alerts Print Personal Health Record Personal Health Record - John Medical Conditions & Allergies: Diabetes - Cost Effective Management: Option 1 Plan Information: Office Visit Co-pays:$0 Prescription Drug$0 In Network Deductible:$5,000 Co-Insurance: 100% In Network Out of Pocket Max:$5,000 Potential Cost Information due to complications: powered by ServiceTotal CostInsurance PaysYou PayView Details Office Visit$ 800$ 0$ 800view details Prescriptions$ 2,000$ 0$ 2,000view details Foot Surgery:$ 15,000$ 12,800$ 2,200view details Total$ 17,800$ 12,800$ 5,000view details Note: Complications in following years could cost you an additional $5,000 each year.

Personal Health Record Alerts Print Personal Health Record Personal Health Record - John Medical Conditions & Allergies: Diabetes - Cost Effective Management: Option 2 Plan Information: Office Visit Co-pays:$0 Prescription Drug$0 In Network Deductible:$5,000 Co-Insurance: 100% In Network Out of Pocket Max:$5,000 Potential Cost Information: Managing Diabetes in a high cost way powered by ServiceTotal CostInsurance Pays You PayView Details Brand Name Glucose Monitor $ 200$ 0$ 800view details Brand Name Test Strips/year supply $ 1,000$ 0 Eye Exam$ 100$ 0 Quarterly HbAc1 test$ 400$ 0$ 2,000view details Quarterly Lipid test$ 400$ 0$ 2,200view details Mircoalbumin Test $ 400 Total$ 2,500$ 0$ 2,500view details

Personal Health Record Alerts Print Personal Health Record Personal Health Record - John Medical Conditions & Allergies: Diabetes - Cost Effective Management: Option 3 Plan Information: Office Visit Co-pays:$0 Prescription Drug$0 In Network Deductible:$5,000 Co-Insurance: 100% In Network Out of Pocket Max:$5,000 Potential Cost Information: Managing Diabetes in a cost effective way powered by ServiceTotal CostInsurance PaysYou PayView Details Brand Name Glucose Monitor $ 100$ 0$ 100view details Brand Name Test Strips/year supply $ 500$ 0$ 500 Eye Exam$ 100$ 0$ 100 Home HbAc1 test$ 40$ 0$ 40view details Home Lipid test$ 40$ 0$ 40view details Home Test $ 40 Total$ 820$ 0$ 820view details Click here to buy Home Test Kits

Personal Health Record Alerts Print Personal Health Record Personal Health Record - John Medical History: Office Visits – Jan 1, 1007 to June 1, 2007 powered by Service CPT Code Date of Service Total Costs Paid By Insurance Paid by You Saving Opportunity View Details Office Visit /03/07$70.00$ 0.00$70.00$$view details Office Visit /03/07$50.00$ 0.00$50.00view details Office Visit /03/07$90.00$ 0.00$90.00view details Office Visit /03/07$70.00$ 0.00$70.00view details Office Visit /03/07$70.00$ 0.00$70.00$$view details Total$350.00$ 0.00 $ $140.00