YOUR 2012 BENEFITS
| STATE HEALTH BENEFIT PLAN MEMBERS
Grow Healthy
Dedicated Service. Useful Tools. Real Solutions.
State Health Benefit Plan
Look inside to learn about:
•
Benefit options
•
Health support and wellness options
•
Tools and resources
At UnitedHealthcare, our State Health Benefit Plan (SHBP) dedicated team is here to help you and your family grow healthy. For 10 years, we have supported SHBP members with health care solutions. Our plans include online and telephonic tools that are designed to help you receive care and save money.
In addition to our national network, our Georgia network gives you the freedom to use more than 16,800 doctors and health care professionals and 154 acute care hospitals. Get the most out of your benefits with access to a network doctor or hospital that’s close to wherever you are looking for care. Whether you are at home, traveling or you have a covered child going to school out-of-state, you are able to use the network without referrals and emergencies are covered anywhere in the world. Support for your family
As a UnitedHealthcare member, we support all of your health and wellness needs with a dedicated team of clinicians who work side-by-side here in Georgia to help you meet your goals.
Our dedicated nurses work with you to manage serious conditions. These programs are available at no additional cost: • Diabetes Management Program • Asthma Program
• Coronary Artery Disease (CAD) Program
• Heart Failure (HF) Program • Cancer Support Program • Chronic Obstructive Pulmonary
Disease (COPD) Program
Personalized wellness support
Our SHBP Wellness Coaches help you create a personal program that works for you and your family. Your coach helps support your goals with programs such as: • Smoking cessation
• Exercise programs • Weight loss • Stress management • Nutrition plan
You can reach your Wellness Coach online or on the phone, and can use interactive tools online to track your progress and receive personal messages.
Grow Healthy
Dedicated Service. Useful Tools. Real Solutions.
SHBP Value
• Extensive and affordable network coverage with over 659,000 physicians nationwide • More than 2,000 retail
and independent Georgia pharmacies and more than 60,000 nationwide
• Local and dedicated UnitedHealthcare team experienced in helping SHBP members for over 10 years
• A dedicated nurse for you and your family
• Tools designed to help you get healthy and save money
To learn about important changes to your 2012 pharmacy benefits, be sure to visit welcometouhc.com/shbp. Find out what is new this year and how your pharmacy benefits work so you pick the plan that is right for you.
New State Health Benefit Plan Wellness Options
UnitedHealthcare is happy to announce new enhancements to the SHBP HRA, High Deductible Health Plan (HDHP) and Health Maintenance Organization (HMO) Plan Options for 2012. These new WELLNESS plans are designed to help you and your spouse to become more actively engaged in developing healthy behaviors as a way of life. In return, you will be rewarded for your active participation in taking steps that may improve your health and well-being. The power to engage is yours!
If you are currently covered by SHBP, you may elect coverage in one of the three WELLNESS Plan Options. By making a “WELLNESS Promise” to have you and your covered spouse complete your Health Assessment and required biometric screenings by June 30, 2012, you are able to take advantage of lower premiums, copayments, coinsurances, deductibles and out-of-pocket maximums. However, for those of you who do not wish to make the “WELLNESS Promise,” you may elect to enroll in one of the Standard Plan options which will have higher premiums and higher out-of-pocket expenses.
For detailed information on the WELLNESS and Standard Plan Options as well as the Wellness Promise, please visit our enrollment site at
welcometouhc.com/shbp.
$125 extra for your Health Reimbursement Account
You and your spouse can each earn up to $125 extra for your Health Reimbursement Account (HRA) by taking the Health Assessment and getting an annual exam if you enroll in the WELLNESS HRA Plan. Unused funds from your spending account are rolled over to use in the next plan year.
YOUR 2012 BENEFITS | STATE HEALTH BENEFIT PLAN MEMBERS
Plan Cost Estimator
The Plan Cost Estimator takes health information about you and your family and predicts medical costs for the upcoming year. In just a few steps, you can see how much each plan option will cost. Visit
welcometouhc.com/shbp to
Pharmacy
If you’re like a lot of people, you’ll be visiting the pharmacy several times during the year. Our pharmacist can help you understand how pharmacy benefits usually work and how you can save money.
School
As a member of the Georgia State Health Benefit Plan, you’re covered by one of the best consumer-driven plans on the market. Step into Mrs. Osbourne’s classroom to learn all about how your state health benefit plan works for you. And don’t worry; it won’t be on the mid-term.
Need answers to your
health care questions?
Take a stroll down
Health Care Lane
®
YOUR 2012 BENEFITS | STATE HEALTH BENEFIT PLAN MEMBERS
Fitness Center
UnitedHealthcare truly cares about your health and well-being. At the Fitness Center, Faith encourages you to take advantage of all the programs that are available at no additional cost.
