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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 ProgramAgenda
1. Goals
2. Who’s involved
3. What’s involved
4. Wellness Screenings
PEEHIP Wellness ProgramGoals 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 ProgramGoals 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 ProgramWho 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 ProgramWhat 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 ProgramTo Be Completed Before 5/31/15:
All eligible members :
1. Get a Wellness Screening
2. Complete the Health Risk Assessment (HRA)
• HRA available online 1/1/2015
PEEHIP Wellness ProgramTo 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 ProgramThere 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 ProgramWellness 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 WalesPEEHIP Wellness Coordinator
877 517 0020
www.rsa-al.gov
Twitter @peehip