A health plan that rewards you for being, getting and staying healthy

A health plan that rewards you for being, getting and staying healthy

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HealthbyChoice Incentives

• Combines your medical plan with the opportunity to save money when you stay healthy or make measureable improvements to your health

Why we encourage healthy lifestyles

• 70% of all chronic health conditions are preventable• Chronic disease = 75% of $1.4 trillion in costs

– Diabetes– Obesity– Tobacco use– Heart disease

Two benefit levels

Standard Choice

Standard – You’ll have higher copayments, coinsurance and deductibles

Choice – You’ll save money with lower copayments, coinsurance and deductibles

OR

How it works

• You’ll start at the money-saving Choice level, with lower copayments and deductibles. To remain at this level, you and your covered spouse must meet the requirements within 90 days of the plan effective date.

• If you miss the deadline, everyone on your plan will move to the Standard level on day 91. You keep the same great benefits, but will have higher copayments and deductibles.

Complete two easy steps

Complete the confidential, online health assessment

Ask your doctor to submit a HealthbyChoice Incentives form to verify you meet the criteria

2

1

Health indicators

You must be tobacco-free — (6-month look-back)

Body mass index — must be under 30 (6-month look-back)

Blood pressure — must be under 140/90 (6-month look-back)

Health indicators

If you don’t meet the health indicators, you can still qualify if you:Complete a fasting cholesterol testComplete a fasting blood sugar test Agree to follow your doctor’s treatment

recommendations

What happens on day 91?

• If you and your spouse meet the requirements within 90 days of your plan’s effective date, you’ll remain at the money-saving Choice level

• If you miss the deadline, everyone on your plan will move to the Standard level on day 91. You keep the same great benefits, but you’ll have higher copayments and deductibles

The next plan year

• You keep the level you were in – Choice or Standard – for the first 90 days while you complete the requirements to earn the Choice level again

• Don’t worry, we’ll remind you to re-qualify every year you’re in the plan

Getting started…

See your doctor to have your form completed

Go to priorityhealth.com

Create an online account

1. Find the HealthbyChoice box2. Click “Go Now” to see your requirements and take the health assessment

On your HealthbyChoice Incentives page, click “Go to WebMD HealthQuotient now”

Check your status online 24/7

Communications

• On day 5 and 45, you’ll receive a reminder letter from us

• Once all commitments are met, you’ll receive a congratulations letter

We’re here to help

• Find easy-to-use web-based tools and health information online

• Save money with our HealthFit discounts on fitness club memberships, laser eye surgery, running shoes, computers and more

• Personalized health coaching

Questions along the way?

• Contact customer service using the phone number on the back of your member ID card