meet dean health plan

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I I I I I Meet Dean Health Plan 2022 Open Enrollment Vendor Q&A Webinar This session will be recorded for records retention purposes, but will not be shared publicly

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Page 1: Meet Dean Health Plan

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Meet Dean Health Plan 2022 Open Enrollment Vendor Q&A Webinar

This session will be recorded for records retention purposes, but will not be shared publicly

Page 2: Meet Dean Health Plan

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Page 3: Meet Dean Health Plan

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El Audio

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t J Q No audio

Microphon e (Jabra Link 3 70) v

Speakers (Jabra Link 370) v

Ta lking:

El Attendees: 5 of 202 (m ax) (§)

t l~IIH I NAMES-ALPHABETICALLY ....

:!! · 1H' Employer Services (Organizer) v ;,, fr~ r 1H [ Employer Services (Organizer. Pr., .,,

t 1H Doug Johnson (Me)

t j I IH J Michele Ouellette

f 1H Michelle SF ..,,

Michel le SF (to Al l - Enti re Audience): 10:32 AM: I can hear

[fype message here]

All - Entire Audience V

Q-Flow Appointment Scheduling Training

Training ID: 760-737-052.

@) GoToTraining

GoToTraining Attendee View

1. Please select Computer Audio and listen through your headset

2. Panel Slider (View > Auto-Hide Control Panel)

3. Full Screen

4. Chat Box

Page 4: Meet Dean Health Plan

Agenda

Ground Rules & Introductions

Vendor Highlights

Q&A Session

Wrap-Up & Close

Page 5: Meet Dean Health Plan

Welcome • ETF is hosting a series of webinars

throughout the 2022 open enrollment period

• Today’s Q&A session is intended to provide the same personal interaction with a vendor as a benefit fair – from the comfort of your own home or office

Page 6: Meet Dean Health Plan

Ground Rules

Please mute yourself During this session, we ask that only moderators

and health plan representatives engage in active discussion

Please mute yourself if not actively speaking

Enter all questions via the chat function No personally identifiable information (PII) or

protected health information (PHI) allowed All general, vendor-appropriate questions are

welcome

Page 7: Meet Dean Health Plan

Introductions • ETF moderator(s)

• Vendor attendee(s)

Page 8: Meet Dean Health Plan

Q&A Session

Enter all questions via the chat function No PII/PHI allowed All general, vendor-appropriate

questions are welcome

Page 9: Meet Dean Health Plan

~ DeanHealtJhPlan® A member of SSM Health

P REVE-'S~plan" centered around you

DeanHeal~hPlan 1• A member of SSM Health

Open Enrollment for 2022 (September 27th – October 22nd)

Page 10: Meet Dean Health Plan

GEND o ttospltal and Primary Cant Provlderlocatlon • Primary Car. ,Ptovldw location only • Hospital only

Primary car./U~rnt car& Prov dw location Hospital, Urgent Care and ,Primary Car& Provid&r location

0 F11ond,I-OJ]

• -usban •O Ma.istoo

~---------------~~

e Wcstliold

• OxfD<d

Green Lake

• M21rkcsan

ond • llra!>don

e t-1t.ea1 ... ry F<K;,:I 111:J Lac

0 u Lac

Vernon ~ 1>cmo.-_•_Wc_=_...,_ ~ _________ ~------~~'-~-_J--w~....,)_~ ____ ~

Sau

Richland

H~ owa

Grant Q

L21rJC21s'lar

Plotll!'lil~

Blonch,mt>'III•

Cub.>ucy

Dubuque, IA

Q Dorls,;iton

Lafaye • Sn.Jl~b<Jrg

•= ·--

e

• AIJD1,o

E zol:eth, IL

DeanHeal~hPlan A member of SSM Health

i:ti Dodge Columbia • • B~ver Dam IK.5yvllle

• N~ Glarus

Dane • 'Wa.nnkc;e

Caluni,us 0

• Si.1 Prnillie H.ontioll •

- w.tcrkio

Lol:eMia, • •

• J..--,

JohmooCn,ck

Jef erson JerlrYri

0 Fart Allllns<Jn

Eiljcrbon e r-t,lbon

Ocooan>:M"OC • . s ...... Hatl::d Brool<fi<WI W.U:"'00

&Dd.>licld .A. W.ulb,sno i,1.,. B""11n

Waukesha• MISo,;i

Ea~ Hklkwaiogo

Green Walworth Rock ■

Jon.,...;i1~

• Bro<ino,od ■ •

Selca Cirlton

Lfno, IL • ~rord, IL Fr,,cpc,1. IL llmoae, IL

• o.,,,~ • 0.1 ......

