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The 2016 Partnership Promise

Updated January 19, 2016 by admin in employee insurance

2016 Partnership Promise Requirements

Everyone enrolled in the Partnership PPO must take action in 2016 by completing the Partnership Promise. 

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Complete the online Healthways Well-Being Assessment™ (WBA) by March 15, 2016

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Complete a biometric health screening by July 15, 2016

 
    ► Complete the screening at an onsite screening event

    ► With your physician (Healthways will accept screening results from a doctor's visit [annual physical] between July 16, 2015, and July 15, 2016)
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Actively participate in coaching if you are called

 
    ► Coaching could include a tobacco cessation program and/or case management, which is managed by BlueCross BlueShield, Cigna and Magellan
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Keep your contact information current with your employer; or, if a covered spouse, keep your contact information current with Healthways, if it changes.

 

alex

Introducing ALEX® — Your Personal Benefits Expert

ALEX, your personal online ParTNers for Health benefits expert can help you choose which insurance option may work best for you.

ALEX for Local Education and Local Government Employees

Below, see a chart with some helpful definitions that pertain to primary health insurance. For more detailed information, member handbooks are available on the Benefits Administration website.

Annual Deductible

All options include an annual deductible. This is the amount you pay out of your pocket before the plan pays for hospital charges and other services that require coinsurance.

Coinsurance

Some services require that you pay coinsurance after you meet a deductible. Coinsurance is a percentage of the total cost.

Copays

Some services require that you pay a copay (instead of a deductible and coinsurance). A copay is a flat dollar amount, like $25 a visit.

Out-of-Pocket Maximum

The out-of-pocket maximum is the most you will pay for your copays and coinsurance each year. Once you reach your out-of-pocket maximum, the plan pays 100% of covered medical expenses.

In-Network vs.
Out-of-Network Providers

You can see any doctor or go to any healthcare facility you want. However, if you use an “in-network” provider, you will always pay less. That’s because an in-network provider agrees to provide services to our members at discounted rates. Broad networks of doctors and hospitals will continue to be available.


Network Options

Weakley County has two insurance carriers, BlueCross BlueShield and Cigna. The networks for each:
► BlueCross BlueShield of Tennessee: Network S
► Cigna: LocalPlus

Both carriers have providers available throughout Tennessee. Doctors and facilities move in and out of networks from time to time. Check the networks carefully for your preferred doctor or hospital when making your selection.

Weakley County Employees Insurance

ParTNers for Health
ParTNers for Health - 1-800-253-9981
Nurse Advice Line - 1-800-741-3390



2016

2016 Insurance Forms and Documents
Health/Dental Enrollment Application
Local Education Eligibility & Enrollment Guide
Local Government Eligibility & Enrollment Guide
Local Education Insurance Checklist
Local Government Insurance Checklist
Dependent Eligibility

2016 Decision Guide
Local Education
Local Government

2016 Insurance Rates for Weakley County
Local Education
Local Government

2016 Eligibility & Enrollment Guides
2016 Local Education
2016 Local Government

2016 Partnership Promise
Guidelines for 2016
Online Well-Being Assessment
Your Well-Being Account

2016 Dental Provider Handbooks
2016 PrePaid Plan - Cigna DHMO Prepaid Dental
2016 PDO - MetLife Dental [Enter "State of Tennessee"]


2016 Health Insurance Member Handbooks
2016 BlueCross Partnership PPO
2016 BlueCross Standard PPO
2016 BlueCross Limited PPO
2016 Cigna Partnership PPO
2016 Cigna Standard PPO
2016 Cigna Limited PPO

2016 Dental Provider Search
2016 PrePaid Plan - Cigna Dental
2016 PDO - Metlife Dental

2016 Long-Term Care (MedAmerica)
Overview
Enrollment Booklet

CIGNA Health Insurance
CIGNA- 1-800-997-1617

Blue Cross Blue Shield of Tenn.
Blue Cross Blue Shield of TN: 1-800-558-6213

ParTNers for Health Employee Assistance Program
1-800-741-3390
ParTNers For Health EAP Website
ParTNers for Health EAP program description and benefit overview
Saving with the Discount Center
Accessing Legal/Financial Services
Depression Screening

EyeMed Optional State Vision Plan
1-855-779-5046
EyeMed Vision Plan - State of Tennessee Group Plan Info


MedAmerica Long-Term Care Insurance

1-800-544-0327
Plan Overview
Enrollment Booklet
Click here to visit the Long-term Care web page


comments
Admin says on Jan. 14, 2015

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