Self-Funding with HealthLink is Smart Business

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1 PRODUCTS AND SERVICES PAGE 2 NEED TO KNOW NEWS PAGE 2 HEALTHLINK SPOTLIGHT PAGE 3 third quarter 2012 Capsule HealthLink s Wellness Tool Kit HealthLink s Wellness Tool Kit is available at no cost. Build a culture of health in the workplace. See page 2 for the Employer Wellness Tool Kit resources available to all HealthLink groups. Do we have your current information? Have you relocated? Do you have new contact information? If so, please let your HealthLink representative know or us at [email protected]. HealthLink s Premium Pricing Packets Now Available HealthLink Premium Pricing Packets have been distributed to contracted carriers, TPAs and their reinsurance carriers. This data is critical in helping underwriters determine health plan premiums and market region selection. Please contact Brian Fallon at [email protected] for more information. Self-Funding with HealthLink is Smart Business The Affordable Care Act has generated increased interest in self-funding for employers (with 10+ employees). Self-funding through HealthLink affords maximum plan flexibility and it puts clients in control of plan design and costs. Here s why: A self-funded health plan costs less than a fully insured plan; Insurer profit, risk charges and premium taxes can be avoided; HealthLink s premier network of health care providers offers competitive discounts; and Employers can design the plan they need, with benefits tailored to employer group objectives. HealthLink s Open Access Network includes more than 300 participating hospitals and more than 90,000 physicians and health care professionals. To view or download maps of HealthLink s hospital locations, go to healthlink.com/service_ area_maps.asp. HealthLinkSelect Option in Central Illinois HealthLinkSelect combines the expertise of two proven winners HealthLink network services and medical stop-loss insurance from Symetra Life Insurance Company. HealthLinkSelect offers employers residing in zip codes 62625, and the ability to proactively manage inpatient claims via preferred Mark Haegele, Director of Sales For more information about self-funding with HealthLink, please call Mark Haegele, Director of Sales, at (314) or Mark. [email protected]. contracts at St. John s Hospital and Memorial Medical Center in Springfield, Illinois. All HealthLink contracted PPO providers are also in-network. For a HealthLinkSelect quote please contact HealthLink s Director of Sales, Mark Haegele at (314) or [email protected]

2 HealthLink, Inc., is an Illinois corporation. HealthLink, Inc. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health benefits, including insurers, third party administrators or employers. HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not liable for any acts or failures to act, by contracted providers. HealthLink, Inc. is not an insurance company and has no liability for benefits under benefit plans offered or administered by payors. HealthLink is a registered trademark of HealthLink, Inc. and a separately incorporated and capitalized subsidiary of WellPoint, Inc. Wellness Tool Kit is Available to all HealthLink Groups Available at no additional cost, HealthLink s Wellness Tool Kit is a health and wellness promotional campaign designed to help build a culture of health in the workplace. The Wellness Tool Kit covers a variety of health topics including healthy eating, diabetes awareness, and stroke prevention. Wellness Tool Kit Resources include: Health Articles Posters Payroll Stuffers Healthy Recipes and Cooking Tips Healthy Bytes short, positive bits and facts on making healthier choices Links to trusted resources for more health information All materials are designed for efficient printing and offer a Print-on-Demand solution. For access to communication resources and information, go to healthlink.com/wellness. When employees are their healthiest, they re likely to remain productive, on the job and less costly than unhealthy employees. Create a wellness kit to fit the needs of employees. Take some sneaky steps to help prevent heart disease. Lace up and walk to the beat of a healthier heart. When it comes to heart health, your daily habits can make a big difference. Start fighting heart disease with a comfortable pair of sneakers. A 30-minute walk break Walking Cuts Blood Pressure at least 5 days per week can help keep your heart s ba-bomp ba-bomp going like it should. Be sure to consult your doctor before starting any new activity or exercise program. So step up and take your health in stride. Your heart will thank you. Link to healthier living. Visit healthlink.com to access additional health-related information and resources. Open Access/HMO Network Available in Northern Illinois As of September 1, 2012, HealthLink s Open Access/HMO network program is available in northern Illinois. The Open Access network design provides deeper discounts at the in-network level, which means greater cost savings for health plans and their membership. HealthLink s Open Access III program is a three-tier network option, providing benefits with an HMO in-network, PPO in-network and an out-of-network coverage level. HealthLink s Open Access II configuration is designed primarily as a two-tier benefit coverage, with a typical plan providing HMO innetwork and out-of-network coverage. Both Open Access programs have the option to include inpatient and outpatient medical management and case management services. HealthLink s Open Access network program requirements include: A 20% benefit differential for network and out-of-network benefits. No less than 80% coinsurance for HMO providers. Deductibles less than $5,000. Out-of-pocket maximums not exceeding $10,000. HealthLink providers allowed to collect out-of-pocket costs at the time of service. For more information regarding northern Illinois network opportunities, please contact HealthLink s Director of Sales, Mark Haegele at (314) or [email protected].

