Covered California Qualified Health Plans 2021 Plan Updates

Welcome Covered California Qualified Health Plans 2021 Plan Updates

Breakout Room #1

April 20, 2021 WEBINAR HOUSEKEEPING

The agenda, breakout room links and troubleshooting guide can be found at https://hbex.coveredca.com/toolkit/webinars-briefings/. • All participants will be in listen-only mode. Participants • Questions for presenters can be sent to [email protected] . Dial in by phone: • Any questions not answered during the webinar will be addressed in an 1-669-900-6833 FAQ which will be sent to all registrants approximately two weeks after the Meeting ID: event. 823 6574 4243 • Today’s virtual meeting will be recorded and sent via agent and community partners alerts • The recording will also be available in two to three business days via https://hbex.coveredca.com/toolkit/webinars-briefings/.

Refer to the Zoom Troubleshooting Guide found in your Eventbrite email or Technical http://www.hbex.coveredca.com/troubleshoot . Email the Outreach & Sales team at Difficulties [email protected].

2 KAISER PERMANENTE George N. Papacalos Senior Sales Executive, Small Business

3 A BETTER WAY TO TAKE CARE OF BUSINESS

The coronavirus pandemic — we’re built for this

Leveraging our strengths to keep delivering high-quality care

Telehealth Testing and care Communication . Massive increase in telehealth . Covering all COVID-19 . Sending out timely visits testing, diagnosis, and communications to our treatment at no cost for members and groups . Using virtual visits for more our members than 80% of all care visits . Strategically redeploying our systemwide* . Ensuring long-term access staff and resources where to care through a national most needed — and to better . Expanding our mail-order command center protect our front-line workers pharmacy capacity

*Kaiser Permanente internal data as of April 30, 2020.

A BETTER WAY TO TAKE CARE OF BUSINESS

Telehealth

and be powered by a Guided highly personalized, Phone Navigation easily accessible digital front-door to self-guide Remote Chat with a across the virtual and Diagnostics provider physical care continuum Short term Connected Medium term Devices/Wearables Long term

7 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. KAISER PERMANENTE’S RESPONSE TO COVID-19 A BETTER WAY TO TAKE CARE OF BUSINESS Telehealth powered by the world’s largest Electronic Health Record While other providers struggled to respond to the increased demand for telehealth services, we ramped up our virtual care offerings quickly and effectively. Powered by the world’s largest civilian electronic health record system, we can: . Continue providing convenient, high-quality care for our members without COVID-19 . Keep our care teams connected as they provide in-person care and fight COVID-19

Expanding mail-order pharmacy access

Percent of total prescriptions filled by mail

February 2020 March 2020

29% 52%

2.2 million Rx 3.6 million Rx filled by mail filled by mail

Source: Internal Kaiser Permanente data.

A safe and convenient pharmacy experience We’re encouraging our members to use convenient mail-order options for most prescriptions. But when they need in-person service, we’re keeping them safe:

. Greeters prescreen patients and provide masks to those who need them . Increased cleanings at all pharmacies and plexiglass sneeze guards at our counters . Curbside pickup at select pharmacies for COVID-19 patients and other immunocompromised patients . Doctor-designated home delivery of urgent medications for COVID-19 patients

Wellness tips for health at home at thrive.kp.org Our Thrive Together site offers articles and videos to help members stay healthy, practice self-care, and navigate the disruptions to their everyday lives.

No-cost digital tools for mental health and wellness Particularly during the COVID-19 crisis, we’ve made a commitment to offer members even more innovative ways to promote personal health and wellness. That’s why we’ve added 2 new, no-cost digital health apps to our portfolio of self-care tools:

myStrength® is a wholly owned subsidiary of Livongo Health, Inc.

Kaiser Permanente cited as a model for how to care for customers in times of crisis

“An employee opened the door for each customer that entered and exited; another employee greeted me in the waiting room, checked my temperature, and asked if I was experiencing any symptoms; the prescription was filled quickly. They were respectful, courteous, and pleasant, and I felt very cared for.” — Maya Hu-Chan, global leadership expert

Source: Hu-Chan, Inc., April 21, 2020.

Kaiser Permanente’s role in vaccination

“Can Kaiser Permanente members get vaccinated outside of Kaiser Permanente “What if I need facilities?” care now?”

