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ParTNers for Health Wellness Program

Starting January 1, 2018, the “Partnership Promise” will go away and will no longer be part of any health plan. This means that members enrolled in any plan will NOT be required to complete any wellness program activities.

In 2018, all wellness program activities will be voluntary. The voluntary wellness rewards program for state and higher education employees, and the voluntary wellness program for local education, local government and retirees are different.
State and Higher Education Employees and Spouses

State and higher education members and enrolled spouses can get cash rewards for participating in the voluntary wellness program. You can get money deposited through payroll* by completing certain activities and programs.

Here’s how it works:

Regardless of the health plan you choose, members and enrolled spouses will first complete two requirements that may make them eligible for other programs. These requirements are:

-Health risk assessment (online questionnaire)
-Biometric screening

After members complete these two requirements, they will receive a cash deposit into their paycheck. Then, they’ll find out if they qualify for other rewards and programs. Members who qualify can also get cash rewards for completing one or more programs. These additional programs could include:

-Weight loss/weight management program
-Tobacco cessation program
-Wellness counseling (diet, stress, exercise, etc.)
-Disease management program
-Diabetes Prevention Program (DPP)

There will also be wellness challenges, educational tools and other online wellness resources to help members track their results and progress.

The new voluntary wellness program begins in 2018. All eligible members and spouses will receive more information on how participants qualify for cash rewards in the mail from the wellness vendor.

*Members must be in a positive pay status to receive an incentive. The cash incentive for both the employee and eligible spouse will be deposited directly into the member’s paycheck and will be taxed.

Local Education and Local Government Employees, Retirees and Spouses

Two voluntary wellness programs will be offered to enrolled local education and local government employees, retirees and spouses. Note: members must meet certain criteria to qualify for these programs:

-Disease management: For members with chronic diseases that include asthma, diabetes, coronary artery disease, congestive heart failure and chronic obstructive pulmonary disease (COPD). They will still have access to this program to better manage a chronic condition.
-Diabetes Prevention Program: Classes for those who are pre-diabetic. Members must pre-qualify for this program.

More information about who is eligible and how to access these two programs will be shared early next year.

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Wellness Resources

Preventive Care

And don’t forget — with your health plan you won’t pay anything for eligible preventive care – it’s covered at 100% as long as you use an in-network provider. Members are encouraged to get age appropriate preventive services, which could include:

Talk to your doctor to find out what screenings and tests are right for you.

Wellness Quick Links

IMPORTANT PRIVACY NOTICE: The State Group Insurance Program is prohibited from giving your protected health information to your employer or any person or entity not authorized by law. Personal health information is protected under federal and state law and is released to State Group Insurance Program business partners in order to assist members with managing their health care needs, health plan operations and as authorized by law. As required by federal law, the State Group Insurance Program has agreements with our business partners that protect personal health information. More details about the privacy of protected health information under federal law are available at hhs.gov/ocr/privacy/.