Personal Health Record

1. powered by Print Personal Health Record Personal Health Record Alerts Personal Health Record for: View Your Doctors View Your Emergency Contact Info John Personal Health Record Vitals Medications Medical Conditions & Allergies Print Personal Health Record Update Update Update Height Weight Heart Rate Blood Pres. Cholesterol Immunizations Blood Type 6 ‘ 0” 210 lbs 65/min 120/70 110 On Track A+ view history view history view history view history view history view details Last filled on: 01/21/2007 02/21/2007 Name Save $ Diovan $ Prilosec Allergy Dairy Products Mold Condition Save $ Hypertension$ Diabetes$$$ Found out on: 01/21/1978 01/21/1978 Gap in Care No details Yes details Medical History from: to 2007 2007 January 1 June 1 Change Date Type of Service Office Visits Physicals Preventive Screening Immunizations Chiropractic Visits Lab and Radiology Tests Emergency Room Visits Outpatient Surgeries Inpatient Admissions Prescriptions Total # of events 5 1 0 0 0 2 1 0 0 8 17 Paid by Insurance $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 200.00 $ 500.32 $ 0.00 $ 0.00 $ 150.21 $ 850.53 Paid by You $ 350.00 $ 90.00 $ 0.00 $ 0.00 $ 0.00 $ 1,050.00 $ 0.00 $ 0.00 $ 0.00 $ 600.00 $ 2,000.00 Total Cost $ 350.00 $ 90.00 $ 0.00 $ 0.00 $ 0.00 $ 1,250.00 $ 500.32 $ 0.00 $ 0.00 $ 750.21 $ 2940.53 Potential Savings $140.00 view details $265.00 view details $225.00 view details $730.00 view details

2. powered by Print Weight History Personal Health Record - John Vitals: Weight – View History Alerts Personal Health Record Print Personal Health Record 210 lbs 205 lbs 205 lbs Weight (lbs) 200 lbs 06/04/07 08/04/07 10/04/07 12/04/07 Weight History Update

3. powered by Personal Health Record - John Medical Conditions & Allergies: Diabetes Alerts Personal Health Record Print Personal Health Record The information below is based on claim data and self entered information. You can update information by selecting the “Update Info” button. Update Info View the Diabetes Guide Learn how to cost effectively ManageDiabetes Click Here Click Here Understanding diabetes is the first step to managing it. Get information on diabetes causes, risk factors, warning signs, and prevention tips. Staying on op of your diabetes is the best way to avoid major costs due down the road, however here are ways to control costs today.

4. powered by Close X Personal Health Record - John Medical Conditions & Allergies: Diabetes Alerts Personal Health Record Print Personal Health Record The information below is based on claim data and self entered information. You can update information by selecting the “Update Info” button. Update Info View the Diabetes Guide Learn how to cost effectively ManageDiabetes Click Here Click Here Staying on op of your diabetes is the best way to avoid major costs due down the road, however here are ways to control costs today. Understanding diabetes is the first step to managing it. Get information on diabetes causes, risk factors, warning signs, and prevention tips.

5. powered by Personal Health Record - John Medical Conditions & Allergies: Diabetes Guide Alerts Personal Health Record Print Personal Health Record

6. powered by Personal Health Record - John Medical Conditions & Allergies: Diabetes - Cost Effective Management Overview: Your records indicate a recent diagnosis of Type II Diabetes. This Financial Planner for Chronic Disease is intended to help you understand some of the important financial decisions that relate to this clinical disease. We hope to empower you with the knowledge to take care of this chronic condition by understanding the cost, quality, and outcomes issues that will affect your financial burden as it relates to Type II Diabetes. The Financial Planner presents three alternative management scenarios with the financial impact of each choice. The Financial Planner enables you to stay informed and in control of your personal health future. Alerts Personal Health Record Print Personal Health Record Print Report Option 1 Don’t Manage It Option2: Manage It: High Cost Option3 Manage It: Low Cost Potential Out of Pocket Costs Potential Out of Pocket Costs Potential Out of Pocket Costs $5,000.00 $3,585.00 $1,585.00 View Details View Details View Details

7. powered by Personal Health Record - John Medical Conditions & Allergies: Diabetes - Cost Effective Management: Option 1 Plan Information: Office Visit Co-pays: $0 Prescription Drug $0 In Network Deductible: $5,000 Co-Insurance: 100% In Network Out of Pocket Max: $5,000 Potential Cost Information due to complications: Alerts Personal Health Record Print Personal Health Record Note: Complications in following years could cost you an additional $5,000 each year.

8. powered by Personal Health Record - John Medical Conditions & Allergies: Diabetes - Cost Effective Management: Option 2 Plan Information: Office Visit Co-pays: $0 Prescription Drug $0 In Network Deductible: $5,000 Co-Insurance: 100% In Network Out of Pocket Max: $5,000 Potential Cost Information: Managing Diabetes in a high cost way Alerts Personal Health Record Print Personal Health Record

9. powered by Personal Health Record - John Medical Conditions & Allergies: Diabetes - Cost Effective Management: Option 3 Plan Information: Office Visit Co-pays: $0 Prescription Drug $0 In Network Deductible: $5,000 Co-Insurance: 100% In Network Out of Pocket Max: $5,000 Potential Cost Information: Managing Diabetes in a cost effective way Alerts Personal Health Record Print Personal Health Record Click here to buy Home Test Kits

10. powered by Personal Health Record - John Medical History: Office Visits – Jan 1, 1007 to June 1, 2007 Alerts Personal Health Record Print Personal Health Record