Overview of Services

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Overview of Services

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Overview of Services For our NALC Health Benefit Plan Representatives Overview CIGNA HealthCare Partnership Overview Why will NALC members want to consider the NALC ... – PowerPoint PPT presentation

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Title: Overview of Services


1
Overview of Services For our NALC Health Benefit
Plan Representatives
2
Overview
  • CIGNA HealthCare Partnership Overview
  • Why will NALC members want to consider the NALC
    Health Benefit Plan this Open Enrollment even
    more so than in prior years?
  • What to focus on when you have limited time with
    a new potential member
  • A little more about CIGNA, our new partner
  • Website Tools to provide more information.

3
CIGNA HealthCare Partnership Overview
  • What has changed?
  • The NALC Health Benefit Plan has replaced the
    Coventry (First Health) Network with CIGNA
    HealthCare Shared Administration Network
    effective 1/1/08.
  • Why did the NALC Health Benefit Plan make this
    change?
  • This change is intended to give our own Union
    Plan and our representatives ammunition to bring
    our union membership back to the NALC Health
    Benefit Plan. This is where our members belong.
    One Union, one Health Benefit Plan.

4
Why should members choose the NALC Health Benefit
Plan?
  • Service Advantage The NALC Health Benefit Plan
    has always delivered best-in-class service, with
    top OPM rankings year after year. With the
    expanded network of CIGNA and their special
    programs, we will better serve our membership.
  • Network Access Advantage The CIGNA network is
    our new network effective 1/1/08. This network is
    significantly larger both locally and nationally.
    The CIGNA Network provides our members with
    access to more than 7,100 hospital and facility
    locations, 1 million professional and physician
    locations, and over 40,000 ancillary provider
    locations more than 1 million in network
    providers nationally. Encourage the members to
    compare networks compare their current network
    to CIGNA! (See below web tools)
  • Network Discount Advantage CIGNA's discounts are
    superior to most other networks available to the
    FEHB population, which means members joining the
    NALC Health Benefit Plan from other FEHB plans
    will most likely enjoy lower out-of-pocket
    coinsurance costs.

5
Why should members choose the NALC Health Benefit
Plan?
  • Friendly, Supportive Programs These programs
    help our members when they need it most
  • Maternity Support to improve quality care
    outcomes for mother and baby, including a toll
    free 800 line for mothers-to-be, case management
    for high risk patients, prenatal care reminders,
    and literature on proper prenatal care. This
    program is wonderful for new mothers-to-be and
    young couples planning to have children.
  • Healthy Rewards? member discounts program
    includes special offers on programs and services
    designed to help our members enhance their health
    and wellness. Healthy Rewards includes discounts
    on Weight Watchers?, Jenny Craig?, Curves?, Mayo
    Clinic books, fitness centers, a variety of
    wellness magazines, oral hygiene products and
    more. Healthy Rewards also offers discounts on
    some vision and hearing services. This program
    is perfect for those trying to stay healthy or
    get healthy!
  • Case Management helps patients with acute or
    chronic illness injuries in coordinating care,
    identifying in network providers, and providing
    support to the patient and family
  • Transplant Management helps members needing these
    services with care coordination, support, and
    guidance into Transplant Centers of Excellence
    available nationally
  • Inpatient Pre-Admission Certification provides
    care alternatives to an inpatient setting when
    appropriate and protects member dollars by
    ensuring care length of stay appropriateness

6
Why should members choose the NALC Health Benefit
Plan?
  • Enhanced Web Tools In addition to the treatment
    cost look-up web tools and the provider locator
    web tools provided to the NALC membership, the
    new CIGNA partnership provides access to
    additional tools, including
  • DrugCompare tool allows members to identify
    generic and other alternatives for a given drug
    class, research interactions and cautions,
    (state-of-the-art quality and cost comparison
    tool)
  • Hospital Select/Compare tool allows members to
    compare quality performance for specific
    treatments at most area hospitals, prior to
    choosing a hospital for care
  • Opportunity to take a Health Risk Assessment, get
    feedback on your risks and opportunities to avoid
    at-risk-conditions, as well as related follow-up
    questions to discuss with your doctor
  • Conditions Center provides information about
    diseases and conditions
  • Health Record enables members to record their
    care and results
  • Health Tracker allows members to see what
    preventive care is needed and when it is needed
  • General Information on mens health, womens
    health, pregnancy, and childrens health.

7
What to focus on when you have limited time with
a new potential member
  • The NALC Health Benefit Plan offers many
    advantages to our NALC Union membership in 2008
  • Superior access to In-Network benefits through a
    partnership with CIGNA HealthCare, which provides
    access to more than 1 million Network provider
    locations nationally.
  • Quality, responsive service from the people who
    understand and appreciate NALC members, through
    our own NALC Health Benefit Plan
  • Easy to use web tools that help members make high
    quality, lower out-of-pocket care decisions
  • Access to discounts on offerings that help
    members stay healthy and get healthy things
    like fitness centers, Curves, vitamins herb
    supplements, massage therapy, and more. And even
    access to discounts on vision care and hearing
    aids
  • A new voluntary dental program - On our non-FEHB
    page, you will find a new program that is
    separate and is voluntary to join called CIGNA
    Plus Savings (discount dental program). This is
    available only to members, and their dependents,
    of the NALC Health Benefit Plan. The monthly Self
    Only premium is 3.75 and 5.50 for Self and
    Family. This is a discount program and not
    insurance. The member must pay the entire
    discounted charge for dental services. For
    additional information or to join call
    1-877-521-0244 or visit www.cignaplussavings.com.

8
A little more about CIGNA, our new partner
  • CIGNA
  • is one of the largest health benefits
    organizations in the world, serving more than 30
    million people worldwide.
  • manages one of the largest provider networks in
    the country, which is critical to responding to
    the needs of our members nationally
  • has a deeply discounted network that will help us
    control our premiums in years to come, and reduce
    our members out-of-pocket costs
  • wholly owns the nations 1, leading case
    management provider CareAllies
  • is ranked 1 this year in serving providers by
    providers themselves, based on the 2007 PayerView
    rankings of athenahealth, Inc.
  • has Excellent NCQA ratings on all their health
    plans across the country and thats the highest
    rating available from NCQA
  • was the first national carrier to earn the JD
    Power Associates Call Center Certification for
    An Outstanding Customer Experience
  • is ranked 1 in Disease Management, an effective,
    member-friendly program we will be looking into
    in the future to help us control our Premium
    rates in a member-friendly way
  • is 1 of the top 3 commercial carriers in HEDIS
    rankings, the best known measure for preventative
    care and wellness which is important as we work
    hard to take care of our members, and help them
    lead full and long lives
  • is a company that practices what they
    preachCIGNA has been named a Best Employer for
    Healthy Lifestyles by the National Business
    Group, underscoring the actions they take in
    motivating and engaging their own employees to be
    healthy.

9
Website Tools to provide more information.
  • Visit the NALC Health Benefit Plan website at
    www.nalc.org/depart/hbp for more information.
    This site provides information about the CIGNA
    Network and our enhanced web tools.
  • For information on Healthy Rewards, call
    1-800-558-9443 or log onto www.nalc.org/depart/hbp
    and select the CareAllies Resource from our
    Health Center tab/Member Discounts.
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