3 HealthLink Supports WellPoint s Community Service Initiative On April 28, more than 3,500 WellPoint associates, families and friends assisted 170 nonprofit organizations across the country, making a lasting impact on the lives of the people we serve and the health of our communities. Together, volunteers planted 202 trees, sorted 48,260 pounds of food for distribution, beautified 56 acres of land, and engaged with 750 seniors and children. Locally, 45 HealthLink associates, family and friends supported the following nonprofit organizations: St. Andrew s Tower Grove Manor St. Andrew s Resources for Seniors works to empower the elderly and their caregivers to have vital lives in which they are respected, productive and secure. WellPoint partnered with St. Andrew s Resources for Seniors to create opportunities for the adults living in the Tower Grove Manor facility to be healthy and socially engaged. Volunteer tasks included: Building a paver patio and connecting walkway; installing a dry well and water tolerant plants; updating landscaping and installing solar powered lights. Edgewood Children s Center Edgewood Children s Center provides compassionate care to restore children and strengthen families through intensive therapy, special education, case management and support services. WellPoint partnered with Edgewood Children s Center to create comfortable and inviting spaces that can be used recreationally by children and families that are part of Edgewood s client network. Volunteer tasks included: Painting 10 bedrooms in the Kresge Residential Unit; building two in-ground benches on the soccer/track field; and adding decorative shrubs outside the gym entrance and school. Life Skills Life Skills changes lives by helping people with developmental disabilities live in a home of their own, find and keep a job, and make friends by providing opportunities for education, job training or community participation. WellPoint partnered with Life Skills to enhance its facility, making it cleaner, safer and more functional for the clients it serves. Volunteer tasks included: Building one accessible raised bed and four HVAC trellis covers; building a 10 X 10 paver patio; adding landscaping to beautify exterior. Mary Ryder Home Mary Ryder Home provides seniors with a safe home, nutritional meals, and medical care, as well as an array of programs and services focused on promoting healthy aging plus physical and mental healthrelated quality of life. WellPoint partnered with Mary Ryder Home to enhance its facility, making it cleaner, safer and more functional for the seniors it serves. Volunteer tasks included: Organizing three storage areas; building three accessible raised beds; and mulching all garden beds. third quarter 2012

4 Provider Updates New PPO, Open Access and Workers Compensation Contracts Midwest Orthopedic Institute, Sycamore, IL. Effective 6/1/2012. Phelps County Regional Medical Center, Rolla, MO. Effective 6/1/2012. New PPO Contracts Bluegrass Orthopaedics & Hand Care PSC, Lexington, KY. Effective 3/6/2012. Bluegrass Regional MH-MR Board Inc., Lexington, KY. Effective 5/18/2012. Kentucky Medical Imaging Associates LLC, Frankfort, KY. Effective 3/5/2012. Select Specialty Hospital Lexington, Lexington, KY and Select Specialty Hospital Northern Kentucky, Fort Thomas, KY. Effective 5/29/2012 Terminated PPO Providers Kindred Hospitals in the Chicago, Metropolitan Service Area only (includes Sycamore, IL). Terminated 8/2/2012. Our goal in creating Network News is to inform clients of pertinent information helpful to your business relationship with HealthLink. We welcome your ongoing feedback. Editorial Board: Steve Martenet, HealthLink President; Brian Fallon, Regional Vice President of Payor Relations, Business Development and Network Management; Tami Fenstermacher, Technical Writer, Payor Relations; Susan French, Manager, Marketing/Communications; Jeff Wulfert, Senior Designer; Susie McDonald, Managing Editor. Comments or suggestions: (800) HealthLink, Inc., is an Illinois corporation. HealthLink, Inc. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health benefits. HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not liable for any acts or failures to act, by contracted providers. HealthLink, Inc. is not an insurance company and has no liability for benefits under benefit plans offered or administered by payors. HealthLink is a registered trademark of HealthLink, Inc. and a subsidiary of WellPoint, Inc. Artwork for User Defined (4.25" x 5.5") Layout: sample BRM Env with IMB.lyt September 11, 2012 Produced by DAZzle Designer, Version (c) , Endicia, U.S. Postal Service, Serial # 1831 Chestnut Street St. Louis, MO PRSRT STD US POSTAGE PAID SAINT LOUIS, MO PERMIT NO. 1514

5 HealthLink newsletters, network development updates and other communications are available electronically. Reducing our carbon footprint is an important step toward minimizing the load in our landfills. If you would like to receive future communications by , please complete the information below or contact your HealthLink representative. Contact Name: Company Name: Company Address: Contact Phone: Contact Fax: Contact Going Green Helps the Earth. Thanks for Your Help in This Initiative!

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