Health Net For CalPERS - Mtsac.edu

Transcription

Health Net for CalPERS2021 Open EnrollmentHealth Net of California, Inc. (Health Net)

Explore Your 2021Health Net Choices!Whether you’re new to Health Net, or coming back to usfor 2021, we’re here to provide useful information aboutHealth Net open enrollment. Choose the right Health Net plan for you and your family. Find local doctors in the SmartCare HMO andSalud HMO y Más networks. Access wellness and specialty programs,exclusively for CalPERS members. Use our custom website and social mediatools to help manage your health. Earn rewards for improving your health!8/24/2020Privileged & Confidential2

Why ChooseHealth Net?During this year’s open enrollment, please consider this: In creating our plan choices for CalPERS for 2021, we beganwith our greatest strength – delivering affordable HMO plansthroughout California. We believe you deserve reliable health coveragefrom a local company that understands your needs. For over 40 years, Health Net has supportedCalifornians through various stages of life,and that’s what we continue to do. We work to make a positive differencein the lives of the people we serve.8/24/2020Privileged & Confidential3

Health Care for theWay You LiveTwo Health Net plan options128/24/2020SmartCare HMO: SmartCare gives you access to an established, localprovider network that connects you to respected, high-quality doctors,provider groups and hospitals.Salud HMO y Más: A community-centered,Latino-focused and budget-friendly plan.(Includes cross-border physicianaccess to SIMNSA in Mexico.)Privileged & Confidential4

SmartCare HMO andSalud HMO y Más Network8/24/2020Privileged & Confidential5

8/24/2020Privileged & Confidential6

Health and Wellnesswith Heart and SoulA bridge to healthy actionsThe Decision Power : Health & Wellness programgives you personalized tools along with the supportand confidence to take action for positive, lasting healthchanges. Highlights include: 8/24/2020Health Coaching programQuit For Life tobacco cessationHealth Risk Questionnaire (HRQ)Privileged & Confidential7

More Ways to Access Care 8/24/2020Welvie (surgery decisionsupport) – Welvie helpsyou decide on, prepare forand recover from surgery.Complete the first 3modules of the programand a brief survey, andyou’ll receive a 25 giftcard.Omada (proactive diabetesprevention) – ThroughOmada, you'll gain accessto all you need to loseweight and reduce yourodds of developing type 2diabetes and heart disease.Privileged & Confidential MinuteClinic – Convenientwalk-in medical service inselect locations (generallylocated insideCVS/pharmacy stores). Nurse Advice Line –Our toll-free 24/7 nurseline gives you immediateaccess to clinical supportfor everyday health issuesand questions. Health Net Mobile –Connect to yourHealthNet.com accounton the go.8

8/24/2020Privileged & Confidential9

Get More Done Onlineat HealthNet.com/calpersAs a registered member of the website, you’ll have 24/7access to the user-friendly tools and health information youneed most. Here’s just a sample of all you can do:What you can do onlineGet your benefit details and copayments, Evidence of Coverage (EOC) orSummary of Benefits and Coverage (SBC).Find a doctor, get ID cards and forms, manage your account details, and viewmedical treatment policies.Get valuable discounts on health-related services and products. Plus, use ourprovider comparison tools and treatment cost estimator.Decision Power: Fill out a Health Risk Questionnaire (HRQ), participate in healthpromotion programs, track your health, and get guidance and support 24 hoursa day.8/24/2020Privileged & Confidential10

Nurse Advice Line8/24/2020 Available 24/7 Licensed registered clinicians Immediate triage Timely intervention Telephonic access Provides triage supportbased on clinical guidelinesBenefitsPrivileged & Confidential Prevent unnecessaryoffice/ER visits Reinforce treatment plans Empower participants Ability to immediatelyaddress clinical questions Directs members toappropriate level of care11

How to Reach UsDedicated Customer Contact Centerfor CalPERS: 1-888-926-4921 TTY: 711Dedicated ed & Confidential12

Q&A8/24/2020Privileged & Confidential13

Thank you

Health Net open enrollment. Choose the right Health Net plan for you and your family. Find local doctors in the SmartCare HMO and Salud HMO y Más networks. Access wellness and specialty programs, exclusively for CalPERS members. Use our custom website and social media tools to help ma