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Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Staunton City Schools New benefit year on an Aetna benefit plan - 2016

New benefit year on an Aetna benefit plan Ø What’s happening? Ø Benefit design basics and network Ø Medical Plan Options Ø The Aetna Advantage: Member tools and information ─ Ø Helping members get started with Aetna Questions? 2

Medical benefit design basics with valuable features Aetna Choice Point of Service II (Open Access) • Open access models ─ Selecting a PCP is not required ─ Referrals are not required ─ Access to national network of providers when traveling • National Advantage Program (NAP) supports contracted rates for out-ofnetwork claims • Complete details in Plan Design documents • Benefits will be processed based on type of service and place of service ─ Ex: Office visit that includes surgical procedure is covered with an office visit copay. ─ Ex: Dialysis/chemo follow place of service and type of service. If done in the office then follow office cost share, if done outpatient hospital, it follows the outpatient hospital benefit Your benefit design and network 3

Medical benefit design basics with valuable features (continued) • Lab – Quest is preferred vendor; Lab Corp is non-par. Lab services can be done at participating hospitals as well. • Maternity ultrasounds are no longer covered at 100%, will follow place of service and type of service • Urgent Care has an in and out of network cost share. Urgent Care Center (UCC) must be used for urgent care only, routine care not covered at UCC. • Non-par provider (Emergency, Ambulance and HAIRPENS*) Aetna pays these providers the ‘reasonable rate. ’ Member is held harmless for any balance billing upon member appeal (call to member services). • Addition of Teladoc benefit and 24/7 nurseline • Coverage for routine eye exam (refraction) will continue to be covered as part of your medical plan HAIRPENS (Hospitalists, Anesthesiologist, Intensivists, Radiologists, Pathologists, Emergency Physicians and Neonatologists) 4 4

Important information about your pharmacy plan Your formulary will be referred to as Aetna Value What remains the same? • Copay structures and benefit details • Current member restrictions (use of a single provider or pharmacy) remain in place for controlled substances What is changing? • Mail order benefit is 2 copays for 90 day supply for all tiers • Days supply will be 30 day supply What will be immediately available to members? • Open prior authorizations • Active prescriptions for mail order delivery When will new prescriptions be needed? • Some specialty drugs, and controlled substances, expired prescriptions, prescriptions with no refills will not transfer to mail order pharmacy upon renewal and will require new prescriptions Details in Plan Design document Your benefit design and network 5

Provider network – Primary Care Physicians Virginia - 4, 823 National – 224, 329 Specialists Hospitals Virginia - 8, 312 National - 418, 031 Virginia - 95 National - 5, 602 • Nearly all physicians in the current Coventry network are also in Aetna’s network. Your benefit design and network 6

Medical Plan Options

Open Choice POS II High Plan In-Network Care Out-of-Network Care Deductible Individual Family $500 $1, 000 Out of Pocket Maximum Individual Family $3, 000 $6, 000 $3, 000 $16, 000 20% 30%*after deductible Covered at 100% 30%*; after deductible $25 copay $50 copay 20%; after deductible $75 copay 20%; after deductible 30%*; after deductible Same as in-network care 30%*; after deductible Retail RX $10/$30/$60 Not covered Mail Order Drug $20/$60/$120 Not covered Coinsurance Preventive Care PCP Specialist Emergency Room Urgent Care Inpatient Outpatient * Percentage shown is of the Reasonable and Customary amount. Member is also responsible for the difference between the billed amount and the Reasonable and Customary amount. 8

Open Choice POS II Low Plan In-Network Care Out-of-Network Care Deductible Individual Family $1, 000 $2, 000 Out of Pocket Maximum Individual Family $4, 000 $8, 000 30% 40%*after deductible Covered at 100% 40%*; after deductible $25 copay $50 copay 30%; after deductible $75 copay 30%; after deductible 40%*; after deductible Same as in-network care 40%*; after deductible Retail RX $10/$30/$60 Not covered Mail Order Drug $20/$60/$120 Not covered Coinsurance Preventive Care PCP Specialist Emergency Room Urgent Care Inpatient Outpatient * Percentage shown is of the Reasonable and Customary amount. Member is also responsible for the difference between the billed amount and the Reasonable and Customary amount. 9

The Aetna Advantage

Aetna Navigator® helps members manage their health and benefits Secure, easy-to-use website lets members: • Review claims • Find a doctor • Look up health information • Get an ID card • Research costs of care TIP Personalized health information is available 24/7 The secure Coventry member website, My Online Services. SM, will be active for 24 months from the start date of your Aetna plan. Member tools and information 11

New tools and features for members support when and where they need it Ask Ann online assistant Member telephone service Aetna Mobile Member tools and information 12

Members connect with us – wherever, whenever through Aetna Mobile • • • Find a doctor or urgent care center Research claims Get an ID card Price-a-Drug. SM Access their personal health record Optimized for most devices 13

Members find a doctor easily with Doc. Find® search tool Your employees use our online Doc. Find search tool to find a doctor, pharmacy or dentist close to you, in our networks. • Easy to search • Comprehensive results screens • Clean pages Member tools and information 14

i. Triage® – Engages members with powerful information • Find out what can be wrong and where to go for treatment • Search symptoms, conditions and treatment options • Book appointments (certain locations) • Use special tools just for Aetna members – Information tailored to your plan – Access ID cards – See claims history Member tools and information 15

Changes for members: New ID cards with new features Family ID card that shows up to five family members • New ID cards will go out as renewals/new enrollments occur • ID cards will also be available to view and print on Aetna Navigator® • Member Services phone number and claims mailing address are on the new ID card • Health plan product name and group number (control number) are on the front of the ID card It is important for members to give providers their new ID card to use their new member ID number. Member tools and information 16

Changes for members: Aetna family EOB 1) A Family* Explanation of Benefits (EOB) will have a new look making it easier for members to understand claim activity 2) Track spending, savings and deductibles. 1 3) View common EOB terms with definitions. After the definitions, it shows totals for charges. 2 4) Get helpful messages from Aetna or your employer. 4 5) Get a payment summary for claims on the EOB. 5 3 6) See detailed information for each claim on your EOB. *Unless an individual EOB is required by a state. Member tools and information 17

Helping to support a smooth member experience Upon renewal, a member’s current information will be transferred, including: Open Prior Authorizations: ─ Referrals to specialists, pre-certifications and pharmacy programs. Mail order prescriptions with refills remaining. Member Demographics: ─ Coordination of Benefits ─ PCP selections ─ Preferences such as privacy and paper suppression Transition of Care – Reviewed case by case upon request Provider lookup - http: //www. aetna. com/dse/search? site_id=dse Formulary lookup - http: //client. formularynavigator. com/Search. aspx? site. Code=5902821386 Helping members get started 18

Questions? 19 19