Copyright © 2021 Kaiser Foundation Health Plan, Inc. All rights reserved. May not be reproduced in any form without the written permission of Kaiser Foundation Health Plan, Inc. • Available vaccines are property of the United “How will Kaiser States government. Permanente distribute • Kaiser Permanente is vaccines?” required to follow federal and state delivery and reporting guidelines.

Copyright © 2021 Kaiser Foundation Health Plan, Inc. All rights reserved. May not be 15 Copyrightreproduced © 2021 in any Kaiser form Foundation without the Health written Plan, permission Inc. All of rights Kaiser reserved. Foundation May Healthnot be Plan,reproduced Inc. in any form without the written permission of Kaiser Foundation Health Plan, Inc. Yes. Kaiser Permanente members will be able to get “Can Kaiser Permanente the COVID-19 vaccine at no cost from facilities approved members get as COVID-19 vaccine vaccinated outside providers by their state’s department of health, in of Kaiser Permanente order of prioritization. facilities?”

Copyright © 2021 Kaiser Foundation Health Plan, Inc. All rights reserved. May not be 16 Copyrightreproduced © 2021 in any Kaiser form Foundation without the Health written Plan, permission Inc. All of rights Kaiser reserved. Foundation May Healthnot be Plan,reproduced Inc. in any form without the written permission of Kaiser Foundation Health Plan, Inc. For non-emergency issues: • Email your care team • Schedule a telehealth “What if I need appointment care now?” • 24/7 advice line

For emergency issues: • Call 911 or go to the nearest hospital

Copyright © 2021 Kaiser Foundation Health Plan, Inc. All rights reserved. May not be 17 Copyrightreproduced © 2021 in any Kaiser form Foundation without the Health written Plan, permission Inc. All of rights Kaiser reserved. Foundation May Healthnot be Plan,reproduced Inc. in any form without the written permission of Kaiser Foundation Health Plan, Inc. KAISER PERMANENTE’S RESPONSE TO COVID-19 A BETTER WAY TO TAKE CARE OF BUSINESS

Timely updates and comprehensive information at kp.org/coronavirus

Your employees can find answers to common questions about their care and coverage during COVID-19, including:

. Should I get tested for COVID-19?

. How do I get care and prescriptions?

. What if I lose coverage?

. How can I deal with anxiety about this situation?

A BETTER WAY TO TAKE CARE OF BUSINESS

Extended Special Enrollment for the American Rescue Plan Act

Key Communications:

• Higher Subsidy Amounts now Available • More people than ever will qualify for subsidies

Audience:

• Outreach to all existing Off-Exchange members letting them know they may qualify for financial assistance

• Advertise to drive awareness with the uninsured regarding American Rescue Plan subsidies

• Capture shoppers looking for information about the new subsidies

Facilities Updates

Northern California

• Spruce Medical Offices (Fresno Service Area)

• Opening Spring:

• Marshall Medical Offices, Redwood City (South Bay and Peninsula Service Area) • Berkeley Medical Offices (East Bay Service Area)

• Southern California

• Playa Vista Medical Offices (West Los Angeles Service Area) • Clairemont Mesa Medical Offices (San Diego County Service Area) • Hesperia Medical Offices (Inland Empire and Coachella Valley Service Area)

kp.org/choosebetter ©2020 Kaiser Foundation Health Plan, Inc. All Rights Reserved. 22 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. Kaiser Permanente See how our care and coverage can help you thrive

Broker Resources

KPIF Telephone Support Solutions: 1-844-394-3978 Individual & Family Plans For more information, email us at [email protected].

Option 1 Option 2 Enrollment Status & Membership Compensation: California Application, enrollment, plan status AppointmentsSan Diego Medical Center Billing inquiries Book of business Current plan & product information reconciliation & Member administration requests compensation, transfers, Evidence of Coverage & ID cards reports Commissions Viewridge Medical Offices Broker of record

24 INDIVIDUAL Covered CA – April 2021

25 | LiveHealth Online: 24/7 access to doctors online

Members with common health issues ROADSHOW BROKER PY21 INDIVIDUAL 1. can see a board-certified doctor, 24/7 An online visit for quality care from the webcam on 4. costs about the their computer, mobile or tablet. same as a regular doctor visit copay.

