<<

Peralta Community College District

May 2020 Virtual Open Enrollment Meeting

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Agenda

 Review of PPO Medical Plans

 Understanding Your Explanation of Benefits (EOB)

 Digital Tools – Trustmark Portal and Mobile App

 Lifestyle Management

 Active&Fit Direct

 CVS Caremark Pharmacy

 Anthem LiveHealth Online Telemedicine

 Find an Anthem Provider

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Trustmark – Anthem PPO Medical Plans Traditional and Lite

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Traditional (Local 39, 1021 and Confidential)

Trustmark - Anthem Blue Cross

Traditional

In-Network Out-of-Network Preferred Provider Organization . In-Network • Deductible Calendar Year Deductible $100 (individual) o Individual / Family $100 / $300 o $300 (Family • Annual Out-of-Pocket Maximum o $300 (Individual) Annual Out‐of‐Pocket Maximum o $900 (Family) Individual / Family $300 / $900 $1,000 / $3,000 • $15 Office Visit Copay Embedded / Aggregate Embedded Embedded • Emergency Room • $35 per Visit (waived if Physician Office Visit $15 copay (ded waived) 20% admitted) Specialist Copay $15 copay (ded waived) 20%

Preventative Care No charge 20%

Lab and X‐Ray

CT, MRI, PET scans No charge 20%

Other lab and x‐ray No charge 20%

tests Hospitalization Inpatient No charge 20% Outpatient No charge 20% Emergency Room $35 copay (ded waived) Urgent Care Services $15 copay (ded waived) 20% Durable Medical Equipment No charge 20%

Anthem LiveHealth Online $10 copay NA @2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Lite (Local 39, 1021 and Confidential)

Trustmark - Anthem Blue Cross Lite

Preferred Provider Organization In-Network . In-Network • Deductible Calendar Year Deductible Individual / Family $100 / $300 o $100 (individual) o $300 (Family Annual Out‐of‐Pocket Maximum • Annual Out-of-Pocket Maximum Individual / Family $300 / $900 o $300 (Individual) Embedded / Aggregate Embedded o $900 (Family) • $15 Office Visit Copay Physician Office Visit $15 copay (ded waived) • Emergency Room • $35 per Visit Specialist Copay $15 copay (ded waived) (waived if admitted) Preventative Care No charge

Lab and X‐Ray CT, MRI, PET scans Other lab No charge and x‐ray tests Hospitalization Inpatient No charge Outpatient Emergency Room $35 copay (ded waived)

Urgent Care Services $15 copay (ded waived)

Durable Medical Equipment No charge

Anthem LiveHealth Online $10 copay

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Traditional (Managers and PFT)

Trustmark – Anthem Blue Cross

Traditional Preferred Provider Organization In-Network Out-of-Network . In-Network • Deductible Calendar Year Deductible o $100 (individual) Individual / Family $100 / $300 o $300 (Family • Annual Out-of-Pocket Annual Out‐of‐Pocket Maximum Maximum Individual / Family $300 / $900 $1,000 / $3,000 Embedded / Aggregate o $300 (Individual) Embedded Embedded o $900 (Family) • $10 Office Visit Copay Physician Office Visit $10 copay (ded waived) 20% • Emergency Room Specialist Copay $10 copay (ded waived) 20% • $35 per Visit (waived if Preventative Care No charge 20% admitted) Lab and X‐Ray

CT, MRI, PET scans No charge 20% Other lab and x‐ray tests No charge 20%

Hospitalization Inpatient No charge 20% Outpatient No charge 20% Emergency Room $35 copay (Waived if admitted)

Urgent Care Services $10 copay (ded waived) 20%

Durable Medical Equipment No charge 20%

Anthem LiveHealth Online $10 copay NA

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Lite (Managers and PFT)

Preferred Provider Organization Trustmark – Anthem Blue Cross . In-Network • Deductible Lite o $100 (individual) In-Network o $300 (Family • Annual Out-of-Pocket Calendar Year Deductible Individual / Family $100 / $300 Maximum o $300 (Individual) Annual Out‐of‐Pocket Maximum o $900 (Family) Individual / Family $300 / $900 • $10 Office Visit Copay Embedded / Aggregate Embedded • Emergency Room Physician Office Visit $10 copay (ded waived) • $35 per Visit (waived if Specialist Copay $10 copay (ded waived) admitted) Preventative Care No charge Lab and X‐Ray CT, MRI, PET scans

