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Published byRosalind Cobb Modified over 9 years ago
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Cambridge-Isanti ISD 911
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Understand your coverage and benefits Today you will Get an overview of your plan options Learn how you’re supported by HealthPartners
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Your medical plan
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NationalOne Network You More than 700,000 doctors 6,000 hospitals
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Preventive care is covered 100 percent Screenings Checkups Counseling What is routine preventive care?
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In-networkOut-of-network Deductible $3,000/ person $6,000/ family $3,000/ person $6,000/ family Out-of-pocket maximum $4,000/ person $7,000/ family $6,000/ person $9,000/ family Preventive care You pay nothing You pay 40% after deductible Office visit You pay 20% after deductible You pay 40% after deductible Your NationalONE benefits
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In-networkOut-of-network Inpatient hospital You pay 20% after deductible You pay 40% after deductible Outpatient hospital You pay 20% after deductible You pay 40% after deductible Emergency You pay 20% after deductible You pay 40% after deductible Urgent care You pay 20% after deductible You pay 40% after deductible Convenience care You pay 20% after deductible You pay 40% after deductible Durable medical equipment You pay 20% after deductible You pay 40% after deductible Your NationalONE benefits
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Your NationalOne Benefits In-networkOut-of-network Generic from the formulary You pay $10 You pay 40% after deductible Brand from the formulary You pay $25 You pay 40% after deductible Medications not on the formulary You pay $50 You pay 40% after deductible Specialty Drugs You pay 20% up to $200 maximum per prescription per month You pay 40% after deductible
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Get three free visits! Simple, convenient and safe Treats over 40 common conditions 98 percent of customers highly recommend* *Source: virtuwell patient satisfaction survey 24/7 online care
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Get healthy and save! with healthy discounts Health club and exercise savings Diapers, child care and kids items Healthy eating discounts Eyewear, braces, spa treatments and more
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Get gym discounts! HealthPartners Frequent Fitness Save up to $40 per household Step 1 Step 2 Workout 12+ times each month Save $20 on your gym membership
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Using your plan
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Your questions answered How your plan works Your coverage and benefits Your claims and EOBs Finding covered care If you have questions about: Call Member Services Here to support you with your plan
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Your questions answered If you should see a doctor Home treatment options Medicines you’re taking Finding covered care If you have questions about: Call CareLine SM Service 24/7 trusted nurse advice
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Your questions answered Your health care and benefits How to choose a treatment option If you have questions about: Call HealthPartners Nurse Navigator SM program Monday - Friday, 7 a.m. – 7 p.m.
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Your questions answered Your pregnancy If you have questions about: Call BabyLine phone service 24/7 trusted advice Contractions you’re having Your new baby
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Your plan at your fingertips View and fax your ID card Find care near you Check your plan balances ( deductible, out-of-pocket, HSA and more ) Learn more at healthpartners.com/gomobile
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Your plan made easy Create a myHealthPartners account Manage your plan and feel confident when you get care See your benefits, claims and plan balances Search for a doctor in your network Find cost saving tools and tips
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