Thank you for coming!

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Thank you for coming!

• Before we start
• Who is currently on Medicare? Who is on a
  Medicare Advantage program?
• Who has heard of Optimum HealthCare?
• Who would like more benefits for less money?
• Who wants the freedom to choose your own plan
  and/or your own physician?
• Who wants to work with a company that really
  understands your healthcare needs and really
  cares about customer service?

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What We Will Discuss Today

• Discuss Your Current Coverage
• Compare Medicare Advantage to Medicare
• Introduce Optimum HealthCare
• Explain The Benefits of a Optimum Health Plan
• Help You Decide The Best Optimum Health Plan For
  You
• Answer Questions and Show You How to Enroll
  Today!
• Please hold questions until the end of the
  presentation.

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Your Current Coverage

• What do you have now in addition to Medicare
  Parts A and B?
• Is there a cost to your plan?
• What do you like about your plan? What would you
  like to change about your plan?
• What type of plan would you prefer?
• Comprehensive coverage with more benefits
• A plan that will reduce your out-of-pocket
  expenses
• Unique services outside traditional Medicare

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Medicare Advantage Programs
Medicare Advantage Plan with Prescription Drug
Coverage
Medicare Advantage programs often have more
benefits at less cost to you.
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Medicare Advantage Programs
Companies like Optimum HealthCare offered to
assist the government with Medicare
Medicare pays Optimum HealthCare to provide
benefits and customer service.
By developing a network, Optimum HealthCare
provides lower premiums and more benefits.
Medicare Advantage programs often have more
benefits at less cost to you.
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Benefits of Medicare Advantage

• Extra benefits beyond original Medicare
• No Monthly Plan Premiums
• For Part B Reimbursement Plans (Refunds vary by
  county)
• No Medicare Deductibles
• Brand Generic Rx Coverage
• World Wide Coverage
• Extra Benefits for Dental, Vision and Hearing
• Health Club Membership Fitness Programs
• No Medicare supplement Needed
• Over the Counter Benefits

Limitations Co pays may apply Details vary by
plan and plans are available by county the
social Security Administration reduces your Part
B Premium on Part B payback plans
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Benefits of Medicare Advantage
Government Funds
Medicare Advantage

• Limited coverage
• Limited preventive care benefits
• Deductibles
• Coinsurance
• Supplement needed
• Join a Prescription Drug Plan
• (PDP) for Part D coverage

• Covers all benefits of
• Original Medicare
• No Medicare deductibles
• Part D included
• No supplement needed
• Additional Benefits

Medicare Beneficiary

One of the plans available under the annually
renewable Medicare Advantage contract.
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How a Medicare Advantage Plan is Reimbursed
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Are You Eligible?
Do you have Medicare Parts A B? Is your
permanent residence here in this county? Do you
live here at least six months out of the
year? Do you have end stage renal disease?
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Introducing Optimum HealthCare

• Optimum HealthCare was started by and still
  managed by doctors. These doctors care about
  developing better Medicare Advantage programs and
  providing customers with excellent service.

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Introducing Optimum HealthCare

• Physician Managed Operated
• Corporate HQ in Tampa, FL
• Member Services located in Tampa, FL
• Incorporated in 2004
• Started in 2 counties for 2007, grown to 5
  counties in 2008
• Expanding to a total of 29 Florida Counties for
  2009
• We are locally operated to ensure that we
  understand your healthcare concerns
• We are committed to excellence

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Excellent Customer Service

• Optimum HealthCare is committed to
• EXCELLENT CUSTOMER SERVICE
• with local claim centers, a concierge department
  and consistently friendly and very knowledgeable
  service.

In fact, Optimum HealthCare is one of the fastest
growing companies because of referrals by
satisfied customers. In addition, out of 150
Medicare Health plans in 80 cities, Optimum
HealthCare won the Senior Choice Gold Award in
2007.
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Concierge Services

• Stellar service to our members is a
• matter we take quite seriously. You
• can now receive Concierge Service at
• each one of our local offices.

• A concierge desk at each office to expedite your
  Member Service needs. (i.e. replacement cards,
  PCP changes, address changes and more).
• Friendly trained staff who would like to meet you
  to learn more about what you need from your
  health plan.
• Information on scheduled Events and Health
  related issues.
• A one hour resolution time.
• Licensed Agents available to assist with benefit
  information.