Connect with a doctor anytime of the day or night by phone or video. Spanish Virtual visits are also available with a 2. speaking doctors are available by licensed therapist or psychiatrist for appointment, 7 days a week through 5. stress, anxiety, depression, family Cuidado Medico on LiveHealth Online. issues and more.

Doctors can assess the member’s 3. condition, provide treatment and Therapy and psychiatry send a prescription to a local 6. appointments are available by pharmacy.1,2 appointment 7 days a week. 2

The picture can't be displayed. In 2021, when a California member visits an online doctor through Anthem’s Preferred vendor, LiveHealth Online, the visit is at no cost when enrolled in one of the following plans: Bronze (non-HDHP), Silver, Gold, and Platinum. 1 Prescription availability is defined by physician judgment and state regulations. Psychologists or therapists using LiveHealth Online cannot prescribe medications. 2 Appointments subject to the availability of a therapist. Online counseling is not appropriate for all kinds of problems. If you are in crisis or are having suicidal thoughts, it’s important that you seek help immediately. Please call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255), or 911 for help. If it’s an emergency, call 911 or go to your nearest emergency room. LiveHealth Online does not offer emergency services.

26 | 26 | The Sydney Health app: your client’s health information, all in one place

One-step access to personalized benefit information, Member Services, LiveHealth Online ROADSHOW BROKER PY21 INDIVIDUAL and an interactive chat feature.

Check benefits information and claim details.

Compare costs for health care services based on their coverage. + DIGITAL SOLUTIONS + DIGITAL

Search for providers and Access and use facilities in their plan. their digital ID card.

Connect to Sync the app virtual care with their favorite options. fitness tracker.

27 | 27 | Clinical Programs

HXQ4 Covered CA PY21 INDIVIDUAL BROKER ROADSHOW BROKER PY21 INDIVIDUAL

24/7 NURSELINE AIM PROGRAMS BEHAVIORAL HEALTH CASE MANAGEMENT (COMB)

CASE MANAGEMENT COMMERCIAL OUTBOUND CALL PROGRAM

CONDITIONCARE:ESRD

PHARMACY OUTREACH PROGRAM

MYHEALTH ADVANTAGE GOLD V2 (MHA GOLD V2 PLAN FULLY INSURED ROLL- OUT)

SYDNEY TRANSPLANT WebMD HEALTH ASSESSMENT

28 | 28 | Optum Partnership BROKER ROADSHOW BROKER

AppleCare Optum PY21 INDIVIDUAL PY21 INDIVIDUAL

29 | 29 | Optum Partnership BROKER ROADSHOW BROKER

Monarch HealthCare NAMMCalifornia PY21 INDIVIDUAL PY21 INDIVIDUAL

30 | 30 | Commission and SEP Bonus

2021 Commission

EPO = $9 PMPM HMO = $15 PMPM

2021 SEP Bonus

$100 per member (no family max) for 5-99 new members*

$125 per member (no family max) for 100+ new members*

*member(s) must remain with Anthem for at least 90 days

31 | 3131 Getting Appointed to Sell Anthem BC

Visit www.anthem.com/ca under the Producer section or go directly to our NoMoreForms page to get appointed PY21 INDIVIDUAL BROKER ROADSHOW BROKER PY21 INDIVIDUAL

32 | 32 | Introducing: Vanessa Rios, CA Individual Sales Exec PY21 INDIVIDUAL BROKER ROADSHOW BROKER PY21 INDIVIDUAL

Vanessa Rios CA Individual Sales Executive C: 805-448-9444 E: [email protected]

33 | 33 | Questions? PY21 INDIVIDUAL BROKER ROADSHOW BROKER PY21 INDIVIDUAL

Jesse Campbell CA Individual Sales Executive C: 805-319-0233 E: [email protected]

34 | 34 | BLUE SHIELD OF CALIFORNIA Raul Guerridos Sr. Manager for Statewide IFP Broker Sales

35 Blue Shield of California

Individual and Family Plans Meeting Agenda

Vaccination Efforts

Provider Network Reminders

PPO Exclusive Network

American Rescue Plan Off to On Exchange Movement

Plan Options for Members on Silver 1950 PPO

Q&A

Answered the call Meeting milestones Making strides on for help ahead of schedule hard-to-reach communities Provider Network Reminders

Off-Exchange vs Trio HMO PPO Network On-Exchange Access Access

Hospital and provider 83% of California Available statewide networks are the same PPO Exclusive Network

56,000 Doctors available statewide

700 325 Urgent care Hospitals across centers the state American Rescue Plan Off-Exchange To On-Exchange Transition Blue Shield Efforts for a Successful Transition

Below is an outline of the efforts Blue Shield is taking to make the transition as smooth as possible for your clients and for you.

