Learn how to earn healthy rewards every step of the way “It pays to know your score!”

Why should I become an Activated Consumer? Individuals are more likely to make good decisions and take more action to promote their own health if they: Are more engaged Are more informed Feel confident that they can take care of themselves1 Individuals with a chronic disease who have the skill and confidence to manage their health are better able to function and experience fewer health crises and functional declines.2 When individuals are educated, engaged and feel confident in their ability to manage their health, they will experience better health outcomes and lower utilization of health are services. Individuals with chronic disease make many choices in their day-to-day lives that have major implications on their health and their need for care. They often must follow complex treatment regimens, monitor their conditions, make lifestyle changes, and make decisions about when they need to seek professional care and when they can handle a problem on their own. Those who have the skills and confidence to take on these challenges are better able to function and experience fewer health crises and functional declines. Source: 1 Von Korf et al 1998; Von Korf et al 1997; Lorig 1996; Lorig and Sobel 1999 2 Lorig 1999 © 2010 Medica 2

Learn about potential health risks And you will be rewarded 4/6/2017 My Personalized Scorecard Health Actions Make the call into the Health coaching program if identified or self-enroll and complete the program Complete 8 health topics and set 8 goals Complete all of the health actions on your personalized scorecard Schedule your preventive cancer screening exam(s) if identified on your scorecard Personal Health Profile Biometric screening test Complete the following Health Actions to earn a green check mark if listed $75 gift card $40 gift card Reward from employer Looking for early-stage disease can make treatment, if needed, more effective $20 gift card Learn about potential health risks And you will be rewarded ANIMATED SLIDE. To encourage and motivate employees, we reward participation and engagement through gift cards. Again, research demonstrates that rewards, even smaller rewards, can drive behavior change, increase engagement and result in reductions in health care costs. In our Core program, members can earn up to $135 for participating in and completing: Health assessment Eight online health topics Health coaching (when invited to participate) Members can choose from over 200 local and national retailers. ©2008 Medica 3

It’s easy to get started Log onto mymedica.com Select the Health & Wellness tab Provides quick view of the health actions that have been, or need to be, completed and when ANIMATED SLIDE. REVEAL SCORECARD ON CLICK. Certain health actions are age, gender and/or condition specific © 2011 Medica 4 4

Get Familiar With Your Personal Scorecard Provides quick view of the health actions that have been, or need to be, completed and when Certain health actions are age, gender and/or condition specific Provides quick view of the health actions that have been, or need to be, completed and when ANIMATED SLIDE. REVEAL SCORECARD ON CLICK. Certain health actions are age, gender and/or condition specific Health Action Complete Health Action Not Complete Note: Depending on the health action, it may take a few days or up to several weeks for an item to show as completed on your scorecard. © 2011 Medica 5 5

Easy-to-understand Descriptions Available for Each Health Action Provides the What?, Why? and How? ANIMATED SLIDE. Frequently asked questions and answers are easily accessible © 2011 Medica 6 6

Health Action Step One Complete Worksite Biometric Screening Each participant completing the worksite biometric screening will receive a risk level report and a counseling session identifying the following health numbers: (Based on fasting) Height Weight BMI Blood Pressure LDL or “bad” Cholesterol HDL or “good” Cholesterol Total Cholesterol Triglycerides Glucose

Health Action Notification Form Personalized Scorecard Health Action Notification Form When to submit this form: You have completed a health action, but Medica is not aware You are seeking exemption from completing a health action for medical reasons You and your doctor have established a care plan that is different than what appears on your scorecard 8 8

Health Action Step Two Complete Personal Health Profile Let’s take a closer look at the key features of Core+ - beginning with biometric screening. Medica has partnered with a nationwide vendor, US Wellness, to bring administrative ease and flexibility when collecting and providing biometric screening data. We offer both online and telephonic registration for completion of the screenings. A biometric screening is one way to assess risk for heart disease, diabetes and high blood pressure. Through our partnership with US Wellness, we offer biometric screenings in a workplace setting or through an at-home kit screening option. Trained health professionals manage the worksite screenings, collecting information to determine an individual’s level of risk. In addition to measurements for height, weight and blood pressure, tests for cholesterol, Triglycerides and Glucose are also administered. A home screening kit is also an option. Materials are mailed directly to the member’s home for a self administered screening. Materials are mailed to US Wellness in a postage paid mailer with results available in 2-3 weeks. A nurse will even call the member to review and discuss their results. The cost of the biometric screening is $50 for both the worksite and the at-home option. This cost is passed through as a preventive claim. Employers can choose to offer biometric screenings to non Medica members and will be billed separately for this service.

