Understanding HealthSync: A Guide to Value-Based Health Care

What is HealthSync? HealthSync is a network of high-performing practices offering value-based care. That means you get a physician who’s truly invested in your health; one who builds a strong relationship with their patients. And better relationships often mean better health. It also means: Individualized care Affordable care BlueCard® Access to advanced personalized Discounts for services with Seamless out-of-state and care plans and behavioral health all participating in-network away from home access via resources. Providers who have doctors and hospitals. Blue Care (HealthSync). been selected based on their outcomes, continuity of care. Why HealthSync? ◦ Anthem and your employer’s goal is for you and your covered family members to have strong relationships with top- performing doctors and to experience better health outcomes. ◦ With HealthSync, expect to get more personalized care and pay less for your care when you use a HealthSync provider. You’ll benefit from: Lower Lower deductibles co-insurance ◦ HealthSync providers have been successful in increasing the quality and affordability of care they deliver. - For you, this means a better health care experience and greater emphasis on overall well-being. What is the value of HealthSync plans? ◦ HealthSync uses providers with a proven record of delivering high quality, cost-effective care. ◦ HealthSync offers higher value at a lower cost.

What care providers are in the HealthSync Network? The HealthSync network includes more than 10,000 healthcare providers and 45 top hospitals throughout Indiana. Bluffton Regional Medical Center St. Joseph Hospital (Fort Wayne) Good Samaritan Hospital Elkhart General Hospital The Orthopedic Hospital Kosciusko Community Hospital Gibson General Hospital OrthoIndy Memorial Hospital of South Bend Lutheran Hospital of Indiana Dupont Hospital St. Vincent Hospitals Memorial Hospital of Logansport Franciscan Health Reid Health What are the 3 network levels? Your health plan has three tiers of coverage – HealthSync, In Network and Out of Network. The least expensive costs are achieved when you stay in the HealthSync network - Tier 1. You may still access care from providers in the Anthem PPO network (Tier 2), just as before, and those expenses will be considered in-network. Providers in Tier 3 will be considered out of network. Tier 1 These providers have agreed to become even stronger partners, including providing enhanced HealthSync service levels to patients, meeting best practice quality standards and charging the most cost-effective fees for their services. A great deal of work and research has gone into creating this network level to further benefit patients, providers and the health plans. HealthSync providers will work hard to see patients the same day when needed (or as soon as possible if not urgent), help coordinate your care with other providers you may have to bring a more consolidated care approach and help you find your way through the healthcare system. Tier 2 These providers continue to be partners in the plans, even though they are not contracted within In-network, but the HealthSync network. You may still access care from providers in the Anthem network, just as not HealthSync before, and those expenses will be considered in-network. Tier 3 These providers do not have contracted arrangements through Anthem, meaning there are no set Out-of-network limits for what they can charge, leaving you with more to pay out-of-pocket for services.

What will my claims look like? CLAIM #1 CLAIM #2 CLAIM #3 You went to Ascension You went to IU Health and saw If you went to a provider St. Vincent and saw a a Tier 2 provider. You stayed that does not participate in Tier 1 provider. Therefore, in-network, but your level of HealthSync or Tier 2 PPO, you you received the highest benefits were not as high as will have the highest out of level of benefits. seeing a Tier 1 provider. pocket cost and providers may Reference your Tier 1 benefits on Reference your Tier 2 benefits on balance bill you for services. your benefits summary guide. your benefits summary guide. Reference your Out-of-network (Tier 3) benefits summary guide. Do members need to get a referral from their PCP to see a specialist? HealthSync plans are open access, meaning that referrals are not required. What if I have more questions? Contact Customer Service at 833-578-4441. Our Customer Service team will simplify the healthcare experience, so you better understand your health situation and are able to find the right care at the right time – for the right cost. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

The S outh Bend Clinic Franciscan Elkhart General Health Hospital Memorial Hospital Franciscan of South Bend Franciscan Health Health Kosciusko HealthSync Community Hospital St. Joseph Dupont Hospital Hospital The Orthopedic Lutheran Hospital Hospital of Indiana Franciscan Health Memorial Hospital Duk High es Memorial of Logansport Hospital Blu昀昀ton Regional Medical Center Ascension Performance St. Vincent Ascension OrthoIndy Ascencion St. Vincent Franciscan OrthoIndy St. Vincent Health Ascension OrthoIndy St. Vincent Network Franciscan OrthoIndy Ascension Health OrthoIndy St. Vincent OrthoIndy OrthoIndy Ascension St. Vincent Providers Ascension Franciscan Health Ascension St. Vincent Franciscan Health St. Vincent OrthoIndy Franciscan Health OrthoIndy Ascension St. Vincent View a full list of HealthSync Providers: Ascencion anthem.com/HealthSyncProviderFinder Good Samaritan St. Vincent Hospital Ascension St. Vincent Gibson General Hospital Cooperative Care location Ascension Ascension St. Vincent Perry County St. Vincent Memorial Hospital

How to find a HealthSync provider Step 1 ƕ Go to anthem.com ƕ Click on Find Care in the upper right corner Step 2 ƕ Click on Select a plan for basic search

Step 3 ƕ For type of care, select Medical Pan or Network ƕ For state, select Indiana ƕ For how you get insurance, select Medical (Employer-Sponsored) ƕ For plan/network select Anthem HealthSync Options POS Step 4 ƕ Input City, County, or Zip (The program will provide dropdown boxes for you to select a City and State) ƕ Input Search for care. Most popular search is General/Acute Hospital or Primary Care (Doctor) ƕ You can also input your doctor’s name or name of hospital in the search function. The search feature will provide names for you to select. HINT: You can click on any of these options for frequently searched care options.