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Awards

• National Committee for Quality Assurance
• -Toughest Quality Accreditation
• for Managed Care Organizations
• -3 Year Accreditation (2007 - 2010)
• HealthMetrix Research Inc.
• (Medicare News Watch)
• - An independent managed care
• research firm in Columbus, Ohio (Independent
  Industry Analyst)
• -Awarded Optimum HealthCare their
• Senior Choice Gold Award
• For Excellence in Benefit Value (cost
  comparisons for over 150 Medicare health plans
  in 80 cities, November 1, 2006)

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Awards
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Plans Offered by Optimum HealthCare?

• Gold
• Platinum
• Emerald

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Compare Your Health Care Options
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Using The Plan
Important note Statement of Understanding
Starting on the date your coverage begins with
Optimum HealthCare, you must receive all of your
health care from Optimum HealthCare providers
with the exception of emergency or urgently
needed services or temporary out of area renal
dialysis.
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Can I Choose My Doctor?
We have formed a very large network of doctors,
specialists and hospitals that you can choose
from.
You must stay within our network of services
while with Optimum HealthCare.
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You Are In Control
Primary Care Physician Your Choice
Other Providers Well woman visits Dental, Vision,
Hearing
Specialist
Hospital Your PCP will refer you to a
Participating Hospital Emergency coverage at any
hospital Urgent care coverage at any health care
provider

Limitations copays may apply See evidence of
Coverage for details You must receive all
routine care from Plan Providers Varies by county
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This Years Benefits With Optimum HealthCare
Your Optimum HealthCare Representative will
present the specifics of your Optimum HealthCare
Medicare Advantage plan benefits, using the
Summary of Benefits booklet and drug formulary.
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Optimum Fitness Program

• The Freedom Fitness program combines free access
  to Fitness Centers with multiple programs
  directed at improving the health and welfare of
  our members
• Group Exercise Programs

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Top Reasons To Join Optimum HealthCare

• A local company run by doctors who wanted to make
  Medicare better
• Consistently voted to provide excellent customer
  service by industry experts and, more
  importantly, our customers
• Freedom to choose your own plan to fit your needs
• No monthly plan premiums
• No Medicare supplement needed
• For plans with Part B reimbursement Refunds vary
  by county
• Worldwide Emergency, urgent and temporary
  out-of-area renal dialysis coverage

Limitations Co pays may apply Details vary by
plan and plans are available by county the
social Security Administration reduces your Part
B Premium on Part B payback plans
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Top Reasons To Join Optimum HealthCare

• Part D coverage included
• Preventive care, including physical exams
• Brand and generic prescriptive coverage
• Extra coverage for dental, vision and hearing
• Freedom fitness health club and fitness
  membership
• Predictable costs for easier budgeting
• Low out of pocket maximums

Limitations Co-payments may apply Varies by
County
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Enrollment

• Complete your enrollment form.
• You will receive a welcome packet, Evidence of
  Coverage and ID card.

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Enrollment

• During the 2008 Annual Enrollment Period (AEP),
  MA eligible individuals may enroll in or
  disenroll from an MA plan. The AEP occurs
  November 15 through December 31 of every year.
• The last election made, determined by the
  application date, will be the election that takes
  effect
• Enrollments submitted during the 2008 AEP will
  have an effective date of 1st January, 2009.

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New Member Orientation

• We will go over your welcome packet
• Show you how to
• set up your prescriptions by mail
• set up your over the counter benefits
• set up your dental benefits
• set up your fitness membership
• Review membership benefits
• Go over member services contact numbers
• Answer any questions you may have

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Extra Help

• Medicare Subsidy Information
• You may be able to get extra help to pay for your
  prescription
• drug premiums and costs. To see if you qualify
  for getting
• extra help, call
• 1-800-MEDICARE (1-800-633-4227). TTY/TTD users
  should call 1-877-486-2048, 24 hours a day,
  7days a week
• The Social Security Administration at
  1-800-772-1213 between 7.00 AM and 7.00 PM Monday
  through Friday. TTY/TTD users should call
  1-800-325-0778
• Your State Medicaid Office
• Florida SHINE (1-800-963-5337, TTY
  1-800-955-8771)

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We would love to help give you peace of mind with
your health care! Are there any questions?
Before we finish
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Thank You And Share The Good News

• Many of our members have been referred by their
  friends. Who do you know that could benefit from
  Optimum HealthCares Medicare Advantage Plan?
• Carepath of Pinellas
• Call 727-565-4655
• Monday thru Sunday
• 800 am 500 pm
• www.carepathins.com
• www.youroptimumhealthcare.com