Medical Plan Updates

Annual Enrollment

December 1-15th

Medical Plan Updates

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Meeting Agenda

• LBG Advisors Overview

• Medical Plan Highlights

• Reminder: Open Enrollment/meetings coming up in December

• Medical Plan Update: TPA (Administrator) Overview – Maestro Health

• Medical Plan Update: Provider/Facility Networks (AMPS)

• New APP update: HealthJoy, taking the place of New Benefits

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LBG Advisors Overview

• LBG Advisors Hired by Coast start of 2014

• Our role is to help design benefit plans, negotiate on Coast’s behalf, help implement

all programs, provide on-going education and support to employees

• We are your advocate! We do not work for any insurance company

• Lead Consultants: Matt Christensen/Jason Jakobsen

• Claims Resolution/Assistance: Kris Kirkpatrick or Stacie Mahler

• Office in Lynnwood – 425.778.2800 www.lbgadivsors.com

Note: All Contact information located on CoastMgtBenefits.com

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Medical Plan Updates: Highlights

Important Changes Coming to Coast Property Management Employee Benefits Plan

Effective 10/1/18 (see: https://coastrealestate.weebly.com/new-changes-101.html)

Third Party Administrator (TPA) Changing From Loomis to Maestro Health (New ID

Cards to arrive in mail by first week of October)

AMPS replacing ELAP for facility re-price services: AMPS also repricing all out of

network non-facility items (labs, anesthesiologists, etc.)

2nd "In-Network" being added to PHCS called AMPS Prime

Envision Pharmacy Benefit Numbers Are Changing

Health Joy Mobile APP going live 10/2/18 (each enrolled employee will receive

unique email on 10/2 with download instructions)

MeMd.com to replace Teladoc for online/phone doctor consultations (Available

through Health Joy APP)

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Coming up: Annual Open EnrollmentDecember 1-15th

DECEMBER DECEMBER

1 15

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TPA Update: Maestro Health

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TPA Update- Maestro Health

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TPA Update: Maestro Health

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TPA Update: Maestro Health

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TPA Update: Maestro Health

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TPA Update: Maestro Health

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Medical Plan Update: AMPS

https://vimeo.com/180237932/a8de8a44a3

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Medical Plan Update: AMPS

AMPS Prime Network: New secondary network to PHCS-Upgrade!

Provider Search: http://amps.primehealthservices.com

AMPS re-prices all claims that don’t go through PHCS/Prime Network

Providers have agreed to a flat rate payment

More info on AMPS is located at www.CoastMgtBenefits.com

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Medical Plan Update: AMPS

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Medical Plan Update: AMPS

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Medical Plan Update: AMPS

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Medical Plan Update: AMPS

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Medical Plan Update: AMPS

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Medical Plan Update: AMPS

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Medical Plan Update: AMPS

Tip #1- Tell provider you are in-network with:

PHCS / MultiPlan Network

AMPS Prime Network

Tip #2

Ask provider to send all invoices to Maestro Health, contact information on your benefits card.

Tip #3

If provider says they have never heard of Maestro Health Insurance, simply remind them Maestro is the plan claims and billing administrator. They are not the insurance company.

You can always call Maestro Health customer service line to verify benefit coverage.

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New App Update: HealthJoy

https://healthjoy.com/features/

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New App: HealthJoy

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New App: HealthJoy

https://healthjoy.wistia.co

m/medias/gi7lz5r305

Download Instructions:

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Next Steps

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Questions or Need Help?

Your HR Dept.

• For general questions about enrollment and benefit coverages

Visit www.CoastMgtBenefits.com

• For general questions about enrollment and benefit coverages

Note: this presentation will be uploaded to the web site for reference

Please reach out to your LBG Advisors Support Service Team

• For claim issues or questions that have not been answered or resolved

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Your LBG Advisors Service Team

Benefit Consultants

• Matt Christensen 877-485-2120 ext. 309, matt@lbgadvisors.com

• Jason Jakobsen 877-485-2120 ext. 306, jason@lbgadvisors.com

Dedicated Service Team – Claims Issues/Questions

• Kris Kirkpatrick 877-485-2120 ext. 303, kris@lbgadvisors.com

• Stacie Mahler 877-485-2120 ext. 313, stacie@lbgadvisors.com

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Thank You!

LBG Advisors, LLC

Local 425.778.2800 / TF: 877.485.2120

http://www.lbgadvisors.com

matt@lbgadvisors.com or jason@lbgadvisors.com

*All information in this Power Point is for illustrative purposes only.

Please consult full SPD’s for full details. This presentation is not a guarantee of coverage.