Your WEA Trust Health Plan - Welcome Maddy Provider Network High Value Care Options Pharmacy Preventive Care - Stevens Point Area Public School ...

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Your WEA Trust Health Plan - Welcome Maddy Provider Network High Value Care Options Pharmacy Preventive Care - Stevens Point Area Public School ...
Your WEA Trust Health Plan
A G U I D E T O YO U R B E N E F I T S :

Welcome Maddy Pharmacy
Provider Network Preventive Care
High Value Care Options Member Benefits
Your WEA Trust Health Plan - Welcome Maddy Provider Network High Value Care Options Pharmacy Preventive Care - Stevens Point Area Public School ...
Welcome to WEA Trust
There are a few things you need to know about getting started with
your plan. This guide will provide you with a quick overview of the
following:

    ▸▸   Your ID Cards                      ▸▸   Harmony Care Management
    ▸▸   Maddy (Member Portal)              ▸▸   Pharmacy Information
    ▸▸   Where to go for Care               ▸▸   Enhanced Care Solutions
    ▸▸   Health Insurance 101               ▸▸   Legal Information

    ▸▸   Preventive Care                    ▸▸   Privacy Practices

You will find helpful links throughout this booklet to make it more
convenient to find what you’re looking for online, quickly and easily.

                         Questions?
                           We are here to help! If you have questions about
                            your current plan, we’ll get you the answers
                            you need.

                            Speak to one of our Customer
                            Service Representatives:

                            1.800.279.4000
                           Monday – Friday, 7:30 a.m. - 5:00 p.m.

                           online at: WEAtrust.com/contact-us
                              or MaddyPortal.com

2 | Welcome to WEA Trust
Your WEA Trust Health Plan - Welcome Maddy Provider Network High Value Care Options Pharmacy Preventive Care - Stevens Point Area Public School ...
Your WEA Trust ID Card
Your ID card represents the commitment of everyone who works at
WEA Trust to provide the best possible service to you. You’ll receive
copies of your ID card in the mail before the start date of your
benefits. Please begin using your new cards on your effective date.

You can print or order additional ID cards for you and your family
from our online member portal, Maddy. To access or create your
account, visit MaddyPortal.com.

Maddy Member Portal
You can access all the important
information about your benefits

online on our member portal, Maddy.

C R E AT E A M A D DY A C C O U N T:

     ▸▸   Make sure you have your
          WEA Trust ID Card with you
     ▸▸   Go to MaddyPortal.com
     ▸▸   Register for an account

WITH MADDY, YOU’LL BE ABLE TO QUICKLY AND EASILY:
▸▸    Review Your Benefits             ▸▸   Look Up Drug Coverage
▸▸    View Your Recent Claims          ▸▸   View Deductible Progress
▸▸    Find a Doctor                    ▸▸   Message Customer Service

To create your member portal account, visit: MaddyPortal.com and
download the app in the App Store or Google Play Store.

                                              WEA Trust ID Cards & Maddy | 3
Your WEA Trust Health Plan - Welcome Maddy Provider Network High Value Care Options Pharmacy Preventive Care - Stevens Point Area Public School ...
Find a Doctor                                         Subscriber:
                                                                  Jo
                                                     ID#: 000000 hn Member
                                                                  00
                                                     Network: Tr 0 Group#: 000.00
                                                                 ust Preferre
When looking for a doctor, we always                Subscriber
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                                                                              d
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                                                    John Memb
                                                                 er
                                                    Jane Memb
recommend first making sure that                                er                                            00000000
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                                                                                                              00000000
                                                                                                                       1-02

doctor is in WEA Trust’s Network. You
                                                  Copays: NE
                                                           TWORK: PC
can search for a provider by going to                    UC: $150       P $25 / SP
                                                                  | ER $250        EC $50 | NO
                                                                                               N-NETWOR
                                                                                                        K:   PCP $50 /
                                                                                                                         SPEC $10
                                                                                                                                 0

WEAtrust.com/doctors and then
                                               What Network do you
selecting your network.                        have? Check your ID card.

