What is HealthSync?

What is HealthSync? 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: Individualized care Affordable care BlueCard® Access to advanced personalized care plans and behavioral health resources. Providers who have been selected based on their outcomes, continuity of care. Discounts for services with all participating in-network doctors and hospitals. Seamless out-of-state and away from home access via Blue Care (HealthSync). Lower deductibles ◦ 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. Lower co-insurance 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. 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:

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 Elkhart General Hospital Gibson General Hospital Lutheran Hospital of Indiana Memorial Hospital of Logansport St. Joseph Hospital (Fort Wayne) The Orthopedic Hospital OrthoIndy Dupont Hospital Franciscan Health Good Samaritan Hospital Kosciusko Community Hospital Memorial Hospital of South Bend St. Vincent Hospitals 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 HealthSync These providers have agreed to become even stronger partners, including providing enhanced 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 In-network, but not HealthSync These providers continue to be partners in the plans, even though they are not contracted within the HealthSync network. You may still access care from providers in the Anthem network, just as before, and those expenses will be considered in-network. Tier 3 Out-of-network These providers do not have contracted arrangements through Anthem, meaning there are no set limits for what they can charge, leaving you with more to pay out-of-pocket for services. Reid Health

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. What will my claims look like? CLAIM #1 You went to Ascension St. Vincent and saw a Tier 1 provider. Therefore, you received the highest level of benefits. Reference your Tier 1 benefits on your 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. CLAIM #2 You went to IU Health and saw a Tier 2 provider. You stayed in-network, but your level of benefits were not as high as seeing a Tier 1 provider. Reference your Tier 2 benefits on your benefits summary guide. CLAIM #3 If you went to a provider that does not participate in HealthSync or Tier 2 PPO, you will have the highest out of pocket cost and providers may balance bill you for services. Reference your Out-of-network (Tier 3) benefits summary guide.

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

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

Step 3 � For type of care, select � For state, select Indiana � For how you get insurance, select Medical (Employer-Sponsored) � For plan/network select Anthem HealthSync Options POS Step 4 � Input City, County, or Zip (The program will provide dropdown boxes for you to select a City and State) � Input Search for care. Most popular search is General/Acute Hospital or Primary Care (Doctor) � 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. Medical Pan or Network

Step 5 � 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 � 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 � Login to Sydney or anthem.com using your username and password � Click Find Care from the home screen

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. Experience as a member (cont’d) � 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

Wellbeing Solutions can help you achieve better health 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. 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. 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 3 2 Scan this QR code with your smartphone to download the Sydney Health app. 1 0 96350 M D O P V S B A N E M U 32/50 I y e n d y S g nis u s m a r g o r p s n o it u l o S g nie b ll e W ni e t a p icitr a p o t y s a e s’t SM d n a ,p p a e li b o m d e t a r g e t ni yll u f r u o ,h tl a e H a m o c. m e h t n . .s d e e n e r a c h tl a e h r u o y h c t a m t a h t s m a r g o r p s n o it u l o S g nie b ll e W d nif o t e m it y n a s e c r u o s e r e s e h t s s e c c A

Mental health resourcess Personalized support Case Management. After an illness or hospitalization, you can receive one-on-one support and care coordination from our team of medical professionals. They partner with you and your family to help guide you through the healthcare system and make the most of your benefits. Their goal is to understand your needs from all angles and help you get the best care possible. ConditionCare. Receive personalized support from a healthcare professional for a chronic condition, like asthma or diabetes, to help you reach your health goals. We may call you to find out if ConditionCare could help you manage your condition and reach your health goals. Health Assessment. Complete your health assessment to receive your personalized report. Know what’s going well and if there are any at-risk areas you could work on to improve your health. MyHealth Advantage. We provide you with a confidential health summary that includes reminders for checkups, tests, and exams; lists of claims and prescriptions; and general health tips. Making your well-being a priority Explore Wellbeing Solutions programs at Sydney Health > My Health Dashboard > Programs B .) A H B ( e g a t n a v d A h tl a e H l a r o iv a h e g n iy rt e r’u o y fI t e p o c r o n o iti d n o c h tl a e h l a r o iv a h e b a e g a n a m o w e c a f o t e v a h t’n o d u o y ,r e d r o si d e s u e c n a ts b u s h ti i e r a sr e g a n a m e s a c h tl a e h l a r o iv a h e b r u O .e n o l a t l r e ff o y e h T .sl a n o is s e f o r p h tl a e h l a t n e m d e s n e ci c g n i d u lc n i ,yli m a f r u o y d n a u o y r o f tr o p p u s g n ir a 2 r u o y e v o r p m i o t ,e c n a tsis s a l o h o cl a d n a g u r d 7 / 4 q g n ir u t a e f ,b u h e g d e l w o n k r u o o t n i p a T .e fil f o y til a u t e d ici u s e kil s ci p o t n o sr a n i b e w d n a ,s e lcitr a ,sl o o a ticif e d n o it n e tt a , m sit u a ,tr o p p u s d n a s s e n e r a w h cit a m u a rt-ts o p d n a ,) D H D A ( r e d r o si d y tivit c a r e p y s u o y e d i u g p l e h o t e r e h e r’e W .) D S T P ( r e d r o si d s s e rt o .g n ie b -ll e w d n a h tl a e h l a t n e m r e tt e b o t h t a p e h t n E .s e c r u o s e R g n i e b ll e W l a n o it o m e vit c e ff e n r a e L w e cit c a r p d n a ,s s e rts e c u d e r ,e c n eilis e r p o l e v e d o t s y a m st h g u o h t yfit n e d i u o y p l e h sl o o t l a ti g i D .s s e n l u f d n i a l a n o it o m e r u o y t c e ff a t a h t s n r e tt a p r o iv a h e b d n w .g n ie b -ll e T d e zil a n o sr e p d n a s m a r g o r p e nil n o h g u o r h c ,s s e rts e g a n a m o t s y a w e vit c e ff e n r a e l ll’u o y ,g nih c a o a .s e u s si p e e ls d n a ,e s u e c n a ts b u s ,n o is s e r p e d ,y t eix n A . m a r g o r P r e d r o si D m u rt c e p S m sit u tr o p p u s e vie c e R f m u rt c e p s m sit u a n a h ti w r e b m e m yli m a f d e r e v o c a r o d u o y p l e h n a c sts yl a n a r o iv a h e b d e s n e cil r u O .r e d r o si n y n a s s e r d d a d n a m e ts y s e r a c h tl a e h e h t e t a g iv a u e l o h w e h t n o s u c o f e W .s e g n e ll a h c yli m a f e u q in f d n a d n a tsr e d n u o t u o y f o ll a h ti w k r o w d n a yli m a a .e r a c e l b a li a v a s s e c c

