M Murray School District Medical Insurance Plan & Health Savings Account Information September 1, 2015 through August 31, 2016 TEACHERS

Choice in Provider Networks 34 Participating hospitals; 3,900+ Participating providers M Murray School District 9/ /2015 Teachers NOTICE: The network of providers has not been offered since September 1, Participating hospitals; 1,300+ Participating providers

How To Find A Participating Provider M Murray School District 9/ /2016 Teachers The web Download the free SelectHealth Mobile App (available for both iPhone and Android devices) Call Member Advocates at (801) Request a printed provider and facility directory be sent to you

Monthly Premiums & HSA Contributions TEACHERS Murray School District 9/ /2016 Teachers M

Deductible & Out-of-Pocket Maximum M Murray School District 9/ /2016 Teachers In accordance with IRS regulations, the HealthSave plan has an individual deductible or a family (2 or more covered) deductible and out-of-pocket maximum. Unlike the traditional plans, when an employee selects a family plan (2 or more covered), the entire family deductible must be met BEFORE the copayment/coinsurance schedule goes into effect, even if all of the claims are accrued by just one individual in the family. * The deductible is included in the out-of-pocket maximum on all plans.

Office Visits M Murray School District 9/ /2016 Teachers

Urgent Care, ER, Inpatient and Outpatient M Murray School District 9/ /2016 Teachers

Rx Select Prescription Drugs M Murray School District 9/ /2016 Teachers Tier 1: Generic medication Generic substitution is required when a generic is available. Tier 2: Name brand preferred formulary medication Tier 3: Name brand non-preferred medication Tier 4: Specialty medications and injectables

How Do the Plans Work? M Murray School District 9/ /2016 Teachers Scenario 1: Linda is enrolled with family coverage. During the year, she has an annual exam, a colonoscopy, fills 5 prescriptions for family members (4 generic / 1 name brand) and has a visit to an urgent care clinic. How will each plan cover her expenses?

How Do the Plans Work? M Murray School District 9/ /2016 Teachers CONTINUED - Scenario 1 : Linda is enrolled with family coverage. During the year, she has an annual exam, a colonoscopy, fills 5 prescriptions for family members (4 generic / 1 name brand) and has a visit to an urgent care clinic. How will each plan cover her expenses?

How Do the Plans Work? M Murray School District 9/ /2016 Teachers Scenario 2: John is enrolled with family coverage. During the year, his wife has a baby. He later has five office visits and takes two prescriptions on a monthly basis (1 generic / 1 non-preferred name brand). How will each plan cover his expenses?

How Do the Plans Work? M Murray School District 9/ /2016 Teachers CONTINUED - Scenario 2: John is enrolled with family coverage. During the year, his wife has a baby. He later has five office visits and takes two prescriptions on a monthly basis (1 generic / 1 non-preferred name brand). How will each plan cover his expenses?

How Do the Plans Work? M Murray School District 9/ /2016 Teachers Scenario 3: Susan is enrolled with single coverage. During the year, she goes in for outpatient services from a skiing accident and takes a prescription monthly for pain. How will each plan cover her expenses?

How Do the Plans Work? M Murray School District 9/ /2016 Teachers CONTINUED - Scenario 3: Susan is enrolled with single coverage. During the year, she goes in for outpatient services from a skiing accident and takes a prescription monthly for pain. How will each plan cover her expenses?

HEALTH EQUITY PRESENTATION

Order additional ID cards and update your personal information including address View your medical plan benefits as an employee of Murray School District View your claims and EOBs, including year-to-date totals toward meeting your deductible and out-of-pocket maximum Access your pharmacy benefit information, review your pharmacy claims, your prescription drug history, and lower-cost drug alternatives Go green! Switch to paperless explanation of benefits (EOB) when your claims are processed View your Intermountain medical records including lab results and imaging reports Securely message with SelectHealth’s Member Services team HealthEquity website prepopulated with your claims information View and pay your claims online from HealthEquity website Helping you manage the financial side of health care

Together, HealthEquity and SelectHealth look forward to serving you! M Murray School District 9/ /2015 Teachers Visit Questions? (866) Visit Questions? (801)