Where To Go For Care
                                                        COST
CONDITION         EXAMPLES        CARE OPTION         ESTIMATE                                      TIPS

Minor Acute    • Sore throat       24/7 Amwell                 $                 To learn more about
Conditions     • Ear infections    Urgent Care                                    Amwell or to sign
               • Pink eye            E-Visits                                          up, visit
                                                                                   WEAtrust.com/
                                                                                        Amwell

Routine Care   • Preventive        Primary Care                $$               To see if your doctor
                 exams                                                           is in network, visit
               • Chronic                                                          WEAtrust.com/
                 conditions                                                           FindADoc
               • Immunizations

  Urgent       • Minor burns       Urgent Care            $$$$                   Select “urgent care”
 Conditions    • Sprains             Center                                      under “care type” on
               • Cuts                                                            WEAtrust.com/Find
               • Rashes                                                              ADoc to find a
               • Fractures                                                         location near you

Emergencies    • Heart attack      Emergency             $$$$$                   Select “hospital” on
               • Stroke              Room                                        WEAtrust.com/Find
               • Head trauma                                                        ADoc to find a
                                                                                  location near you

4 | Where to Go For Care
Your WEA Trust Health Plan - Welcome Maddy Provider Network High Value Care Options Pharmacy Preventive Care - Stevens Point Area Public School ...
Health Insurance 101
We all know how complex and confusing health insurance can be.
Below are some common terms and descriptions to help you better
understand what you have to pay and when. Please look at your plan
documents for specific plan information.

Benefit year: a benefit year, also called a plan year, is a 12-month
period of time during which you have insurance coverage. To
find out when your plan year begins, you can check your plan
documents, ask your employer, or call WEA Trust Customer Service.

Premium: a monthly payment made to your insurance company
for your health insurance coverage. You may pay the insurance
company directly, or your employer may deduct money from your
paycheck and pay the premium to the insurance company for you.

Maximum Out of Pocket: the maximum out of pocket amount is
the most money you will have to pay each benefit year for covered
medical expenses as outlined in your plan document. This includes
the amounts you pay for copays, deductibles, and coinsurance.
It does not include your monthly premium.

Once the amount of money you have paid equals your maximum
out of pocket amount for that benefit year, you do not have to pay
anymore deductibles, copays, or coinsurance. Your WEA Trust health
plan will pay 100% of allowed amounts for covered services for the
remainder of the benefit year.

                                                  Health Insurance 101 | 5
Your WEA Trust Health Plan - Welcome Maddy Provider Network High Value Care Options Pharmacy Preventive Care - Stevens Point Area Public School ...
Co-pay: a fixed dollar amount that you pay for certain services
(i.e. office visits, prescriptions) each time you have that service. For
example, if your insurance plan includes a $30 office visit co-pay,
you will pay $30 at the doctor’s office each time you see your doctor,
until you reach your maximum out of pocket amount.

Deductible: the amount you pay to your doctor or pharmacy for
covered services each benefit year before your WEA Trust health
insurance begins to pay.

Coinsurance: a percentage of the allowed cost of a covered service
that you pay to your doctor. Your WEA Trust health plan pays the
remaining share. For example, if a benefit plan includes a 10%
coinsurance and the doctor charges $100, you will pay $10 (10%)
and WEA will pay $90 (90%). You do not start to pay coinsurance
until after you have finished paying your deductible.

Other costs you may also be charged for:
    ▸▸   Services or items that are not covered by your benefit plan

    ▸▸   Services that were not pre-approved, but that require pre-
         approval in order to be covered by your health insurance plan

    ▸▸   Services performed by an out of network provider, depending
         on the amount your health insurance plan covers for services
         performed by these providers

6 | Health Insurance 101
Your WEA Trust Health Plan - Welcome Maddy Provider Network High Value Care Options Pharmacy Preventive Care - Stevens Point Area Public School ...
Preventive Care
Preventive care helps you stay healthy and helps to identify any
potential health care concerns. WEA Trust follows federal guidelines
for defined preventive services, outlined by the U.S. Preventive
Services Task Force (USPSTF). Your plan covers 100% of the cost of
preventive services, as long as the service is:

   ▸▸   Provided by a Network provider

   ▸▸   Performed for preventive (not diagnostic) reasons

   ▸▸   The service meets the specified age and/or time criteria and is on
        the list defined by the USPSTF, available at WEAtrust.com/prevent

Be sure to ask your doctor or call WEA Trust customer service if you
have questions about preventive care.

