Transcript WellnessProgramslides September 2014

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.
Get a Wellness Screening
2.
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:
Wellness Education Coaching
3.
•
Knowledge that improves health and quality of life
Disease Management
4.
•
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:
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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
[email protected]
877 517 0020
www.rsa-al.gov
Twitter @peehip