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Independent School District #492 Austin Public Schools March 1, 2012 Health Insurance Plan

Austin Independent School District #492 has announced significant changes to its health insurance plan effective March 1, 2012. The new coverage will be administered by CCStpa, which was selected based on competitive bidding due to the lack of affordability in the previous plan managed by UMR. CCStpa brings extensive experience, a large provider network, and strong customer service commitments. The new plan offers enhanced benefits, including access to a wide range of healthcare providers and comprehensive support services to help manage health and wellness.

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Independent School District #492 Austin Public Schools March 1, 2012 Health Insurance Plan

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  1. Independent School District #492 Austin Public Schools March 1, 2012 Health Insurance Plan 2/21/2012

  2. Benefits effective March 1, 2012 The Austin Public School health plan went out for bid for coverage effective 3/1/2012 Why – Renewal from UMR (TPA -Third Party Administrator) was not affordable Recommendation to change TPA’s to CCStpa based on capabilities and cost Management & Insurance Committee recommended changes in carriers at renewal time Board of Directors approved recommended changes

  3. Austin Independent School District #4922012 Benefit Plan Comparison (In-Network)

  4. Austin Independent School District #4922012 Benefit Plan Comparison (In-Network)

  5. CCStpa: The right partner for you • Founded in 1982 — 30 years experience • Purchased by Blue Cross Blue Shield of Minnesota in 1985 • Headquartered in Eagan • Outstanding service and responsiveness of a top notch TPA • dedicated claims, service, and account management to Austin Public Schools • Integrated resources and industry expertise of a large health plan • Compliance, Contracts, Legal departments

  6. Large provider network means access to your choice of care

  7. CCStpa, not your average tpa. • Access to Minnesota’s broadest network • Access to virtually all doctors, hospitals and other health care providers in the state • Strong negotiations produce deep discounts • Relationships with national networks ensure access and savings anywhere in the country for people traveling or dependants residing outside of MN. • PHCS

  8. Services and support that help you manage your health

  9. Coordinated, personalized support for you Customer service and connections • Check claims status, order ID cards, view membership, view benefits, print forms, search for providers • Answers benefits coverage and other questions • Provides information about available services and tools • May connect you to a nurse or other health specialists

  10. Were here to help • Customer Service (651)-662-5425 or (866) 356-2425 • Monday – Thursday 8a.m.– 5p.m. Friday 9a.m. -5p.m. • Find a doctor online: • Go to www.ccstpa.com • Click on member tab • Click on “Find a doctor” • Choose the EPNI network to match network listed on ID card, or the PHCS travel network when traveling • Check drug list online: • Go to www.ccstpa.com • Click on member tab • Click on “prescription drugs” • Click on “myprime.com”

  11. More support for your health • Health Assessment and Online Coaching • Stop-Smoking Support • CCS Member Center • Online Wellness Center • General health information • Tips for nutrition, fitness, safety, etc. • Stay on track with health goals

  12. Prescription drugs

  13. Prime Therapeutics and CCStpa • Prime Therapeutics network of pharmacies includes over 60,000 pharmacies nationwide. • Cub, CVS, Target, Walgreens, Walmart • Independent and local drug stores • Access information at: • www.myprime.com • 1-800-509-0545 • Prime Therapeutics telephone number is located on the back of your ID card

  14. 2012 Prescription drug benefit250/500 Plan *For eligible drugs available at participating 90dayRx pharmacies.

  15. 2012 Prescription drug benefit 1200/2400 plan Member cost-share after deductible is met *For eligible drugs available at participating 90dayRx pharmacies.

  16. $20 $xx Generic equivalent Co-pay Generic equivalent Ask for generics and saveGenerics work the same as brand name drugs, but cost less $xx Brand name co-pay Member cost $120 Brand name Actual Cost

  17. Order 90-day supplies* 90dayRx program: • Home delivery or pharmacy pick-up • Less expensive • More convenient * For eligible drugs available at participating 90dayRx pharmacies.

  18. Specialty Rx • Available for specific chronic conditions • Often the prescriptions require special handling • Order from a specialty network pharmacy • Fairview Specialty Pharmacy, LLC*1-800-595-7140(612) 672-5262 faxwww.fairviewspecialtyrx.org • Triessent 1-888-216-6710 1-866-203-6010 fax • Contact customer service with questions regarding Specialty Rx

  19. Step Therapy • Step Therapy is based on FDA guidelines, clinical evidence and research to ensure you are taking the most appropriate medication • Physicians and pharmacists review medications to determine which is appropriate and lower-cost alternative medications • Previously qualified Step Therapy participants will be grandfathered and will not have to re-qualify

  20. Questions?

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