meet dean health plan
TRANSCRIPT
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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
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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.
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4. Chat Box
Agenda
Ground Rules & Introductions
Vendor Highlights
Q&A Session
Wrap-Up & Close
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
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
Introductions • ETF moderator(s)
• Vendor attendee(s)
Q&A Session
Enter all questions via the chat function No PII/PHI allowed All general, vendor-appropriate
questions are welcome
~ 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)
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
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Richland
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Cub.>ucy
Dubuque, IA
Q Dorls,;iton
Lafaye • Sn.Jl~b<Jrg
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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 •
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Waukesha• MISo,;i
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Green Walworth Rock ■
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• 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
• 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
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
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.
'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
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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.
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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
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)
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
DeanHeal~hPlan A member of SSM Health
DeanHeal~hPlan 1• A member of SSM Health REVE ~ lan"
Have Questions?
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?
Q&A Session – Time to Wrap Up
Time for one last question…
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
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
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
Evaluation Survey You will receive an evaluation
survey following this session
Please take a few minutes to complete the survey
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