What kind of care do you provide? Our Mobile Primary Care Membership Services scope-of-care is routine primary care. With that said, we provide two types of care:

�� Get-well care: on these visits, we diagnose and treat anyone that is 2 years old and older for most of the same complaints that you would go to a primary care physician, family physician, or minor care clinic for. For example: flu, colds, sinus infections, skin rashes, nausea, vomiting, ear infections, urinary tract infections, etc.

�� Stay-well care: on these visits, we perform wellness assessments, diagnostics tests, and other preventive care to help you avoid illness.

How does the WhiteGlove service benefit me? WhiteGlove’s service offers you the following benefits:

�� Higher quality medical care experience – gives you the time and attention you deserve �� Everything comes to you – more convenient and saves precious time �� Fixed cost and affordable – no big surprise medical bills �� Hassle free – no long waits, no running around, no exposure to everyone’s germs�� Great alternative for weekends, nights, and holidays – an alternative to expensive

emergency rooms and urgent care centers for routine primary care

Will you come to ________? Today, Humana insured have access to WhiteGlove’s service if they live or work in the following areas:

�� Austin (Hays, Travis, and Williamson counties) �� Dallas (Collin, Dallas, and Rockwall counties) �� Fort Worth (Denton and Tarrant county) �� Houston (Harris county) �� San Antonio (Bexar, Comal, and parts of Guadalupe county)

In addition, if you live or work in one of the service areas listed above you also have access to WhiteGlove’s service outside of Texas, including:

�� Boston (Essex, Suffolk, Norfolk, Middlesex, and parts of Worcester county) �� Phoenix (Most of Maricopa county and parts of Pinal county)

Who pays the WhiteGlove membership fee? Payment of the WhiteGlove membership fee depends on your Humana plan:

�� Individual/Fully-Insured plans: You are automatically a WhiteGlove member on your fully-insured health plan at no cost to you.

�� Self-Funded Employer plans: The employer pays the membership fee less your responsibility (depending on your plan, your responsibility is your applicable specialist co-pay or deductible).

What does each visit cost?Fully-Insured plans in Texas:

�� Co-Pay Plan: You pay your applicable PCP (regular doctor) co-pay. �� No Co-Pay Plan: You pay $35 for each WhiteGlove visit until your deductible has been

met. You then pay $0 for WhiteGlove visits.

Self-funded employer plans in Texas: �� Co-Pay Plan: You pay your applicable specialist co-pay. �� No Co-Pay Plan: You pay $35 for each WhiteGlove visit until your deductible has been

met. You then pay $0 for WhiteGlove visits.

Outside of Texas: �� Humana insured that are WhiteGlove members in Texas pay a visit fee of $35 in any of

our service areas outside of Texas.

Mobile Primary Care Membership Services Frequently Asked Questions

More Questions

HIGHER QUALITY - LOWER COST HEALTHCARE CHOICE

If it’s 3pm on a Friday, or the weekend, and you or your child needs routine medical care — all times when your primary care doctor is unavailable, what do you do?

Your Choices Have Been Suffer through it until you can see your doctor, or go to the emergency room or an urgent care center.

The Consequences Long waits, big surprise medical bills, exposure to everyone’s germs, and lots of hassles.

The House Call is Back!WhiteGlove is an affordable, high quality medical care experience that is available 365 days a year, 8am to 8pm, and we come to you at work or home!

For Humana Insured in Texas

WHITEGLOVE HOUSE CALL HEALTH

How quickly will you come to me when I call for care?

We typically see you within hours of your call and almost always the same day.

Who provides the care to me? Our care is provided by licensed nurse practitioners. All of our clinicians are dedicated to WhiteGlove and have family medicine and emergency room or urgent care experience.

Is the visit fee all inclusive?

Most of the time yes. Our visit fee includes medical care, most of the generic Rx medications that we prescribe on the visit, and our well-kit that comes with chicken soup, crackers, Gatorade, ginger ale, Tylenol, Jell-O, Kleenex, cough drops, and more. The visit fee does not include any brand name Rx medications or non-$4 generics.

Will you share my information with others?

We will not share information beyond what is allowed by HIPAA in order to provide your care and manage our business. However, you can share any information that is captured in our system with your other healthcare providers, whenever you want.

Are there any limits to using the service?

Some:

�� You have to be a WhiteGlove member and over 2 years old �� We only provide routine care �� We are available from 8am to 8pm, 365 days a year �� You must have no outstanding balance owed WhiteGlove

There are no limits on the number of visits.

