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Kansas City Metro, Springfield & St Louis

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Presentation on theme: "Kansas City Metro, Springfield & St Louis"— Presentation transcript:

1 Kansas City Metro, Springfield & St Louis
Missouri Kansas City Metro, Springfield & St Louis Amerilife Agent Value Prop Overview 9/9/13

2 Missouri Key Local Products
St. Louis, MO: (Franklin, Jefferson, St. Charles, St. Francois, St. Louis, St. Louis City, Warren and Washington Counties) $0 Premium $10 PCP $45 Spec $4250 MOOP $ Hospital Copay $300 Outpatient Surgery Copay In this HMO service area we do have a large network of providers that includes, BJC, Mercy and SSM systems. The bigger providers systems in the area. We also offer a PPO that has a little larger network H Mid Missouri: (Benton, Boone, Cole, Cooper, Howard) $19 Premium $15 PCP $45 Spec $6400 MOOP $ Hospital Copay $285 Outpatient Surgery Copay In this HMO service area we do have the University of Missouri system and we have Boone County hospital in-network as well. Kansas City includes: (Clay, Cass, Henry, Jackson, Lafayette, Platte, Pettis,  Johnson, Ray Counties in Missouri) Lead product is the HMO H : $25 premium  $10 PCP $45 Spec   $4000 MOOP  $  Hospital copay $275 Outpatient Surgery copay There is also a H HMO MA only and an H $0 HMO with very skinny benefits. For Kansas City we do have  large network of providers in the HMO. We also offer a LPPO H that that has an even larger network to choose from. New for 2014 the KC Metro in (Clay, Cass, Jackson and Platte Counties) is the H Dual Eligible SNP plan. Springfield, MO: (Barry, Cedar, Christian, Dade, Dallas, Douglas, Greene, Howell, Jasper, Laclede, Lawrence, McDonald, Newton, Ozark, Polk, Pulaski, St. Clair, Stone, Taney, Webster and Wright) Lead product is the HMO H : $0 Premium $15 PCP $45 Spec $4900 MOOP $ $175 Outpatient Surgery Copay We also offer a Dual SNP in all the above counties except for Ozark and Howell counties. H We also offer a Chronic SNP currently in Christian and Green counties, but we will be expanding this service are to (Barry, Dade, Dallas, Douglas, Jasper, Laclede, Lawrence, Newton, Polk, Pulaski, Stone, Webster and Wright) H this is a Diabetic SNP with Richer benefits than our competitors. We do offer a LPPO H which has an even larger provider network, including COX which is the other large system in the area.

3 Missouri (SW Illinois) HMO
H Kansas City HMO H Kansas City MA Only HMO H SW Missouri HMO H Mid Missouri HMO H St. Louis (SW ILL) HMO H Kansas City WalMart HMO

4 Springfield MO HMO C-SNP Diabetes

5 Missouri DE-SNP HMO

6 Missouri LPPO H1716-001 Kansas City LPPO
H Missouri & Kansas LPPO H KS-MO WalMart LPPO H AR, KS & MO LPPO H AR, KS & MO WalMart LPPO

7 Missouri Networked and Partial PFFS

8 Missouri Networked and Partial MA Only PFFS


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