MARATHON HEALTH CENTER AND HEALTH COACHING a benefit of CHG Health and Wellness for our North Carolina office

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Health & Wellness MARATHON HEALTH CENTER AND HEALTH COACHING a benefit of CHG Health and Wellness for our North Carolina office WE ARE A DIFFERENT KIND OF HEALTHCARE COMPANY. OUR MISSION IS TO INSPIRE PEOPLE TO LEAD HEALTHIER LIVES. CHG Healthcare Services 2014/12 BEN-072 V-4

What is the Marathon Health Center and what services does it provide? The Marathon Health Center, a benefit of CHG Health and Wellness, offers most primary and urgent care services, as well as health coaching and chronic condition coaching. This benefit is designed to increase your access to high-quality care, help you better understand your own health and provide you with the tools to address any areas of concern. As a CHG employee, all services rendered at the Marathon Health Center are free for you and your dependents regardless of whether you are enrolled in CHG health insurance. Any services that need to be requested or referred outside of the center will be subject to your normal health insurance plan payment. The mini-clinic is staffed by a Marathon Health physician assistant (PA) who can diagnose and treat common illnesses through screenings, exams, prescriptions and referral management like the services you receive from your family doctor plus help you maintain or improve your health. (See the Health Coaching section for more information about this benefit.) Lab work can be coordinated through the PA, who can write up the request and refer you to a local lab that may accept CHG insurance. The lab will be responsible for billing your insurance, and you will be responsible for any relevant co-pay or coinsurance cost. Prescriptions can be requested by the PA and sent electronically to your preferred pharmacy. You will be responsible for any applicable cost or co-pays after insurance. Who is Marathon Health? Marathon Health, our program partner, is dedicated to bringing quality health services to the workplace by providing medical care, guidance about health risks and conditions, and support for managing your health. Marathon Health operates nationwide and is focused on helping people become more active in their own health and healthcare.

Primary Care Services * Acne Ankle sprain or injury Annual exams and screening Anxiety Asthma flare-ups Arthritis Bell s palsy Birth control Blood pressure screens Bladder infections Bronchitis Care coordination Chronic condition coaching Cough/cold Constipation Corns/calluses Depression Diabetes Digestive problems Diarrhea Diverticular disease Ear pain Ear wax removal Eczema Eye infections Elbow pain or injury Fatigue Fever Flu Fracture evaluation Gout Headache Hip pain High blood pressure High cholesterol Hemorrhoids Hernia Herpes simplex Immunizations - adult/injections Irritable bowel disease Knee pain or injury Leg edema Low back pain Migraines Mouth sores Minor burns Nausea Neck pain Nose bleeds Pneumonia Pregnancy education Prescription management Referrals Runny nose Shingles Shoulder pain Sinus infection Skin infections/rashes Sleep disturbances Splinter removal Sports and camp physicals Strep throat Suture removal Thyroid disease Travel consultation Upper respiratory infections Vomiting Wart removal Weight gain Weight loss Wrist pain or injury * This list is not comprehensive. To see if your condition or ailment can be treated at the Marathon Health Center, you can call 919.653.1880 during clinic hours. The Fort Lauderdale clinic is able to assist you during non-clinic hours at 954.343.5810.

Where is the Marathon Health Center located and when is it open? The mini-clinic is located on the fourth floor of the North Carolina office, 5003 South Miami Blvd., Suite 400, Durham, N.C. A physician assistant will be on-site Fridays from 8:30 a.m. 5 p.m. for preventive care and health coaching appointments. Who can use the Marathon Health Center? You, your spouse or domestic partner, and children age six and older can use the Marathon Health Center for routine and urgent care and health coaching. Please note that general well-child visits, such as immunizations, are not offered. Health Coaching What is health coaching and how can it help you? Marathon Health offers free health coaching to all employees and their immediate family members. Health coaching is designed to help you better understand your own health and provide you with the tools and resources to address many areas of concern. You and a Marathon Health provider will work together in a confidential setting to identify and reduce your health risks, set and achieve specific health goals, and maintain or improve your well-being. And you can set the pace for how often and when you meet. Health coaching can help you address an array of personal issues or concerns, including weight loss, stress management, depression, tobacco cessation and low back pain. Additionally, health coaches can help you manage chronic conditions such as diabetes, asthma, heart disease and high blood pressure. Benefits of health coaching include: Personalized support for managing health concerns Convenience and confidentiality Minimal wait times since the health coaching sessions take place on-site No cost to you or your immediate family members Health coaching services: Weight management Cholesterol Tobacco cessation Pre-diabetes Pre-hypertension Fitness Nutrition Stress management Blood pressure screening Cholesterol screening Depression screening Diabetes screening The treatment you receive and the data in your Personal Health Record are completely confidential. By law, health information cannot and will not be shared with CHG without your written permission. For more information, visit www.marathon-health.com/privacy.

