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PLANB FOR HEALTH GIVES YOU ACCESS TO SOME OF THE LARGEST HEALTHCARE PROVIDER NETWORKS

PlanB for Health delivers to you and your family a complete health care management program. Receive discounts mainly only available to large insurance companies. Enjoy dramatic savings with more than 600,000 leading Healthcare Providers.

Hospital and Physician Referral Networks

Save up to 30% with over 500,000 of the top practitioners and facilities. PlanB for Health has teamed with two leading Healthcare Provider Networks for hospitals and three networks for physicians to provide you with quality medical services. Our providers offer a resourceful healthcare delivery system designed to simplify access to medical providers, provide cost savings, and to be responsive to your medical needs.

We have contracted with a network of participating providers with over 500,000 physicians and 4,000 hospitals. Their reputation for excellence depends largely on the quality services and ethical practices of the physicians with whom they are contracted. All participating providers must pass strict credentialing criteria prior to joining the network.

With facilities and physicians from coast-to-coast, our networks give members the opportunity to determine which provider best serves their personal needs.

Prescriptions

Save up to 30% at 35,000 convenient retail pharmacies and up to 40% on our mail-order program. To help PlanB for Healthmembers control prescription drug expenses, we have teamed with one of the nation's leading pharmacy benefits managers to provide prescription drugs to you at significant savings.

Our provider serves the needs of more than 65 million people, nearly one in four Americans. Clients include 150 of the Fortune 500 corporations, unions, health maintenance organizations, Blue Cross/Blue Shield plans, insurance carriers, local and state employee programs and the largest federal employees program.

Our educational programs and sophisticated information systems link patients, pharmacists and physicians together, helping ensure the appropriate use of medication for each individual based upon their health profile, best clinical practices and benefit plan coverage. In 2001, our provider managed more than 537 million prescriptions through its 12 home delivery pharmacies and nationwide network of more than 58,000 retail pharmacies.

Dental

Save up to 50% with over 20,000 dentists. PlanB for Healthhas teamed with one of the nation's primary dental networksto offer you dental services with significant savings. Not only is our dental networks designed to provide cost savings on routine and preventive care, but also on more extensive treatments such as fillings, crowns, root canals, dentures, bridges, oral surgery and orthodontics.

We provide to you a national network of 20,000 dentists for your dental needs. PlanB for Health's discount program makes immediate savings available to you. There are no limits to how many visits you can make. You never have to pay a deductible or complete a claim form.

As a member of PlanB for Health, your dentist will reduce their rates up to 30%! Your benefits include:

  • Orthodontics (braces) for both children and adults.
  • Cosmetic Dentistry such as bleaching or aesthetic bonded finishes in selected markets.
  • All Specialists: Periodontists, Endodontists, Pedodontists, Oral Surgeons, Orthodontists, & Prosthodontists.
  • All Prior medical conditions are covered except orthodontic treatment in progress, even if you have had a dental problem for a long time.

By using your PlanB for Health discount card you save up to 30% on most routine dental services such as cleanings and fillings, as well as specialty care including orthodontics, periodontics, and dentures at over 20,000 participating dentists nationwide.

Vision

PlanB for Healthhas teamed with one of the best vision care networks to provide you with vision care products and services at savings up to 50%. PlanB for Health's discount program gives you immediate savings. There are no limits to how many visits you can make. You never have to pay a deductible or complete a claim form.

Our network of vision care specialists offers the most benefits and the widest selection of providers and services available. The distinguishing features are many, and include the following:

The largest national discount eyewear network utilizing independent practitioners, regional chains, national chains such as LensCrafters and Pearle Vision, and department store optical including Sears Optical, Target Optical, and J.C. Penney.

Contracts in selected markets with ophthalmologists to provide members with up to 30% off eye exams and surgical procedures, including PRK and LASIK surgery where available.

PlanB for Healthmembers can callour toll-free number, 7 days a week, 24 hours a day to locate providers in their area.

Alternative Health

Save up to 30% with over 25,000 practitioners. For your Complimentary and Alternative Medicine needs, PlanB for Healthhas teamed with an Internet-enabled integrative medicine company, which combines the best of conventional medicine and alternative therapies. PlanB for Health's discount program gives you immediate savings.There are no limits to how many visits you can make. You never have to pay a deductible or complete a claim form.

