1. Benefits That Benefit You
Cathy Sapp Executive Director
Teladoc
Change first slide reflecting full P&C presentation…change art, etc.

2. A modern way of delivering care that is becoming mainstream
WHAT IS TELEMEDICINE?
A modern way of delivering care that is becoming mainstream
Who has ever been sick?
How often do you know what’s wrong?
Where do you go for treatment?
How many of you like to sit in a waiting room when you don’t feel well?
How many would like to receive treatment from the comfort of your home?
How often do you know that a simple prescription would resolve your issue?

3. INCREASING MEDICAL CLAIMS COSTS
THE PROBLEM
Aging population demanding more care
Fewer Primary Care Physicians in the marketplace
Longer wait times to get appointments
Longer wait times at the doctor’s office
Misuse of Emergency Room
ALL OF THIS ADDS UP TO
INCREASING MEDICAL CLAIMS COSTS

4. THE SOLUTION Technology Convenience Flexibility Access Cost Effective
Access to treatment on the phone or online
Convenience
Treatment without leaving your home
Flexibility
24/7/365
Access
Broad provider
networks
Cost Effective
Compare to traditional sources of care:
- Emergency Room -
- Urgent Care Center -
- Primary Care Physician -

5. HOW DOES IT WORK?
REGISTER FIRST – Employee (or enrolled family member) registers with telehealth network
At point of registration, employee provides medical history, current prescriptions, allergies, etc.
At time of illness, employee calls or connects online
Intake specialists asks some questions
Specialist connects you to a doctor directly or the doctor returns call – usually within 10 minutes
Doctor prescribes medication when appropriate
Prescription waits at employee’s chosen pharmacy

6. WHERE TO GO FOR CARE $0 $ $$ $$$ $$$$ WHERE TO GET CARE WHAT IT IS
Source: United Healthcare
WHERE TO GET CARE
WHAT IT IS
TYPE OF CARE
COST
NURSE LINE
NurseLine connects you with registered nurses 24/7.
Choosing appropriate medical care
Finding a doctor or hospital
Understanding treatment options
Achieving a healthier lifestyle
Answering medication questions $0
VIRTUAL VISIT (TELEMEDICINE)
A virtual visit lets you see a doctor via your smartphone, tablet or computer.
Allergies
Bladder infections
Bronchitis
Cough/colds
Diarrhea
Pink eye
Rashes
Seasonal flu
Sinus problems
Sore throats $
CONVENIENCE CARE CLINICS
Visit a convenience care clinic when you can’t
see your doctor and your health issue isn’t urgent. These clinics are often in stores.
Common infections (e.g. strep throat)
Minor skin conditions (e.g. poison ivy) $$
Vaccinations
Pregnancy tests
Minor injuries
Ear aches
PRIMARY CARE PHYSICIAN
Go to a doctor’s office when you need preventive or routine care. Your primary doctor can access your medical records, manage your medications and refer you to a specialist, if needed.
Checkups
Preventive services
Minor skin conditions
General health management
URGENT CARE
Urgent care is ideal for when you need care quickly,
but it is not an emergency (and your doctor isn’t available). Urgent care centers treat
issues that aren’t life threatening.
Sprains
Strains
Small cuts that may need a few stitches
Minor burns
Minor infections
Minor broken bones
$$$
EMERGENCY ROOM
The ER is for life-threatening or very serious
conditions that require immediate care. This is also when to call 911.
Heavy bleeding
Large open wounds
Sudden change in vision
Chest pain
Sudden weakness
Major burns
Spinal injuries
Severe head injury
Breathing difficulty
Major broken bones
$$$$

7. WHAT KIND OF CONDITIONS ARE BEST SUITED FOR TELEMEDCINE?
Types of conditions treated include:
Allergies
Asthma
Bladder infections
Bronchitis
Cough/colds
Diarrhea
Earaches
Fever
Headaches
Nausea
Pink eye
Rashes
Seasonal flu
Sinus problems
Sore throats
Stomach ache
Behavioral Health added or coming soon!

8. HOW CAN IT SAVE MY PLAN MONEY?
Reduces unnecessary claim cost for non-emergency care
Teladoc / Healthiest You average = $517 per claim
Reduces absenteeism – time away from work for doctor or urgent care center visit
Reduces presentism – employees get care for their minor illnesses before coming back to work
Contributes to productivity

9. Upper Respiratory Infection Urinary Tract Infection
COMPARE COSTS
Source: Debt.org
CONDITION
EMERGENCY ROOM COST
URGENT CARE COST
TELEHEALTH COST
Allergies
$345
$97
$0 - $45
Acute Bronchitis
$595
$127
Earache
$400
$110
Sore Throat
$525
$94
Pink Eye
$370
$102
Sinusitis
$617
$112
Strep Throat
$531
$111
Upper Respiratory Infection
$486
Urinary Tract Infection
$665

10. TRENDS IN TELEMEDICINE
Increased offering
Increased utilization
Baked into fully insured plans
Cigna calls it Telehealth
United Healthcare calls it Virtual Visits
CareFirst calls it Video Visits
Self-Insured plan sponsors adding service to their plan
Through carrier vendor
Through third party vendor – such as Teladoc
High Deductible Health Plans

11. Teladoc growth in members and visits 2008 - 2016
GROWTH IN ENROLLMENT
Members
Visits
15 million +
900,000 forecast
Teladoc growth in members and visits

12. GROWTH IN VISITS VISITS Who would you like to see today? 2013 2014
2015
2016
900,000
575,000
298,000
156,000
VISITS
Who would you like to see today?