How long does the coaching session take? Most appointments take about 30 minutes, unless it is a one-time Comprehensive Health Review, which may last 45 minutes. Your Marathon Health Center providers and health coaches Cyndi Pilkington Cyndi received her undergraduate degree from East Carolina University for nutrition and diatetics. As a dietitian, she enjoyed working in weight management and cardiac rehab settings. She graduated from the East Carolina University Physician Assistant Program in 2006. She has worked in hospitalbased endocrinology, gastroenterology and as a hospitalist PA. Cyndi has also worked in outpatient GI and family practice settings. While pursuing her undergraduate degree, Cyndi became involved in fitness competitions. She is passionate about combining the knowledge she has learned from these experiences with her nutrition and PA education to help people achieve their health and weight goals. Cyndi lives in Wake Forest with her husband and her 4-year-old twins. Other than the wonderful job of being a mother, she enjoys working out, cooking healthy meals for her family, traveling and spending quality time with her husband, family and friends. Johanna Sommerfeld Johanna is originally from Lima, Peru, and graduated from the University of North Carolina Wilmington with a bachelor s degree in business administration, minoring in psychology. Johanna is fluent in Spanish and has continued to work part-time as a Spanish translator for doctors and physical therapy offices in North and South Carolina for the past six years. She recently got married and is planning to go back to school to get her master s degree in health communication. How do I schedule appointments? To schedule your appointments, visit www.marathon-health.com/myphr. Just click on the appointments tab in the top menu bar and use the appointment wizard to schedule a time that works for you. Or you can call 919.653.1880 during clinic hours (Fri. 8:30 a.m. 5 p.m.) to schedule your appointment. The Fort Lauderdale clinic is able to schedule appointments for you during non-clinic hours at 954.343.5810. Please note: The Marathon Health Center is not a walk-in clinic and requires you to schedule an appointment in advance. If you cannot attend a scheduled appointment, please call or cancel online so your timeslot is available to another patient.

If the center is not able to accommodate your requested appointment time, remember Teladoc is free of charge for you and your immediate family members, regardless of the number of times you use the service. And Teladoc is available 24 hours a day/seven days a week. How much will it cost? Medical appointments and health coaching are available at no charge for employees and immediate family members, regardless of insurance coverage. However, if you do not have coverage through CHG, please bring your card to your appointment for verification. Employees who are uninsured can use the health center for the retail cost of services provided. Regardless of insurance status, outside lab work will be billed to your insurance by the lab. Do I need to use PTO for my medical appointment or health coaching session? You do not need to use PTO for a medical appointment or health coaching session. However, please inform your manager when you will be away from your desk. Your Marathon ehealth Portal Marathon Health also offers a comprehensive website, the Marathon ehealth Portal, which provides helpful and easy-to-use tools you can access anywhere, including: Relevant health information and news Appointment scheduler Fitness and nutrition logs Health History and Risk Assessment (HHRA) Secure email system that allows you to communicate with your health coach Each new CHG employee will receive a welcome letter via email that includes a username and password to access the Marathon ehealth Portal. If you do not receive this email, please contact Marathon Health at 888.490.6077, Monday through Friday from 8 a.m. - 8 p.m. EST or www.marathon-health.com/myphr. Your spouse or domestic partner will receive a separate letter containing login and password information. Who has access to my information? Marathon Health uses health information about you for treatment, to obtain payment for treatment, to evaluate the quality of care you receive and for administrative purposes. Your health information is contained in a medical record that is the physical property of Marathon Health. For more information about how your medical information may be used or disclosed, visit www.marathon-health. com/privacy.

Will my private health information be shared with CHG? No. Marathon Health is a thirdparty provider contracted to provide healthcare services to you at work and will not release personally identifiable health information to CHG, in accordance with federal Health Insurance Portability and Accountability Act (HIPAA) requirements. However, in an effort to better understand the overall health needs of employees and their families, Marathon Health will provide summary information (general statistics and aggregate information) about activities and results, such as: How many employees use health coaching How many people participate in the health screenings The prevalence rate of risk factors such as smoking, obesity and high blood pressure Benefits associated with health coaching Reasons employees use health coaching Marathon will also provide completion lists for specific WellnessPays activities, such as flu shots, preventive visits, health screenings or coaching programs. These lists will only show who completed the activities to earn points and will not include results, diagnoses, treatments or other personal health information. If you still have questions, please contact a member of CHG s benefits team at 800.811.1796 or via email at benefits@chghealthcare.com.

Marathon Health is dedicated to bringing health services to you at the workplace. We help you understand your health risks and conditions and guide you to make changes to live the healthiest possible lifestyle. We provide our services with clinicians who offer one-on-one healthcare, coaching and support. We believe in using technology to help make the best healthcare decisions. Our technology includes an ehealth Portal and Personal Health Record with clinical decision support tools, consumer content, and interactive diet and nutrition trackers. Our focus is on helping you set and achieve health goals, manage your own health and to make better use of your healthcare resources. Health & Wellness