HCCSC 2025 Medical Q&A

HCCSC 2025 Medical Q&A

Introduction PAGE 2 | LHD BENEFIT ADVISORS

Agenda 1. Introducing Panel 2. Medical Plan Design & Tier System 3. Anthem Tools & Resources 4. Tier 1 Facility: Lutheran Health 5. Where to go for help PAGE 3 | LHD BENEFIT ADVISORS

Introduction Today’s Panel Representatives from LHD Benefit Advisors, Anthem Blue Cross & Blue Shield, and Lutheran Health Network are here to support you! Alex Colter Veronica Tatum Molly Robertson Account Manager Sales Account Rep II Senior Director, Physician Practices acolter@lhdbenefits.com veronica.tatum@anthem.com mrobertson@lhn.net 317.343.2753 317.617.4089 260.458.3545 PAGE 4 | LHD BENEFIT ADVISORS

1.0 Plan Design & Tier System

Plan Design & Tier System 2025 Plan Designs PAGE 6 | LHD BENEFIT ADVISORS

Plan Design & Tier System Frequently Asked Questions What’s the difference Do copays count toward Do Tier 1 and Tier 2 between my enrollment my deductible? expenses count toward tier and my Anthem each other? provider tier? Enrollment tier: Single or Family Copays do NOT count toward your annual Tier 1 expenses ARE honored toward your deductible Tier 2 deductible/out-of-pocket maximum Anthem Tier: Tier 1 for lower-cost Copays DO count toward your annual out-of- Tier 2 expenses are NOT honored toward providers, Tier 2 for higher-cost pocket maximum your Tier 1 deductible/out-of-pocket providers maximum PAGE 7 | LHD BENEFIT ADVISORS

2.0 Anthem Tools & Resources

Anthem Tools & Resources Frequently Asked Questions How do I find in-network What can I find in the What are my walk-in care near me? Sydney Health mobile healthcare options? app? Anthem.com Live telehealth visits 24/7 NurseLine Sydney Health mobile app Find nearby providers Sydney Health mobile app Virtual Care Price medications Lutheran clinic virtual visits, same/next-day View your EOBs and progress toward your appointments deductible/out-of-pocket maximum Wellbeing Solutions PAGE 9 | LHD BENEFIT ADVISORS

3.0 Tier 1 Facility: Lutheran Health

Tier 1 Facility: Lutheran Health New Clinic Near You PAGE 11 | LHD BENEFIT ADVISORS

Tier 1 Facility: Lutheran Health Schedule with Karen Stephan today! New patient visits as soon as next week Established patient sick visits as soon as today! Karen Stephan, NP Family Medicine 260.504.4110 PAGE 12 | LHD BENEFIT ADVISORS

Tier 1 Facility: Lutheran Health Frequently Asked Questions Where are my Lutheran Does the Lutheran clinic What services can I clinic labs being in Huntington accept access at the Lutheran processed, and is it in- walk-ins? clinic? network? Labs are processed at Lutheran Walk-ins available for labs Family Medicine Hospital or PathGroup labs ordered by a LHN provider Pulmonology Both should be in-network, Tier 1 Same-day scheduling offered if Urology available timeslots PAGE 13 | LHD BENEFIT ADVISORS

4.0 Where to go for help

RelayTo Hub Document Repository Find your benefit summaries, helpful fliers, instructional videos, and more. Home for Your Benefit Guide The interactive benefit website replaces the PDF-based benefit guide you used to learn about your benefit offerings in previous years. AI-Powered Chat Feature Use RelayTo’s self-contained AI chat feature to easily find Click here or scan the QR code to visit the answers to your questions found anywhere in the information RelayTo Hub Today! available in your Hub. PAGE 15 | LHD BENEFIT ADVISORS