DIAGNOSTIC CARE
So what is diagnostic care and how is it different from preventive
care? A service is considered diagnostic when the individual has
signs or symptoms or an existing health issue is being monitored.

Here’s an example using a mammogram:

  MARY                                        ABBY

Mary is 41 years old and had her           Abby is 48 years old and
yearly mammogram in January                has no symptoms of breast
which was normal. In July, she             cancer but has a routine
finds a lump and schedules a               mammogram to screen for
mammogram to check it out.                 problems.

Diagnostic                                 Preventive
Cost-sharing applies                       100% Covered

                                                         Preventive Care | 7
Your WEA Trust Health Plan - Welcome Maddy Provider Network High Value Care Options Pharmacy Preventive Care - Stevens Point Area Public School ...
Harmony Care Management
A single point of contact to help in your medical care.

W H AT I S H A R M O N Y ?
When you have a healthcare need, someone you can count
on should be there for you. That’s why our Harmony Care
Management program provides a single point of contact to help
in your medical care. Your Harmony nurse will help you navigate
the healthcare system and receive the best quality care.

   Harmony Can Help With:
   CHRONIC CONDITION MANAGEMENT
    From diabetes to high blood pressure, our nurses are
    ready to help

   FINDING A PROVIDER
    Simplify the process of finding the right doctor for you

   H O S P I TA L S TAY S
    Take the stress out of a planned stay

Preauthor iza t io n
Some services require preauthorization before you receive them
to make sure they are medically necessary and appropriate. If
you don’t contact us for preauthorization, you could be denied
coverage or pay a penalty.

    ▸▸   Go to WEAtrust.com/preauthorization to view the full list

8 | Harmony Care Management and Preauthorization
Pharmacy Benefits
When you join the Trust, if a medication you’re taking requires
authorization or is subject to step therapy, both you and your doctor
will receive a letter explaining your options. You may be approved
for one refill as you transition to the new medication or verify
authorization for your current medication.

T H R E E T H I N G S TO K N O W A B O U T YO U R W E A T R U S T D R U G P L A N

1. Save with the Value Choice Drug Plan

If you’re on our Essential Health Plan, these
effective drugs are available to you at a $0
copay. If you’re on an Essential Qualified
Plan, you’ll find that these drugs are some of
the best value options.
    ▸▸   View the full list at WEAtrust.com/VCDP

2. Save time with home delivery

In addition to our broad retail pharmacy
network, you also have access to mail order
prescription services.
    ▸▸   Learn more at WEAtrust.com/mail

3. Check your copay, find a pharmacy & more

You can access a great set of pharmacy tools
by logging in to your Maddy account and
selecting MedImpact from the quick links
menu.
WEA Trust Telehealth
Powered by Amwell, WEA Trust Telehealth provides access
to board-certified healthcare professionals from anywhere
you need care.

Urgent Care
See a doctor online 24/7 with WEA Trust Telehealth. In less than
ten minutes, you can start a doctor e-visit on your smartphone,
tablet or computer.

  1. Enroll Go to WEAtrust.com/Amwell on your computer or search for
  Amwell in the App Store or Google Play on your mobile device.

    ▸▸ Important: Enter the service key “trust”

           DON’T WAIT UNTIL YOU’RE SICK,
        DOWNLOAD THE AMWELL APP RIGHT AWAY

10 | Telehealth Powered by Amwell
Online Therapy
With the addition of online therapy to the Amwell web and mobile
app, you can now see a psychologist or therapist to address common
behavioral health challenges—all from the privacy of your own home.

ONLINE THERAPY VISITS ARE:
   ▸▸   45-minute, video-based appointments

   ▸▸   Licensed and specially-trained
        therapists or psychologists

   ▸▸   Available seven days a week,
        from 7am to 11pm

   ▸▸   Affordable, with copays as low as $0
        depending on your plan

   ▸▸   An alternative to in-person behavioral
        health visits

                            W H AT T H E Y S AY:

                            “The best way I’ve described it to people

                            is that it’s like FaceTime with a doctor. I

                            was able to give [the doctor] some of my

                            symptoms, and she was able to make a
                            determination for me in five minutes.”

