1. Blue Cross and Blue Shield of Nebraska is an Independent Licensee of the Blue Cross and Blue Shield Association. Telehealth Services Overview

2. Telehealth Services 24/7/365 services by American Well starting January 1, 2016 Member access to U.S. board certified, licensed and credentialed physicians for online health care encounters in the comfort of their home or workplace Computer, tablet or phone access for common conditions 99% of on-demand consults are via video conferencing (Web or mobile application) Less than three minute average wait time to connect to a physician of choice E-prescriptions to the patient’s preferred pharmacy* Source: American Well data, 2015. *Telehealth is available in most states, but some states do not allow telehealth consults or telehealth prescriptions. For more information, visit: info.americanwell.com/where-can-i-see-a-doctor-online. American Well is an independent company that provides telehealth services for Blue Cross and Blue Shield of Nebraska. BLUE CROSS AND BLUE SHIELD OF NEBRASKA2

3. How Patients Use Telehealth Over 1,200 distinct diagnoses made each year Common ailments include: Source: American Well data, 2015. 60% of telehealth visits result in a prescription BLUE CROSS AND BLUE SHIELD OF NEBRASKA3 Sinus infection Cold Flu Fever Rashes Abdominal pain Pinkeye Ear infections Migraines And more

4. Bringing Patients and Providers Together with Technology Phone Web Mobile 60% 39% 1% Source: American Well data, 2015. BLUE CROSS AND BLUE SHIELD OF NEBRASKA4

5. Advantages of Telehealth Dependable: 24/7/365 access Affordable: Offers a lower cost health care solution for common conditions Expanded Access: Provides an alternative to unnecessary, expensive emergency and urgent care facility services Satisfaction: Meets employee demands for convenience in receiving care, saving 2 – 3 hours on average away from work Reduced Medical Costs: Average of $140 savings per visit over the cost of physician office visits, urgent care and emergency room service Source: American Well data, 2015. BLUE CROSS AND BLUE SHIELD OF NEBRASKA5

6. Source: American Well data, 2015. BLUE CROSS AND BLUE SHIELD OF NEBRASKA6 Average Savings Per Consult

7. Telehealth Consult Fee [$___ copay for PPO plan] [$39 per consult for high deductible HSA plans, subject to deductible/coinsurance /out-of-pocket maximum] 7

8. BCBSNE Member ID Cards BLUE CROSS AND BLUE SHIELD OF NEBRASKA8

9. In Summary BLUE CROSS AND BLUE SHIELD OF NEBRASKA9 *Telehealth is available in most states, but some states do not allow telehealth consults or telehealth prescriptions. For more information, visit: info.americanwell.com/where-can-i-see-a-doctor-online. American Well is an independent company that provides telehealth services for Blue Cross and Blue Shield of Nebraska.

10. BLUE CROSS AND BLUE SHIELD OF NEBRASKA10 Questions?