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Corporate Health Overview


medicine reimagined.

simplexhealth.com 877.842.2425 484-930-0063 info@simplexhealth.com


SIMPLEX HEALTH OVERVIEW —
Simplex Health advances a new model of care root-
ed in functional medicine to prevent, arrest, and
reverse chronic disease. Through case manage-
ment and wellness programs, Simplex delivers a
comprehensive solution to rising healthcare costs
through a medically supervised team of Regis-
tered Dietitians, Health Coaches, and Fitness
Specialists. Our care team educates and em-
powers employees and physicians to address the
underlying cause of disease and promote their
own optimal wellness. Your new prescription is
not needing one.

CLINICAL OUTCOMES* —

80%
of patients seen in 2020 saw a positive outcome including
weight loss and positive clinical outcomes: A1c, triglycerides,
HDL, LDL, total cholesterol, and reduced symptoms

77%
of patients saw a reduction
70%
of patients saw a reduction in tri-
77%
of patients saw weight
in A1c averaging 1.2% glycerides averaging 70 mg/dL loss averaging 12.8 lbs

*Highlights of 985 patients seen in 2020 seeking weight loss or metabolic restoration with 4 or more visits

THE SIMPLEX VALUE-ADD TO EMPLOYERS —

Direct Cost Savings Indirect Cost Savings

Reduced healthcare costs Increased Decreased Increased Increased


through reduced medication, Productivity Absenteeism Employee Employee
reduced hospital visits, and Retention Morale
disease management and
prevention

simplexhealth.com 877.842.2425 484-930-0063 info@simplexhealth.com


SIMPLEX HEALTH CASE MANAGEMENT PLAN —
Our medically supervised professional staff apply transformational evidence-based protocols and therapies
treating the person, not the symptom. Through our team of Registered Dietitians, Health Coaches and Physi-
cian Advisors, the Simplex Care team works alongside the employee’s doctor. Through our HIPAA-secure por-
tal, mobile app, and virtual or in-person appointments, the care team will guide employees through Simplex
Health’s evidence-based protocols most suitable for each individual’s biology and lifestyle. Our HIPAA secure
platform provides a whole person approach for patients with access to Health Coaches, recipes, exercise sup-
port, and more (all included with our Wellness Plans). We work in partnership with the employee’s physician to
create a 360-degree experience for both physicians and patients that includes scheduling, billing (if applica-
ble), communication, and reporting patient outcomes.

CASE MANAGEMENT PLAN


• Weight Management
• Hormonal Imbalances
• Oncology
• Family Nutrition
• Digestive Health
• Food Allergies and Sensitivities
• Micronutrient Deficiencies
• Sleep Specialists & Sleep Kits *additional cost
• Preoperative Orthopedic Program for Weight Loss
• Cardiovascular Disease, Hypertension & High Cholesterol
• Autoimmune Disease Support
Case Management Plan Case Study: Anthony, a 29 year old male, lost 100 pounds and experi-
enced increased energy, reduced cravings, and increased endurance by following Simplex Health’s
Insulin Optimization Protocol.

*See Pricing Structure Sheet for cost breakdown

DIABETES CASE MANAGEMENT PLAN


Simplex Health’s Diabetes Case Management Plan includes our full care team, plus a Certified Diabetes
Educator (CDE) oversight that helps employees with insulin management providing evidence based pro-
tocols and education that can reverse Type 2 Diabetes and manage Gestational Diabetes. Our program
trains and provides glucose meters, test strips and lancets, and utilizes remote monitoring of glucose
logs to deliver to employees’ physicians for newly diagnosed diabetics. Simplex Health patients have
successfully reversed prediabetes, diabetes, obesity, and other symptoms of metabolic disease with
77% of Simplex Health patients with Type 2 Diabetes have reduced their A1c levels.
Our Gestational Diabetes Management Program, part of the Diabetes Case Management Plan, has suc-
cessfully kept 88% of our patient population off of medication and maintained their health with dietary
intervention and monitored care. Employees can receive glucose meter training, supplies, and weekly
one-on-one nutrition education appointments. Meticulous chart notes are faxed to the employee’s phy-
sician at the close of each appointment, and weekly glucose logs are sent to the employee’s physician.
Our Clinical Director of Diabetes and Prevention monitors all glucose logs for this high risk population
and immediately notifies the patient’s physician if there are consistently high glucose levels.
Diabetes Care Management Plan Case Study: Charlie, a 38-year-old male, lowered his glucose
from 266 to 84 and his A1c from 10.8% to 5.4% by following Simplex Health’s Simplex15 Protocol.

