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Proving What’s Possible in Healthcare <br />This document contains important terms and conditions which are incorporated by reference into and becomes <br />part of the terms of your contract with us. ©2024, Healthcare Management Administrators, Inc. <br />Telehealth <br />Product Description Price <br />MDLIVE <br />Telehealth <br />Medical <br />(Urgent Care) <br />We partner with MDLIVE to offer members access to board-certified doctors <br />via secure online video or phone via our portal, the web, or the MDLIVE app <br />–anytime, anywhere-24/7/365. MDLIVE is a convenient alternative to <br />urgent care visits or waiting days to get an appointment with your primary <br />care doctor for non-emergency medical conditions. MDLIVE doctors can <br />diagnose symptoms, prescribe non-narcotic medication (if needed and <br />within state regulations), and send e-prescriptions to the member’s <br />pharmacy. <br />$1.00 PEPM <br />Plus claim cost $42 <br />$50 no show fee <br />billed to members <br />MDLIVE <br />Mental <br />Health, <br />Psychiatry, <br />and Medical <br />(urgent care) <br />bundle <br />We partner with MDLIVE to offer members access to MDLIVE’s network of <br />licensed therapists and board-certified psychiatrists. Each provider is <br />credentialed according to NCQA guidelines and trained on best practices in <br />online therapy. They have a wide variety of specialties. Therapists provide <br />guidance and support talk therapy. Online therapy provides a way to access <br />services when it’s not easy to find a therapist nearby or when therapy <br />doesn’t fit in a busy schedule. They do not prescribe medications. <br />Psychiatrists are medical doctors who primarily prescribe medication for the <br />treatment of behavioral health conditions. Online visits allow members to <br />see licensed providers from the comfort of their own home. <br />Online therapy and psychiatry visits must be scheduled in advance. You can <br />usually get an appointment within seven days or less with a therapist <br />compared to the average wait for in-office therapy visits of 35 days. <br />$1.35 PEPM <br />Plus claim cost $42 <br />-$160 depending <br />on the type of <br />service and <br />provider level <br />$50 no show fee <br />billed to members <br />MDLIVE <br />Virtual <br />Dermatology <br />and Medical <br />(urgent care) <br />bundle <br />We partner with MDLIVE to offer members access to board-certified <br />dermatologists through a secure website or mobile device. Patients receive <br />a full consultation, complete with a diagnosis, personalized treatment plan, <br />and appropriate prescriptions. Members are able to avoid lengthy waits for <br />appointments and time-consuming trips to the doctor’s office. All visits are <br />done in an asynchronous manner, unless the member’s state requires a <br />video consultation. Members simply choose Dermatology from the visit <br />options on MDLIVE’s patient dashboard. After answering a few basic <br />questions and providing a brief medical history, the member will be asked to <br />upload photos of the skin, nail, or hair condition. In an average of 24 hours, <br />members are notified of a diagnosis and treatment plan from a board- <br />certified dermatologist, which include prescriptions if necessary. <br />$1.30 PEPM <br />Plus claim cost $42- <br />$95 <br />$50 no show fee <br />billed to members <br />MDLIVE <br />Telehealth <br />Bundle <br />Combines all of the MDLIVE Telehealth benefits described above for <br />Medical (urgent care), Mental Health and Psychiatry, and Virtual <br />Dermatology. <br />$1.60 PEPM <br />Plus claim cost $42 <br />-$160 depending <br />on the type of <br />service <br />$50 no show fee <br />billed to members <br />Please note: MDLIVE will charge a minimum $50 no-show fee to <br />members –this is standard practice. All MDLIVE virtual visit claims costs <br />subject to change with 30-days notice. <br />8