WellnessProgramslides September 2014

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PEEHIP Wellness Program

New and Enhanced!

PEEHIP Wellness Program

 Fact : According to the US Department of

Health and Human Services, chronic diseases are responsible for 7 out of 10 deaths among

Americans every year and cause 75% of the country’s spending on healthcare.

 The good news: these diseases are often preventable !

PEEHIP Wellness Program

Agenda

1.

Goals

2.

Who’s involved

3.

What’s involved

4.

Wellness Screenings

PEEHIP Wellness Program

Goals of the Wellness Program :

1.

Help members and their spouses achieve and maintain better health

2.

Increase early detection and identification of chronic disease

3.

Educate and encourage members towards lifestyles that lower risk factors of illness

4.

Improve members’ overall health and energy so that they can better enjoy every area of their life

PEEHIP Wellness Program

Goals of the Wellness Program :

5.

When members maintain or improve their health, they help reduce costs for all PEEHIP members.

 These savings mean PEEHIP can offer more healthcare benefits to members at no extra charge for the longest period of time.

PEEHIP Wellness Program

Who is Required to Participate?

 If enrolled in PEEHIP BCBS hospital/medical plan and :

 Active members and their covered spouses

 Non-Medicare-eligible retirees

 Covered non-Medicare-eligible spouses of retirees

PEEHIP Wellness Program

What is Participation?

 PEEHIP Wellness is a Participatory Program , which means members and eligible spouses must only participate, not meet any health standard or measurement

 No results are required!

 Participation is easy and will help ensure members enjoy results of living their healthiest and most capable life.

PEEHIP Wellness Program

To Be Completed Before 5/31/15:

 All eligible members :

1.

2.

Get a Wellness Screening

Complete the Health Risk Assessment (HRA)

HRA available online 1/1/2015

PEEHIP Wellness Program

To Be Completed Before 5/31/15 (continued):

 Only those identified as candidates:

3.

Wellness Education Coaching

• Knowledge that improves health and quality of life

4.

Disease Management

Self examination, adherence to medication, knowing when to seek treatment, etc

Chronic diseases targeted are asthma, diabetes, coronary artery disease, congestive heart failure and COPD

PEEHIP

Wellness

Program

There are three ways to get a Wellness Screening:

1.

Worksite wellness screening by ADPH nurses.

2.

Screenings are available at any Alabama

Department of Public Health (ADPH) county location throughout the state.

Note: If you receive an office visit referral – no copay for doctor visit if within 60 days

PEEHIP

Wellness

Program

There are three ways to get a Wellness Screening:

3.

Doctor’s office screening: Use our Healthcare

Provider Screening Form

 No copay for 1 annual preventive visit.

 Note: Diagnostic services, treatments, and some lab test may cause copay charges/fees

 The doctor’s office must mail or fax the fully completed form directly to ADPH.

 The Healthcare Provider Screening Form is available at www.rsa-al.gov

PEEHIP Wellness Program

Wellness Screenings

Wellness screenings capture data to inform you of potential risk or illness:

Blood Pressure

Total Cholesterol (HDL and LDL)

Triglycerides

Blood Glucose

Height

Weight

Waist

Body Mass Index (BMI)

No more pre-existing conditions for any enrollee of any age

Screenings cannot keep you from being covered!

PEEHIP Wellness Program

Points to Remember

1.

Improves health by early detection and management of risk and disease

2.

No results or improvements are required

3.

Applies to non-Medicare members and spouses enrolled in PEEHIP’s BCBS hospital/medical plan

4.

Screenings, HRA, Coaching, Disease Management

PEEHIP Wellness Program

Questions?

David Wales

PEEHIP Wellness Coordinator dave.wales@rsa-al.gov

877 517 0020 www.rsa-al.gov

Twitter @peehip

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