How do I use the service?

First Time:

�� Register yourself on our website and complete your member profile and medical history or call us at 877-329-8081 and we can walk you through the registration process. Once registered, you may schedule a visit.

After the first time:

�� Call us at 877-329-8081 or go online to request a visit.

What happens when I schedule a visit?

When you contact us by phone or the web, we:

�� Ensure you are a registered WhiteGlove member (if not registered, we can register you) �� We ensure you have coverage with Humana �� Perform triage

�� Schedule a visit at your convenience

�� During the visit (get-well): �� Diagnose, test, and treat you at home of work �� Bring a well-kit with foods, beverages, and over-the-counter remedies �� Prescribe, order, and deliver any medications you need

�� Bill your credit card, debit card, FSA card, or HSA card for the visit fee and prescription co-pay (if needed)

�� Follow-up to see how you are doing

How do I access my healthcare information?

Go to www.whiteglove.com and click on Member Login, then enter your login and password information.

Copyright © 2011 WhiteGlove House Call Health, All Rights Reserved

5300013111

Our Promise At WhiteGlove, we promise a high quality healthcare experience by providing our members with:

Quality Healthcare

Licensed healthcare professionals that come to you to diagnose, test, and treat you within hours of calling to get well, giving you the time and attention you deserve!

Low Cost

You pay your applicable visit fee. The visit includes medical care, most of the generic RX medications that we prescribe on the visit, chicken soup, crackers, Gatorade, ginger ale, Tylenol, and much more.

Convenience

Whether in bed, on the couch, or busy at work, we bring everything to you.

WHITEGLOVE HOUSE CALL HEALTH

What is AIRROSTI? Applied Integration for the Rapid Recovery Of Soft Tissue Injuries or AIRROSTI for short is the standard in the diagnosis and treatment of soft tissue injuries that promotes rapid recovery and helps individuals, athletes, teams, and corporations gain a competitive advantage and enhance overall performance. Outcome Based Treatment Model This Integrated Rapid Recovery approach is a highly specific hands-on diagnosis and treatment model that is without exception the best in the world. The Airrosti Model extends well beyond any existing treatment or therapy and both improves athletic performance and corrects a wide variety of injuries such as: sprained ankles, knee, hip, shoulder, elbow, and wrist injuries, as well as pulled muscles, minor tears in tendons, tendonitis, plantar fasciitis, shin splints, etc. How it Works: A brief explanation of how it works lies in the body’s connective tissue called fascia which includes ligaments, tendons, and the lining in and around the muscles. This fascia has a natural pattern that becomes distorted when injured. Advanced palpation techniques, extensive biomechanical knowledge, and the mechanics of the injury allow Airrosti trained providers to detect the specific type of distortions. Furthermore, understanding the anatomical relationship specific to a patient’s injury helps our providers categorize the nature of the injury, administer proper treatment, and manually correct the problem quickly. Employer Benefits: • Substantial reduction in health and/or occupational coverage costs • Employees return to activity without limitations 75-95% faster • Treatment dramatically reduces the need for imaging, surgeries, and other expensive procedures • Treatment creates significant goodwill toward employer Employee Benefits: • Employees see significant improvement after the first visit • In most cases, employees return to their activity stronger than their pre-injury state • Employees prefer our one-on-one quality care to a transaction driven traditional practice How this works for Humana Members: • Services provided by AIRROSTI will be processed according to the member’s Physical Therapy Benefit. • For more information visit AIRROSTI.com, or call (800) 404-6050 to set an appointment.

Savings you can see

Vision care services (retail prices may vary by location)

Exams member pays

Routine exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5 offContact lens exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10 off

Standard plastic lenses* member pays

Single vision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50Bifocal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $70Trifocal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $105

* Member cost is $15 higher in AK, CA, HI, OR and WA.

Frames

Discount available—35 percent off retail prices—on all frames except when prohibited by the manufacturer.

Lens options member pays

UV coating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15Tint (solid and gradient) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15Standard scratch-resistent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15Standard polycarbonate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $40Standard progresssive* (add-on to bifocal) . . . . . . . . . . . . . . . . . . . . . . . . . . $65Standard anti-reflective coating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45Other add-ons and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20% discount

* The cost for Premium Progressive lenses equals the Basic Progressive lens retail price plus a 20 percent discount on the balance over this price.

Contact lenses

Conventional lenses are 15 percent off retail price. Discount applied to materials only.(excludes disposable)

Laser vision correction*

LASIK or PRK from U.S. Laser Network is 15 percent off retail price or 5 percent off promotional price.