                               Gayle Lassen,
                                 West Salem School District

                                           Telehealth Powered by Amwell | 11
High Value Care Options
Our high value care options offer exceptional quality at a cost-
concious price for WEA Trust members. Eligibility for these
providers is dependent on your plan’s Network.

          Smart Choice MRI
          A N A F F O R D A B L E , H I G H Q UA L I T Y O P T I O N
The average MRI in Wisconsin costs about $3,000. As a Trust member,
you can use Smart Choice MRI for a fraction of the cost. Smart Choice
MRI uses the leading MRI technology and all exams are interpreted by
radiologists at the Cleveland Clinic (a top five U.S. Hospital).

We also provide our members with a $100 Visa Incentive Card for
using Smart Choice MRI. Here’s what you do if you need an MRI:

    ▸▸   Tell your doctor you’ll be using Smart Choice MRI. Don’t worry,
         you’ll be able to take your results back to them.
    ▸▸   Schedule your MRI at smartchoicemri.com. Preauthorization is
         required for some MRI’s. Call WEA Trust to confirm if your MRI needs
         preauthorization.

Find a Location
         Smart Choice MRI WI

         Smart Choice MRI MN & IL

12 | Smart Choice MRI
S AV E M O N E Y W I T H
                                 BUNDLED PROCEDURES
                                 F R O M N OV O H E A LT H

At the Trust, we strive to offer the highest-value care. We’ve
partnered with top providers to offer bundled pricing on more than 50
procedures, from orthopedic surgeries to breast reconstruction.

What does bundled pricing with NOVO mean for you?
If you need surgery, the Trust’s partnership with NOVO provides
an option for a unified care experience. For example, if you need
Outpatient knee replacement surgery and choose to have it done at a
NOVO facility, your surgery roadmap is already laid out. The surgery,
recovery, and any necessary physical therapy are included in one
coordinated bundle. With priority scheduling, you can get better, faster,
and your outpatient procedure may qualify you for a $250 Visa Debit
Card as a reward for choosing a high-value care option.

Providers participating in the NOVO Bundled
Procedures for the Trust include:

 • Advanced Physical Therapy & Sports Medicine
 • The Center for Aesthetics and Plastic Surgery SC (surgery center)
 • Neuroscience Group of Northeast Wisconsin SC
 • NeuroSpine Center of Wisconsin SC
 • Orthopedic & Sports Institute of the Fox Valley (surgery center)
 • Sports Medicine Center SC (surgery center)

Quality Guarantee
NOVO is so confident in the quality of their care and outcomes that
their work comes with a 90-day limited warranty.

   ▸▸ To learn more and schedule an appointment, go to
      WEAtrust.com/NOVO

                                                         NOVO Health | 13
WEA Trust Diabetes Management
A free program, powered by Livongo for diabetes, is tailored
to you making it easier to manage and live with diabetes.

W H AT YO U ’ L L G E T
Livongo provides valuable tools that
make living with diabetes easier,
including the easy-to-use In Touch®
Blood Glucose Monitoring System,
unlimited test strips and monitoring
supplies at no cost to you.                           The Livongo connected meter
                                                      gives instant feedback

ENROLLING IS EASY
If you have a Type 1 or Type 2 diabetes, then you qualify to
participate in WEA Trust’s Livongo for Diabetes program.

To enroll:
▸▸ Go to WEAtrust.com/livongo
▸▸ Click “Enroll Now” and fill out your information
▸▸ Enter registration code TRUSTDM.

14 | Livongo
We are here for
you - No person
should ever fight
cancer alone.

WEA Trust + CancerCARE
In partnership with INTERLINK® COE Networks & Programs,
WEA Trust members have access to a high-quality cancer program
designed to improve outcomes for those with a cancer diagnosis.

W E A T RU S T + C A N C E R C A R E
Today there are many uncertainties one can face when receiving a
diagnosis of cancer. The number of treatment options available are
increasing day-by-day, and choosing the right option can be
overwhelming and difficult.