Our provider is a national network with over 25,000 practitioners operating in all 50 states and the District of Columbia. This network is unmatched in depth and breadth, providing 34 types of complimentary and alternative medicine practitioners including chiropractors, massage therapists/body workers, nutritionists, acupuncture, and relaxation techniques such as yoga and meditation.

The alternative health program is led by a Medical Doctor and includes those who are considered leaders in integrative medicine. It was founded on the philosophy of integrative medicine, rather than alternative medicine, believing the key to truly managing quality and cost in the health care is to integrate with allopathic MDs.

This program is the first Internet site to deliver health solutions that integrate conventional and alternative medicine with "voice of the physician" credibility.

Hearing

Save up to 50% at over 1,600 convenient locations. PlanB for Healthhas teamed with one of the largest national provider of hearing benefits in the United States to provide you with hearing care products and services. PlanB for Health's discount program gives you immediate savings. There are no limits to how many visits you can make. You never have to pay a deductible or complete a claim form.

Our provider is a nationwide hearing health care company with convenient locations throughout the country. Their importance in the market offers the ability to negotiate substantial savings on products, which are passed on to you, the consumer.

As a PlanB for Health member, you will receive up to a 30% discount for all hearing exams and services, and up to a 60% discount on hearing aids at any designated provider location. Over 200 models of hearing aids are available to you and include many styles, including complete-in-the-canal, in-the-ear, and behind-the-ear hearing devices.The program offers most technology levels including the newest programmable and digital technology.

Long-Term Care

Save up to 30% from over 3,000 senior care providersthroughout the United States.

This savings program is provided by the first true national long term care network developed in the country. The network includes; nursing homes, assisted living facilities and home health care agencies.

Long Term care is one of the fastest growing segments of care. One out of four Americans will face the dilemma of paying for a long term care service for themselves or a family member. Arranging for long term care can be an emotionally trying experience, and the financial consequences can be devastating.

Services Provided...

While the decisions regarding long term care can be difficult. There is now help available to you.You are eligible to receive substantial discounts from more than 3,000 providers.The network includes the following types of providers and services:

Community Based Services: Home Health Care, Home Health Aides, Homemaker Services, Hospice Care, Personal Care.

Facility Based Services: Skilled Nursing Facilities, Assisted Living Facilities, Alzheimer Facilities.

Durable Medical Equipment

Physical & Occupational Therapies

Network Participation Means Substantial Savings...

You can save up to 30% off the usual and customary fees for services fromour network providers. There is no length of stay requirement to receive these contracted rates.

Patient Advocacy

PlanB for Healthis offering members a Personal Patient Medical Advocacy service which is dedicated to helping people with their medical bills. The service focuses primarily on those who are uninsured or under-insured by providing them a safety net. Over the last seven years,our provider has worked with large organizations and thousands of individuals nationwide, saving them millions of dollars. The medical advocacy team researches the availability of and helps provide access to:

  • Governmental programs
  • Private entitlement programs
  • Grants, foundations, and
  • Other programs

Over 60 Million people are Uninsured or Under-insured.Many of them aren't able to take advantage of health insurance benefits for a variety of reasons including:

  • They are self-employed
  • The employer offers little or no health care benefits
  • If the employer offers benefits, employees opt out because they can't afford the benefit
  • Employees leave their families off the plan because they can't afford the additional cost
  • Employees are part-time or non-salary
  • Employee or family member has a pre-existing medical condition

Our approach to Patient Advocacy is "hands-on high touch". Patients have access to our Personal Advocates to help them deal with larger balances. Even with discounts available on physician and other health care services, many people often are still unable to pay their medical bills. In addition to locating potential sources of funding to pay medical bills, our provider will attempt to negotiate discounts, payment plans, and secure discounts in advance of services. This service is provided on a case-by-case situation based on a best effort, no guarantees are implied. This program has helped many people with hundreds of thousands of dollars in medical assistance.