• Proactive Broker Communication o Member Initial Payment o AutoPay setup Reminder

• Internal Processes o Existing doctor assignment o Deductible and existing pre-authorizations o Out of pocket carry over

• Broker commissions Adjust commission percentage on new account to match Off-Exchange when o the broker remains the same for a client who makes the transition from Off-Exchange to On-Exchange Covered California Plan Options For Existing Silver 1950 PPO Members Potential On-Exchange Plan Options for Silver 1950

Current Plan Covered California Plan Alternatives

Silver 70 PPO Cost Sharing Reduction (CSR) Plans

* These plans have additional income requirements that must be met and aren't available to all consumers. Cost Sharing Reduction or CSR plans are available based on income requirements Blue Shield Plans Available

To access the full list of plans, visit our Plans At A Glance website under :

1. Visit www.blueshieldca.com

2. Click on “Brokers”

3. Next, select “Individual and Family Plans”

4. Finally, click on “Sales resources and collateral” Ongoing Broker Training

Step 1

• Visit ww.blueshieldca.com • Click on “Brokers”

Step 2

• Under “Individual & Family” select “Broker Training Webinars” Summary

• Exclusive PPO and Trio HMO networks are the same for On and Off-Exchange members

• American Rescue Plan is here, and we may experience unprecedented On-Exchange enrollment

• Blue Shield is here to help you and your clients through the transition

• Don’t forget to certify with Covered CA if you want to remain broker of record for your clients

• Prepare to answer questions about like-plans On-Exchange vs existing Off-Off-Exchanges plans only available via carriers

• Broker of record process for On-Exchange policies is owned and administered by CoveredCA Thank you Health Net Morgan Morla Account Executive

49 2021 Covered CA - SEP INDIVIDUAL & FAMILY PLANS Putting the Power of Centene to Work For You

1 in 12 64,000+ $100 B NATIONAL NATIONAL

FOOTPRINT Americans covered Employees #42 #210 Revenue

transform scale Building & maintaining the Providing strategic direction technologies that will drive invent and impact at scale through better health outcomes. Enterprise-wide foundational centers of excellence. support providing strength and agility for the local market. LOCAL LOCAL FOCUS 1in 12 7,155+ 40+ years Californians covered Employees in California As California’s Health Plan Individuals | Families | Medical | Medicare | Business

CONFIDENTIAL 51 COVID 19 – Testing &Vaccination

52 COVID-19 VACCINATION RESPONSE

VACCINATIONS • Alerts page on our website, that includes COVID-19 Alert, FAQ’s for members, brokers and providers – Broker Website Link: ifp.healthnetcalifornia.com/brokers/important-updates.html • Provided links to MyTurn, Vaccinate all 58, VaccinateCA • Website update on how to access medication during COVID-19 • Vaccine member outreach campaign

Keeping brokers and Partnering with some members updated on counties for mobile the latest information vaccine clinics. about COVID-19 vaccinations.

CONFIDENTIAL 53 COVID-19 RESPONSE

TESTING • Member can receive covered services when ordered, referred and/or performed with In-Network Physician/Practitioner, Independent Lab Facility, Urgent Care or ER. • Services include: Medically-necessary COVID-19 Testing, Medical Screenings and/or Treatment and related doctor’s visits. • In addition to in-person providers, members also have access to our comprehensive telehealth Keeping members platform, Babylon. updated with updates on our social media • Information on COVID-19 Testing and Treatment platforms on how can be found on our website. they can get tested.