W I T H W E A T RU S T + C A N C E R C A R E YO U W I L L WO R K W I T H
H I G H LY T R A I N E D O N C O L O GY E X P E RT S T H AT W I L L :
▸▸ Provide a second opinion and ensure an accurate diagnosis
▸▸ Work collaboratively with your doctor to ensure you are
   receiving the highest quality care
▸▸ Offer you support and guidance with your own personal
   oncology nurse case manager

If you have a diagnosis of cancer, call WEA Trust at 800.279.4000 to
learn more about the program.

Questions? Call our Customer Service at 800.279.4000 or
learn more at weatrust.com/cancercare

                                                WEA Trust + CancerCARE | 15
A NEW WAY TO MANAGE
                        YOUR LOW BACK PAIN

                                  80% of participants experience
                                   a reduction in low back pain.
                                                  --Kiio research data

WEA Trust Low Back Pain Program
Our WEA Trust Low Back Pain Program, powered by Kiio, is a mobile
app designed specifically for you. This free program takes you
through a sequence of exercise routines
created to strengthen your back and
decrease your pain.

The WEA Trust Low Back Pain Program can:
    ▸▸   Intervene before your pain
         becomes chronic
    ▸▸   Reduce missed days at work
    ▸▸   Increase your day-to-day
         productivity
    ▸▸   Improve your overall health

    ▸▸   Reduce your costs

To learn more and sign up visit
www.weatrust.com/kiio.

16 | WEA Trust Low Back Pain Program
Important Legal Information
The following information is provided to all WEA Trust members
to help communicate your legal rights under both Federal and
Wisconsin State Law.

YO U R R I G H T S U N D E R T H E W O M E N ’ S H E A LT H A N D C A N C E R
RIGHTS ACT OF 1998
If you have had or are going to have a mastectomy, you may be entitled to
certain benefits under the Women’s Health and Cancer Rights Act of 1998
(WHCRA). For individuals receiving mastectomy-related benefits, coverage
will be provided in a manner determined in consultation with the attending

physician and the patient, for:

    ▸▸   All stages of reconstruction of the breast on which the mastectomy was
         performed;
    ▸▸   Surgery and reconstruction of the other breast to produce a symmetrical
         appearance;
    ▸▸   Prostheses; and

    ▸▸   Treatment of physical complications of the mastectomy, including
         lymphedema.

These benefits will be provided subject to the same deductibles and
coinsurance applicable to other medical and surgical benefits provided
under this plan. Please consult your policy and Benefit Summary for the
deductible and coinsurance applicable to these benefits. If you would
like more information on WHCRA benefits, call our Customer Service
Department at (800) 279-4000.

                                          Women’s Health and Cancer Rights | 17
Notice of Privacy Practices
This notice describes how medical information about you may be
used and disclosed and how you can get access to this information.
Please review it carefully.

The Wisconsin Education Association Insurance Trust and the WEA
Insurance Corporation, collectively referred to as the Trust, are affiliated
entities. This Notice applies to health, vision, and long term care policies
offered by the WEA Insurance Corporation and the associated activities of
the Wisconsin Education Association Insurance Trust.

We are required by federal and state law to maintain the privacy of your
health information. We are also required to give you this Notice about
our privacy practices, our legal duties, and your rights concerning your
protected health information. We must follow the privacy practices that are
described in this Notice while it is in effect.

This Notice is effective July 14, 2016, and will remain in effect until we
replace it. It describes the practices we follow in administering our policies.
We reserve the right to change our privacy practices and to amend this
Notice at any time, as long as such changes are consistent with applicable
law. We reserve the right to make changes in our privacy practices and
this Notice effective for all health information that we maintain, including
health information we created or received before we made the changes. If
we make material changes to our practices, we will promptly revise our
Notice and make it available to you on our Web site, WEAtrust.com. We will
also mail a copy of the revised Notice to you at your last known address on
file, with our next annual mailing.

H OW W E M AY U S E A N D D I S C L O S E YO U R H E A LT H I N F O R M AT I O N
We may use and disclose your health information under certain
circumstances, without your permission, to perform payment activities and
health care operations, or when we are allowed or required by law to do so.

18 | Notice of Privacy Practices
Examples of permitted or required uses and disclosures include, but are not
limited to, those provided in the following section.

