Page 124 - 2021 Medical Plan SPD
P. 124
Texas Mutual Insurance Company Medical Plan
Amendment: Real Appeal
This Amendment to the Plan is issued by the Plan Sponsor as described below.
Because this Amendment is part of a legal document, the Plan wants to give you information about the
document that will help you understand it. Certain capitalized words have special meanings. The Plan has
defined these words in the Summary Plan Description in Section 9: Defined Terms.
What is the Real Appeal Amendment?
This Amendment to the Plan provides a virtual lifestyle intervention for weight-related conditions to
eligible Covered Persons 18 years of age or older. Real Appeal is designed to help those at risk from
obesity-related diseases.
This intensive, multi-component behavioral intervention provides 52 weeks of support. This support
includes one-on-one coaching with a live virtual coach and online group participation with supporting
video content. The experience will be personalized for each individual through an introductory online
session.
These Covered Health Care Services will be individualized and may include the following:
• Virtual support and self-help tools: Personal one-on-one coaching, group support sessions,
educational videos, tailored kits, integrated web platform and mobile applications.
• Education and training materials focused on goal setting, problem-solving skills, barriers and
strategies to maintain changes.
• Behavioral change counseling by a specially trained coach for clinical weight loss.
If you would like information regarding these Covered Health Care Services, you may contact the Claims
Administrator through www.realappeal.com, https://member.realappeal.com or at the number shown on
your ID card.
121 Real Appeal