Dean Health Plan Service Area Major Health Systems • SSM Health Hospitals

& Dean Medical Group • Agnesian HealthCare

(a member of SSM Health)

• Monroe Clinic Hospital & Clinics (a member of SSM Health)

• Prairie Ridge Health • Fort HealthCare

Deancare.com

Page 11: Meet Dean Health Plan

• Baldwin

p

Western

Cl Cumberland Western \

Rice Lake Turtle Lake

Menomonie

Cl

e Ladysmilh

Cornell

Cl Chippewa Falls

Eau Claire (D Altoona

Cl Durand

Aug-usta

Osseo •

\ Stanley

• Black RiYer Fall

Shawano

Washin¢on land

Fish Creek Marinette

Suring

Gillett Lena

m Oconto CJ Oconto Falls

Pulaski

CJ Green Bay

O..Pere

Sturgeon Bay

Al9oma

Luxemburw

A Kewaunee

Greenville Kaukauna

Appleton [:) Little Chute

Eastern Oshkosh I:)

cqRipon

Cllchilton

Klei

Two Rivers

CJ Manitowoc

Brandon

ML Calvary

• ~Fond du Lac Plymouth Kohler

• CI Sheb~n • Cl.wau:pun

• BrownsviHe

• Mayvill e

Oostburg

• Pr imary Care Locat ion

.a. Primary & Urgent Ca re Location

■ Urgent Care Location

IIl Hospita l

PREVEAf)M) ~{(plan~

DeanHeal~hPlan 1• A member of SSM Health

Prevea360 Service Area Major Health Systems • HSHS WI Division

Hospitals • Prevea Clinics • Door County Medical

Center • Holy Family Memorial

Hospital and Clinics • Oakleaf Clinics

Prevea360.com

Newly Added: Ascension providers in Outagamie, Winnebago and Calumet counties. Also includes an Ascension multi-specialty clinic in Sheboygan. • 3 Hospitals • 2 Rehabilitation Hospitals • ~600 providers (PCP, Specialists and

Others)

2

Page 12: Meet Dean Health Plan

SERVICE AREA MAP ETF P·LAN WEBSITE

Summary of Benefits and

Coverage (SBCs)

STATE OF WI SBCS

State IYC Health Plan

State IYC Medicare

State IYC HDHP

WPE SBCS

WPE IYC Local Health Plan

WPE IYC Local Traditional

WPE IYC Local Deductible

WPE IYC Local HDHP

Decision Guides

State Employee Health Plan

State Retiree Health Plan

Local Traditional Health Plan

Local Deductible Health Plan

Local Health Plan

Local High Deductib le Health

Plan

Local Annuitant Health Plan

FAQs & Resources

Health Insurance Education

State

Local Options with Dental

Local Options without Dental

CONTACT US

Certificates of Coverage

State of Wisconsin IYC Health

Plan and HDHP (PO1)

WPE IYC Local Traditional

Plan (PO2/12}

WPE IYC Local Deductible

Plan (PO4/14l

WPE IYC Local Health Plan

(POG/16}

WPE IYC Local HDHP Plan

(PO7/17)

Local Annuitant Health

Program (LAHP-PO8)

DeanHeal~hPlan 1• A member of SSM Health

Member Resources deancare.com/wi-employees prevea360.com/wi-employees

Providers & Information A Healthier You • Online provider search • Learn where to go for the right care • Printable provider directory • Learn about behavioral health and substance use • Comprehensive provider update • Check out our wellness webinars

• Talk to a nurse 24/7 - Nurse Advice Line

Page 13: Meet Dean Health Plan

DeanHeal~hPlan 1• A member of SSM Health

Website Enhancements • Wellness Events Calendar

Access live monthly webinars, book club discussions and more that cover the eight dimensions of wellness.

