WEA-MedPlus HEALTH & VISION COVERAGE FOR PUBLIC RETIREES. About Rates Coverage Customer Service SilverSneakers Choose Your Doctor Sign up.

Transcription

1 mytrus WEA-MedPlus HEALTH & VISION COVERAGE FOR PUBLIC RETIREES About Rates Coverage Customer Service SilverSneakers Choose Your Doctor Sign up

2 I have chosen to stay with the Trust because of the service I have received and the confidence I have in the integrity of the company. I often recommend the Trust to friends. -ROSE CLANCY, WEA-MEDPLUS MEMBER What is WEA-MedPlus? Enrolling in WEA-MedPlus ensures your health, vision and fitness needs are covered. This plan fills the gaps left by Medicare and even covers some important health and vision services that Medicare does not. Beginning in 2017, MedPlus will include benefits for routine vision services through the National Vision Administrators (NVA) provider network. In addition, members have full access to the SilverSneakers Fitness program. MedPlus is available to retired public employees and their spouses who: Are age 65 or older Have Medicare Parts A and B (Original Medicare) Affordable & Simple Rates More than 80% of MedPlus members say they get excellent or very good value for their premium dollar.* The reason? Premiums are both affordable and dependable. As a MedPlus member, you pay a standard monthly premium. Rates are adjusted every January 1 and are guaranteed for that calendar year, making budgeting and planning easy. With no copay, no deductible, and 100% coinsurance for medical services, you'll have few out-of-pocket costs as a MedPlus member if you seek services from providers that accept Medicare assignment. Want hassle-free and complete coverage WEA-MedPlus does not include prescription drug coverage. If you want prescription drug coverage, we recommend enrolling in Medicare Part D. 2 * According to WEA-MedPlus member survey, 2016.

3 Personal, Prompt Service WEA Trust s customer service consistently receives top ratings in Wisconsin in the annual CAHPS survey. The Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a nationally recognized benchmark that both the Trust and the state of Wisconsin use to assess overall member satisfaction with health plans. Our highest service scores are awarded to us by our retired members. When you call, a real person working in Wisconsin picks up the phone and answers your questions. Plus, the average tenure of our customer service representatives is eight years. You simply can t find that level of knowledge and experience in an automated phone tree. WEA Trust also has the second-lowest grievance rating among major Wisconsin insurers, according to the Office of the Commissioner of Insurance. With 7X fewer grievances than the average Wisconsin insurer, you ll experience less hassle and fewer headaches as a MedPlus member. Superior Health Care Coverage WEA-MedPlus extends health coverage beyond Medicare to ensure your coverage is complete. Below are some services MedPlus covers that other Medicare plans may not. Common Services Covered by Medicare Supplement/Advantage Plans Covered by WEA-MedPlus Routine and preventive physicals, including diagnostic labs and x-rays No Yes Supplies, such as custom-made, prescribed orthotics and compression stockings No Yes Out-of-country emergency services No Yes Oral surgery, related to covered services No Yes Pneumonia immunizations No Yes Annual pap test No Yes 3

4 SilverSneakers Fitness Program WEA Trust makes it easy to get moving and improve your health. Beginning in 2017, WEA-MedPlus includes the SilverSneakers Fitness program. WORKOUTS MADE EASY SilverSneakers provides access to: 13,000+ gyms, including use of equipment, pools and other amenities* A wide variety of group fitness classes designed for all levels and abilities, led by certified instructors trained specifically in adult fitness Tips from fitness experts SilverSneakers lets you work out when, where CONVENIENT AND EASY TO USE On average, MedPlus members live less than two miles from the nearest SilverSneakers location. You can visit any SilverSneakers location as often as you want and even enroll at multiple locations at once. With SilverSneakers, you can discover how to make fitness fun, meet great people and experience your best health. and how you want, no matter your fitness level, ability or goals. Choose Your Wellness Goals With thousands of locations to choose from and dozens of different class options, SilverSneakers makes it simple to choose wellness goals that are perfect for you! GET MOVING Take a group class with your friends, such as Latin-style dance or circuit training. MAKE FRIENDS Play racquetball, go for a swim or relax in a sauna at your neighborhood gym. GET OUTSIDE Join a SilverSneakers walking group or do yoga at a community park. 4 *Classes and amenities vary by location. Some classes and services offered at SilverSneakers locations may not be covered under the SilverSneakers benefit. Healthways and SilverSneakers are registered trademarks or trademarks of Healthways, Inc. and/or its subsidiaries Healthways, Inc. All rights reserved.

