Presbyterian Senior Care (HMO) and Presbyterian MediCare PPO | Summer 2022 | Your Story

8 $0 telehealth benefit for 2022 Presbyterian Senior Care (HMO) and Presbyterian MediCare PPO members can make a telehealth appointment with most in-network providers for $0. Telehealth or telemedicine appointments are visits with a provider through video or online messaging services. Using telehealth allows members to safely and more easily access care when they may have a hard time making an in-person visit. It also gives members more options to get the care they need to stay healthy. This benefit only applies to in-network providers, including primary care, urgent care, specialty care, and therapy providers. For plans with a deductible, telehealth appointments are 0 percent cost share after the deductible is met. Not all providers offer telehealth services, and it is not advised for all services. We advise members to contact their provider to learn more about their telehealth options. Please note that members on a Presbyterian Dual Plus plan may pay 0 percent to 20 percent of the total cost for telehealth benefits. There are many options for members to get care online or by phone. Our telehealth options vary by a member’s healthcare needs, provider, and insurance plan. For a complete list of telehealth options, please visit our telehealth webpage at member/telehealth. Our Quality Improvement Program Presbyterian Health Plan, Inc., and Presbyterian Insurance Company, Inc., (Presbyterian) are committed to providing quality care and services to our members. We have a comprehensive Quality Improvement Program (QI Program) that evaluates the care and services you receive. Our goal is to work continually to improve your experience with care and services. The QI Program includes: • Member experience activities • Quality and safety of clinical care • Quality of service • Annual goals, processes, and activities At the end of each year, we review the QI Program to see how we did. Winston Churchill is credited with saying, “Never let a good crisis go to waste.” We learned and implemented many new ways to better serve you in 2020 that we have taken into 2021 and beyond. We use the results to find the areas that we need to improve. Here are just a few of our 2020 activities and results: • Developed and deployed a 14-day meal delivery program for members with COVID-19 who did not have good access to food • Developed a statewide home monitoring program for members who tested positive for COVID-19 but did not require hospitalization • Expanded Video Visits to support continued healthcare • Identified health disparities and worked to provide equitable access to healthcare and services