© 2009 regence. private and confidential. regence activate sm healthy living rewarded get started...
TRANSCRIPT
© 2009 Regence. Private and Confidential.
Regence ActivateSM Regence ActivateSM
Healthy Living RewardedHealthy Living Rewarded
Get StartedGet Started
© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
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
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
Regence ActivateSM
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• 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
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
Meet the Murphys
• They have Activate coverage through Dan’s job
• Their plan starts Jan 1
Dan, 36Kate, 4
Ryan, 12
Rachel, 34
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
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
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
Their Activate coverage
• They have a $1,500 per person deductible, with a family max of $4,500
• Each family member can earn up to $600 in their Member Choice Member Choice AccountAccount (MCA)(MCA) for making healthy choices
$1500 deductible
Member Choice AccountMember Choice Account
$100 $100$200
$100 $100complete ancomplete anonline online health health assessmentassessment
track track healthy healthy activitiesactivities online online
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
$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 AccountMember Choice Account
$100 $100$200
$100 $100
track track healthy healthy activitiesactivities online online
Dan’s MCADan’s MCA
$100
$100
$100
$100
Rachel’s MCARachel’s MCA
$100
$100
$100
$100
Ryan’s MCARyan’s MCA
$100
$100
$100
$100
Kate’s MCAKate’s MCA
$100
$100
$100
$100$200
$200
$200NEXTNEXTNEXTNEXT
complete ancomplete anonline online health health assessmentassessment
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
$200$100
$100
$100
$100
The family starts to get active
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Dan’s MCADan’s MCA
$100
$100
$100
Rachel’s MCARachel’s MCA
Ryan’s MCARyan’s MCA
Kate’s MCAKate’s MCA
$100
$100
$100
$200
$200 $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
$100
$100
$100
$100
$100
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
$200$100
February 2nd
• 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 AccountMember Choice Account
$100 $100
$100 NEXTNEXTNEXTNEXT
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
March 13th
• 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
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$1500 deductible
Member Choice AccountMember Choice Account
$100 $100
$100
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
June 8th
• Ryan & Kate go in for well-child exams and immunizations
• The cost is $120 each
• Rachel pays the claims through each child’s MCA
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$200$100
$1500 deductible
Member Choice AccountMember Choice Account
$100 $100
$100
$200$100
$1500 deductible
Member Choice AccountMember Choice Account
$100 $100
$100
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
$200$100 $100$100 $100
The family makes more healthy choices
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Dan’s MCADan’s MCA
$100
$100
$100
Rachel’s MCARachel’s MCA Ryan’s MCARyan’s MCA Kate’s MCAKate’s MCA
$100$200 $200 $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
$100
$100 $100
$100
$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
$100
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
$200$100
August 17th
• 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 AccountMember Choice Account
$100 $100
$100 NEXTNEXTNEXTNEXT
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
November 5th
• 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.
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100% coverage
$200
Member Choice AccountMember Choice Account
$100 $100
$1500 deductible$100 $100
80% coverage until member
has paid $2000 in coinsurance
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
December 12th
• 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
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$200$100$100
Rachel’s MCARachel’s MCA Ryan’s MCARyan’s MCA Kate’s MCAKate’s MCA
$100$200 $200
$100
$100
$100
$100
$100$100
$100
$100 $100
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© 2009 Regence. Private and Confidential.
© 2009 Regence. Private and Confidential.
December 31st
• 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 SummaryView SummaryView SummaryView Summary
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© 2009 Regence. Private and Confidential.
December 31st
MCAFunds Earned
MCAFunds Spent
MCAEnding 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
$0
$0
$2,185 $1,560 $625 $1,010
THE ENDTHE ENDTHE ENDTHE END