Service frequency

Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . unlimitedFrames . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . unlimitedLenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . unlimitedContact lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . unlimited

THIS IS NOT INSURANCEBecause Lasik or PRK vision correction is an elective procedure, performed by specially trained providers, this discount may not always be available from a provider in your immediate location. For a location near you and the discount authorization, please call l-877-5LASER6.

Member will receive a 20% discount on items purchased at participating providers that are not specifically covered by this discount design. The 20% discount may not be combined with any other discounts or promotional offers, and the discount does not apply to EyeMed Provider’s professional services, or contact lenses. Retail prices may vary by location.

Limitations/ Exclusions:

specifically covered under plan

From time to time, Humana health plans may arrange for third-party service providers to provide discounted goods and services to those persons who become our insureds. While Humana health plans have arranged these third-party provider discounts, the third-party providers are liable

health plans or an affiliate of Humana health plans may receive revenue from third-party service providers as a result of our insureds using such discounted goods or services.

As a Humana member, you receive the EyeMed Vision Discount program at no cost to you. EyeMed offers access to 48,000 national providers at 28,000 locations including optometrists, ophthalmologists, opticians, and LensCrafters®.

To find an EyeMed provider

Visit the member section of Humana.com, or call EyeMed’s toll-free locator service at 1-866-392-6056.

To find a LASIK or PRK vision correction provider, call 1-877-5LASER6.

It’s easy to obtain your discount from an EyeMed provider

Print your vision discount card from MyHumana at Humana.com. Click “EyeMed Vision Discount Program” in the Savings Center on the left side of the page.

Present your Humana member identification card.

Your prescription home-delivery service

RightSourceRxSM is Humana’s prescription home-delivery service. It offers:

Convenience. You’ll make just four orders per year and receive up to a

three-month supply of your medication instead of making 12 trips to a

retail pharmacy.

Savings. › With generic alternatives and 90-day supply discounts,

RightSourceRx offers many opportunities that might reduce your drug costs.

Guidance. › RightSourceRx gives you the information you need, when you

need it.

Service. Humana Customer Care representatives are happy to answer your

questions or connect you with a RightSourceRx team member.

Using RightSourceRxNew prescription

Ask your doctor to write a new prescription for up to a three-month supply.

Check that your plan covers your prescription at Humana.com.

Mail the new prescription to RightSourceRx along with Registration &

Prescription Order Form and payment. Or ask your doctor to fill out and fax

your new prescription to 1-800-379-7617, using the Physician Fax Form.

Hassle-free refillsYou have three ways to order. For fastest service, order online or by phone.

Online: Log in to your RightSourceRx account at RightSourceRx.com and

click “Order Refill.” Select the available medications you need and follow the

directions to complete the order.

By phone: Call our toll-free automated system anytime at 1-800-379-0092

(TTY: 1-877-833-4486). Be sure to have the following information: your

Humana ID number, date of birth for the person the medication is for, Rx

number from the prescription label, and payment information.

By mail: Complete and mail the Refill Order Form sent with your last

RightSourceRx delivery.

Prompt shipmentsRight SourceRx ships your prescription(s) by first-class mail after payment.

Please allow up to two weeks for new prescriptions and 7 – 10 days for refills.

Track the status of your order online through your RightSourceRx ac-

count by accessing the “Order History” page, or calling RightSourceRx at

1-800-379-0092 (TTY: 1-877-833-4486).

Questions? Visit our Website at RightSourceRx.com for more information, to

download forms, and view frequently asked questions, or call 1-800-379-0092

(TTY: 1-877-833-4486) from 8 a.m. – 11 p.m. Monday – Friday, and

8 a.m. – 6:30 p.m. Saturday, Eastern time.

With RightSourceRx, you can get your prescription delivered right to your door by mail.

GN-51215-SB 10/08

Example of savings opportunities with RightSourceRx

Sample prescription: Lipitor 10 mg tablet

Retail price of three 30-day supplies

$60*

Home-delivery price of one 90-day supply

$40*

Using RightSourceRx, you could save

$20* on each 90-day prescription, or $80* annually

* These savings are estimates. Check your pharmacy plan benefit for any cost-share amounts.

immediate longer term ®

Health concerns? GIVE US A CALL.

Nurse Advice Line

1-800-622-9529

Providing imm

ediate, professional assistance w

ith personal, work-related,

or emotional concerns.