Step 5 ƕ View your search results then click on Recognitions HealthSync providers have a Tier 1 Recognition In-network providers have a Tier 2 Recognition

Step 6 Quick Search for Tier 1—HealthSync providers ƕ Go to the left side of the screen and find Sort by. Scroll down to Recognitions . Then Select Tier 1. This will show only doctors and hospitals in HealthSync, Tier 1. Experience as a member ƕ Login to Sydney or anthem.com using your username and password ƕ Click Find Care from the home screen

Experience as a member (cont’d) ƕ Set your zip code and then select the type of provider or care you need. The search results will be sorted by providers that are Tier 1 first. You can confirm they are Tier 1, by clicking on Recognitions/ Tier. A box will pop up confirming they are a Tier 1 provider Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Wellbeing Solutions can help you achieve better health Your whole health matters. That’s why your plan includes Wellbeing Solutions. This suite of programs helps you with everyday health and covers all areas of your well-being. SM It’s easy to participate in Wellbeing Solutions programs using Sydney Health, our fully integrated mobile app, and anthem.com. Access these resources anytime to find Wellbeing Solutions programs that match your healthcare needs. Connect with Sydney Health Use Sydney Health for a convenient way to find information about your medical, pharmacy, dental, vision, and Wellbeing Solutions benefits. 1 2 3 1. Download, open, register, and/or sign into the Sydney Health mobile app. 2. Scroll down to Programs from the homepage and choose View All. 3. Browse the wellness programs included in your plan. Scan this QR code with your smartphone to download the Sydney Health app. 1053690MUMENABS VPOD 05/23

Making your well-being a priority Explore Wellbeing Solutions programs at Sydney Health > My Health Dashboard > Programs Mental health resourcess Personalized support Case Management. After an illness or hospitalization, Behavioral Health Advantage (BHA). If you’re trying you can receive one-on-one support and care to manage a behavioral health condition or cope coordination from our team of medical professionals. with substance use disorder, you don’t have to face They partner with you and your family to help guide it alone. Our behavioral health case managers are you through the healthcare system and make the licensed mental health professionals. They offer most of your benefits. Their goal is to understand caring support for you and your family, including your needs from all angles and help you get the best 24/7 drug and alcohol assistance, to improve your care possible. quality of life. Tap into our knowledge hub, featuring tools, articles, and webinars on topics like suicide ConditionCare. Receive personalized support from a awareness and support, autism, attention deficit healthcare professional for a chronic condition, like hyperactivity disorder (ADHD), and post-traumatic asthma or diabetes, to help you reach your health stress disorder (PTSD). We’re here to help guide you goals. We may call you to find out if ConditionCare on the path to better mental health and well-being. could help you manage your condition and reach your health goals. Emotional Wellbeing Resources. Learn effective ways to develop resilience, reduce stress, and practice Health Assessment. Complete your health assessment mindfulness. Digital tools help you identify thoughts to receive your personalized report. Know what’s and behavior patterns that affect your emotional going well and if there are any at-risk areas you could well-being. Through online programs and personalized work on to improve your health. coaching, you’ll learn effective ways to manage stress, anxiety, depression, substance use, and sleep issues. MyHealth Advantage. We provide you with a confidential health summary that includes reminders Autism Spectrum Disorder Program. Receive support for checkups, tests, and exams; lists of claims and for a covered family member with an autism spectrum prescriptions; and general health tips. disorder. Our licensed behavior analysts can help you navigate the healthcare system and address any unique family challenges. We focus on the whole family and work with all of you to understand and access available care.

Care when you need it most 24/7 Nurseline. Talk to a trained, registered nurse without leaving your home. Convenient, 24/7 care means you can quickly get the answers you need to common health concerns. Building Healthy Families. Personalized, on-demand health support for your growing family. Your nurse is available to you by phone throughout your pregnancy and postpartum. You’ll also have 24/7 access to a convenient online hub with extensive tools and information at no extra cost to you. We’re glad to support you With Wellbeing Solutions, you can continue on your path to whole-person health knowing you have the care and support to help you with each step. If you have any questions, call the Member Services number on your ID card. Sydney Health is offered through an arrangement with Carelon Digital Platforms, a separate company offering mobile application services on behalf of your health plan. ©2023 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. Copies of Colorado network access plans are available on request from member services or can be obtained by going to anthem.com/co/networkaccess. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, 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.