• Behavioral Health Many types of support, services and treatment options are available within our network.

• Mental Health Podcasts Topics range from financial wellness to mental health.

• Wellness Care Package Monthly flyer highlights programs, education and national observances.

Page 14: Meet Dean Health Plan

'8, DeanHealthPlan.

Where to Go for Care Get the right care in the right place at the right cost

dea nca re.com/rig htca re

[I]

-

{

Virtual Visit Get care for certain common conditions from the comfort of home via smart phone or computer at deancare.com/vlrtua lvlslt. Rece ive a diagnosis. a treatment plan and a prescript ion.

© Tho lowost-cost option.

i Primary Care Need care? Ca ll your primary care clinic for an appointment. Same-day appointment s are usually available. Your primary care provider may offer some appointments via telemedicine.

@© Tho lowor-eost option.

{

Urgent Care II a same-day appointment is not availab le to treat your illness or injury at your primary care clinic, you may be directed to Urgent Care.

©@@ Possible, highor-cost option.

{

Emergency Care For a life-th reatening illness or injury, go to t he nearest emergency room or call 911. Tell your primary care provider t hat you went to the ER. You may need follow-up services.

©@® © Tho high- cost option.

Still not sure of the type of care you need?

Call 800-57-NURSE c000-s76-8773)

A nurse is ready to help 24/7/365. .~ i-..: .r ~ur,,,. Aj,,, e Ur>- pti,,1e S-E-~,,, e< ,:'ll ,11y J\131 ~ 1 .. tc re<derts Jf Wl':J C"l'ill du► le 1, E'fl'>llg reg.i1Jt ► Jf'5

PREVEA0 M ~ plan•

Where to Go for Care Get the right care 1n the right place at the right cost

prevea360.com/rightcare

-

1 Virtual Visit Get care for certain common condit ions from the comf ort of home via smart phone or computer at prevea.zlpnosls.com . Receive a diagnosis, a t reatment plan and a p resniption.

@ Tho lowost- cost option.

i Primary Care Need care? Call your primary care clinic for an appointment. Same-day appointments are usually available. Your primary care provider may offer some appointment s via telemedicine.

@® Tho lowor- cost oplton.

{

Urgent Care II a same-day appointment is not availab le to t reat your illness or injury at your primary care clinic, you may be directed to Urgent Care.

@®@ Posslblo higher-cost option.

{

Emergency Care For a life-th reatening illness or injury, go- to the nearest emergency room or call 911. Tell your primary care provider that you went to the ER . You may need follow-up services.

@®®@ Tho high- cost option.

Stlll not sure of the type of care you need?

Call 888-277-3832 A nurse Is ready to help 24/7/365.

Pr,;;•~ :,,,.., Ar. .. r ,_,)ur• ~,-,:,~ w~,I(.,~ ,ro 1)(1/y it,"'t.:,Dlo t~ ro:.,o,,;ru er \'ii r:co..,~m a,.,. 1, on~mq rogu.,i:,:,;~

DeanHeal~hPlan 1• A member of SSM Health

Choosing the Right Care

Page 15: Meet Dean Health Plan

Visit deancare .. comlvirlualvisit

PRE EA HowitWorks ConditionsWe Treat FAQ IE3a

Welcome to Prevea Virtual Care

For the health of tXJr community and patients""" are waMng the fH for visits related to scauming and evaluation of Corona virus (COVI0-19)

If you are experiencing symptoms of COVlD-19 and would like to be tested, but do not reQuire care f rom a medical provider, please go to to request a test.

We're here to help you fee! bEner _.fast. W ith Pr eve-a Virtual Care, you can (Jet care on your s,:hedule for most common conditions. No appointment needed.

