Wellness and Consumer Choice
The State Health Benefit Plan (SHBP) administers both Standard and Wellness Plan Options for members through Health Reimbursement Arrangement (HRA), High Deductible Health Plans (HDHP), and Health Maintenance Organization (HMO) Plans.
SHBP’s 2013 Wellness Plan (comprised of various Wellness Plan Options), with 252,401 enrollees as of January 2013, is one of the largest in the nation. SHBP’s Wellness Initiative was introduced in 2012 to incentivize members to become more informed and empowered health care consumers.
Members enrolled in a 2013 SHBP Wellness Plan Option (rather than one of the 2013 SHBP Standard Plan Options) pay lower premiums and receive richer plan benefits in return for becoming actively engaged in their overall health and well-being.
2013 SHBP Wellness Requirements
Group 1: Members who were enrolled in a 2012 SHBP Wellness Plan Option and met the 2012 Wellness Promise are eligible for the 2013 Wellness Plan Option.*
These members made the 2013 Wellness Promise and these members and their spouses (if covered) are required to take the following two health actions** to meet the 2013 Wellness Requirements:
- The member and spouse (if covered) must each complete their health plan vendor’s (Cigna or UnitedHealthcare) online Health Assessment through www.mycigna.com or www.myuhc.com between January 1, 2013, and 4:30 p.m. ET on May 31, 2013; and print a copy of the Confirmation of Completion; and
- The member and spouse (if covered) must each complete an online health education module through the SHBP Member Education Portal at www.AHealthierSHBP.com between January 1, 2013, and 4:30 p.m. ET on May 31, 2013; and print a copy of the Confirmation of Completion.
* SHBP members who fulfilled the 2012 Wellness Promise and selected a 2013 Wellness Plan Option do not need to complete another biometric screening for 2013.
**A newly enrolled spouse (for 2013) must complete three health actions to meet the 2013 Wellness Requirements. In addition to the two requirements above, a newly enrolled spouse must complete a biometric screening (including body mass index (BMI), blood pressure, cholesterol, and glucose) through a physician’s office between July 1, 2011, and 4:30 p.m. ET on May 31, 2013. The physician must complete the 2013 Physician Screening Form showing all test results and fax to the number shown on the form between November 1, 2012, and 4:30 p.m. ET on May 31, 2013.
Group 2: Members who were not enrolled in a 2012 SHBP Wellness Plan Option.
Members who selected a 2013 SHBP Wellness Plan Option and were not enrolled in a 2012 Wellness Plan Option made the 2013 Wellness Promise and these members and their spouses (if covered) are required to take the following three health actions to meet the 2013 Wellness Requirements:
- The member and spouse (if covered) must each complete an online health education module through the SHBP Member Education Portal at www.AHealthierSHBP.com between January 1, 2013, and 4:30 p.m. ET on May 31, 2013; and print a copy of the Confirmation of Completion; and
- The member and spouse (if covered) must each complete their health plan vendor’s (Cigna or UnitedHealthcare) online Health Assessment through www.mycigna.com or www.myuhc.com between January 1, 2013, and 4:30 p.m. ET on May 31, 2013; and print a copy of the Confirmation of Completion; and
- The member and spouse (if covered) must each complete a biometric screening (including body mass index (BMI), blood pressure, cholesterol, and glucose) through a physician’s office between July 1, 2011, and 4:30 p.m. ET on May 31, 2013. The physician must complete the 2013 Physician Screening Form showing the test results and fax to the number shown on the form between November 1, 2012, and 4:30 p.m. ET on May 31, 2013.
(Please note: An annual physical does not automatically fulfill the biometric screening requirement. Biometric screenings may be performed through Out-of-Network or Network physicians. However, the member will pay nothing for the screening and the blood tests if the screening is performed by a Network physician, coded as preventive care, and the blood sample is processed by a Network lab. In contrast, the member will pay the full cost of the screening if it is performed by an Out-of-Network physician and will also pay the full cost of the labs if they are processed by an Out-of-Network lab. To save money and prevent unexpected medical bills, get your biometric screening from a Network physician and ask him/her to confirm that your blood sample(s) will be sent to a Network lab.)