View your Personal Health Profile Report Medica Value Story View your Personal Health Profile Report Click Here © 2010 Medica 10 10 10

Personal Health Profile Report Look at this report to: Congratulate yourself for your areas of success. Identify opportunities for improvement. Understand that your choices make a difference! © 2010 Medica 11

Health Action Step Three Schedule your preventive exam if identified on your scorecard Let’s take a closer look at the key features of Core+ - beginning with biometric screening. Medica has partnered with a nationwide vendor, US Wellness, to bring administrative ease and flexibility when collecting and providing biometric screening data. We offer both online and telephonic registration for completion of the screenings. A biometric screening is one way to assess risk for heart disease, diabetes and high blood pressure. Through our partnership with US Wellness, we offer biometric screenings in a workplace setting or through an at-home kit screening option. Trained health professionals manage the worksite screenings, collecting information to determine an individual’s level of risk. In addition to measurements for height, weight and blood pressure, tests for cholesterol, Triglycerides and Glucose are also administered. A home screening kit is also an option. Materials are mailed directly to the member’s home for a self administered screening. Materials are mailed to US Wellness in a postage paid mailer with results available in 2-3 weeks. A nurse will even call the member to review and discuss their results. The cost of the biometric screening is $50 for both the worksite and the at-home option. This cost is passed through as a preventive claim. Employers can choose to offer biometric screenings to non Medica members and will be billed separately for this service.

2012 Cancer Preventive Screening Guidelines Source: US Preventive Task Force & Institute for Clinical Systems Improvement (ICSI) Breast Cancer Screening Mammogram: Women 50 years of age and older should have this screening at least once every two years Cervical Cancer Screening Women (Ages 21 – 29) should have the screening at least once every two years Women (Age 30 and older) should have the screening at least once every three years When individuals are educated, engaged and feel confident in their ability to manage their health, they will experience better health outcomes and lower utilization of health are services. Individuals with chronic disease make many choices in their day-to-day lives that have major implications on their health and their need for care. They often must follow complex treatment regimens, monitor their conditions, make lifestyle changes, and make decisions about when they need to seek professional care and when they can handle a problem on their own. Those who have the skills and confidence to take on these challenges are better able to function and experience fewer health crises and functional declines. © 2010 Medica 13

2012 Cancer Preventive Screening Guidelines Colorectal Cancer Screening Men and women age 50 and older should have this screening with the following options: Colonoscopy: once every 10 years Flexible sigmoidoscopy: once every 5 years Fecal occult blood test: once every year When individuals are educated, engaged and feel confident in their ability to manage their health, they will experience better health outcomes and lower utilization of health are services. Individuals with chronic disease make many choices in their day-to-day lives that have major implications on their health and their need for care. They often must follow complex treatment regimens, monitor their conditions, make lifestyle changes, and make decisions about when they need to seek professional care and when they can handle a problem on their own. Those who have the skills and confidence to take on these challenges are better able to function and experience fewer health crises and functional declines. © 2010 Medica 14

2012 Cancer Preventive Screening Guidelines Prostate Cancer Screening Men age 50 and older will have this screening show on their scorecard, however; it will be informational only and is not required to complete the scorecard. When individuals are educated, engaged and feel confident in their ability to manage their health, they will experience better health outcomes and lower utilization of health are services. Individuals with chronic disease make many choices in their day-to-day lives that have major implications on their health and their need for care. They often must follow complex treatment regimens, monitor their conditions, make lifestyle changes, and make decisions about when they need to seek professional care and when they can handle a problem on their own. Those who have the skills and confidence to take on these challenges are better able to function and experience fewer health crises and functional declines. © 2010 Medica 15

2012 Disease-Based Health Information Guidelines Specific Member Informational Health Action Guidelines will be prompted based on the following health conditions: Pre-diabetes Diabetes Asthma Secondary prevention of coronary artery disease Elevated risk for cardiovascular disease When individuals are educated, engaged and feel confident in their ability to manage their health, they will experience better health outcomes and lower utilization of health are services. Individuals with chronic disease make many choices in their day-to-day lives that have major implications on their health and their need for care. They often must follow complex treatment regimens, monitor their conditions, make lifestyle changes, and make decisions about when they need to seek professional care and when they can handle a problem on their own. Those who have the skills and confidence to take on these challenges are better able to function and experience fewer health crises and functional declines. © 2010 Medica 16