Mrs. Osbourne will teach you what you need to know about your SHBP Health Reimbursement Account in a way that’s easy to understand.
WiFi Café
Relax at the WiFi Café and let Whitney walk you through UnitedHealthcare’s personal member website, myuhc.com. Learn to manage your health and your medical benefits in one convenient place.
Anthony’s Tailor Shop
No one knows more about personal service and individual attention than our tailor, Anthony. You’ll want to spend some time with him if you want to know how you’ll be treated as a UnitedHealthcare member.
YOUR 2012 BENEFITS | STATE HEALTH BENEFIT PLAN MEMBERS
welcometouhc.com/shbp
Public Library
Linda, the librarian, is like an encyclopedia on the topic of health care. If you want to get a good reference point, check out what she has to say. Just try to keep your voice down, okay?
Health Clinic
A nurse is a great resource when you have questions about medical care. Connie, RN, has a lot of information that may help you understand all your options for seeking treatment.
Look for the stars
Quality and Cost Efficiency
A doctor has met quality of care guidelines by following evidence-based medical standards and practices, and has met guidelines for providing cost-efficient care.
Quality of Care
A doctor has met quality of care guidelines by following evidence-based medical standards and practices.
Designated physicians:
• May have lower surgery repeat rates • Follow evidence-based guidelines for care
• Are more likely to be aware of the latest research and clinical trials Use your own private website at myuhc.com®
Once you become a member, your first stop is your member website, myuhc.com. It’s loaded with details on your benefit plan and so much more:
• See your plan details and view your current claims and claims history in one view • Find a network doctor or pharmacy in your area
• Take a health assessment
• Tools and resources, including our Treatment Cost Estimator, Price a Medication and a Personal Health Record
• Quicken Health Expense Tracker® to help you track your health care expenses • Online coaching programs on losing weight, healthy heart, healthy eating
and more
The UnitedHealth Premium® difference
We realize that not all health care is created equal, so we developed the UnitedHealth Premium designation program. It evaluates and recognizes physicians who meet national industry standards for quality care and local market benchmarks for cost efficiency.
myuhc.com mobile — convenient smartphone access to benefit and provider information
Visit myuhc.com on your smartphone to find network doctors, check account balances, verify deductibles and out-of-pocket amounts, and much more. And, check out our apps available for download on your smartphone. Our DocGPS® app allows you to search for doctors and hospitals in the network based on your Global Positioning System (GPS) location. And OptumizeMeTM lets you create, join and invite others to earn rewards with
health challenges.
Discounts for a healthier you
Save on products and services not covered by your benefit plan. When you become a UnitedHealthcare member, you automatically receive special discounts and can save between 10 percent and 25 percent off items such as fitness clubs, Jenny Craig® and more.
Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates.
The information provided in these Programs is for informational purposes only and is not a substitute for your doctor’s care. Please discuss with your doctor how the information provided through these Programs is right for you. Your personal health information is kept private in accordance with your plan’s privacy policy. For a complete description of the UnitedHealth Premium® Designation program, including details on the methodology used, geographic availability, program
limitations and medical specialties participating, please see myuhc.com.®
Disclosure: The Health Discount Program is administered by HealthAllies,® Inc., a discount medical plan organization. The Health Discount Program is NOT
insurance. The discount program provides discounts at certain health care providers for medical services. The discount program does not make payments directly
to the providers of medical services. The discount program member is obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the discount plan organization. HealthAllies, Inc., is located at P.O. Box 10340, Glendale, CA, 91209, 1-800-860-8773, www.unitedhealthallies.com, ohacustomercare@optumhealth.com.
The health discount program is offered to existing members of certain products underwritten or provided by UnitedHealthcare Insurance Company or its affiliates to provide specific discounts and to encourage participation in wellness programs. Health care professional availability for certain services may be dependent on licensure, scope of practice restrictions or other requirements in the state. UnitedHealthcare does not endorse or guarantee health products/services available through the discount program. This program may not be available in all states or for all groups. Components subject to change.
Quicken Health Expense Tracker is a registered trademark of Intuit, Inc. 100-10411 Consumer 08/11 © 2011 United HealthCare Services, Inc.
Grow Healthy
Important contact information
HRA: 1-800-396-6515
Choice HMO, High Deductible Health Plan: 1-877-246-4189
Need more help?
Current members: Visit myuhc.com or call the number on your health plan ID card
Compare plan costs: welcometouhc.com/shbp or call
1-877-246-4189
In a 2011 survey, 96 percent of our SHBP members responded that they were satisfied or extremely satisfied with UnitedHealthcare.*
*1,300 people surveyed between 2/24/11 and 3/8/11.