Other lab and x‐ray tests No charge Hospitalization Inpatient No charge Outpatient Emergency Room $35 copay (ded waived) Urgent Care Services $10 copay (ded waived) Durable Medical Equipment No charge

Anthem LiveHealth Online $10 copay

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Understanding your Explanation of Benefits (EOB)

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. myTrustmarkBenefits Online Portal

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. myTrustmark Benefits Mobile App

By downloading the myTrustmarkBenefits app, members can:

See the status of their View family information deductible and out-of- and benefits pocket maximum

Show their ID card to Filter claims by family providers member and type

View and filter claims Connect with customer for quick reference service by phone

Access important Find a doctor benefits information

Easily access member- Ask questions and receive specific services in your answers from Trustmark benefit plan through through our message the My Programs center section

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. MyTrustmarkBenefitsWire

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Lifestyle Management

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Lifestyle Management

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Lifestyle Management

Health Risk Health Health Assessments Advising Coaching

• 15 minute completion • One-time conversation to • Supports positive lifestyle time review health risk changes to help you meet your goals • Starting point of the assessment results Lifestyle Management • Provides referrals to • Flexibility to interact with coach via Web, mobile program resources and other device, phone and print • Evaluates biometrics programs, such as health coaching that are • 13 areas focused on physical and lifestyle questions activity, healthy eating, available to you to provide suggestions tobacco cessation, stress on next steps management and healthy living

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Active&Fit Direct

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. @2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Fitness Center Membership Program Active&Fit Direct

• At no extra cost to the employer/client • Members have direct access to a national network of fitness centers • Members self-pay monthly membership at a cost under market price • Over 10K participating fitness centers

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Enrollment & Access

• Eligible members will enroll through the myTrustmarkBenefits.com portal • Members can switch fitness centers at any time or transfer existing membership from an in network participating fitness center to take advantage of the program

• Members have the ability to nominate a fitness center to join the network

• No long term contract except a minimum of 3 month enrollment requirement

• Cancellation (after 3 months) is done via the portal

• Online map and searchable directory for fitness center locations in the area • Activity tracking through the Active&Fit Direct Connected!™ tool, which aggregates data from 250+ wearable fitness devices, apps and exercise equipment • Printable ID Card to use at the fitness centers • Active&Fit Direct customer service team is available M-F, 5am – 6pm (Pacific)

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. CVS Health Pharmacy

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Prescription Benefits Convenient and affordable medication options.

Welcome to CVSCaremark®–we manage your new prescription benefit plan. We’re here to help you get the medication you need and learn how to keeps costs low.

Make sure you know how to get your medication. You can pick up your medication at any pharmacy in your network. Some prescription benefits offer delivery by mail, too. Be sure to review your prescription benefit plan to see your options.

Tap into savings with digital tools. Save time, keep costs down and stay on top of your Ready to get the most from your prescriptions. Do it all at Caremark.com and the CVS benefits? Register at Caremark.com Caremark mobile app. and download the CVS Caremark • Find a network •Signuptogetemail mobile app. pharmacy to keep or text messages medication costs as low about your as possible. prescriptions and • See if a medication is more. covered to get the most • Request refills and keep affordable option. track of prescriptions for •Comparedrugcoststo your family. see where you can save.

Yourprivacy is important to us. Our employees are trained regarding the appropriate way to handle your private health information. ©2020 CVS Caremark. All rights reserved. 106-51181A 021220 Digital tools Save time and money

Our digital tools help you find ways to save on medication and manage your prescriptions on your own time.

Our digital tools make it easy to manage your health whenever – and wherever – you like. You can look for saving opportunities, stay on top of your prescriptions and more. Here’s how our digital tools can help you every day.

