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Aspirus Arise Small Group HMO and POS Plans Effective January 1, 2016

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Page 1: Effective January 1, 2016 › sales-materials › files › ... · Effective January 1, 2016. Choose It and Use It Aspirus Arise health plans offer high-quality plans and coverage

Aspirus AriseSmall Group HMO and POS PlansEffective January 1, 2016

Page 2: Effective January 1, 2016 › sales-materials › files › ... · Effective January 1, 2016. Choose It and Use It Aspirus Arise health plans offer high-quality plans and coverage

Choose It and Use ItAspirus Arise health plans offer high-quality plans and coverageAspirus and Arise, two strong Wisconsin health care companies, have partnered to provide you with exceptional coverage and care through the Aspirus Network. You and your employees get the care you want with the stress-free coverage you need. Aspirus and Arise make it easy to access the best possible health care while leveraging the savings of a local network.

You can choose from health plan options with fair and competitive prices plus stellar services, excellent health care providers, and the flexibility and responsiveness you and your employees deserve. Whether you’re getting price quotes, updating your employee eligibility list, or helping employees understand and make the most of their plan, you receive timely, outstanding service. We’ll work alongside you to choose a plan that’s just right for you and your group, whether you prefer a traditional fully insured plan or an administrative services only (ASO) self-funded option. The choice is yours.

Arise Health Plan is not only your health plan provider, but a Wisconsin-based business that works hard to do right by you and your employees. We strive to promote good health and provide access to high-quality health care. We partner with only highly qualified providers. That’s why we’re proud to work with Aspirus Network and other AboutHealth providers to care for individuals and families across Wisconsin. You enjoy convenient access to superior providers who offer a full range of health care services. Choose your Arise Health Plan policy today and use it to stay healthier.

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Our service area offers coverage where it countsTo ensure you get the best quality and value, AboutHealth includes major providers throughout 50 Wisconsin counties, such as Aspirus, plus Aurora Health Care, Bellin Health, Gundersen Health System,ProHealth Care, ThedaCare, and UW Health.

We are accredited by the National Committee for Quality Assurance (NCQA), a private not-for-profit organization dedicated to improving health care quality.

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Page 3: Effective January 1, 2016 › sales-materials › files › ... · Effective January 1, 2016. Choose It and Use It Aspirus Arise health plans offer high-quality plans and coverage

Call your local agent or contact Arise at the number below!

Call toll-free 1-866-841-6575Visit our website at www.AriseHealthPlan.com

All plans give you great benefitsYou and your employees want value. That’s why we offer a diverse selection of qualified health plans (QHP) that are compliant with the Affordable Care Act in all metal levels, from bronze to platinum. Some plan choices include three FREE PCP office visits per member per year, FREE telehealth services from Teladoc®, or a $10 copay at convenient care clinics.

You also get:

» FREE preventive care Arise health plans include first-dollar, 100% coverage for preventive services, such as annual exams, well-child visits, screenings, and immunizations, when performed by a participating provider.

» $0 copay preventive drugs Arise provides $0 copays on select preventive drugs that target common conditions such as high blood pressure, cholesterol, heart conditions, and diabetes. These common drugs go above and beyond preventive care specific drugs outlined by the ACA.

» Fitness reimbursement program Arise members have full access to a robust network of fitness locations with a wide range of amenities through our partnership with Healthways. Go to reimbursement.healthways.com for a list of participating fitness locations.

» Telehealth This great benefit, provided by Teladoc®, offers you high-quality, safe, cost-effective, and convenient access to doctors straight from your phone or tablet. Telehealth uses technology to reduce costs and improve access to doctors and prescription drugs without the wait.

» Primary care physician driven To build doctor relationships, trust, and loyalty, both HMO and POS plans require each member to choose a primary care physician (PCP). The PCP will help coordinate your overall medical care.

Page 4: Effective January 1, 2016 › sales-materials › files › ... · Effective January 1, 2016. Choose It and Use It Aspirus Arise health plans offer high-quality plans and coverage

©2016 WPS Health Plan, Inc. All rights reserved. 28327-085-1605

Need coverage? Give us a shout!Contact your agent or call us at 1-866-841-6575. Visit our website at www.AriseHealthPlan.com.

HMO plans deliver great value for your health care dollarFull access to in-network providers. With a group HMO, you can effectively manage your health care costs AND give employees access to the exclusive AboutHealth plan network of providers.

No referral necessary for in-network specialists. You don't need a referral to see an in-network specialist.

Some services will require review and prior authorization.

With POS plans, it’s all about choiceIn-network provider options. With group Point of Service (POS) plans, you and your employees have access to high-quality providers with a full range of health care services.

Out-of-network coverage. If necessary, you can seek treatment from an out-of-network provider. Benefits for cov-ered services received from out-of-network providers are usually lower than benefits for services received from in-net-work providers.

Some services will require review and prior authorization.

Small group HDHP HMO/POS plans (HSA qualified)Our HSA-Qualified High-Deductible Health Plans (HDHP) combine the cost savings of a HDHP with the ability to add a Health Savings Account (HSA) that you own and control. Employee-owned, tax-favored personal savings accounts help your employees pay for current medical expenses and save for future medical needs. HSA options are available for both HMO and POS plans.

P.O. Box 11625 • Green Bay, WI 54307-1625 Phone: 920-490-6900 • Toll-free: 1-866-841-6575Arise Health Plan is a Qualified Health Plan Issuer in The Health Insurance Marketplace.