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. S 3202 © .n alp htla eh ruoy fo fla he b n o secivres n oitacilp p a elib o m g nireffo yn a p m oc etara p es a ,s m roftalP latigiD n olera C htiw tne m e g n arra n a h g uorht d ereffo si htla e H yen dy A e b n ac ro secivres re b m e m m orf tseu q er n o elb aliava era sn alp ssecca kro wten o d arolo C fo seip o C .cnI ,o d arolo C O M H yb nettirwre d nu stcu d orp O M H .cnI ,ecivreS lacid e M d n a latipso H niatnuo M ykco R :o d arolo C nI :fo e m a n e d art eht si dleihS eulB d n a ssorC eulB m ehtn o :enia M nI .cnI ,ykcutneK fo sn alP htla e H m ehtn A :ykcutneK nI .cnI ,sein a p m o C ecn arusnI m ehtn A :a n aid nI nI .cnI ,aigroe G fo n alP erachtla e H dleihS eulB ssorC eulB :aigroe G nI .cnI ,sn alP htla e H m ehtn A :tucitcen n o C nI .sseccakro wten/oc/ m oc. m ehtn a ot g nio g yb d eniatb A stifene b O M H-n o n retsini m d a setailiffa niatrec d n a TIR .cnI ,iruossiM O M H d n a ,)CIL A H( yn a p m o C ecn arusnI efiL ®ecn aillA yhtla e H ,)TIR( .cnI ,era C d e g a n a M ®E CIO H Cth giR :)a era ytiC sasn a K eht ni seitnuoc 03 g nid ulcxe( iruossiM nI .cnI ,enia M fo sn alP htla e H m ehtn u stcu d orp O M H .cnI ,ecivreS lacid e M d n a latipso H niatnuo M ykco R :a d ave N nI .stifene b etirwre d nu to n o d d n a sn alp d e d nuf-fles rof secivres evitartsini m d a e divorp yln o setailiffa niatrec d n a TIR .cnI ,iruossiM O M H yb nettirwre d nu stifene b O M H d n a CIL A H yb nettirwre d n u ytinu m m o C :oih O nI .cnI ,n alP htla e H n otnro hT w ehtta M yb nettirwre d nu d n a .cnI ,erihsp m a H w e N fo sn alP htla e H m ehtn A yb d eretsini m d a era sn alp O M H .cnI ,erihsp m a H w e N fo sn alP htla e H m ehtn A :erihsp m a H w e N nI .a d ave N O M H a b d ,.cnI ,o d arolo C O M H yb nettirwre d n I ssorC eulB :nisn ocsi W nI .321 etuo R etatS fo tsa e a era eht d n a ,a n neiV fo n w oT eht ,xafria F fo ytiC eht rof tp ecxe ainigriV fo lla si a era ecivres sti d n a ,ainigriV ni dleihS eulB d n a ssorC eulB m ehtn A sa se d art .cnI ,ainigriV fo sn alP htla e H m ehtn A :ainigriV nI .yn a p m o C ecn arusn B n oitaro pro C ecn arusnI evitaro b allo C nisn ocsi W ro )eracp m o C( n oitaro pro C ecn arusnI secivreS htla e H eracp m o C yb d ereffo seicilo p S O P ni stifene b kro wten fo tuo eht setirwre d nu d n a seicilo p ytin m e d ni d n a O P P sretsini m d a ro setirwre d nu ,)I W S B C B( nisn ocsi W fo dleihS eul ( .cnI ,sein a p m o C ecn arusnI m ehtn A fo kra m e d art d eretsig er a si m ehtn A .n oitaicossA dleihS eulB d n a ssorC eulB eht fo seesnecil tne d ne p e d nI .seicilo p S O P ro O M H ytiroirP lle W sretsini m d a ro setirwre d nu CIC W ;seicilo p S O P ro O M H sretsini m d a ro setirwre d nu eracp m o C .)CIC W