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Important HealthPlus Sales and Marketing Contacts

HealthPlus of Michigan can save you time and effort in managing your clients’ benefits. HealthPlus makes benefit/client management easier and more convenient for you – freeing you up to do what you do best – service your customers.

Team Approach
Our goal is to work with you as a long-term partner helping you build your business. The team consists of sales managers, account executives and sales associates. Your HealthPlus account executive supports your sales efforts by providing leadership to the internal HealthPlus team. He or she also assists in your quoting and selling activities as well as your upfront efforts to educate the customer, make the sale and coordinate open enrollment meetings to educate the member. The sales associate is your HPM administrative arm who will ensure that all your administrative needs are met. The associate works closely with your staff to ensure that you have all necessary supplies and forms and is prepared to respond to all of your questions.

Once the sale is completed, our account executives continue to work with you to provide ongoing service. The sales manager oversees the efforts of the team and ensures that you receive:

• Quick and efficient quote processing
   
• Sales presentations
   
• Client and member education
   
• Timely program resolution

Partnership Based on Quality
NCQA Ratings
The National Committee for Quality Assurance (NCQA) is an independent organization that evaluates managed care plans across the nation. Its evaluation process is rigorous and thorough, its findings unbiased and objective. Once again, HealthPlus of Michigan invited the NCQA to scrutinize every aspect of our health plan - our physicians, our policies and guidelines, even the way we communicate with our members. Using its demanding criteria (including preventive health services, medical records, physician qualifications and evaluations, member rights and responsibilities, and utilization management), the NCQA found HealthPlus of Michigan HMO has achieved the status of Excellent Accreditation. The NCQA’s review encourages us to continue to improve the quality of care and service we offer to all HealthPlus members. And our Excellent Accreditation confirms that our efforts have been effective.

CAHPS
HealthPlus, a managed care organization serving more than 180,000 members in 13 mid-Michigan counties, offers the highest-rated overall health plan in Michigan, according to an independent national survey conducted of health plan members. The same survey also indicated that members rate HealthPlus as the top health plan in Michigan in Claims Processing.

The survey results placed HealthPlus on the National Committee for Quality Assurance (NCQA) national "Top 10 Accredited Organizations in Member Satisfaction Measures" list for the second consecutive year. The list is included in the organization's annual "State of Health Care Quality" report. This inclusion means that HealthPlus members have rated HealthPlus as being among the best health plans in the nation in the following categories:

• Overall Rating of Health Plan
   
• Overall Rating of Personal Doctor
   
• Overall Rating of Specialist
   
• Overall Rating of All Health Care
   
• Getting Needed Care
   
• Getting Care Quickly
   
• How Well Doctors Communicate
   
• Courteous and Helpful Office Staff
   
• Customer Service
   
• Claims Processing

Flexible plans for every size and type of company
Every HealthPlus plan assures high quality care, backed by our demanding standards for personal service and professional integrity.

HealthPlus offers flexible health plans that provide access to quality care and outstanding value. HealthPlus partners with primary care physicians and members to ensure that the right care is provided at the right time, for the right cost. Your clients benefit from quality care management for their employees and from our flexible managed care plan designs, which can include cost-sharing options to reduce premiums. Here is a brief overview of the plan types available:

HealthPlus HMO
HealthPlus HMO offers comprehensive health coverage for at a fixed monthly premium, while minimizing out-of-pocket expenses. Members can choose their own Primary Care Physician, who coordinates all of the member’s care, from among the HealthPlus network of more than 1,000 medical providers. Covered preventive services include check-ups, immunizations, mammograms, cholesterol screenings, worldwide coverage for emergencies and flexible benefit plan design to meet individual financial needs.

• HealthPlus POS
  HealthPlus POS is a Point-of-Service plan that gives members the flexibility to combine managed care and traditional health plans into one plan option, with the freedom to choose any doctor, specialist, hospital or medical facility they wish. Members can choose to receive care through a HealthPlus in-network Primary Care Physician to get maximum coverage at minimum out-of-pocket cost, or choose to use a non-network doctor or hospital at a higher out-of-pocket expense.

