Personal Emergency Response System. Contractor shall enter into contracts that meet the requirements of 89 Ill. Admin. Code 240.235 with at least one (1) Provider serving each county within a Contracting Area.
Personal Emergency Response System the Contractor must contract with at least two Providers that serve the Service Area.
Personal Emergency Response System. Benefit includes a lightweight device (worn on the wrist or as a pendant) that provides 24/7 access to emergency care. Included HouseCalls Program Included s Group Medicare Advantage (PPO) MAPD Proprietary and Confidential Wellness/Clinical Programs Preferred Diabetic Supply Program Included Benefit Name In Network Services Part D Gap Coverage Custom OOP, ICL, Catastrophic Day Supply Information Note: 90 day retail supply is available for 3x copay amount Group Medicare Advantage (PPO) MAPD Proprietary and Confidential Outpatient Prescription Drug Coverage Part D Retail Copay Part D Mail Order Copay Additional Rx Benefit Details Proprietary and Confidential Arlington County Public Schools Rates for: 1/1/2023 - 12/31/2023 Plan Year: 2023 Total Premium* Quote Name Product Combination Quoted Membership Quoted Service Area $0 MA only PPO MA only 20 Stipulations * Premium Rates are Per Member Per Month (PMPM)
Personal Emergency Response System. Benefit includes a lightweight device (worn on the wrist or as a pendant) that provides 24/7 access to emergency care. Included HouseCalls Program Included Group Medicare Advantage (PPO) MA-only ATTACHMENT B - Fee Schedule Proprietary and Confidential Wellness/Clinical Programs Preferred Diabetic Supply Program Included
Personal Emergency Response System. As a Gold Package Member, you will have full 24/7 access to provide you with the confidence to maintain your independence in and around your home. You will have the choice to select the appropriate emergency support solution for you.
Personal Emergency Response System. Benefit includes a lightweight device (worn on the wrist or as a pendant) that provides 24/7 access to emergency care. Included HouseCalls Program Included Preferred Diabetic Supply Program Included Rally Coach: • Wellness Coaching blended model of personal coaching, self-paced online learning and digital support across a variety of wellbeing topics such as healthy eating, sleep management, and more. • Quit For Life tobacco cessation program using an evidence-based combination of physical, psychological and behavioral strategies to help members overcome their addiction to tobacco. • Real Appeal: two digital weight loss programs: Real Appeal Weight Loss Support and Real Appeal Diabetes Prevention. Included Case and Disease Management, including: - High Risk Members - Heart Failure - Respiratory Illness - Kidney Disease - Diabetes - Behavioral Health - Nurse Support - 24/7 Included UHC Hearing Aid Discount Program - Note: Available services and offerings may be limited in the U.S. Territories Included Prescription Drug Plan Custom Part D Fund Type Fully-insured Formulary Standard Formulary H (Group Select Formulary) Bonus Drug List(s) List U ACA Drug List Formulary Edits (step therapy, quantity limits, prior authorization) Standard: Edits On Part D Gap Coverage Full Coverage Initial Coverage Limit $4,430 True Out of Pocket Threshold (TrOOP) $7,050 Catastrophic Coverage over TrOOP Lesser of ICL Member’s cost share is lesser of CMS Standard benefit (as shown below) or ICL cost shares Copay for generics $3.95 Copay for all other drugs $9.85 - OR - Coinsurance 5% Retail Day Supply (Tiers 1-4) 31 Mail Order Day Supply (Tiers 1-4) 93 Tier 1: Generic $15 Tier 2: Preferred Brand $40 Tier 3: Non-Preferred Brand $80 Tier 4: Specialty Tier $100 Tier 1: Generic $30 Tier 2: Preferred Brand $80 Tier 3: Non-Preferred Brand $160 Tier 4: Specialty Tier $200 UnitedHealthcare Billing Process UnitedHealthcare’s standard premium billing and collection reconciliation processes are described below. The State may pay premiums by check, automated clearing house (ACH) transfer or electronic funds transfer (EFT).