*See Pricing Structure Sheet for cost breakdown

simplexhealth.com 877.842.2425 484-930-0063 info@simplexhealth.com


WOMEN’S HEALTH CASE MANAGEMENT PLAN
Simplex Health works in partnership with your employee’s doctor to support their obstetrics and gyne-
cological needs. We can educate and empower employees by looking at their individual biochemistry to
help determine what is contributing to their women’s health condition aiding in the employee’s optimal
health. We can support women with:
• Infertility
• Preconception Guidance
• Pregnancy Nutrition
• Gestational Diabetes Management Program (part of our Diabetes Case Management Plan)
• Postpartum Nutrition
• Weight Loss
• Lactation Support
• Post Birth Control Support
• Polycystic Ovarian Syndrome
• Premenstrual Disorders
• Restoring Menstrual Cycles
• Endometriosis and Amenorrhea Symptom Management
• Hormonal Imbalances
• Menopausal Support
Women’s Health Case Management Plan Case Study: Leah, a 25-year-old female, lost 16 lbs,
improved her symptoms related to PCOS, and regulated her menstrual cycle with Simplex Health’s
Anti-Inflammatory Protocol.

*See Pricing Structure Sheet for cost breakdown

*Optional advanced Functional Medicine testing is available: Sleep Study Kit, Food Sensitivity Testing
(MRT), Vitamin and Mineral testing (Micronutrient), Tickborne Disease Testing, Heavy Metal Testing, Environ-
mental Toxin Testing, and Mold Exposure Testing (Mycotoxin).

simplexhealth.com 877.842.2425 484-930-0063 info@simplexhealth.com


SIMPLEX HEALTH INSURANCE COVERAGE CHART (as of 12/01/20) —
This is not intended to be a quote of benefits and/or authorization and does not guarantee payment or verify
eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s
contract at the time of service.

SAMPLE OF FULLY INSURED COVERAGE IN PENNSYLVANIA AND NEW JERSEY:

Insurance Plan Medical Nutrition Therapy Visits Copay? Deductible?


Independence Blue Cross 6 visits per benefit year No No
• Keystone Health Plan East
• Personal Choice
• Independence Administrators
• PPO/HMO Plans

Amerihealth 6 visits per benefit year No No


• Amerihealth Administrators
• PPO/HMO Plans

Cigna 3 visits per benefit year No No


• PPO/HMO Plans

Aetna 10 visits per benefit year No No


• PPO/HMO Plans
Aetna Medicare 10-12 visits per benefit year Dependent on Plan Dependent on Plan

Blue Cross Blue Shield Plan dependent and based on Medical Dependent on Plan Dependent on Plan
• All Plans Necessity

Medicare Novitas Solutions 3 visits for first year No No


• Railroad Medicare 2 visits for every year after

United Health Care Plan dependent and based on Medical Dependent on Plan Dependent on Plan
Necessity

UMR Plan dependent and based on Medical Dependent on Plan Dependent on Plan
Necessity

simplexhealth.com 877.842.2425 484-930-0063 info@simplexhealth.com


SIMPLEX WELLNESS CORPORATE PROGRAM TIERS —
Offering employee wellness initiatives that provide support to your workforce with fitness services and clinical-
ly supervised wellness programs.

TIER ONE
• Point of contact for wellness management
• Virtual programs, educational resources, and pre-recorded content
• Simplex On Demand
• Injury Prevention (Work Readiness Programs)
• Deskercise (Kinetic Ergonomics)
• Wellness Newsletters
• Employee Health Incentive “Challenges”

TIER TWO
• [includes everything from tier one]
• Per diem staff providing live and pre-recorded content
• Virtual Health Coaching Consultations
• Stress and Resilience Programs
• Mindfulness Time Outs
• Meeting Stretch Breaks
• OnDemand Meditations and Yoga
• Virtual Functional Fitness Workout Plan
• 12 Week Self Guided Workout Plan
• Fitness Accountability Logging
• Health Fairs / Wellness Open House
• OPTIONAL OFFERINGS LISTED BELOW

TIER THREE
• [includes everything from tier one & tier two]
• Per diem staff
• Individualized Functional Movement Screenings
• Other on site Fitness Assessments
• In-house fitness offerings
• Dedicated onsite Management Team
• On site personal Training
• On-site Group Exercise Classes