HealthPlus Options
For many companies, self-funding health care benefits provides the advantages of maximization of cash flow, lower costs, and benefit customization without reduction of the level of benefits members receive. As a licensed third-party administrator, and a wholly-owned subsidiary of HealthPlus of Michigan, HealthPlus Options allows employers to offer a more aggressively managed care program with additional benefit flexibility. This flexibility allows groups to implement an HMO or POS program. As a self-funded program, it eliminates insurance company premiums and gives additional control of cash flow. Our knowledgeable representatives will work assist you in determining whether a self-funding option would be best for your client.

HealthPlus AdvantagePlans
HealthPlus recently introduced its new deductible health plans, the AdvantagePlans. These plans offer a wide range of benefit levels at lower costs for employers without sacrificing the quality and value that HealthPlus customers have come to expect. The AdvantagePlans, like the rest of products, encourage and provide preventive health care services and include programs to keep your employees healthy such as health risk appraisals, tobacco cessation and weight reduction. HealthPlus AdvantagePlans are available for employer groups with 2 or more employees.

Provider Relations
HPM has developed alliances with health care providers who share our vision of improving the health of our community. The goal of our physicians is to provide the appropriate care in the appropriate setting - in the most cost-effective manner.

At HealthPlus of Michigan, we aim to develop services and systems to help our physicians take better care of their patients. Our success is measured by the recent physician satisfaction survey which indicated that 76 percent of primary care physicians within our network are highly satisfied with HealthPlus.

Extensive provider network
HealthPlus offers more than 700 primary care physicians and 1,700 specialists and contracts with 10 hospitals in mid-Michigan, including 125 ancillary providers such as nursing homes, mental health facilities, laboratories, durable medical equipment providers, ambulance services, and pharmacy chains.

Highly trained customer service
Our customer service department is dedicated to serving our members. In fact, HealthPlus was rated No. 1 in the entire nation for customer service in 2002 according the Consumer Assessment of Health Plans Survey (CAHPS) conducted by the NCQA that year. HealthPlus offers a toll-free 800 line & toll-free TDD line, and convenient service hours to meet our members’ needs. Members can also communicate with HealthPlus 24 hours a day through our Member On-line Service Center available on our website.

High performance standards - Always going the extra mile
HealthPlus is proud of our achievements and stability, however we have never been content to sit on our laurels. We are constantly seeking new and innovative ways to provide the best value for our customers. Some unique features of our plan include the following:

• Members are allowed to change Primary Care Physician (PCP) monthly
   
• Each family member may choose their own PCP
   
• Wellness programs, such as tobacco cessation, health risk appraisals and weight management, are built into the plans
   
• Case management programs are offered for catastrophic illness or injured members

Chronic Illness Management Service
Living with a chronic illness such as depression, diabetes, heart disease, or asthma can be overwhelming. That is why HealthPlus offers programs that address the self-management needs of members with such conditions. HealthPlus has a staff of nurses and social workers who work closely with doctors to provide members with valuable information about their illnesses, including ways to monitor their progress and prevent complications. The development of a self-management program that works with the individual’s lifestyle is essential for overall health promotion.

Value-added programs

• Educational resources for many chronic illnesses
   
• Well-woman care provides direct access to a gynecologist for all women
   
• Well-baby care – includes routine immunizations
   
• NewsPlus – a newsletter mailed quarterly to members providing them with “news they can use” and to make them more informed health care consumers.
  
• Member discount programs for Weight Watchers & Diet Center Memberships
  
• Reduced fee fitness center membership through GlobalFit Discount Program
  
• Interactive online wellness programs and information (Health Risk Appraisal and Electronic Personal Health Record)

Technology
HealthPlus has made it a priority to keep up with the rapidly changing technology in today’s business environment. Our members currently can interact with HealthPlus on-line through our member on-line servicing center.

The Power of Teamwork
Your success is our success - the key is teamwork. Agents are an integral part of our team and we want to help you achieve your success. You can rely on our continued support to build your client portfolio.

When you are selecting a health plan to market to your clients, think not only about the health care benefit design that your consumers want, but also the level of support that you deserve.

When you have evaluated the complete package, we are confident that you will choose to make HealthPlus your preferred partner.