PAY M E N T A C T I V I T I E S
We may use or disclose your information to pay or reimburse for your
covered benefits. For example, we may use your information to:
    ▸▸   Pay claims from physicians, facilities, or other providers of services that
         are covered by your policy.
    ▸▸   Obtain premiums, determine your eligibility for benefits, and allowable
         amounts for reimbursement.
    ▸▸   Coordinate benefits with other plans.
    ▸▸   Determine the medical necessity of services you receive.

H E A LT H C A R E O P E R AT I O N S
We may use and disclose your health information for a variety of insurance-
related activities such as:
    ▸▸   Quality assessment and improvement activities.
    ▸▸   Activities designed to improve health or reduce health care costs,
         including sharing information with regional or national health information
         organizations.
    ▸▸   Clinical guideline and protocol development, case management, and
         care coordination.
    ▸▸   Credentialing activities.
    ▸▸   Enrollment, premium rating, and other activities relating to the creation,
         renewal, or replacement of a contract of health coverage.
    ▸▸   Conducting or arranging for medical review, legal services, and auditing,
         including fraud and abuse detection programs.
    ▸▸   Business management and general administrative activities, such as
         customer service and resolution of internal grievances or appeals.

Important note: The Trust underwrites coverage for late enrollees in certain
plans. However, we will not use or disclose your genetic information for

underwriting purposes.

                                                     Notice of Privacy Practices | 19
PUBLIC BENEFIT
We may use and disclose your health information as authorized by law for
the following purposes deemed to be in the public interest or benefit:
    ▸▸   As required by law; for example, when required by a court order in
         medical malpractice litigation.
    ▸▸   Health oversight activities such as audits,investigations, inspections,
         licensure, and other proceedings related to oversight of the health care
         system.
    ▸▸   To law enforcement officials; for example, in response to a valid
         subpoena, to identify a crime victim, or locate a missing person.
    ▸▸   To avert a serious threat to health or safety.
    ▸▸   To researchers for certain projects such as those to improve quality of
         care or the safe and efficient delivery of health care services.
    ▸▸   As authorized by state worker’s compensation or similar laws.

D ATA S H A R E A G R E E M E N T S
We may share information about you and about others for payment or
health care operations activities with other entities, including health care
providers, in accordance with executed data share agreements.

Business Associates. We may contract with individuals or entities known as
Business Associates to perform various functions on our behalf. In order to
perform these functions, Business Associates will receive, create, maintain,
transmit, use, and/or disclose your protected health information, but only
after they agree with us in writing to implement appropriate safeguards
regarding your protected health information.

For example, we may disclose your protected health information to a
Business Associate to process your claim for plan benefits or to provide
support services such as pharmacy benefit management.

D I S C L O S U R E T O YO U R E M P L OY E R I F YO U R C O V E R A G E I S
P R OV I D E D U N D E R A G R O U P P L A N .
We may disclose enrollment and dis-enrollment information to your
employer to carry out plan administration functions.

20 | Notice of Privacy Practices
In certain cases, we may need to disclose your health information to your
employer for legitimate administrative purposes, such as auditing or
monitoring payment of benefits under the plan. Before we may do that,
your employer must amend its coverage contract with us to establish the
limited uses and disclosures it may make with your health information.
Your employer must implement its own privacy policies and procedures
consistent with state and federal law and may not use the information for
any employment-related decision. We will not disclose your individually
identifiable health information to your employer unless you expressly
authorize us to do so in writing.

H E A LT H - R E L AT E D P R O D U C T S O R S E RV I C E S
We may use your health information to contact you about other available
coverage products that could enhance or replace your existing coverage,
or concerning health-related products or services that add value to, but
are not part of, your current plan of benefits. We may also use your health
information to communicate with you for medical case management or
to direct or recommend alternative medical treatments, therapies, health
care providers, or health care settings. We will not disclose your health
information to other entities for their marketing purposes.

RESTRICTIONS ON OTHER USES OR DISCLOSURES WITHOUT
YO U R W R I T T E N AU T H O R I Z AT I O N
Except as described in this Notice and as allowed or required by law, we will
not use or disclose your health information without authorization from you.
Most uses and disclosures of psychotherapy notes, uses and disclosures of
protected health information for marketing purposes, and disclosures that
constitute a sale of protected health information require authorization.