Your goals at your pace. The choice is yours. Health Action Step Four Make the call to participate in the Health Coaching if identified on your scorecard or you have opt in A Health Coach provides guidance and motivation to help you: Set your health goals Create an action plan Communicate with your doctors Your goals at your pace. The choice is yours. A checkmark will appear on scorecard within 48 hours of online completion Let’s take a closer look at the key features of Core+ - beginning with biometric screening. Medica has partnered with a nationwide vendor, US Wellness, to bring administrative ease and flexibility when collecting and providing biometric screening data. We offer both online and telephonic registration for completion of the screenings. A biometric screening is one way to assess risk for heart disease, diabetes and high blood pressure. Through our partnership with US Wellness, we offer biometric screenings in a workplace setting or through an at-home kit screening option. Trained health professionals manage the worksite screenings, collecting information to determine an individual’s level of risk. In addition to measurements for height, weight and blood pressure, tests for cholesterol, Triglycerides and Glucose are also administered. A home screening kit is also an option. Materials are mailed directly to the member’s home for a self administered screening. Materials are mailed to US Wellness in a postage paid mailer with results available in 2-3 weeks. A nurse will even call the member to review and discuss their results. The cost of the biometric screening is $50 for both the worksite and the at-home option. This cost is passed through as a preventive claim. Employers can choose to offer biometric screenings to non Medica members and will be billed separately for this service.

Health & Wellness Coaching It’s simple to get started! Call 1-866-905-7430 Coaches are available Monday-Friday, 7 am – 8 pm & Saturday 9 am – 5 pm How do I start or stay motivated in making lifestyle changes? My doctor suggested I make changes, but how? What can I do to learn more about managing my chronic health condition? Looking for ways to reduce stress? Need to lose weight or increase activity level? Used with permission from the Center for Spirituality and Healing at the University of Minnesota and the Life Science Foundation.

Health Action Step Five Complete 8 health topics and set 8 goals Let’s take a closer look at the key features of Core+ - beginning with biometric screening. Medica has partnered with a nationwide vendor, US Wellness, to bring administrative ease and flexibility when collecting and providing biometric screening data. We offer both online and telephonic registration for completion of the screenings. A biometric screening is one way to assess risk for heart disease, diabetes and high blood pressure. Through our partnership with US Wellness, we offer biometric screenings in a workplace setting or through an at-home kit screening option. Trained health professionals manage the worksite screenings, collecting information to determine an individual’s level of risk. In addition to measurements for height, weight and blood pressure, tests for cholesterol, Triglycerides and Glucose are also administered. A home screening kit is also an option. Materials are mailed directly to the member’s home for a self administered screening. Materials are mailed to US Wellness in a postage paid mailer with results available in 2-3 weeks. A nurse will even call the member to review and discuss their results. The cost of the biometric screening is $50 for both the worksite and the at-home option. This cost is passed through as a preventive claim. Employers can choose to offer biometric screenings to non Medica members and will be billed separately for this service.

Easy to navigate home page provides quick access to areas of the site Medica Value Story Easy to navigate home page provides quick access to areas of the site © 2010 Medica 20 20 20

Health Topics Recommended for you based on your areas of interest and your identified health needs. . © 2010 Medica 21 21

Your steps to set a personalized goal Medica Value Story Your steps to set a personalized goal © 2010 Medica 22 22 22

Setting a goal is an important step in making healthier choices! Tips for setting a goal Make it simple and realistic Feel good about it Identify how often you can be successful in doing the activity Think of barriers that might get in your way of accomplishing goals (Example: time, motivation, family, commitments) Develop strategies to overcome barriers These are personalized goals to help you make healthier choices. There are no right or wrong goals! When individuals are educated, engaged and feel confident in their ability to manage their health, they will experience better health outcomes and lower utilization of health are services. Individuals with chronic disease make many choices in their day-to-day lives that have major implications on their health and their need for care. They often must follow complex treatment regimens, monitor their conditions, make lifestyle changes, and make decisions about when they need to seek professional care and when they can handle a problem on their own. Those who have the skills and confidence to take on these challenges are better able to function and experience fewer health crises and functional declines. © 2010 Medica 23

Set goals and make journal entries Health & Wellness Center © 2010 Medica 24

Contact Us These requests are managed by our Health and Wellness Team. Members can email questions by using the “Contact Us” tab at the top of the page. These requests are managed by our Health and Wellness Team. Email: onlinewellness@medica.com Phone: 1-866-905-7430, option 3