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Anthem Medicare

Advantage

Preferred (PPO)

University of Chicago

Y0114_19_36552_I_M 08/14/2018 73574MUSENMUB

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WelcomeWe’re glad to be with you!

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Anthem’s Medicare Benefits2

Today’s Discussion

A few basics: Medicare 1011

Questions5

How We’ll Help You Make Staying Healthy Simpler3

How Auto-Enrollment Works For You4

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By your side – every step of the way

GrowthExperience

Knowledge You

Can Trust

• 75+ years of

dedication

GrowthGrowthSimplicity

Easy for You

• Doctors you

know & trust

• Power of One

• One phone

number to call

Care

The Attention You

Deserve

• Holistic health &

wellness care

• Additional care

benefits

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First Impressions Line

833-214-8951

Monday – Friday 8am-9pm ET

Understanding

Plan Benefits

Guidance &

Medical Continuity

Enrollment Support

• Interactive Voice Response (IVR)-free experience

• Senior sensitivity certified

• Single point-of-contact for implementation-related

questions

• Helps answer questions about network, benefits, etc.

Confidence & Care

• Trained to address questions about prescriptions &

network

• Available to assist you with questions about doctors and

coverage under our plan

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Medicare 101

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Medicare 101

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Original MedicareMedicare Advantage

Part C

Part AHospital Insurance

Part BMedical Insurance

+

Part AHospital Insurance

Part BMedical Insurance

+

+

Holistic Care Benefits+ Transparent Quality Metrics

SilverSneakers fitness program

Routine vision care

Routine hearing services

Hearing aid coverage

Video doctor visits (no charge)

Routine foot care

Additional annual physical exam

How does Medicare Advantage work?

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Cost

Management

Additional

BenefitsEmergency and

Urgent Services

Get all health services

offered by Medicare,

plus additional

preventive screening

services and benefits

not provided by

Medicare

Copays allow you to

know your out-of-

pocket cost up front

Access to large

network of in and out

of network primary

care physicians

(PCPs) who can help

guide your care

What is a Medicare Advantage PPO Plan?

Physician

Services

Emergency and urgent

care are covered from

out-of-network

providers if an in-

network provider is not

available or accessible

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Are you eligible?

A few considerations to enroll in a Medicare Advantage plan

Note:

• If you enroll in a different Medicare Advantage Part C plan, Medicare will automatically disenroll you

from your University of Chicago Retiree Medical Plan.

• You will lose both medical and prescription drug coverage and will not be able to re-enroll in the

University of Chicago Retiree Medical Plan at a later date.

Be enrolled in

Medicare Part A

and Medicare

Part B

Live in Anthem’s

service area

Continue to pay

monthly Part B

premium

Be eligible for

your group’s

retiree health

benefits

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Lets talk about your doctors

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Our network is growing, giving retirees greater options and more flexibility than ever before

Anthem’s national network allows you to see the doctors you know and trust.

>800MA PPO network counties across 14 Anthem states

>1,700MA PPO network counties across Anthem/BlueCard

footprint

>500kContracted MA PPO providers

across all 50 states1

Anthem Medicare provider analysis, August 2018

Anthem’s strong national network

National Medicare Advantage PPO Network

1. Provider count includes PCPs, Specialists, & hospitals as of 2018. May include overlap across categories / states.

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In-network Providers Out-of-network Providers

Your plan includes a network of two types of providers:In-network providers and Out-of-network providers

Providers who participate in our

network

Providers who do not

participate in our network

Note: We can only pay providers who accept Medicare, please check with your provider if they accept Medicare.

Freedom to see any provider that accepts Medicare

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3 ways Anthem makes it easy to find a doctor

Multiple ways to find doctors in your provider network

Anthem.com

Visit the “Doctor & Hospital Finder” at www.anthem.com to find a Blue Medicare

Advantage PPO provider

Call 1-800-810-BLUE

Call 1-800-810-BLUE to ask for help finding your doctor

Customer Service

Call our toll-free Customer Service number listed

on your membership card

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Your Plan Details

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Anthem Medicare Advantage

Everything that’s covered – all in one plan

Doctors

• Preventive services

• Coverage overseas

Hospitals

• SilverSneakers

• 24/7 Nurseline

• LiveHealth Online

• Special Offers

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National PPO Medical Benefits Summary

Summary of Rates

Covered Services 2018 In-network 2019 In-network 2019 Out-of-network

Deductible

Physician services, including doctor’s

office visits (Medicare-covered services)

• Physician visits

• Specialist visits

Inpatient Hospital Care

Hospital days are unlimited. Covered

services include, but are not limited to a

semi-private room (or a private room if

medically necessary)

Emergency Outpatient Care

(waived if admitted within 72 hours)

Preventive Care and Screenings

• Bone mass measurement

• Colorectal screening

• Cardiovascular screening

• Diabetes screening

• Mammogram screening

• Prostate screening

• Physical exams

• Annual wellness visit

Out of Pocket Maximum

$300

50% coinsurance per visit to a

Primary Care Physician

(PCP) or specialist for

Medicare covered services.

Deductible applies.

