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Meet Network Health 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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t j I IH J Michele Ouellette
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Q-Flow Appointment Scheduling Training
Training ID: 760-737-052.
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1. Please select Computer Audio and listen through your headset
2. Panel Slider (View > Auto-Hide Control Panel)
3. Full Screen
4. Chat Box
Agenda
Ground Rules & Introductions
Health Plan Highlights
Q&A Session
Wrap-Up & Close
Introductions • ETF moderator(s)
• Vendor attendee(s)
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 health plan 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
network health
networkhealth.com
2022 Group Health Insurance Program Open Enrollment
HMO plans underwritten by Network Health Plan. 3651-01-0921
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networkhealth.com
CARE FOR THE WHOLE FAMILY,RIGHT AROUND THE CORNER
• When it comes to offering access to local, high-quality providers and health systems, Network Health is a smart choice. We are the only health plan in the State of Wisconsin Group Health Insurance Program with Froedtert Health, Children’s Wisconsin and Ascension Wisconsin all in our provider network.
• Provider-owned – We’re co-owned by two of the highest-quality health systems in the state, Froedtert Health and Ascension Wisconsin.
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RIGHT because it's WHO WE ARE.
Health insurance is
WHAT WE DO.
networkhealth.com
About Network Health • We’re local • Owned by, and partner with,
health care providers • We’ve been working with ETF
for over 36 years • Wisconsin-based customer
service • One-on-one support available
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■ Provider avai'lability meets program standards
Limited provider availability
networkhealth.com
Service Area Our expansive network includes the following. • More than 2,000
primary care doctors • Over 14,000 specialists • More than 45 hospitals
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networkhealth.com
Provider Network Network Health offers access to high-quality health care providers, giving you convenient access to excellent care close to home. Our network includes the following providers and health systems, as well as many more. • Ascension Wisconsin • Children’s Hospital of Wisconsin (including
Green Bay, Milwaukee and Neenah) • Froedtert & the Medical College of
Wisconsin • Agnesian Healthcare • Affinity Health System • Ministry Health Care • Columbia St. Mary’s • Wheaton Franciscan Healthcare • Bellin Health
• Door County Medical Center • Family Care of the Fox Cities • Community Memorial Menomonee Falls • Froedtert South (Kenosha Medical Center) • St. Catherine’s Medical Center • St. Joseph’s Hospital – West Bend • Holy Family Memorial • HSHS St. Nicholas Hospital • Prevea Health • Primary Care Associates of Appleton, LTD
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Medicare Plans
f Virtual Vis it s
Find a Doctor
corrtae:t ua Ag&nt R9BOUl'C88 Employer R&EIOUJCH Provltl&I ReMHJrc&.11 ~ H_e_lp_ m_e_fl_nd_ -------------~ - o...-~I @G!d
Employer Plans Individual and Family Plans Health and Wellness About Network Health
e Find a Doctor f Find a Pharmacy CS> Look Up Medications
I'm looking for a doctor or facility The providers and facilities in this search are in-'llelwork. To find an in-lletwork doclor or lacifily near you, choose a Network Heallh plan lype from the drop down below_ Wilen serecting an in-n.etwork doctor, make sure you receive services
from Iha! doclor al lhe lacililies lisled in lhis search . If you receive services f rom an in-network doctor worklng at a facility not listed ln this search, you may be responsible for lhe cosl of lhose services_ If you're a member and you're nol
already signed in, go lo My Login to sign in lo your member portal accounl for lhe mosl aCCtJrale results_
Need Care Quickly? Sometimes you have non-emergency questions or
illnesses when your personal doctor is unavailable. For
non-emergent 24-hour care oplions through provider
nurse tines and MDUVi:G' virtual llisrts, see Getting
Care Quickly_
• Plan Type l Stale of Wisconsin emplo,yees/members
Help Me Find I Doctor, hosprt.al, clmic name or specialty
I Advanced Search ~
IME lilil\M
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Find-A-Doctor Visit networkhealth.com/find-a-doctor to find in-network providers and facilities. Select State of Wisconsin employees/members from the Plan Type dropdown.
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Customer Service
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Calls are answered right here in Wisconsin providing you excellent service because we take the extra steps to do the right thing.
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Quality Care Network Health is a top-rated plan for quality in the Group Health Insurance Program.
• #1 plan for postpartum • #1 plan for comprehensive care diabetes care
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Care and Condition Managers Care managers help members who are facing difficult diagnoses, complex medical conditions or behavioral health conditions.
Condition managers empower you to take charge of your chronic condition and be the healthiest you can be.
One-on-one support – We help connect everyone on your care team to make sure everyone’s on the same page, ensuring you get the right care, at the right place and the right time.
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Telehealth
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Provider telehealth • If your provider offers services through telehealth,
your plan has additional coverage in 2022. Virtual Visits with MDLIVE®
• Access to virtual, online doctor visits through MDLIVE.
• Connect with a board-certified physician or pediatrician for treatment of a wide range of medical and behavioral health conditions.
SilverCloud • Digital platform to support the treatment of depression,
anxiety, chronic health, insomnia, stress and general well-being.
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COVID-19 coverage
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Network Health ensures you can get the care you need during the COVID-19 pandemic.
• Members pay $0 out-of-pocket to receive a COVID-19 test at any facility, in- or out-of-network.
• Members pay $0 for the COVID-19 vaccination and administration.
networkhealth.com
networkhealth.com
Pilot Programs Acupuncture to treat chronic pain
• Covers up to 20 visits with no cost share to you for treatment of chronic headaches, chronic neck pain, chronic low back pain and osteoarthritis of the knee.
Prevent T2 • Diabetes prevention program designed for people
with prediabetes who want to lower their risk of developing type 2 diabetes.
Additional dental care for specific members • Evidence Based Integrated Care Plan (EBICP) • Access to enhanced dental benefits to members
with diabetes or experiencing a high-risk pregnancy.
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Open Enrollment Reminders
Enroll by October 22 If you are a current member, you do not
need to take any action to re-enroll for 2022
Important Information • 2022 ID Cards will arrive in December • Log into your member portal to update your personal information • Choose your Primary Care Provider
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Q&A Session
Enter all questions via the chat function No PII/PHI allowed All general, vendor-appropriate
questions are welcome
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 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 via ETF website • 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! We appreciate your attendance today, as well as the flexibility and cooperation of our health plans and vendor partners