CONFIDENTIAL 54 2021 Networks at a Glance

55 Where Access Meets Savings COMPETITIVE PLANS WITH QUALITY NETWORKS

CommunityCare HMO Affordable Plans in Southern California • We maintained our low silver position in region 14 (Kern) • Robust provider network • Including many value added benefits

EnhancedCare PPO Lowest priced in some Southern California regions • Silver – Regions 15 (LA East), 17 (IE) and 19 (SD) • Bronze – Regions 17 (IE) and 19 (SD) • Including many value added benefits

CONFIDENTIAL 56 PROVIDER NETWORK CommunityCare HMO EnhancedCare PPO • With Health Net’s CommunityCare HMO, members • The EnhancedCare PPO offers members a have access to a robust network. cost-effective PPO product. • Major medical groups include Scripps, Allied • NEW! Effective 1/1/2021, Scripps has joined the Pacific and Beaver Medical Group. ECPPO network.

PCP SPC HOSP PCP SPC HOSP

KERN 95 546 10 KERN 95 546 10

LOS ANGELES 2873 6622 51 LOS ANGELES 2873 6622 51

ORANGE 757 2240 14 ORANGE 757 2240 14

RIVERSIDE 575 2002 9 RIVERSIDE 575 2002 9

SAN 530 1697 12 SAN 530 1697 12 BERNARDINO BERNARDINO SAN DIEGO 757 3076 18 SAN DIEGO 757 3076 18

* Provider Network data as of 4/1/2021

CONFIDENTIAL 57 IFP Outreach Plan

58 OUTREACH PLAN SPECIAL ENROLLMENT PERIOD & AMERICAN RESCUE PLAN

Special Enrollment Period • Account Executive Outreach • Broker Sales Alerts • Email Communication Blast • Social Media Post – Facebook, LinkedIn, and Twitter

American Rescue Plan • Webinar • Broker Sales Alerts • Email Communication Blast • Member Outreach

CONFIDENTIAL 59 BROKER & ENROLLER SUPPORT Brokers Department Provides Assistance With Contact Info Account Executive Team New Sales, Commissions, New Call 1-800-909-3447, Option 1 Application Status, Portal/Book of [email protected] Business Issues Account Services Team Billing, Benefits, Claims, Provider Call 1-800-547-2967, Option 5 Search Issues [email protected] Enrollers Department Provides Assistance With Contact Info Community Engagement Team – Community outreach, enrollment [email protected] IFP Covered CA support, member issue resolution, plan/network presentations, educational workshops, event support…

Medi-Cal Enrollment & Retention Enrollment & retention support, Call 1-800-600-8441 member issue resolution, benefit, [email protected] claims, and provider search support.

CONFIDENTIAL 60 61 Molina Health Plan Andrea Espinoza California Marketplace Sales Manager

62 Gear Up for ARP SEP 2021! Camp Molina CA SEP Training Presented by: Andrea Espinoza, Marketplace Sales Manager

63 Your CA Molina Broker Rep

Andrea Espinoza 442-300- 4292 [email protected]

64 2021 Regional Rates

Lowest Cost Silver, Gold and Platinum plans in:

• Region 16 – Los Angeles County (West)

• Region 17 – RiversideLos and San Bernardino Counties Angeles • Region 19 – San Diego County • Region 13 – Imperial County

San Bernardino

Riverside

San Imperial Diego

65 65 $0 Telehealth Benefit for 2021 Virtual medical visits via TelaDoc • Easy access – Register once, three ways to engage • Convenient – 24/7/365 – visit with doctors in 45 secs • Affordable – Co-pays waived for Molina members

66 66 COVID-19 Resources for Molina Marketplace Members

• Waiving ALL out-of-pocket expenses related to COVID-19 testing and vaccinations for all Marketplace members in 2021.

• Waiving ALL Teladoc service cost-sharing fees for Covered CA members.

• Free access to a 24-hour Nurse Advice Line: • English: (888) 275-8750 • Spanish: (866) 648-3537

• Free home Rx delivery through CVS Pharmacy

67 Care Connections Program

• Provides no cost, convenient preventive care to all Molina Members  Complete health & wellness assessment  Full review of current medications and medical history  Coordinate care and facilitate communication between the member, their primary care physician and Care Management  Recommendations for additional care, screenings, and resources based on needs  In-home visits for diabetic members includes A1c test, retinal eye exams and nephrology Nurse  screenings with real time results to better direct your care. 125 • In-home (PPE equipped) and telehealth visits available Practitioners AND • Care Connections completed 95,823 visits nationwide last year 7 Social Workers • Members can call 844-491-4763 to schedule an appointment across 14 states • Monday-Friday: 5:00am-7:00pm PT & Saturday 5:00am to 5:00pm PT