SIMPLEX FITT PRINCIPLE —

F I T T
FUNCTIONAL INTEGRATIVE TECHNICAL THERAPEUTIC

Move Better Think Big Picture Practical Preventative

Move Frequently Joining Fitness & Nutrition Technical Longevity

Move with Purpose Whole Body Approach Evidence-Based Conditional Conditioning

simplexhealth.com 877.842.2425 484-930-0063 info@simplexhealth.com


WELLNESS WORKSHOPS AND WEBINARS —
WELLNESS WORKSHOPS
• 1:1 Virtual Fitness Consultation Appointments with a certified fitness specialist
• On-site or Live “Group” Exercise classes that are offered via Zoom and other virtual platforms
• Yoga, Pilates, HIIT, Bootcamp, Mobility, Cardio, Core, Zumba
• On Demand Fitness Platform (similar offerings as above)
• Social Media live demonstrations, workouts and other wellness activities that include meditations,
nutritional tips, etc.
• Weekly and daily email blasts that include research, tips and valuable information that covers how
to proactively be healthy, especially during uncertain times.
• Employee Wellness Challenges (Team and Individual); Step/Count It, Fitoberfest Team Challenge,
12 Days of Fitness, Wellness Bingo, Walking Clubs, Couch to 5k, etc.
• Deskercise Seminars (virtual or on-site
• Virtual Pantry Clean-outs
• Virtual Grocery Haul
• Biometric Screenings

NUTRITION WEBINAR TOPICS


FOOD IQ
• Week 1 - Understanding Macronutrients
• Week 2 - Understanding Sugar
• Week 3 - Inflammation
• Week 4 - Insulin Resistance
• Week 5 - Gut Health and the Microbiome
• Week 6 - Putting It All Together

GENERAL HEALTH
• Health Myths
• The Truth About Whole Grains
• The Truth About Fat
• Eating for Longevity
• Changing Health Behaviors
• Fasting, Workouts, and Electrolytes
• Cholesterol & Heart Health
• Hormones, Vitamins, and Your Pant Size

DIABETES
• Understanding Diabetes

GI HEALTH
• GI Health
• Leaky Gut

WOMEN’S HEALTH
• Women’s Health- Hormone Imbalance
• Lactation Support
• Nutrition and Breast Cancer

simplexhealth.com 877.842.2425 484-930-0063 info@simplexhealth.com


SIMPLEX HEALTH CORPORATE PRICING
CASE MANAGEMENT PRICING —
Self-Insured Diabetes Case Management Cost:
Annual cost for newly diagnosed diabetes case management: $1,140
Annual cost for gestational diabetes case management: $1,140
Annual cost for diabetes case management: $760.00
*willing to negotiate at-risk pricing for newly diagnosed diabetes case management

Self-Insured General Case Management Cost:


Annual cost for case management: $760 per person

Self-Insured Women’s Health Case Management Cost:


*Annual cost for Women’s Health case management: $760 per person

*Gestational Diabetes case management is excluded from the Women’s Health Case Management pricing
and is listed under Diabetes Case Management Pricing

WELLNESS TIERED PRICING —


*Initial integration cost will apply
Tier 1:
Monthly Fee Per Employee: CUSTOMIZED PLAN PRICING
• $0.50 - $1.00 PE/PM for virtual AVAILABLE WITH ADDITIONAL
SERVICES UPON REQUEST
Tier 2:
Monthly Fee Per Employee:
• $1.00 - $1.50 PE/PM for virtual

Tier 3:
Custom pricing available

Optional Registered Dietitian Consultation $65.00-$85.00 per appointment at additional cost of the employ-
ee for all tiers.

*Pricing structure based on an average contract of 500 employees.

OPTIONAL TESTING AT EMPLOYEE EXPENSE BELOW —


Sleep Study Kit & Consultation: Between $500-$700 for sleep kit and consultation
(cost depends on the severity of the case)
Mediator Release Test (MRT): $335.00 (one time fee)
Vibrant Wellness Micronutrient Test: $284.00 (one time fee)
Tickborne Disease Testing:
• $300.00 Coinfections (one time fee)
• $400.00 Bundle (one time fee)

Heavy Metal Testing: $110 (one time fee)

Environmental Toxin Testing: $200.00 (one time fee)

Mycotoxin Testing: $300.00 (one time fee)

simplexhealth.com 877.842.2425 484-930-0063 info@simplexhealth.com

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