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© 2009 Regence. Private and Confidential. Regence Activate SM Healthy Living Rewarded Get Started Get Started.

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Presentation on theme: "© 2009 Regence. Private and Confidential. Regence Activate SM Healthy Living Rewarded Get Started Get Started."— Presentation transcript:

1 © 2009 Regence. Private and Confidential. Regence Activate SM Healthy Living Rewarded Get Started Get Started

2 © 2009 Regence. Private and Confidential.

3 How to use this presentation This 5 minute tutorial will show how Regence Activate works for a typical family If you want to replay the current slide before moving forward, a “replay” button is located at the top of the slide When each slide finishes animating, a “next” button will appear at the bottom of the slide so that you can advance to the next slide NEXT REPLAY

4 © 2009 Regence. Private and Confidential.

5 Regence Activate SM NEXT To help you learn how Activate coverage may work for you… Let’s take a trip through the calendar year with the Murphys, a Regence Activate family REPLAY

6 © 2009 Regence. Private and Confidential.

7 Meet the Murphys They have Activate coverage through Dan’s job Their plan starts Jan 1 Dan, 36 Kate, 4 Ryan, 12 Rachel, 34 NEXT REPLAY

8 © 2009 Regence. Private and Confidential.

9 Meet the Murphys They – like you – need different kinds of health care during the course of a year Let’s learn how Activate works for them – and you can apply it to your own health care needs NEXT REPLAY

10 © 2009 Regence. Private and Confidential.

11 Their Activate coverage They have a $1,500 per person deductible, with a family max of $4,500 Member Choice Account(MCA) Each family member can earn up to $600 in their Member Choice Account (MCA) for making healthy choices $1500 deductible Member Choice Account $100 $200 $100 complete an online health assessment track healthy activities online NEXT REPLAY

12 © 2009 Regence. Private and Confidential.

13 $200 The family gets started The family signs on to myRegence.com and completes their online health assessments, earning $200 each Dan or Rachel can view and manage the kids’ accounts Member Choice Account $100 $200 $100 track healthy activities online Dan’s MCA $100 Rachel’s MCA $100 Ryan’s MCA $100 Kate’s MCA $100 $200 NEXT complete an online health assessment REPLAY

14 © 2009 Regence. Private and Confidential.

15 $200 $100 The family starts to get active NEXT Dan’s MCA $100 Rachel’s MCA Ryan’s MCA Kate’s MCA $100 $200 Dan starts a new year’s resolution to cut back portion sizes at each meal Rachel swims with Kate weekly at the local pool Ryan practices with his little league baseball team $100 REPLAY

16 © 2009 Regence. Private and Confidential.

17 $200 $100 February 2 nd Rachel has her annual women’s exam The total cost is $210 She sees the claim on myRegence.com and pays her provider online through her Member Choice Account $1500 deductible Member Choice Account $100 NEXT REPLAY

18 © 2009 Regence. Private and Confidential.

19 March 13 th Kate comes down with a cold that turns into an infection, requiring a visit to the pediatrician The bill comes to $105 Rachel logs on to view Kate’s claims and applies her daughter’s funds towards the expense NEXT $200 $100 $1500 deductible Member Choice Account $100 REPLAY

20 © 2009 Regence. Private and Confidential.

21 June 8 th Ryan & Kate go in for well-child exams and immunizations The cost is $120 each Rachel pays the claims through each child’s MCA NEXT $200 $100 $1500 deductible Member Choice Account $100 $200 $100 $1500 deductible Member Choice Account $100 REPLAY

22 © 2009 Regence. Private and Confidential.

23 $200 $100 The family makes more healthy choices NEXT Dan’s MCA $100 Rachel’s MCA Ryan’s MCA Kate’s MCA $100 $200 Started a morning jogging routine Watches Regence podcasts Joined the heart healthy program Posts reviews of his providers at myRegence.com Decreased his meal portions $100 Walks the dog daily Had annual exam Attended a class on household finance Joined the heart healthy program Joins community discussion threads on myRegence.com Increased her daily fiber intake Joined the track team at school Brushes and flosses teeth daily Eats 2-3 servings of fruits & veggies Had a well-child exam and flu shots Plays outside with mom each day Brushes and flosses teeth daily Eats 2-3 servings of fruits & veggies Had a well-child exam and flu shots $100 REPLAY

24 © 2009 Regence. Private and Confidential.

25 $200 $100 August 17 th Rachel sees the doctor to treat her recurring migraines The total cost is $140 She has remained active throughout the entire year, so she has plenty of funds to cover the bill $1500 deductible Member Choice Account $100 NEXT REPLAY

26 © 2009 Regence. Private and Confidential.

27 November 5 th Dan falls while hiking and breaks his arm. At the hospital, he has multiple x-rays and his arm is set in a cast. The bill comes to $1,800. The Murphys pay the first $1,500, satisfying Dan’s deductible and leaving a balance of $300. Because the deductible has been met, Regence pays 80% of the $300 and the Murphys pay the rest. Dan applies all of the funds he has earned in his MCA so far, lowering their overall bill by $550. NEXT 100% coverage $200 Member Choice Account $100 $1500 deductible $100 80% coverage until member has paid $2000 in coinsurance REPLAY

28 © 2009 Regence. Private and Confidential.

29 December 12 th Rachel, Ryan, and Kate all visit the doctor for the flu The cost is $105 each Each of them has enough funds left to cover the cost NEXT $200 $100 Rachel’s MCA Ryan’s MCA Kate’s MCA $100 $200 $100 REPLAY

30 © 2009 Regence. Private and Confidential.

31 December 31 st The Murphys were pleased with their coverage 3 out of 4 family member’s expenses were covered by the funds they earned through making healthy choices 3 family members had funds to keep and roll over into the next year The family never had to pay a copay Rachel was able to manage the family’s accounts and pay their doctor bills online through myRegence.com View Summary View Summary View Summary REPLAY

32 © 2009 Regence. Private and Confidential. December 31 st MCA Funds Earned MCA Funds Spent MCA Ending Balance Rolls over to next year! Out-of- Pocket Expenses Dan, 36 Kate, 4 Ryan, 12 Rachel, 34 $550 $510 $600 $525 $550 $455 $225 $330 $0 $55 $375 $195 $1,010 $0 $2,185$1,560$625$1,010 THE END


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