Be Well. Outstanding Benefits are among the many rewards of working for UCSB Make the most of them!
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1 Be Well Outstanding Benefits are among the many rewards of working for UCSB Make the most of them!
2 This presentation is intended for communication purposes only. Please see the UCnet website ( and plan documents for complete information. UCSB Benefits
3 Today s Topics Emotional / Behavioral Health Care Wellness Programs
4 Emotional or Behavioral Health Care Therapy Medication Management Addiction Treatment Mental Health Treatment Marriage/Family Therapists Psychologists Psychiatrists Hospitals / Treatment Facilities
5 Types of issues or concerns Depression Stress or Anxiety Conflict Marriage and Relationship Coping with Grief and Loss Addiction issues (gambling, drugs, alcohol) Eating disorders Autism
6 What can therapy do for you or your family members? Help you see things more clearly It is objective, helps you see your blind spots Gives you a place to vent or unload your feelings Helps you change patterns Teach you new skills, new coping strategies
7 Behavioral Health is paired with a medical plan The medical plan you select determines your behavioral clinicians and coverage Medical Plan Health Net Blue & Gold HMO Kaiser HMO UC Care PPO Health Savings Plan (PPO) Core PPO 2018 Behavioral Health Plan Optum Optum or Kaiser Anthem
8 Behavioral Health insurance for HMO medical plans Manages a network of clinicians Authorizes some types of care Pays providers for services
9 How to get started with Optum? You DO NOT need a referral from your HMO primary care physician 1. Select an Optum clinician Optum directory on website Call Optum member services Liveandworkwell.com Spanish speaking clinicians 2. Call clinician for an appointment No prior authorization is required
10 Optum Help making appointments Optum Member Services will find providers for you Optum will call providers and make appointments for you Call Optum at (888) and get personalized referrals for your needs
11 Optum Family Support Program Help caring for a child with substance abuse problems Phone access to licensed clinicians with special expertise No additional charge Educate you about alcohol and drug addiction and resources Guide you through treatment options Support you in communicating with your child and taking care of yourself
12 Optum Tele-Mental Health Connect with a therapist from anywhere & any time 1DocWay portal allows quick, simple access from liveandworkwell.com
13 Want a larger choice of clinicians? Enroll in a PPO medical plan Administered by You may select: In-network Anthem clinicians Out-of-network clinicians UC Care UC Health Saving Plan Core
14 How to get started with Anthem? You may select an Anthem clinician or a non-anthem clinician 1. Select an Anthem clinician Anthem directory on website Call Anthem member services OR Select a non-anthem clinician You will pay more for services You may be asked to pay in full and submit claims for reimbursement 2. Call clinician for an appointment No prior authorization is required
15 Anthem Find a Doctor Anthem.com/ca/uc
16 Anthem Tele-Mental Health Private video visit with a therapist from home, at work or on the go Evenings and weekend appointment LiveHealth Online logon to Anthem.com/ca/uc and choose Resources
17 How much does care cost? HMO Medical Plan OPTUM Network Out of Network Health Net Blue & Gold Kaiser (Kaiser* & Optum Providers) *See plan documents for Kaiser provider rates Visits 1 3 no copay Visits 4+ $20 $250 inpatient hospitalization Emergency only Emergency only 1DocWay Tele-mental health. See plan documents for cost.
18 How much does care cost? Plan UC Select Anthem Out-of-Network UC Care Health Savings Plan Core Visit 1 3 No charge; $20 copay per visit NA NA Deductible 20% allowed Deductible 20% allowed Deductible Plan- 50% of allowed You- balance of bill Deductible Plan- 60% of allowed You- balance of bill Deductible Plan- 80% of allowed You balance of bill LiveHealth Online Tele-mental health. See plan documents for cost.
19 PPO Deductibles for Behavioral Health The amount you pay before the plan shares the cost with you May include medical, behavioral health and drug expenses Plan UC Select Anthem Preferred Out-of-Network UC Care Health Savings Plan NA None $1,350 single $2,700 full family* $500 individual $1,500 family (3 or more) $2,550 single $5,100 full family* Core NA $3000 per individual *Health Savings Plan - Full family deductible must be met before plan shares cost
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22 ALL health plans have wellness programs
23 Preventive Care Quiz 1. What is a preventive health visit? 2. What types of services are covered by your preventive health benefits? Medical plan Dental plan Vision plan 3. Why is it important to have preventive health care?
24 Preventive Well Medical Care Annual well exam Annual well woman exam Screenings include: Cholesterol, blood pressure Mammogram Colonoscopy Prostate Immunizations Lists of preventive care services are on the medical plan websites.
25 Medical plans have similar wellness programs Logon to your plan website to participate in programs
26 Chronic Condition Management Programs Talk with nurse on the phone Educational materials Online and print tools Help you reach your health goals Understand your medication Keep your doctor updated Diabetes Heart Disease Asthma COPD Surgical Support Postcards or mailings to remind you about these programs
27 Support & Prevention Programs Welvie - Surgery Decision Program A six-step online surgery decision-support program helping you work with your doctor to understand your surgical and nonsurgical treatment options. Health Net, Anthem Omada Diabetes and Heart Disease Prevention A weight loss and management program designed to help you improve your health and avoid diabetes and heart disease. Take a one-minute test to find out if you're eligible for the 16-week online program a $700 value offered free to eligible Blue & Gold HMO members. Health Net
28 Pregnancy Programs BabyLine Speak to a maternity nurse 24/7 on a toll-free phone line. Free app makes it even easier for you to get critical health and safety information! High Risk Care Management Nurse care manager Calls twice a month
29 Tobacco / Smoking Cessation Programs All medical plans offer online tools, programs and/or phone coaching to help you kick the habit for good.
30 Kaiser Health Risk Questionnaire Wellness Score Medical Risk Lifestyle Risk Disease Risk Other issues
31 Online Healthy Lifestyle Programs Online, interactive support to help you address and improve risk factors, such as: exercise weight management managing emotions nutrition stress management women s health Kaiser programs available to ALL UC Employees provides many wellness resources, videos, and podcasts
32 Libraries on plan websites Articles Videos Classes Quizes Assessments Tracking tools Q & A
33 24 Hour Nurse Advice Line Accessible 24/7, the nurse line provides access to licensed nurses via phone or chat for questions about injuries, illnesses, chronic conditions, and preventive care.
34 Optum Wellness Resources available to all liveandworkwell.com access code or register LiveWell - Life, family and relationships BeWell - Health and wellbeing WorkWell Education, work and career Screeners assessment tools Self-help programs Health estimators and calculators
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36 Annual Preventive Care One exam Second exam, if at risk Two cleanings x-rays
37 Interactive Quizzes Oral Health Assessment Articles Videos Grin! e-magazine Facebook Twitter
38 Videos
39 Grin! e-magazines & Activity Books for Kids
40 Online Dental Risk Quizzes
41 Routine Eye Exams Glasses or Contact Lenses
42 Eye Health Articles on VSP.com Common eye problems Eye diseases Health Conditions Nutrition and fitness Eye protection Care for adults and seniors Care for babies, children and teens Fashion and beauty
43 Make a Wellness Plan What will you do to take charge of your health? Learn something new Try something new Make an appointment for an overdue medical or dental exam be happy
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