Download Report

Consider Vivity
Cedars-Sinai employee benefits Annual Enrollment runs until June 1, 2015. Now is your once-a-year opportunity to change
your benefits. One new option you may want to consider is the Vivity Premier HMO. Here are highlights about the
Vivity HMO and how this new option can help you meet your healthcare needs.
With Vivity, Anthem Blue Cross has partnered with seven top hospital
systems in Los Angeles and Orange counties, including Cedars-Sinai, to
create a health plan that puts members at the center of their own health
care experience.
From start to finish, Vivity Premier HMO is a simpler
experience…
If you are already in the Anthem Blue Cross HMO, Vivity may be the
right choice for you. If your doctor is in the CSMG (Cedars-Sinai Medical
Group) or CSHA (Cedars-Sinai Health Associates), consider how Vivity
can help you in the following ways:
• You will pay the lowest monthly employee contributions with Vivity
• Your out-of-pocket limit is lower for Vivity – by a significant amount
• The Vivity pharmacy network is among the largest in California
• You’ll have enhanced customer care and tools to make accessing
services easier
• Copays are waived for care provided by a CSMC-billed facility.
Vivity is all about quality
•
•
•
•
•
•
Improved beneficiary onboarding experience
Best Practice adoption
Flexible, cross-system referrals when needed
Development of IT infrastructure to support
enhanced care
Availability of clinical records to all Vivity doctors
Shared clinical and administrative support whose
goal is to improve quality and efficiency of care.
Vivity is about control
There’s a path that’s right for each member to take to
better health:
• Members are the ones who choose their doctor from
our top-notch network; together, they’ll create a
personal care plan for healthy living
• And members are the ones who choose the tools
and programs to support their plan.
High-Ranking, Award-Winning
Southern California Health Systems
•
•
•
•
•
•
•
Cedars-Sinai
Good Samaritan
Huntington Memorial
MemorialCare Health System
PIH Health
Torrance Memorial
University of California – Los Angeles
(UCLA) Health
These seven health systems’ centers all have
hospitals ranked in the top 30 in Los Angeles and
Orange counties by U.S. News & World Report
Best Hospitals 2014 – 2015.
Vivity is about access
What if a member sprains an ankle during a weekend
basketball game? Or has a high fever in the middle of the
night? Vivity has solutions:
• “After-hours” care at most doctors’ offices and
medical groups
• LiveHealth Online so members can see a doctor for
care using a computer or mobile device
• 24/7 NurseLine for toll-free access to nurses to help
members make informed decisions and help decide
if they need to go to a doctor or an ER
• Pharmacy – prescriptions picked up at convenient
retail locations all across LA and Orange County or
delivered to the member’s door
• Mobile Health Consumer for convenient access to
health assessments, biometric tracking, fitness
challenges, health interventions and other tools.
HMO Comparison – Effective July 1, 2015
Medical Benefit
Comparison
Where Available
Anthem Blue Cross
HMO
Vivity Premier
HMO
California Only
(California Care network)
Los Angeles & Orange Counties
Yes
Yes
Primary Care Physician
(PCP) Required
How to Access
Cedars-Sinai Care
Out-of-Pocket Limit
(per calendar year)
Select either CSMG or CSHA PCP
$500/person; $1,500/family
(medical only)
$500/person; $1,500/family
(medical & pharmacy combined)
$6,100/person; $11,700/family
(pharmacy only)
Office Visit (PCP)
$20/visit
$20/visit
Preventive Care
$0
$0
Urgent Care
$20/visit*
$20/visit*
Emergency
$75/visit*
$75/visit*
*CSMC-billed facility waived
Monthly Medical Benefit Premiums | July 1, 2015 – June 30, 2016
Rates comparison for
HMO plans*
Employee
Only
Employee + Spouse/
Domestic Partner
Employee
+ Children
Employee +
Family
Pay Rate under $17.50
• Anthem Blue Cross HMO
• Anthem Vivity Premier HMO
$32
$25
$61
$48
$52
$39
$89
$75
Pay Rate $17.50 - $25.99
• Anthem Blue Cross HMO
• Anthem Vivity Premier HMO
$46
$39
$77
$63
$68
$55
$111
$95
Pay Rate $26.00 - $57.69
• Anthem Blue Cross HMO
• Anthem Vivity Premier HMO
$68
$60
$108
$93
$97
$82
$144
$127
Pay Rate $57.70 or more
• Anthem Blue Cross HMO
• Anthem Vivity Premier HMO
$98
$88
$145
$128
$133
$116
$217
$196
If you are already in the Anthem Blue Cross HMO, Vivity may be the right choice for
you. Choose Vivity Premier HMO before June 1, 2015.
2
How to Enroll in the Vivity Premier HMO
Step by Step Instructions
1. Go to the Benefits Portal at Cedars-Sinai.MyBenefitChoice.com and click on View Your Benefits to enter the
Benefits Enrollment Site.
2. Because this is a new enrollment site, you’ll need to register for a private account to protect your personalized
information, and select a new user name and password. (Passwords created before April 6, 2015 will not work.)
The company key = CSHS.
3. Click Enroll Now, then choose a navigation option (Step By Step or Pick And Choose).
4. When you get to the Medical section, enter the dependents you wish to cover.
5. Under Select A Plan, select the plan you want to enroll in.
6. If you enroll in the Vivity HMO, you’ll be taken to the Primary Care Provider Selection page. Here, you will need to
select a Primary Care Provider (PCP) for each covered family member.
Look up the provider PCP
Codes under Helpful Tips.
(Call the MBC HR/Benefits
Help Desk if you need
help.)
Fill in the provider code in
the PCP Code box.
Click Continue when you
are done.
BENEFIT QUESTIONS?
Ask the MBC HR/Benefits Help Desk
Phone: 888-302-3941
Fax: 206-299-3158
Email: [email protected]
Web: Cedars-Sinai.MyBenefitChoice.com
Hours: Monday – Friday 6 AM to 5 PM PT
(Closed major holidays)
Disponible también en Español
3