Stay in the loop. Have the Wallet app on an Sign up to get email or text messages about your prescriptions, ways Apple device? to save, status updates and more. Save your ID card Go paperless. to Wallet and view it Sign up to get all communications electronically.You’ll get quicker anytime. updates and all the information you need will be online. Refill fast. Request refills quickly and keep track of prescriptions for your family in one convenient place. See how close you are to meeting your deductible and out-of-pocket cost maximum anytime. CheckforRxsavings. View side-by-side comparisons of medication costs and coverage to see where you can save.

To start saving, register at Caremark.comand download the CVS Caremark® mobile app.

Apple is a registered trademark of an entity not affiliated with CVS Caremark. Yourprivacy is important to us. Our employees are trained regarding the appropriate way to handle your private health information. ©2019 CVS Caremark. All rights reserved. 106-50877A 123019 CVS Specialty® More than medication

If you have a complex or chronic condition (such as rheumatoid arthritis, multiple sclerosis or psoriasis) then you need a specialty pharmacy, one that offers more than just medication. That's CVS Specialty. We're specialists in medications that treat your condition and that expertise allows us to get you the medication you need, along with personalized, clinical support.

Specialized support Digital tools You'll have a dedicated CareTeam led by a You'll be able to manage your medications pharmacist and nurse who are specialists in and more at CVSspecialty.com and with the your condition. They can help with everything CVS Specialty mobile app. from getting started and managing side - Order refills and track orders effects to injection training or finding financial - Set medication and treatment reminders assistance. This support is what will help you - Securely message your CareTeam safely and effectively stay on track with your - Manage payments therapy. Convenient choices Get started with CVS Specialty We’re the only specialty pharmacy that lets you choose how you get your medication: Online You can pick it up at any CVS Pharmacy Visit CVSspecialty.com/enroll (including those inside Target stores). -OR- -OR- By phone Have it delivered by mail anywhere that's Call us at 1-800-237-2767 convenient – even your doctor's office.

To learn more, visit CVSspecialty.com.

©2017 CVS Caremark. All rights reserved. This document contains confidential and proprietary information of CVS Caremark and cannot be reproduced, distributed or printed without written permission from CVS Caremark. Your privacy is important to us. Our employees are trained regarding the appropriate way to handle your private health information. 75-42431E 063017 TDD: 1-800-863-5488 CVS Caremark®Mail Service Pharm acy

We deliver savings and convenience.

Save on medication you take regularly (like medication for high blood pressure or diabetes) by getting 90-day supplies from CVSCaremark Mail Service Pharm acy.

90-day supplies save you time and money. A 90-day supply typically costs less than three 30-day supplies. Plus, there’s no need to run to the pharmacy each month. We deliver your 90-day supplies by mail to your home, office and even your vacation spot.

Get worry-free shipping with every delivery. 90-day supplies Yougetthemedicationyouneed,whenyouneedit–withno-cost typically cost less shipping. Your prescription is filled by a licensed pharmacist and checked than 30-day for quality. Our packages are discreet, secure and hold up in any weather. supplies.

Avoid missing a dose with refill reminders. Need a reminder? We’ll send you a text message 10 days before every refill. Download our mobile app to manage your prescriptions on your own time.

Startsavingwith90-daysuppliesatCaremark.com.

Yourprivacy is important to us. Our employees are trained regarding the appropriate way to handle your private health information. ©2019 CVS Caremark. All rights reserved. 106-50571A 111519 Anthem LiveHealth Online

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. LiveHealth Online goes where you go

The LiveHealth Access LiveHealth Online via smart phone, tablet or computer Online app is available on both iOS and Android

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Have a video visit with a doctorin minutes, 24/7

Using LiveHealth Online, you can have a private video visit from home or on the go.

Life moves pretty fast. When you’re not feeling well, you want to feel better fast. With LiveHealth Online, you don’t need to make an appointment. Just sign up at livehealthonline.com or use the app, and see a board- certified doctor in a few minutes.