1-866-440-6556

Your EAP

... Helping w

ith life and work issues

GH

C-22326 2/07

GN

-51208-SBG

HC

-22326 2/07G

N-51208-SB

Your Employee A

ssistance Program (EA

P) provides im

mediate, professional assistance

for personal, work-related, or em

otional issues. These free, confidential services are just a telephone call aw

ay for both you and your fam

ily mem

bers.

How

your EAP w

orksW

hen you call your EAP, a trained

professional will:

• Assess your situation

• Help you clarify the problem

or handle the im

mediate crisis

• Assist you w

ith referrals to appropriate resources

• Help you access your benefit plan,

when appropriate

• Make every attem

pt to minim

ize any out-of-pocket costs for recom

mended

services beyond the EAP’s scope

Help for a variety of issues

Your EAP can help you w

ith any issue that occupies your tim

e and attention, and creates stress in your life. Som

e comm

on issues are:• W

ork problems

• Depression and anxiety

• Personal and family alcohol and chem

ical dependency pr oblem

s• M

arital and divorce issues• Parenting

• Other personal, fam

ily, or work

problems, including:

– H

elp with legal concerns

– H

elp with financial concerns

– A

ssistance with identifying childcare

and eldercare resources• Recovery assistance after a

traumatic event

Tap into the EAP expertise

We’re fam

iliar with therapists and resources

in your comm

unity. If necessary, we r efer

you to providers covered by your insurance – reducing your out-of-pocket expense.

It doesn’t have to be a crisisM

ost people who contact the EA

P are average people w

ith comm

on problems,

so don’t let the size of the issue keep you from

seeking assistance. Call your EA

P for som

eone to talk with, support during

a time of need, a professional opinion

on your situation, or information on

comm

unity resources.

Strict confidentiality

Personal information about you and your

dependents is confidential. Your EAP

complies w

ith all local, state, and federal privacy law

s.

Access is easy! C

alls answered

24 hours a day, 7 days a week.

1-866-440-6556

GCHH1VSHH 4/11

SM

We just did.You want to be healthier. You want to live longer. And you want better quality out of that life. HumanaVitalitySM is here to help you do that. It’s a groundbreaking program you can voluntarily use to really take charge of your health.

When you register, you begin changing your life, working with HumanaVitality to understand your health today and find out what your risks are for tomorrow — all in a safe, secure, and confidential manner. You get advice on what to eat and what kind of exercise makes sense for you. And the best part is, you are rewarded not only in health and happiness, but in perks you choose.

With HumanaVitality, once you know where you stand, you set goals. We help you form good habits, like picking up fruits and vegetables at the market instead of chips. Or taking a walk instead of sitting on your couch.

Healthy choices are recorded and earn you Vitality PointsTM. And those points earn you rewards, like name-brand products, travel, and resort stays. It’s just that simple. No matter what stage of life or health you’re in, HumanaVitality is for you.

HumanaVitality: A fun, rewarding wellness program that puts YOU front and center.

Getting started is easy.

Beginning July 1, you can start exploring all the benefits of HumanaVitality by logging in to your secure member page at Humana.com.

If you are not registered, go to Humana.com, choose “Register” in the log-in box, and follow the instructions.

What if we made getting healthy fun and rewarding?

Program details are subject to change.

Humana Plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc. - A Health Maintenance Organization, or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Emphesys Insurance Company, or Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc.

For Arizona Residents: Offered by Humana Health Plan, Inc. or insured by Emphesys Insurance Company or insured or administered by Humana Insurance Company.

Good news! Beginning July 1, HumanaVitality is available with new and renewing Humana medical plans.

Please share the information below with your employees so they can learn more about HumanaVitality and how to get started.

Manage your health plan at Humana.com

As a registered user of Humana.com, you can: View information specific to your plan and the medical ›

services you receive

Find a participating doctor, pharmacy, or hospital ›

Review prescription benefits and find alternatives to ›

brand-name prescription drugs

Research medical conditions ›

Access health and wellness programs offered by Humana ›

View claims and estimated costs ›

Keep track of immunizations, medications, and family medical histories

Find the right balance of effectiveness and cost when choosing ›

a doctor or hospital

Registration is simpleHave your Humana identification card ready and go to Humana.com.

Click “Register for MyHumana” and follow the steps.

We’re here to helpTo speak to a Humana Customer Care specialist, call

1-866-4-ASSIST (1-866-427-7478).

GN-67523-SB 6/08

MyHumana is your personal page on Humana’s Website. MyHumana gives you access to many tools and resources to support you.