5 Bonus Features In addition to comprehensive healthcare benefits, WEA Trust members have access to healthy discounts. View a complete list at WEAtrust.com/discounts. SHERWIN WILLIAMS DISCOUNT Doing some painting? MedPlus members receive a discount on select items at Sherwin Williams. Just show your ID card at checkout! 25% OFF COOKSMARTS Cook Smarts is an online subscription meal plan service that provides a customized grocery list in one easy click. HEARING DISCOUNTS Save on hearing aids and exams by using HearUSA professionals. Learn more at HearUSA.com. EAT HEALTHY SilverSneakers even makes mealtime easier. You can find new healthy recipes, create your own nutrition plan and check out the latest blog posts at Silversneakers.com. 5

6 Vision Benefits Included WHY VISION BENEFITS? Did you know that vision exams can serve as a window into your overall health? Annual eye exams not only detect eye diseases like cataracts and glaucoma; they can also provide early detection of other diseases like diabetes and multiple sclerosis. That s one of the reasons why WEA-MedPlus provides routine vision benefits via National Vision Administrators (NVA), beginning in You will have coverage for routine vision exams and vision correction materials, such as lenses, frames and contacts. You will also have access to a national vision network of more than 46,000 eye care professionals. ADDITIONAL VISION DISCOUNTS Contact Fill, a contact lens dispensing facility that delivers all major brand-name contact lenses to your home at up to 30% lower prices. National LASIK Network, where you can get up to a 15% discount on laser eye surgery. My coverage in the past has been excellent. I am very impressed and satisfied that when I call with a question, I always get a live person and an answer. -MEDPLUS MEMBER, SURVEYED IN

7 Choose Your Doctor Traveling to see the grandkids shouldn t be stressful. With MedPlus, you're free to choose the right doctor for you, wherever you are. You're not limited to doctors in certain hospital systems or states. However, you will receive the most reimbursement if you see providers that accept Medicare assignment. Plus, MedPlus covers out-of-country emergency services. For vision services, you will get the best reimbursement if you see an NVA eye care provider. You can easily find an NVA provider at e-nva.com. Signing Up is Simple Enrolling in MedPlus takes less than 10 minutes. Our enrollment form is only 2 pages, instead of the 10 or more pages comparable plans may require. Once you meet our eligibility criteria, you may apply for WEA-MedPlus coverage at any time. You don t have to wait for an open enrollment time period. However, if you do not enroll during the six-month period following the effective date of your Medicare Part B coverage, you must demonstrate that you were continuously covered by a comprehensive health insurance plan during the six months immediately preceding your application for WEA-MedPlus. That plan has to provide coverage equivalent to, or better than, a basic Medicare supplement plan. My husband was seriously ill for five years. Thank God for WEA! They were helpful and clear when we had questions. They are thorough with billing and provide worry-free coverage. -MEDPLUS MEMBER, SURVEYED IN 2016 If you want to switch from another plan to MedPlus, make sure there s not a lapse between this coverage and your MedPlus effective date. If you have questions, please call our friendly customer service team at They will be happy to calculate your monthly premium and help you sign up for WEA-MedPlus. 7

8 45 Nob Hill Rd, Madison, WI WEAtrust.com\Medplus Excellent coverage, great service, no stress! -MedPlus member, surveyed in 2016 MPD