68 New Provider Directory

. Molina has partnered with Sapphire to create a seamless, user-friendly digital experience for provider searches . Go-live in September 2021

69 Online Provider Directory Search: https://providersearch.molinahealthcare.com/

70 Advanced Online Provider Search

Search by Specialty, Name, Language, Hospital and IPA affiliations

71 Hospitals – Los Angeles County

• Adventist Health Glendale • East Los Angeles Doctors Hospital • Memorial Hospital of Gardena • Adventist Health White Memorial, Los • Encino Hospital Medical Center • Methodist Hospital of Southern California, Angeles • Foothill Presbyterian Hospital, Glendora Arcadia • AHMC-Alhambra Hospital Medical Center • Good Samaritan Hospital, Los Angeles • Miller Children’s Hospital, Long Beach • AHMC-Garfield Medical Center, Monterey • Harbor UCLA Medical Center-DHS, • Mission Community Hospital, Panorama Park Torrance City • AHMC-Greater El Monte Medical Center • Hollywood Presbyterian Medical Center • Monterey Park Hospital • AHMC-San Gabriel Valley Medical Center • Keck Hospital of USC, Los Angeles • Norwalk Community Hospital • Beverly Hospital, Montebello • Kindred Hospital Baldwin Park* • Olive View UCLA Medical Center-DHS, • Centinela Hospital Medical Center, • Kindred Hospital La Mirada* Sylmar Inglewood • Kindred Hospital Los Angeles* • Pacifica Hospital of the Valley, Sun Valley • Emanate Health Queen of the Valley • Kindred Hospital Paramount* • Pomona Valley Hospital Medical Center Hospital, West Covina • Kindred Hospital San Gabriel Valley* • San Dimas Community Hospital • Emanate Health Inter-Community • Kindred Hospital South Bay* • Sherman Oaks Hospital Hospital, Covina • LA County USC Medical Center-DHS • Southern California Hospital at Culver City • City of Hope National Medical Center, • Lakewood Regional Medical Center • Southern California Hospital at Hollywood Duarte • Long Beach Memorial Medical Center • Southern California Hospital at Van Nuys • Coast Plaza Hospital, Norwalk • Los Angeles Community Hospital • St. Francis Medical Center, Lynwood • College Medical Center, Long Beach • Los Angeles Downtown Medical Center • Valley Presbyterian Hospital, Van Nuys • Community Hospital of Huntington Park • Martin Luther King Jr Community • Whittier Memorial Medical Center Hospital 72

72 IPA’s/Medical Groups – Los Angeles County

• Alliance IPA* • Lakeside Medical Group (Heritage) • Allied Pacific IPA • Noble Community Medical • AltaMed Medical Group Associates • Angeles IPA • Preferred IPA of California • Asian Community Medical Group • Regal Medical Group (Heritage) • Bella Vista Medical Group • Regent Medical Group • California Pacific Physicians • Seoul Medical Group Medical Group • Serra Community Medical Group • El Proyecto Del Barrio • Sierra Medical Group (Heritage) • Global Care Medical Group • South Atlantic Medical Group • Healthcare LA IPA • Southern California Children’s • Healthy New Life Medical Corp Healthcare • High Desert Medical Group • Southland Advantage Medical Group (Heritage) • Southland San Gabriel Valley • Hispanic IPA* Medical Group • Impact IPA* • Superior Choice Medical Center • La Salle Medical Associates IPA • United Physicians International • Vantage Medical Group 73

73 Hospitals in Riverside and San Bernardino Counties

• Arrowhead Regional Medical Center, Colton • JFK Memorial Hospital, Indio • Barstow Community Hospital • Loma Linda University Medical Center • Chino Valley Medical Center • Loma Linda University Medical Center, • Corona Regional Medical Center Murrieta • Desert Regional Medical Center, Palm Springs • Loma Linda University Children’s Hospital • Desert Valley Hospital, Victorville • Menifee Valley Medical Center • Eisenhower Medical Center, Rancho Mirage • Montclair Hospital Medical Center • Hemet Valley Medical Center, Hemet • Parkview Community Hospital, Riverside • Hi-Desert Medical Center, Joshua Tree • Pomona Valley Hospital and Medical Center • Inland Valley Regional Medical Center, • Rancho Springs Medical Center, Southwest Wildomar Healthcare, Murrieta • Riverside University Health Systems Medical Center, Corona • San Antonio Regional Hospital, Upland • San Gorgonio Memorial Hospital, Banning • Southwest Healthcare Systems, Wildomar • Temecula Valley Hospital • Victor Valley Global Community Hospital

