CIGNA TELEHEALTHCONNECTION

900005 08/16

Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, or their affiliates

Health care challenges

2Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2016 Cigna 2

• ER and urgent claims fornonurgent care can be costly

• Medical appointments contribute to higherabsenteeism and decreased productivity

For you, as an employer

• Wait times for appointments can be long

• May need to miss work for appointments

• Hours of waiting in crowded emergency rooms

• Finding cost-effective care off-hours can be difficult

For your employees

Cigna Telehealth Connection overview

3Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2016 Cigna

Telehealth vendors provide on-demand 24/7/365 access to cost-effective, qualitynonurgent care through a nationalnetwork of licensed, board-certifiedU.S.-based doctors, includingpediatricians.

Telehealth Services will beprovided by both American Well(AmWell) and MDLIVE.

CignaTelehealthConnectionprovidesyouremployeesaccess tovarioustelehealthservices.

What is it

Availability if MDLIVE and AmWell services is expected for 1/1/17 but may vary by location and is subject to change. Not all providers have video chatcapabilities. Video chat is not available in all areas. AmWell/MDLIVE services are separate from your health plan’s provider network. Telehealthservices may not be available to all plan types. A Primary Care Provider referral is not required for AmWell/MDLIVE services. See your plan materialsfor costs and details of coverage, including other telehealth/telemedicine benefits that may be available under your specific health plan.

How it works

4Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2016 Cigna

Step 1: Call toll-freePatient calls toll-free hotline available 24/7/365including holidays. MDLIVE 888.726.3171.American Well 855.667.9722

By phone BY VIDEO CONFERENCE

Step 1: Visit websitePatient visits the American Well or MDLIVEwebsite or can download each mobile app andlog in with username and password.

Register onlinePatient registers online with one or both vendors so they are ready to use service when needed

Register with one or both vendors

Step 2: Speak with a coordinatorA consultation coordinator locates the nextavailable doctor and prepares patient for theconsultation.

Step 2: Find a doctorSystem helps the patient search for a doctor bya criteria, such as specialty, language, gender,location, or simply finds the next available doctor.

Step 3: Speak with the doctorOnce an available doctor is located, thesystem automatically calls and connects thedoctor to the patient vs. others.

Step 3: See the doctor onlineOnce an available doctor is located, the systemautomatically connects the doctor to the patient.

Post-visit

Email communicationPatient can elect for consultation history to besent to personal doctor.

Prescription servicesAmWell and MDLIVE doctors may prescribemedication when appropriate and send theprescription directly to your pharmacy.*

Health care services are delivered by American Well and MDLIVE participating doctors and not by Cigna. Availability may vary by location and issubject to change. See vendor sites for details. *American Well and MDLIVE do not guarantee that a prescription will be written. Not allprescriptions are available.

Medical Telehealth

Cigna Telehealth Connection- mycigna.com landing page

5

MDLIVE branded site with CignaTelehealth logo shown

URL: MDLIVEforCigna.comToll free number: 888-726-3171

Customers seeking a behavioralhealth provider will be able to searchon the provider directory onwww.cignabehavioral.com usingTelehealth specialty

American Well branded site withCigna Telehealth logo shown

URL: AmwellforCigna.comToll free number: 855-667-9722

Each vendor willhave a mobile appthat customers candownload & accessTelehealth servicesthrough

MDLIVE vs. American Well

6Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2016 Cigna

MDLIVE 2017 American Well 2017

Access to vendor doctors 24/7/365 Yes Yes

Coverage area

Limitations due to state regulations and

vendor interpretation of state regulations

Arkansas – no coverage

Idaho – video only

Texas – phone only

Arkansas – no coverage

Alaska – no coverage

Texas – no coverage

Branding

Cigna Telehealth Connection (on myCigna)

MDLIVE for Cigna (on vendor site)

No client logo

Cigna Telehealth Connection (on myCigna)

