2016 Individual ExchangeTennessee

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Key Marketplace facts

*Projected savings based on qualification for a tax credit subject to verification upon fi ling an individual’s federal tax return. Approximately 87 percent of individuals in Federally-facilitated Marketplace selected plans with tax credits and these individual have post-tax credit premiums that were 76% (an average of $264) less than full premium, on average. See Premium Affordability, Competition and Choice in the Health Insurance Marketplace, 2014, June 18, 2014, Department of Health and Human Services. Actual savings may vary.

About 85% of people qualify fora subsidy

Qualified individuals must buy a plan from the Individual Marketplace to receive a subsidy

Individuals may lose coverage and/or the subsidy if they do not submit required information

87% of people saved an average of$263 a month with a Marketplace plan.*

Visit uhc.com/tax-calculator

Open enrollment begins November 1, 2015, through January 31, 2016

Know the date when health coverage begins

To keep coverage, pay the monthlypremium when it’s due

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How much does it cost?

The premium:(monthly cost of the health plan)

The deductible: (amount that must be met before the health plan begins

to pay)

The co-pay:(amount they can expect to pay each time they receive

health care services or fill a prescription)

Is my doctor in the network?

Check the provider directory to confirm their doctors or clinics are in the network

What prescription drugs does the plan cover?

Check drugs and costs

What interested individuals want to know

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Tennessee MarketplacePlan Types Offered

Co-pay Convenience of set co-pays for doctor visits and prescriptions

HSA

Plans that include the option of a tax-advantaged health savings account. If member qualifies for cost-share reduction that brings the deductible below the required level, the member will not be able to put money in the HSA. The member may continue to use any dollars in the HSA.

Catastrophic Low-cost option for people under 30 or for those who are exempt from the ACA mandate

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Facts about 2016 HSA contributions

An HSA bank account lets people with certain plans putmoney aside, tax-free, to save and pay for health care expenses.

2016 maximum contribution amounts

Single plan: $3,350

Family plan: $6,750

55 and over: an additional $1,000 annually

Required deductible to contribute: $1,300 single and $2,600 family

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Here’s where to find our plans in your state

On Exchange plan availability

UnitedHealthcare of Tennessee, Inc.

Our company name in your Marketplace:

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Plans at a glance

CompassCopay Plans

Compass HSA Plans

Compass Catastrophic

Plans

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Plans at a glance

Compass Traditional & Copay Plans

Compass Catastrophic

Plans

Compass HSA Plans

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Plans at a glance

Compass Copay Plans

Compass Catastrophic

Plans

Compass HSA Plans

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What’s included with all our plans

* As specified by USPTF and our UnitedHealthcare coverage guidelines; diagnostic services are not considered preventive in most circumstances

Essential Health Benefits Preventive care at no cost*

Ambulatory patient services

Emergency services

Hospitalization

Maternity & newborn care

Mental Health and Substance Abuse

Prescription drugs

Rehabilitative & habilitative

Laboratory services

Preventive, wellness services andchronic disease management

Pediatric dental & vision

Immunizations

Routine physical exams

Routine health screenings

Routine cancer screenings

Women’s preventive services

Contraceptives – Tier 1 Rx

Prenatal care if service qualifiesas “preventive care”

Tennessee Network

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UnitedHealthcare Compass Plus®

Offers HMO benefits more affordably than most non Primary Care Provider (PCP) based networks.

Customers must choose a primary care physician.

Highest network benefit with a referral to a network specialist.

Reduced network benefit without a referral to a network specialist.

Out-of-network benefits available.

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What to expect when the member signs up

Watch for the first bill in the mail

Sign up is complete after they pay this bill.

A welcome kit and ID card will come in the mail

They should check their ID card be sure information is correct.

Continue paying the premium bills

Must pay premiums or coverage will end. They won’t be able to sign up until next

open enrollment period.

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We make it easy to pay

First premium payment

Once we receive the enrollment file, we’ll send an invoice to the applicant billing for their first premium payment

Plan becomes active once payment is received

Ways to pay first and ongoing premium payments

Phone: Checking account payment

Web portal:Credit card

Checking account payment

Automatic withdrawal

Mail payment

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24/7 access anytime or anywhere when members register at myuhc.com

Choose how they want to get information – online, mail, email,

text

Available in Spanish

Access health resources and cost decision tools

Health4Me mobile app

Virtual Visits

NurseLine

myHealthcare Cost Estimator

myClaims Manager

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Health4Me™ app helps you where you are

“There’s a convenienc

e clinic nearby”

“Doctor, can I get the MRI at

the clinic instead of the

hospital?”

From home, work or on the go, members can easily:

Share their ID card

Find and price care

Check claim status

Manage OptumRx prescriptions

FitBit connectivity

Note

Although Health4Me is not available in

Spanish, information can be accessed by

calling Customer Service

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Tools to help manage health care

Virtual Visits

Health4Me app

myuhc.com

For members enrolled in UnitedHealthcare plans

Secure, online 24-hour access to physicians using mobile phone, tablet or computer

See and speak with a doctor

Get diagnosis and prescriptions for minor medical needs

Get list of participating virtual-visit providers using UnitedHealthcare’s

Health4Me™ mobile app or myuhc.com

Members pay a flat fee for each virtual visit

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Assister resources on dedicated website

Materials are on the Assister Resources site:

uhc.com/assisters

Slides

Assister newsletter

Hotline1-866-698-1739

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Materials available on your websiteCollateral to provide information on

UnitedHealthcare Marketplace products and services

Consumer Guide

Marketplace FAQ

Subsidy Chart

Mini BrochureNetwork Flier

uhc.com/assisters

Hotline1-866-698-1739

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UnitedHealthcare healthcare.gov

For more information on how to enroll,

consumers can visit uhc.com/join

Members visit healthcare.gov/

for enrollment (plan selection), plan shopping eligibility,

plan compare (and issuer links and 1-800#s)

Enrollment websites

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Summary of resources in Spanish

Personalized enrollment support is available at our fully-staffed bilingual

(Spanish-English) direct sales and enrollment Call Center

(800-985-3859)

Provider search with Spanishlanguage indicator

Latino Health Solutions bilingualwebsite at uhclatino.com

myuhc.com is in Spanish, including myClaims Manager

Once a member has enrolled, Customer Service is available in Spanish with full

member support

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About UnitedHealthcare

Consumers choose UnitedHealthcare based on the stability of our national size, our focus on quality improvement, and the value of our better approach to health engagement

Our Quality Our Value Our Tools

Our market leadership is a result of the unmatched quality for our members, customers, and providers

Using better analytics, we provide a better approach

to members that leads them to better health

engagement

With innovative tools we provide members help to

better manage their health care

Why UnitedHealthcare?

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UnitedHealthcare is Award Winning

Claims-Processing

Accuracy since 2012

Insurance & Managed Care

since 2010

Customer Satisfaction

Vision & Dental

#1

Community-Minded Health

Company

BEST-IN-CLASS PERFORMANCEfor our clients and as an organization

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Thank you!

Assister website: uhc.com/assisters

Thank you for

taking the time

to learn more about

UnitedHealthcare!

Questions: Navigator Hotline

1-866-698-1739