2011 Health Plus Individual Product Overview


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  • HealthPlus of Michigan ranked as one of the “highest-rated” health insurance plans in the nation according to NCQA’s Health Insurance Plan Rankings - Private, 2010-11. NCQA is an independent, not-for-profit organization dedicated to measuring the quality of America’s health care.

    ** The NCQA Quality Compass ratings are based on the number of CAHPS© Survey respondents who rated ‘9’ or ‘10’ in Overall Rating of Health Plan on a scale of 0-10 with 10 being the highest possible rating.

    *** The source for data contained in this publication is Quality Compass® 2010 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass 2010 includes certain CAHPS data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility
    for any such display, analysis, interpretation or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality.
  • 2011 Health Plus Individual Product Overview

    1. 1. For Agent Use Only HealthPlus Individual Products
    2. 2. 1/29/2015Page 2 HealthPlus of Michigan Overview ✚ Non-profit health and wellness company ✚ Founded in 1979 ✚ Over 215,000 members statewide and beyond ✚ Comprehensive portfolio of employer group, individual and government health plans and wellness programs ✚ Flint headquarters and regional offices in Saginaw and Troy ✚ Employs over 400 employees For Agent Use Only
    3. 3. 1/29/2015Page 3 1/29/2015Page 3 National Recognition For Agent Use Only
    4. 4. 1/29/2015Page 4 Health Plans for individuals and families HealthPlus Signature Plans For Agent Use Only
    5. 5. HealthPlus Signature Plans ✚ HealthPlus Signature health plans for individuals and families are available statewide ✚ Signature plans blend the freedom and choice of a PPO with the preventive care benefits that have made HealthPlus a staple in the Michigan marketplace ✚ Child only coverage available ✚ In-network statewide coverage through the Cofinity network ✚ $0 copay/no deductible when Quest labs are used ✚ Pharmacy and maternity riders available ✚ Online quoting and enrollment 1/29/2015Page 5 For Agent Use Only
    6. 6. HealthPlus PPO Network Through its contracts with local, regional, and national provider networks, HealthPlus gives its PPO members access to 24,000 physicians statewide, and 1.6 million locations of care nationwide. 1/29/2015Page 6 For Agent Use Only
    7. 7. 1/29/2015Page 7 HealthPlus Signature Plans Signature One Signature Savings Signature Select An affordable starter plan featuring many cost- saving benefits for young adults between the ages of 19 and 30. Our high deductible, HSA-eligible plan designed for the cost- conscious consumer. Our traditional deductible plan with three deductible levels and two co-insurance options from which to choose. A fourth HealthPlus Signature plan, Signature Network, has a limited service area and network of physicians, specialists and other health-care providers. This option works best for people who already have a doctor who contracts directly with HealthPlus. Michigan consumers can choose from three types of HealthPlus Signature plans For Agent Use Only
    8. 8. 1/29/2015Page 8 1/29/2015Page 8 Medicare Plans That Keep You and Your Budget Healthy HealthPlus MedicarePlus Plans For Agent Use Only
    9. 9. 1/29/2015Page 9 HealthPlus MedicarePlus Plans ✚ HealthPlus MedicarePlus AdvantageHMO • Primary care doctor serves as member’s health advocate – coordinating all medical care. ✚ HealthPlus MedicarePlus AdvantagePPO • Member has freedom of choice to see any doctor in- or out-of- HealthPlus’ preferred provider network. For Agent Use Only
    10. 10. 1/29/2015Page 10 HealthPlus MedicarePlusHMO ✚ Counties Served: Arenac, Bay, Genesee, Lapeer, Oakland, Saginaw, Shiawassee, St. Clair, Tuscola ✚ When members enroll, they select their Primary Care Physician (PCP) to coordinate care. When they select their PCP, a primary hospital goes with their designation. ✚ Easy to choose a conveniently located PCP by using the • MedicarePlus AdvantageHMO online Provider Directory at www.healthplus.org • Printed HMO Provider Directory • Toll-free Customer Service # - 1-800-332-9161 For Agent Use Only
    11. 11. 1/29/2015Page 11 ✚ Counties Served: Genesee, Saginaw ✚ In-Network Services from HealthPlus preferred PPO providers. Members can choose a physician by using: ✚ MedicarePlus AdvantagePPO online Provider Directory at www.healthplus.org ✚ Printed PPO Provider Directory ✚ Toll-free Customer Service # - 1-800-332-9161 ✚ Out-of-Network Services available at additional cost to members. Members will pay a greater portion of the cost of care. HealthPlus MedicarePlusPPO For Agent Use Only
    12. 12. HealthPlus Individual Sales Contacts ✚ Signature Sales • Doug Lynch, Manager Individual Sales – 810-230-2266 – dlynch@healthplus.org • Signature Sales – 877-562-0907 – indsales@healthplus.org 1/29/2015Page 12 ✚ MedicarePlus Sales • Pam Kalisek, Individual Sales Executive – Genesee, Lapeer, Oakland and St. Clair Counties – (810) 496-8498 – pkalisek@healthplus.org • Kathryn Pierce McAllister, Individual Sales Executive – Arenac, Bay, Saginaw, Shiawassee, and Tuscola Counties – (810) 733-8967 – kmcallis@healthplus.org For Agent Use Only
    13. 13. HealthPlus Agent Product Training For a calendar of available product training webinars please visit our agent service center website at: www.healthplus.org/agentservice center.aspx 1/29/2015Page 13 For Agent Use Only