2014 SHBP Incentive Fund Requirements
Available to Standard & Wellness Plan Members (in HRA, HDHP or HMO Plan Options)
In 2014, SHBP will be moving from “promise-based” incentives to “action-based” incentives. As part of this progression, SHBP members and spouses (if covered) who are enrolled in either a Standard or Wellness Plan Option will each be able to earn a $240 incentive fund contribution for 2014 by meeting the 2013 Wellness Requirements as outlined above. (That’s a total incentive fund contribution of $480 for the member and spouse (if covered) for meeting the 2013 Wellness Requirements.)
This earned incentive fund contribution will be rewarded as long as the member is enrolled in a 2014 SHBP Wellness or Standard Plan Option. In addition to the $240 incentive fund contribution, there may be additional incentives. To ensure eligibility for all wellness-related incentives in 2014, the member and spouse (if covered) must each meet the 2013 Wellness Requirements.
For 2013 SHBP Standard and Wellness Plan members and spouses (if covered) enrolled in an HMO, HRA or HDHP Plan Option to each earn a 2014 incentive fund contribution, the following health action must be completed by May 31, 2013, at 4:30 p.m. ET:
- Complete an online health education module through the new SHBP Member Education Portal at www.AHealthierSHBP.com between January 1, 2013, and 4:30 p.m. ET on May 31, 2013.
- Complete your vendor’s (Cigna or UnitedHealthcare) online Health Assessment through www.mycigna.com or www.myuhc.com between January 1, 2013, and 4:30 p.m. ET on May 31, 2013.
- Complete a biometric screening* if you are new to the Wellness Option in 2013, or if you enrolled in the Standard Option in 2013. The biometric screening (for body mass index (BMI), blood pressure, cholesterol and glucose) must be completed at a physician’s office between July 1, 2011, and May 31, 2013. The physician must complete the 2013 Physician Screening Form and fax it to the number shown on the form between November 1, 2012, and May 31, 2013, at 4:30 p.m. ET.
*If you completed the biometric screening component of the 2012 SHBP Wellness Promise (biometric screening between July 1, 2011, and June 30, 2012, and the physician faxed the completed 2012 Physician Screening Form by the June 30, 2012 deadline), you do not need to complete another biometric screening.
Important Notes:
Please keep proof of completion/confirmation for each of the actions above in your files. The 2013 Wellness Requirements deadline for completing these health actions (including required submissions) is May 31, 2013, at 4:30 p.m. ET.
An annual physical does not automatically fulfill the biometric screening requirement. See link to biometric screening form below.
Attention All 2013 SHBP Standard and Wellness Plan Option Members
All required health actions must be completed by May 31, 2013, at 4:30 p.m. ET to earn incentive fund contributions for 2014.
Those members and spouses (if covered) who both complete all required actions by the dates stated above will each be awarded the $240 incentive fund contribution ($480 total) on January 1, 2014, and may be eligible for additional benefits as determined by SHBP in its sole discretion. For examples and full terms and conditions, review the Wellness provisions in the Summary Plan Description (SPD) for your plan option.
Members and spouses (if covered) should keep a printed confirmation of their completions of the online health education module through www.AHealthierSHBP.com and the online health assessment through their vendor (Cigna or UnitedHealthcare).
UHC members are encouraged to go online to view their UnitedHealth Personal Rewards ScorecardSM at https://uhcrewards.healthinsight.com well before the May 31, 2013, deadline to confirm the completion of their 2013 Wellness Requirements.
Cigna members are encouraged to call the phone number on the back of their Medical ID card to speak with a Cigna representative well before the May 31, 2013, deadline to confirm the completion of their 2013 Wellness Requirements.
Wellness Publications and Promotions 2013
2013 Cigna iPad Sweepstakes - Posted 02/19/13- 2013 UHC Wellness Requirements and Incentive - Posted 02/19/13