American Well for Cigna (on vendor site)

No Client Logo

URL and phone number

Cigna universal URLs and phone numbers

URL: MDLIVEforCigna.com

Phone number: 1.888.726.3171

URL: AmWellforCigna.com

Phone Number: 1.855.667.9722

Link on myCigna.com web and mobile Yes. From Cigna Telehealth Connection page Yes. From Cigna Telehealth Connection page

Mobile app

(devices supported)

Available through App StoreSM and Google PlayTM

IOS, Anroid and Windows®devices

App name: MDLIVE for Cigna

Available through App StoreSM and Google PlayTM

IOS and Android devices

App name: AmWell for Cigna

*Costs are subject to change and subject to contract renewal**Same for both

• Acne

• Allergies

• Asthma

• Bronchitis

• Cold & Flu

• Diarrhea

• Ear Aches

• Fever

• Head Ache

• Infections

Conditions treated by Telehealth doctors

7Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2016 Cigna

• Insect bites

• Joint aches

• Nausea

• Pinkeye

• Rashes

• Respiratory infections

• Sinus infections

• Skin infections

• Sore throat

• Urinary tract infections

• Cold and flu

• Constipation

• Earaches

• Nausea

• Pinkeye

General health Pediatric care

Medical Telehealth

Health care services are delivered by American Well and MDLIVE participating doctors and not by Cigna.

• Acne

• Allergies

• Asthma

• Bronchitis

• Cold and flu

• Diarrhea

• Earaches

• Fever

• Headache

• Infections

Benefits of Telehealth

8Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2016 Cigna

• Alternative to using the ER and urgent carecenters for minor illnesses/conditions

• Help reducing absenteeism for appointments

• Competitive pricing

• Improved access to care for your employees

• Cost efficiency

– Copay plans: Pay PCP copay amount

– Coinsurance plans: Pay $40 until deductibleis met, then pay coinsurance amount*

• Greater access (24/7/365) with appointmentsusually in less than an hour

• Convenience – no need to leave the house or workFor your

employees

For you

*Cost will go up to $42 in 2018 and are subject to change.

**With patient permission, consult information is shared with PCP following visit with American Well and MDLIVE.

AmWell and MDLIVE are independent companies/entities and are not affiliated with Cigna. The services and websites are provided exclusively by AmWell and MDLIVE andnot by Cigna. Providers are solely responsible for any treatment provided. Not all providers have video chat capabilities. Video chat is not available in all areas.AmWell/MDLIVE services are separate from your health plan’s provider network. Telehealth services may not be available to all plan types. A Primary Care Provider referral isnot required for AmWell/MDLIVE services.

In general, to be covered by your plan, services must be medically necessary and used for the diagnosis or treatment of a covered condition. Not all prescription drugs arecovered. Product availability may vary by location and plan type and is subject to change. All group health insurance policies and health benefit plans contain exclusions andlimitations. See your plan materials for costs and details of coverage, including other telehealth/telemedicine benefits that may be available under your specific health plan.

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company(CHLIC), Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation, includingCigna HealthCare of Arizona, Inc., Cigna HealthCare of California, Inc., Cigna HealthCare of Colorado, Inc., Cigna HealthCare of Connecticut, Inc., Cigna HealthCare ofFlorida, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Indiana, Inc., Cigna HealthCare of St. Louis, Inc., Cigna HealthCare ofNorth Carolina, Inc., Cigna HealthCare of New Jersey, Inc., Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of Tennessee, Inc. (CHC-TN), and Cigna HealthCareof Texas, Inc. Policy forms: OK - HP-APP-1 et al (CHLIC); TN - HP-POL43/HC-CER1V1 et al (CHLIC), GSA-COVER, et al (CHC-TN). The Cigna name, logo, and other Cignamarks are owned by Cigna Intellectual Property, Inc.

900005 08/16 © 2016 Cigna. Some content provided under license.