Personal Counseling

PlanB for Healthhas contracted with an innovative counseling service to provide members a confidential source to discuss problems or personal situations they may be experiencing at home and at work. The Personal and Employee Assistance Program is accessible by a toll-free number seven days a week, 24 hours a day. Callers speak immediately with trained professional counselors who immediately provide services. If an emergency exists, the counselor will offer crisis intervention and help the caller develop a safety plan. If the caller does not speak English,our provider has immediate foreign language capabilities. In non-emergency situations, callers speak with a counselor over the telephone and address a number of life issues, including, but not limited to:

Child Care Child/Adolescent Behavior
Learning Stress Difficulties
Anxiety & Depression
Elder Care
Relationship Issues
Financial Concerns
Marital Concerns
Legal Questions
Family Communication
Educational Choices
Alcohol & Drug Abuse
Career Exploration

When additional treatment or assistance is necessary from outside the program, referrals are coordinated with the appropriate resources. These resources may include coordinating care with your personal medical insurance, referring you to resources within your community, or referral to a behavioral health provider in your area at discounts ranging up to 30%.

Whatever your concern may be, our provider is there to help with a program designed to assist in the identification and resolution of life problems associated with personal concerns.

24-Hour Nurse Hotline

For the times when you or a family member need a healthcare concern addressed quickly at home or while traveling, PlanB for Health has contracted a service to provide you 24-hour access to registered nurses that can help you with answers on a variety of health topics.

  • Symptom assessment (do you need to seek medical care now, or is there something you can do at home)
  • Information about self care techniques for common symptoms
  • Information on diagnostic and surgical procedures
  • Prescription and over-the-counter medication information

Note: Nurses do not diagnose nor prescribe medical treatment.

The 24-Hour Nurse Hotline staffs Registered Nurses who are specially trained to provide prompt, confidential health information.

Topics include:

  • General Health Topics -Aging, Cancer, Exercise and fitness
  • Parental Advice Topics -Accident Prevention, Infant Care, Injuries and Sleep Problems
  • Women's Health Topics -Allergies, Gynecology, Menopause and Obstetrics
  • Complementary Medicine Topics -Herbal Medicine and Aromatherapy

This 24-hour Nurse Hotline added value service is included free of charge with many of our programs and is tailored to emphasize prevention as well as cost containment. We feel this is an essential component to a total healthcare management program.

Travel Assistance

PlanB for Health has contracted with the international leader in travel assistance services to provide members access to a worldwide network of medical and travel assistance personnel whenever they travel. Travel Assistance and Emergency Medical Evacuation Services are available when you are traveling over 100 miles away from home and you are faced with a serious injury or illness or a travel related emergency. All medical services are provided based on medical necessity, which is determined by our Program Medical Advisor in collaboration with the eligible member's attending physician.

Assistance Services are available 24 hours a day, 365 days a year, worldwide and include the following:

  • Emergency Medical Evacuation
  • Medically Necessary Repatriation
  • Transportation of Member's Escort
  • Family Visitation
  • Vehicle Return
  • Medical Monitoring and Referral
  • Insurance Coordination
  • Lost Document Service
  • Emergency Delivery of Prescription Items
  • Emergency Cash Transfers and Advances
  • Language Assistance and more.

The Travel Assistance Group's mission is to be "where you need us, when you need us".

All travel assistance benefits and services must be pre-arranged by our Program Medical Advisor.

Medifile

PlanB for Healthoffers members as a value added service Medifile, a medical record storage & retrieval plan.

Medifile hasdesigned an easy point-and-click questionnaire to collect all the health information usually required for emergencies, school enrollment, travel, and other needs. If you wish, you can send in additional printed material, like medical reports, living wills, or EKG printouts, at any time. You may even want to consult your primary care doctor to be sure you don't leave out anything important.

All of this information will be permanently stored by Medifile on a special secure computer.They also maintain a complete backup of your information at another secure location to insure constant availability.

The Medifile Call Center Specialists are available 24 hours a day to safely release member information by fax, or verbally over the phone, to qualified healthcare providers. The Medifile Call Center can be reached from anywhere in the world. For members traveling, whether in the United States or not, Medifile can provide the peace of mind that vital information can be accessed no matter where the member is located.


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