If you do authorize us to use or disclose your health information for another
purpose, you may revoke your authorization in writing at any time, and we
will no longer use or disclose your health information for the purpose you
previously authorized. Your revocation will not affect any use or disclosures
permitted by your authorization while it was in effect.

                                                    Notice of Privacy Practices | 21
YO U R I N D I V I D UA L R I G H T S W I T H R E S P E C T T O YO U R H E A LT H
I N F O R M AT I O N
Please see the contact information at the end of this Notice about how to
exercise these rights.

ACCESS
You have the right to inspect and/or receive a copy of the health
information that we have used to make decisions about you. You must make
such a request in writing. We have the right to charge you a reasonable fee
for expenses associated with your request. We encourage you to contact us
to clarify the scope of the information you may be requesting.

AMENDMENT
If you believe that your health information records are inaccurate or
incomplete, you may request that we amend those records. Your request
must be in writing and must explain why the information should be
amended. We may deny your request for certain reasons; for example if the
information was not created by us, or if we determine that the information
is correct and accurate. If we deny your request, we will provide you with a
written explanation and you may respond with a statement of disagreement
which will be appended to the information you want amended.

RESTRICTIONS
You have the right to request additional restrictions on the uses and
disclosures of your health information. Your request must be in writing. We
are not required to agree to those restrictions.

C O N F I D E N T I A L C O M M U N I C AT I O N
You have the right to request that we communicate with you about your
health information by reasonable alternative means or at an alternative
location if our normal means of communication endangers you. We will
honor reasonable requests for alternative confidential communications.

ACCOUNTING OF DISCLOSURES
We are required to keep a record of certain disclosures of your health
information, and you have a right to request a list of these disclosures. This

22 | Notice of Privacy Practices
list is called an Accounting of Disclosures. This accounting would include,
for example, the types of disclosures identified above under the “Public
Benefit” section, if any such disclosures have occurred. Your request must
be in writing. We will provide one list per 12-month period free of charge;
we may charge you for additional lists.

PA P E R C O P Y O F N O T I C E
You have a right to request and receive a paper copy of this Notice at any
time. You may also obtain a copy of the current version of this Notice at our
Web site, WEAtrust.com. Breach Notification. You have the right to receive
notifications of breaches of your unsecured protected health information.

COMPLAINTS
If you believe we may have violated your privacy rights, or if you disagree
with a decision we made about any of the rights described in this Notice,
you may file a complaint with us using the contact information available
in this Notice. You may also file a complaint with the Secretary of the U.S.
Department of Health and Human Services. We support your right to have
your health information treated in a private fashion. We will not retaliate in
any way if you choose to file a complaint.

C O N TA C T I N F O R M AT I O N
If you have questions about this Notice, please contact our Customer Service
Department at (800) 279-4000, or alternately our Office of General Counsel
at the same number. For TrustSecure, please contact our Business Associate
Educators Benefit Consultants at (888) 507-6053.

                                                 Notice of Privacy Practices | 23
Quick Start Guide
                 O N LY H AV E A F E W M I N U T E S ?
G E T S TA RT E D W I T H YO U R W E A T RU S T B E N E F I T S N OW.

                     Register for Maddy
                     Go to MaddyPortal.com with your ID card
                     and register for an account to check claim
                     status, view benefits, and order more
                     ID cards.

                     Sign up for Amwell
                     You can easily see a doctor or therapist
                     online using WEA Trust Telehealth,
                     powered by Amwell. Go to
                     WEAtrust.com/amwell to sign up.

                     Follow us
                     Stay connected with us on Facebook and
                     Twitter. We’ll keep you up-to-date on new
                     programs you can use to stay healthy.

   Do You Have Other Health Insurance?
   Then you need to fill out a coordination of benefits form
   and either mail it to us or send it via the Maddy portal.
       ▸▸   Download the form at WEAtrust.com/COB

       45 Nob Hill Rd, Madison, WI 53713
        800.279.4000
         WEAtrust.com
                                                                  MPD 1233-1218
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