The simple equation for more choice
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1 The simple equation for more choice April Aetna Inc PA (3/17)
2 What matters most to you? Choice Network Access Member Experience Cost 1
3 Aetna is proud to be one of your new choices Two health plan options Broad network PPO vs a High Performance Network Office visit or Urgent Care vs Teladoc Calling customer service or starting a web chat The list goes on! 2
4 Which option fits me and my family best? PPO vs. EPO Open Choice PPO Lowest cost PPO network Broad choice of doctors and hospitals statewide/nationwide No referrals required to receive the best benefits Premier Plus Rx plan - list of available prescription medications Washington Value Network Additional savings for you compared to the PPO network Select group of doctors and hospitals delivering care No referrals required to receive the best benefits In network benefits only Value Plus Rx plan - list of available prescription medications 3
5 Member Experience: Tools and resources to help you on your health journey no matter your current state If you suffer from chronic conditions or more serious health issues, we go beyond traditional nurse support. One: one nurse relationship for you and your whole family Early identification of members in need Holistic evaluation of needs Caring, inspirational support Guidance through digital care programs Self-referral for chronic conditions Provider Quality Information CMS, NCQA, and Leapfrog Data Compare hospitals based on patient safety, member experience, and other data Read patient reviews through DocSpot Help with home health needs 4
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8 Everyone benefits from a better member website When members use our digital tools they can: Spend less - Average $170 savings in out-ofpocket costs from using cost estimation tool 1 Get the answers they need - 93% have a better sense of the right treatment option for them after using health decision support tool 2 Aetna.com 1 Aetna Informatics & Product Strategy Member Payment Estimator Study, Survey of Health Decision Support program viewers from January 1 to December 31,
9 Improved cost transparency 8
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14 Member Experience: Tools and resources to help you on your health journey no matter your current state If you re in good health, great! Keep up the terrific work. Simple Steps: Self-guided online health information, resources and tools Coach Health coach: The next level of engagement with one-on-one support Member Personalized wellness programs Combination of coaching and tools 13
15 Member Experience: Tools and resources to help you on your health journey no matter your current state Weekend warrior? Stressed at work? Not feeling so well? Telemedicine Most affordable option More convenient and timelier alternative to Emergency Room (ER) and Urgent Care (UC) visits for nonemergency medical care Extremely convenient eliminating the need to arrange for transportation or travel, childcare, and time off from work just to visit a doctor Phone or video consultations Available 24/7 Discount programs Fitness memberships Home exercise equipment Nutritional supplements Hearing aids and batteries Phone or video consultations Weight management programs Health related books and videos Alternative therapies 14
16 Customer service without limits Concierge provide members with information when they need it One number to call First call resolution No member homework Find Teachable Moments around benefits, tools and resources Motivational interviewing Communicate : Phone, secure , text, live chat Schedule provider appointments Connections to resources in/ outside of Aetna 15
17 The bottom line? More choices don t have to cost you more Here is the simple equation: + = = Member support Use of tools Healthy days Your Cost 16
18 Our promise Together, Aetna and WEA will make health care more convenient, effective, and affordable for you and your families. Thank you! 17
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