I would like to ... --You'll receive quality ca re f rom a trusted Prevea Virtual Care provider

_ ,, Z I PNfsSIS

Most visi ts take just 15 minutes On line visits are $35 similar to an insu ra nce co-pay

A;.·e :.ibi "y lems,fServic P1vacyPr y F-AQ ClickHereforHelp !!!3' UnitedStates

DeanHeal~hPlan 1• A member of SSM Health

Virtual Visit

Convenient Care Meets Affordability • No cost care from the comfort of home with most plans. • Start a Virtual Visit 24/7 • Get care for 30+ conditions including COVID-19 all from

trusted SSM providers or Prevea Health providers (depending on our network choice)

Page 16: Meet Dean Health Plan

F INO A DOCTOR > FIND A LOCATIO N > I AM A II ) COVI0-19 ant i body t est in g > Onli n e health car e Accounl l ogln :, 0.

~ / Wellness / Co ronavirus

Coronavirus (COVI D-19)

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As a community health plan, we·re working to limit the spread of this virus and promote access to screening, testing and medically necessary treatment.

COVID-19 testing and treatment Dean Health Plan is currently taking the following steps to protect the health of our

members;

• Testing fo r past infection: When a provider orders COVI0-19 antibody testing.

member cost-sharing is waived, meaning no copayment. coinsurance, or deductible.

• In-network hospitalization: Dean Health Plan will cover in-network hospitalizations

for COVJD-19 treatment with no copayment. coinsurance or deductible through

Dec. 31,2020

What to do when you have symptoms of COVID-19

Vi sit deancare. com/wellness/coronavirus

DeanHeal~hPlan 1• A member of SSM Health

COVID-19 Information and Updates

• Dedicated COVID-19 Hub for all

members

• Testing updates, changes in care or

clinic hours and more

• For the most up-to-date information

Visit prevea360.com/Members/Members-Coronavirus

Page 17: Meet Dean Health Plan

DeanHeal~hPlan A member of SSM Health

DeanHeal~hPlan 1• A member of SSM Health REVE ~ lan"

Have Questions?

Page 18: Meet Dean Health Plan

CLICK.

PREVE1t'3~plans•

B,y Phone Ca I~ our Customer Ca re C,ent,er for questions about your benefits and more. 877-·23·0-7555 (TTY: 711) Monday - Thursday, 7:30 am - S pm J=ridayj 8 am ·- 4:30 pm

Onlline Vjsit prevea36·0·.co-m/cont.actus and s,e~ ect usend a m-essage to Prevea 3fi0a,

DeanHeal~hPlan 1• A member of SSM Health REVE ~ lan"

Have Questions?

Page 19: Meet Dean Health Plan

Q&A Session – Time to Wrap Up

Time for one last question…

Page 20: Meet Dean Health Plan

Member Resources

ETF website Health landing page – etf.wi.gov/health

Important Changes for 2022 State employees Local employees – same for all Local Program Options See meeting materials for PDF versions

Health Plan and Vendor contact information

2022 Decision Guides

Page 21: Meet Dean Health Plan

2022 Open Enrollment Preview Video

2-minute overview of 2022 changes to health benefits

Applies to all members

Available to view here: etf.wi.gov/video/etf-2022-open-enrollment-preview

Page 22: Meet Dean Health Plan

2022 Open Enrollment Webinars

ETF Benefit Webinars • Throughout open enrollment

• Health Insurance & Pharmacy Benefits for Active Members

• Health Insurance & Pharmacy Benefits for Retirees

• Dental & Supplemental Programs

• Wellness Program • Pre-Tax Savings Accounts

(State only)

Benefit Vendor Q&A Webinars • All health plans and vendors

participating • Throughout open enrollment

• Registration required • No PII/PHI permitted • See ETF website for session details

and to register • Open Enrollment Health

Webinars • Open Enrollment Vendor Q&A

Webinars

Page 23: Meet Dean Health Plan

Evaluation Survey You will receive an evaluation

survey following this session

Please take a few minutes to complete the survey

Page 24: Meet Dean Health Plan

Thank You! I

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We appreciate your attendance today, as well as the cooperation of our health plans and vendor partners

wi_etf etf.wi.gov 608-266-3285

1-877-533-5020ETF E-mail Updates