74 IPA’s/Medical Groups in Riverside and San Bernardino Counties

• Heritage Provider Network • Desert Oasis Medical Group • Heritage Victor Valley Medical Group • Inland Faculty Medical Group • La Salle Medical Associates • Regal Medical Group • Vantage Medical Group • Impact IPA*

75 IPA’s/MG’s and Hospitals – San Diego County

IPAs/Medical Groups Hospitals • Vantage Medical Group • Alvarado Hospital, San Diego • Integrated Health Partners • Kindred Hospital San Diego* • Community Care IPA • Palomar Medical Center, Escondido • Impact IPA (Multicultural IPA)* • Paradise Valley Hospital* • Hispanic IPA* • Pomerado Hospital, Poway • Scripps Clinic Medical Group • Rady’s Children’s Hospital San Diego • Scripps Coastal Medical • Scripps Health Green Hospital, La Jolla Center • Scripps Memorial Hospital Encinitas • Scripps Memorial Hospital La Jolla • Scripps Mercy Hospital Chula Vista • Scripps Mercy Hospital, San Diego • Sharp Memorial Hospital, San Diego • Sharp Chula Vista Medical Center • Sharp Mary Birch Hospital, San Diego • Sharp Grossmont Hospital, La Mesa • Sharp Coronado Hospital • Tri-City Medical Center, Oceanside 76

76 IPA’s/MG’s/Hospitals – Imperial County

IPA/Medical Groups • Community Care IPA • EasyAccess Care IPA • Imperial Valley Family Care Medical Group

Hospitals • Pioneers Memorial Hospital • El Centro Regional Medical Center

77 Hospitals and IPA’s/MG’s – Orange County

IPA/Medical Groups Hospitals • Heritage Provider Network • AHMC – Anaheim Regional Medical Center • Affiliated Doctors of OC • South Coast Global Medical Center • Regal Medical Group • Coastal Communities Hospital • Lakeside Medical Group • College Hospital of Costa Mesa • Impact IPA* • Fountain Valley Regional Hospital • Garden Grove Hospital and Medical Center • Huntington Beach Hospital • Kindred Hospital Brea* • Kindred Hospital Santa Ana* • Kindred Hospital Westminster* • La Palma Intercommunity Hospital • Los Alamitos Medical Center • Orange County Global Medical Center • Placentia-Linda Hospital • South Coast Global Medical Center • University of California Irvine Medical Center • West Anaheim Medical Center • Western Medical Center – Anaheim 78

78 Premium Payment Methods

MolinaPayment.com • One time payment option via Pay Now

79 New Marketplace Website and Member Materials

• MolinaMarketplace.com - website for brokers, members and providers • Redesigned user-friendly, health literate EOCs and SBCs

• Updates to Molina Mobile App and My Molina portal

80 Molina Broker Portal

Easy Access to Broker Support Tools

You can create or reset your password by using this link, your username is your Molina agent number (AAXXXX)

81 Molina Book of Business Search

• Find the members most impacted by exporting your Book of Business in your Agent portal and sorting by Member Portion, lowest to highest • Some $1 Bronze members could move to a $1 Silver plan to take advantage of expanded APTC

82 Broker Services Team

Phone: 855-885-3179 Broker Services - # 1 [email protected] • General inquiries, account access issues, member EOC/SBC questions Broker Care Team- # 2 [email protected] • Member access to care issues, billing discrepancies, terminations in error • Access to Care • Billing Issue Commission Team- # 3 • Claims [email protected] • Enrollment • Member Services • Broker Book of Business reconciliation for unpaid policies • Prior Authorization Contracting Inquiries - # 4 Status Review [email protected] • Appointment requests, E&O/license/contact information updates 83 Monday through Friday – 7:00 AM to 6:00 PM (MT)

83 Thank you

84 AUTO TRANSITION MAIN ROOM FOR MEETING CLOSURE