50% coinsurance for Hospital

Services.

80% coinsurance per

admission.

Deductible applies.

50% coinsurance per visit

after Medicare payment.

Deductible does not apply.

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

$1,750

$300

10% coinsurance per visit to a

Primary Care Physician (PCP)

or specialist for Medicare

covered services. Deductible

applies.

$250 copay per admission.

$0 copay for Medicare-

covered physician services

Deductible applies.

$100 copay per Medicare-

covered emergency room visit,

Deductible does not apply.

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

$1,750

$300

10% coinsurance per visit to a

Primary Care Physician (PCP)

or specialist for Medicare

covered services. Deductible

applies.

$250 copay per admission.

$0 copay for Medicare-covered

physician services.

Deductible applies.

$100 copay per Medicare-

covered emergency room visit,

Deductible does not apply.

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

Covered by plan

$1,750

Note: Hearing and Vision benefits are also included in your plan. Please see your full benefit chart for details.

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Making Healthy Simple

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Retiree support along the health spectrum

Healthy Managing Conditions and Major Health Events

Silver Sneakers

National Council on Aging support

Preventive care programs

Provider collaborations

MyHealth Advantage

Medicare Diabetes Prevention Program

Case Management

Cancer resources and programs

Virtual Second Opinion

Rare disease management

Clinical appropriateness review for OT/PT, cardiology, sleep, radiology, etc.

NurseLineLiveHealth OnlineSilver Sneakers

A suite of care programs for a healthier you

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SilverSneakers

• Access to 14,000+ fitness

locations nationwide

• Use of amenities plus senior-

focused group fitness classes

• SilverSneakers FLEX™

Community Fitness Classes and

BOOM® Fitness Classes, plus

many others

• Member website to stay

connected with the

SilverSneakers community

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LiveHealth Online

Medical Support

Easy and convenient

care for conditions

such as cold, flu and

infections

24/7 Access

Visit with an in-network

board certified doctor

24 hours a day, 7 days

a week, 365 days a

year

Emotional Support

Talk to an in-network

licensed therapist or

board certified to

discuss feelings of

depression, stress or

anxiousness

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Help assess symptoms

Ensure you receive the right care in the right

setting

Day or night, help to put your mind at

ease

Increase understanding of condition +

course of treatment

Registered nurses available 24/7

Registered nurses are ready and waiting to help you – over the

phone – with your health concerns.

24/7 NurseLine

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Health Survey

You’ll receive a call to

complete a Health Survey

so we can assist with

medical conditions and get

you the care you need

Health Plan

Integrated health plan that

addresses your physical,

social and emotional well-

being

Managed Care

Helps you manage ongoing

health conditions and

increase quality of life

Care Management

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MyHealth Advantage

• Helps you keep track of your health

and progress

• Includes reminders to make preventive

care appointments

• We review your health claims, routine

tests and checkups on a regular basis

• Recent claims, personalized messages

and money-saving tips

Benefits of MyHealth Note:

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Plus, access Special Offers for additional savings

Vendors and offers are subject to change without prior notice. ABCBS does not endorse and is not responsible for the products, services or information offered by the vendors or providers. We negotiated the arrangements and discounts with each independent vendor or provider in order to assist our members. The products and services described above are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the grievance process.

Sample of Special Offers Available to Anthem’s Group Medicare Advantage Members

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Online resources at anthem.com

Access online resources anytime from your computer or smartphone

Print a temporary ID Card

View claims

Find a doctor

Estimate your costs

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Enrolling

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Enrolling

As part of your plan, you have been

automatically enrolled.

How to Enroll How to Opt Out

Need to opt out? Just mail in the opt-

out form by November 28, 2018 to:

The University of Chicago

Attn: Maria Garcia

6054 S. Drexel Ave.

Chicago, IL 60637

Opting OutEnrollment

Note: If you opt out of the Anthem Medicare Preferred (PPO) retiree plan, offered through your group sponsor, you will not

be allowed to re-enroll in your group sponsored retiree plan in the future.

How to enroll in your new plan:

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For your doctor and hospital visits, bring your Anthem ID card

What you need to know:

• Use it at all provider locations

• Your old Blue Cross Blue

Shield ID card will no longer be

valid after December 31, 2018.

• You don’t need to show your

Medicare card

• If you need a temporary card,

contact customer service or go to

www.anthem.com to order one

Your Anthem ID Card

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We’re here to

help

>

We’re here to help

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Questions?

First Impressions

Welcome Line

833-214-8951Monday to Friday

8:00 am to 9:00 pm, ET

Except holidays

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Thank you

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Thank you for joining us

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc.

HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance

Companies, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Kentucky: Anthem Health Plans of

Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area):

RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT

and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri,

Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In

Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO

Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health

Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance

Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its

service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In

Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), underwrites or administers PPO and indemnity policies and

underwrites the out of network benefits in POS policies offered by Compcare Health Services Insurance Corporation

(Compcare) or Wisconsin Collaborative Insurance Corporation (WCIC). Compcare underwrites or administers HMO or POS

policies; WCIC underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and

Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

This information is not a complete description of benefits. Call 833-214-8951/711 for more information.