1. Program Overview

2. USHL and AMITA Health Care Network (AHCN)
Offering Chicagoland employers an innovative approach to self-funded group healthcare coverage.

3. AMITA Health Care Network offers value-based,
comprehensive, coordinated care
with a focus on quality over quantity.

4. Why Coordinated Care?
AMITA Health Care Network offers value-based, comprehensive, coordinated care with a focus on quality over quantity: Team-based coordinated care is integrated across all patient visits. Patient health and wellness is the vision and goal of providers. Patients choose from a select number of quality regional hospitals, health facilities, physicians and other medical professionals. Through shared information, each patient’s health is coordinated by the entire team, ensuring patient-centric care. Coordinated care makes it easier for members and insurers to get the best care at the best price.

5. AHCN Coverage Area
SafeGuard AHCN offers Chicago employers the ability to offer affordable, best-in-class healthcare coverage to their employees along with: Convenience: 80% of Chicagoans live within 10 miles of an AMITA Health Care Network provider. Quality: Nine of Illinois’ highest ranked hospitals in the AMITA Health System. Integration: AMITA Health Care Network includes more than 1,600 physicians in all categories of healthcare.

6. SafeGuard AHCN: Tiered Benefits
Members enjoy the best discounts and lowest out-of-pocket costs within Tier One– while receiving access to more than 1,600 physicians who are located within 10 miles of where 80% of Chicagoans live, work or play. When services are needed from a non-AMITA provider within Illinois, members receive Tier Two benefits when serviced by an HFN provider or facility. Tier Three benefits apply for all non-AMITA or non-HFN providers within Illinois and nationwide.

7. Advanced Care with AHCN
AHCN offers advanced care via electronic medical records, a population health tool and new, innovative mobile applications – eAMITA and AMITA Health !
eAMITA:
No waiting to see a doctor in person
Visit AMITAhealth.org/eAMITA for instructions on downloading the app
Connect with AMITA Health physicians from your smartphone, tablet or PC
Conditions treated include: Bronchitis, cough & cold, seasonal allergies, sinus & upper respiratory infections, conjunctivitis (pink eye), gout, heartburn & indigestion, influenza, lower back pain, skin conditions, urinary tract infections
AMITA Health :
Simplifies complex care plans into daily steps
Monitors medication side effects
Allows patients to communicate with their care teams about every aspect of their health, from any device, at any time, anywhere
Enables AMITA Health to monitor and intervene quickly when an issue develops
Coordinates information to caregivers – near or far – to ensure a loved one is on track with the patient's health plan

8. SafeGuard AHCN: Traditional Coverage
Available copay and Rx packages for traditional coverage detailed on next page

9. SafeGuard AHCN: Traditional Coverage

10. SafeGuard AHCN: HDHP Coverage

11. Benefit Design Options
24-Hour Work-Related Coverage*
Covers claims for work-related illness and injuries for those not covered under group workers comp policy
* Subject to underwriting approval

12. SafeGuard AHCN Coverage Highlights
Physician Services
Primary physician office visits
Specialist physician office visits
Inpatient and outpatient services and surgery
Allergy testing and injections
Emergency room physician services
Urgent care physician services

13. SafeGuard AHCN Coverage Highlights
Facility Charges
Inpatient and outpatient facility services and surgery
Emergency room charges
Urgent care charges
Inpatient and outpatient diagnostic services and advanced imaging (i.e. radiology, pathology, MRA/MRS, MRI, PET, CAT, SPECT)
Preventive Care
First-dollar wellness / preventive, including well-baby visits, mammograms, colonoscopies, immunizations, additional per national recommendations and preventive care guidelines.

14. SafeGuard AHCN Coverage Highlights
Other Services
Inpatient and outpatient substance abuse treatment
Chiropractic care
Semi-private and intensive care unit room and board
Hospital services and supplies
Hospice care
Home healthcare services
Physical / Occupational / Speech therapy
Physiotherapy
Private duty nursing
Ground or licensed air ambulance services
Durable medical equipment and supplies
Blood, blood plasma

15. SafeGuard AHCN Coverage Highlights
Other Services, cont’d.
Pre and post-natal care
Circumcisions
Chemotherapy and antineoplastic drugs
Extended care facility charges
Treatment for mental, nervous and personality disorders (inpatient and outpatient)
Temporomandibular Joint (TMJ) and comparable disorders
Nurse / midwife services
Voluntary sterilizations
Human organ and bone marrow transplants

16. SafeGuard AHCN Mechanics
SafeGuard AHCN program mechanics mirror those of basic SafeGuard.
Refer to the SafeGuard Training Toolbox* for information regarding:
Self-Funding Basics (module 1)
SafeGuard Program Overview (module 2)
Quoting and Underwriting (module 4)
New Business Process (module 5)
Excess Loss Insurance (module 6)
Monthly Billing (module 7)
Reporting, Re-contracting and Settlement (module 8)
* Located at

17. For additional information on SafeGuard, select an option below:
Speak with a Sales Representative
Contact USHL Sales Support at (844)
or send an to
Learn more about SafeGuard
Review SafeGuard Benefit Summaries
Review Frequently Asked Questions
Obtain a Quote
Excess loss insurance policies and PPO insurance plans underwritten by US Health and Life Insurance Company, Inc.  SafeGuard plans administered by US Health and Life Insurance Company, Inc. © 2017 US Health and Life Insurance Company, Inc. All rights reserved.

18. Program Overview