Appendix PAGE 16 | LHD BENEFIT ADVISORS

5.0 Anthem health & wellness programs PAGE 17 | LHD BENEFIT ADVISORS

Health and wellness programs Become more engaged in your health. Make better healthcare decisions. Reach your health goals. After your benefits start, visit anthem.com, Save money on health-related or call the Member Services number on products and services. your ID card or mobile app to take part in these programs. PAGE 18 | LHD BENEFIT ADVISORS

24/7 NurseLine Connect with a registered nurse who can: ◦ Answer health questions. ◦ Help you decide where to go for care. ◦ Find doctors or other healthcare professionals near you. ◦ 800-337-4770 19 PAGE 19 | LHD BENEFIT ADVISORS

Case Management If you’re in the hospital or have a serious health problem, a nurse care manager can: Help answer Coordinate your Show you how Educate you Give you tips on your questions. care with to use your about your health saving money and different doctors. health benefits. issue and connecting with treatment options. local resources. PAGE 20 | LHD BENEFIT ADVISORS

Diabetes Prevention Program Anthem and Lark have come together to offer this 12-month weight loss program that can help you lose weight and reduce your risk for diabetes. Get personalized 24/7 coaching to help you: ◦ Lose weight. ◦ Manage stress. ◦ Eat healthier. ◦ Sleep better. Use the Sydney Health app to complete the ◦ Increase activity. Lark prediabetes survey by going to My Health Dashboard and searching for Lark Diabetes Prevention Program under Programs. PAGE 21 | LHD BENEFIT ADVISORS

Building Healthy Families Access to screenings, Available 24/7 Extensive content library tools, and trackers for through our covering topics SydneySM to support diverse preconception/fertility, Health app. families on their pregnancy, and path to parenthood, children through age including single parents five (and beyond). and same-sex or multicultural couples. PAGE 22 | LHD BENEFIT ADVISORS

Behavioral Health Resource Learn to Live Self-guided digital Cognitive Behavioral Therapy (CBT) expands access to support and eliminates social stigma barriers. Licensed mental health professionals available 24/7 to help with: ◦ Stress ◦ Anxiety ◦ Depression ◦ Substance use ◦ Eating disorders PAGE 23 | LHD BENEFIT ADVISORS

SpecialOffers Visit anthem.com, choose Care, and select Discounts to: Save money on glasses, weight loss programs, gym memberships, and vitamins. PAGE 24 | LHD BENEFIT ADVISORS

Simplifying your plan with tools and resources PAGE 25 | LHD BENEFIT ADVISORS

Sydney Health app; your personal health assistant Download and register on the Sydney Health app to take full advantage of your Anthem> plan. Use it to: ◦ Find care and check costs. ◦ Get answers quickly with ◦ See all your benefits. the interactive chat feature. ◦ View claims and ◦ Access virtual care. payment information. ◦ Access wellness resources. ◦ View and use digital ◦ Sync with your fitness tracker. ID cards. ◦ Reach Member Services ◦ Manage prescriptions. for support. PAGE 26 | LHD BENEFIT ADVISORS

Virtual care Connect with care anywhere. ◦ Telehealth appointments on your mobile phone, tablet, or computer with a camera. ◦ Board-certified doctors available 24/7 for advice, treatment, and prescriptions. ◦ Appointments with licensed therapists or psychiatrists ◦ Appointments available 7 days a week and usually cost the same as an in-person visit. ◦ Cost is less than or equal to an in-person office visit. To make a virtual care appointment, go to anthem.com or Sydney Health, click on Care, and choose Virtual Visit With A Provider. PAGE 27 | LHD BENEFIT ADVISORS

Thank you Amazon, Alexa, Echo and all related logos are trademarks of Amazon.com, Inc. or its affiliates. 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. and Community Care Health 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 17 southeastern counties of New York: Anthem HealthChoice Assurance, Inc., and Anthem HealthChoice HMO, Inc. In these same counties Anthem Blue Cross and Blue Shield HP is the trade name of Anthem HP. LLC.In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc. trades as Anthem HealthKeepers providing HMO coverage, and their 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. 114351MUMENMUB 03/23 PAGE 28 | LHD BENEFIT ADVISORS