13. Teladoc statistics regarding visits per population segment:
WHO USES TELEMEDICINE?
Teladoc statistics regarding visits per population segment:
Primary vs Dependents
Age
% of all Visits
Primary
69%
0-18
15%
Dependent
31%
19-24 6%
25-34
24%
35-44
24%
% Of Visits
45-54
19%
Female
63%
55-64
11%
Male
37%
65+ 1%
Age
Average Age
% of Visits
Female Visits
Male Visits
0-18 9
15%
52%
48%
19+ 43
85%
65%
35%
= Pediatric

14. WITHOUT TELEMEDICINE– WHERE DO MEMBERS GO?

15. BY SAVING PLAN DOLLARS, EMPLOYEE SAVES THEIR OWN DOLLARS
EMPLOYEE ENGAGEMENT
Education is key
Employees register before service is needed
Understand economic advantage
Understand convenience
Employee shares Telemedicine/Virtual Visit results with Primary Care Physician
BY SAVING PLAN DOLLARS, EMPLOYEE
SAVES THEIR OWN DOLLARS

16. MEMBERS WANT CHOICE IN HOW THEY ENGAGE
TABLETS
SMART PHONES
SMART WATCHES
COMPUTERS
LAND LINES
SMART TVs
coming soon

17. Members receive information through various channels
Webinars
Admin Kits
Client Portal
Campaigns
Seasonal Marketing
Phone Calls
Contests/App Drives

18. GEO-FENCING REMINDERS
Intercepts at Urgent Care Centers
“It appears you’re in an Urgent Care center.” v
Over 10,000 locations Geo-Fenced
Convenient reminders to save money, time and reduce claims in health plan

19. EMPLOYER MARKETING = RESULTS
Up to 50% greater engagement!
Campaign
Control
October
November
December
EMPLOYER MARKETING = RESULTS

20. MESSAGING THROUGHOUT THE YEAR Don’t Spend the Holidays Waiting
Monthly Communication Guide
JANUARY
FEBRUARY
MARCH
APRIL
Get Started With Teladoc
Focus on getting your employees registered for Teladoc.
So Many Reasons to Use Teladoc
Highlights the benefits of using Teladoc.
Download the App
Get healthcare in the palm of your hand.
Allergy Season
Don’t let your employees suffer through allergy season.
MAY
JUNE
JULY
AUGUST
Vacation & Travel
Our doctors travel with you.
Summer Illnesses
Don’t let summer illnesses get you down.
Avoid the ER
Before going to the ER, give Teladoc a call.
Back to School
Before heading back to school, register and update your medical history.
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
Open Enrollment
Teladoc is a great added benefit to your healthcare plan.
Cold & Flu Season
Fight back during cold & flu season.
Holiday Travel
If you get sick while traveling, remember you’ve got Teladoc.
Don’t Spend the Holidays Waiting
Avoid the waiting room by calling Teladoc.

21. RESULTS: MEASURED & DELIVERED

22. CASE STUDY: TELADOC/HEALTHIEST YOU CLIENT
2,231 Employees | Self-funded
pCP Co-Pay
Urgent care Co-Pay
ER care Co-Pay
Individual Deductible
Family Deductible
Prescription Co-Pay
$25
$50
$100 after ded.
$2,500
$5,000
$35
$75
$200 after ded.
$3,500
$7,000
$45
Old plan
New plan
Employer plan Snapshot
44.4%
HY Utilization Rate
$311,661 Saved
Telehealth consults (1,071)
37%
Urgent Care spend reduced

23. CASE STUDY: TELADOC/HEALTHIEST YOU CLIENT
225 Employees | Fully-insured
86.6%
-2% =
RAISES FOR THE
TEACHERS & STAFF
For the first time in years!!
HY Utilization Rate
insurance renewal
Previous Year’s Increase 10%-20%
177
Dr. consults $0
FREE consultation for employees
Out of pocket

24. Creating meaningful impact
Convenience
Outcomes
Value
Virtual healthcare delivery – this new healthcare experience that Teladoc is developing -- creates meaningful impact in the form of greater convenience, outcomes and value.
Let’s start with convenience: when it comes to healthcare in our mobile world, consumers expect three big things:
give me access on my terms – when & how I want it.
a care experience that marries technology and their established behaviors to deliver a better quality care experience
engage me on my terms – again when & where I am

25. Questions & THANK YOU Cathy Sapp Executive Director Teladoc