TELEMEDICINE 2016

Your Benefits Now Include Telemedicine What is Telemedicine? A “virtual” doctor visit The next phase of health care Quality care Convenient care Cost effective care 67% of Telemedicine users are ages 21 – 50 65% of Americans have a smart phone Growing trend for millennials 2

What Channel of Care is Appropriate? Your PCP should be your first option, but if your PCP is unavailable, try: TELEMEDICINE SERVICE Doctor staffed 24/7 Limited services Minor illnesses (cold, flu, sinus infection, UTI, sore throat, pink eye, headache) Online registration No appointment EMERGENCY ROOM Doctor & specialist staffed 24/7 Provides highest level of care & services No appointment needed Go immediately for stroke, chest pain, heart attack, severe bleeding, major trauma, loss of consciousness, blurred vision RETAIL CLINICS Nurse consult w/prescription privileges Expanded hours, within pharmacy locations Minor illnesses ( colds, flu, ear infections, vaccines, strep) No appointment URGENT CARE CENTERS Doctor staffed Expanded hours Provides moderate level of care Increased services (stitches, fractures, sprains, IVs, X-rays) No appointment PCP Availability Increased Risk Emergent Non-Urgent

Telemedicine ― Expands Your Network More providers More services More markets 4 Increased member satisfaction Added convenience More options More options for your employees

Telemedicine: Makes Health Care Easier 5 CONVENIENCE ACCESSIBLE QUALITY HEALTH CARE MORE OPTIONS COST- EFFECTIVE 24/7/365 No waiting for an acute care appointment Telemedicine is another option to meet your health care needs Board-certified doctors Less expensive alternative for care Saves time No need to miss work for an appointment Secure access via Computer Tablet Smart phone

Types of Telemedicine Vendor Solutions Companies that provide telemedicine services Secure platform Provide national directory of board-certified doctors Claims do not process via BlueCard®; submitted directly to Home plan Local Providers Virtual PCP or retail clinic visit Your doctor may elect to practice medicine via telemedicine Must acquire the necessary technology Specialist Virtual Visit Office visit for follow-up care only Performed by a specialist via a secure video platform Two medical sites are involved: 1.Originating site (where the patient goes to have the service) 2.Distant site (where the specialist is located)

How It Works Vendor Solution Local Provider Solution Acute Care* a.m. For your next appointment, I’d like to do a virtual visit as I just want to see how those prescriptions are working out for you. MAY 2 Your prescription seems to be working. I would like you to get your cholesterol re- checked. JULY 30 VIRTUAL PCP VISIT My head is pounding, I can’t stop coughing & my stomach hurts … 7 TELEMEDICINE SERVICE BENEFIT

Telemedicine Options ― Vendors Vendor Type of Care Primary Care Behavioral Health Primary Care Behavioral Health Available States 46 states & DC Not available in Alabama, Alaska, Arkansas & Louisiana 46 states & DC Not available in Alabama, Alaska, Arkansas & Texas Capabilities Video consult onlyVideo & phone consults Accessing a Provider Acute Care for Minor Illnesses: On-demand appointments 2-minute average wait time Behavioral Health: Scheduled appointments Acute Care for Minor Illnesses: On-demand appointments 2-minute average wait time Behavioral Health: Scheduled video appointments Provider Selection Doctor is assigned Patient may select doctor Websitedoctorondemand.comamwell.com 8

Telemedicine Options ― Local Providers Platform Type of Care Dermatology Available States 23 states Capabilities Submit dermatological-related issue along with digital photos via website Accessing a Provider Submit your request and doctor responds within 3 days Provider Selection Patient may select doctor Websitedermatologistoncall.com Your PCP, specialist, retail clinic or mental health provider may also have secure video virtual visits available to you. 9 Did you also know that Teledermatology is covered under your Specialist Office Visit benefit?

It’s as Easy as Request a consult via web or app amwell.com doctorondemand.com dermatologistoncall.com ➤ Register/create a profile Medical history Medications Allergies ➤ Select your location Doctors will be licensed in the state in which the patient is located ➤ Symptoms Select a doctor ➤ For DermatologistOnCall, a doctor will reply within 72 hours See the doctor 10