When your own doctor isn’t available, use LiveHealth Online if you have:

Pinkeye AA sinus infection

Acold And more The flu Allergies LiveHealth Online A fever How to register in minutes A doctor can assess your condition, provide a treatment plan and even send a prescription to your pharmacy, if it’s needed.* before you feel sick What will a visit cost? Using LiveHealth Online, you can When your own doctor isn’t available, Your Anthem plan includes benefits for have a private and secure video visit use LiveHealth Online if you have video visits using LiveHealth Online, so with a board-certified doctor 24/ 7 on pinkeye, a cold, the flu, a fever, you’ll just pay your share of the costs — your smartphone, tablet or computer allergies, a sinus infection or other usually $59 or less. withawebcam.It’saquickandeasy common health condition. A doctor can Sign up for LiveHealth Online today -- way to get the care you need with no assess your condition, provide a it’s quick and easy appointments or long wait times. treatment plan and even send a Go t o livehealthonline.com or download the app and register on your phone or tablet. prescription to your pharmacy, if it’s needed.

LiveHealthOnlineis thetradenameof HealthManagement Corporation, a separate company providing telehealth services on behalf of AnthemBlue Cross. 60019CAMENABC_M VPOD 06/17 Questions about how to use LiveHealth Online? Call toll free at 1-888-LiveHealth (548-3432) or email [email protected]. If you send us an email, please include your name, email address and a phone number where we can reach you.

1 Prescription availability is defined by physician judgment and state regulations. Visit the home page of livehealthonline.com to view the service map by state. 2 Select a doctor licensed to practice in the state where you’re physically located. If that doctor is seeing another patient, you can choose to go to an online waiting room or you can select another doctor who is available at that moment. LiveHealth Online is the trade name of Health Management Corporation, a separate company providing telehealth services on behalfof Anthem. If you’re a retiree or have coverage that complements your Medicare benefits, your employer sponsored health plan may not include coverage for online visits using LiveHealth Online. Check your plan documents for details. You can still use LiveHealth Online, but you may have to pay the full cost of a visit. Online visits using LiveHealth Online may not be a covered benefit for HRA and HIA+ members. Anthem Blue Cross is the trade name of Blue Cross of . Anthem Blue Cross and Anthem Blue Cross Life and Health Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. The features of LiveHealth Online Medical

• Live, on-demand video doctor visits 24x7/365 • Accessible by smartphone, tablet or computer • Cost is less than or equal to your office visit • Available in all states with an average wait time of 10 minutes • Choice of board certified, Anthem network doctors • Secure and private, HIPAA compliant video visit • E-prescribing to your pharmacy of choice* • Available to Anthem members and non-members

*Only non‐controlled substances can be prescribed via video doctor visits

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Commonly Treated Medical Conditions

• Abrasions, minor wounds • Incontinence • Acne • Influenza/flu • Anxiety • Insomnia • Asthma • Nausea/Vomiting • Allergies/allergic rhinitis • Obesity • Back pain • Pinkeye and other eye infections • Cough/Cold • Rashes/skin disturbances • Depression • Sinus infection • Diabetes/hypoglycemia • Smoking cessation • Diarrhea • Sore throat/pharyngitis • Ear pain • Sprains and strains • Fever • Tooth pain • Headache/migraine • Urinary tract infection • Hypertension • Incontinence

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. Access Find an Anthem Provider

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company. 2 You can look for a doctor by using either:

Select a provider to get details, like:  Specialties  Gender  Languages spoken  Training  A map of their office location  Phone number

Going mobile Search for doctors, hospitals and more on your smartphone or mobile device. And don’t forget that going mobile keeps everything you need to know about your plan —including medical, pharmacy, dental, vision, life insurance —in one place. It’s simple, personal and all about you. Simply download the Sydney app to get started.

*If you don’t know the name of the plan or network, check with your human resources department or benefits administrator. AnthemBlueCrossis thetradenameofBlueCrossof California. AnthemBlue Cross and AnthemBlue CrossLife andHealthI nsurance Company are independent licensees of t heBlueCrossAssociation.Anthemisaregisteredtrademark of AnthemInsurance Companies, Inc. 00734CAMENABCVPODRev. 06/19 Thank you!

Thank you for attending our Open Enrollment Presentation.

@2020 – Confidential and Proprietary Trustmark Health Benefits, Inc. is a subsidiary of Trustmark Mutual Holding Company.