4 steps. 4 points. 4 a healthier you. 4 free! A Healthy Habits Count Program

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1 4 steps 4 points A Healthy Habits Count Program 4 a healthier you 4 free!

2 13 Weeks of Weight Watchers* FREE One of these rewards can be yours! or the Healthy Returns Gift Package! *Weight Watchers is the registered trademark of Weight Watchers International, Inc. and is used under license.

3 Welcome! You may already know what it takes to be healthier. But knowing what to do and doing it are two different things. It s the doing it part that can be hard. We all struggle with that. But if you are willing to do 4 simple steps to earn 4 healthy points, your rewards will be great! You ll be on track to better health. Plus, Anthem will give you your choice of 13 weeks of Weight Watchers or a Healthy Returns Gift Package for free! Ready to take the first step? Read on! Inside you ll learn everything you need to know about the Healthy Returns 4 Healthy Choices program. Have questions? We re here to answer them. Just call us at (800) Members with hearing loss or speech impairment may call the TTY line at (800) A special note to parents and guardians: Children ages 10 to 18 years of age may also take part in the Healthy Returns 4 Healthy Choices program. Please ask your child s doctor if your child qualifies. If your child qualifies, you and your child will need to work together to earn 4 points. Best of health to you and your family! Anthem Blue Cross Blue Shield Partnership Plan, Inc.

4 How It Works Just follow these 4 easy steps: 1. Make an appointment for a checkup with the doctor. Your doctor s name and phone number are on your Anthem member ID card. 2. Bring the Healthy Returns 4 Healthy Choices Care Plan (see inside back page) with you to the doctor. Ask your doctor to review the Care Plan with you. Your doctor will check off the best choices for you to complete to earn points. Have your doctor fax a copy of your completed Care Plan to Anthem. The fax number is listed on the Care Plan.

5 3. Earn a total of 4 points. You can earn points in many ways. The points you can earn for each choice are listed on the next page and on the Care Plan. You don t need to report your points earned to Anthem. We will track your points for you. Use your care plan to keep track of the points you earn. When you have earned at least 4 points, you can submit the form to get your gift. 4. Once you ve earned 4 points, choose your Healthy Returns gift! Mark your choice on the tear-out mailer included in this booklet. Be sure to complete the mailer. You must do this to receive your gift. Detach the mailer, fold it in half, and tape it closed so that the Anthem address shows on the outside. Drop it in the mail. The postage is already paid. You should receive your reward within 4 weeks.

6 Getting Started Ready to enroll? This is all you need to do: Begin by making an appointment to see your doctor. (Parents of children enrolling in the program must make an appointment with their child s doctor.) Bring the attached Healthy Returns 4 Healthy Choices Care Plan (see inside back page) to your visit. How to earn points: To get your free gift, you must earn a total of at least 4 points. You earn points when you: See your doctor for a checkup and tests. (up to 2 points) Visit your doctor. Ask your doctor to complete the Care Plan for you or your child. Your doctor will make sure that you or your child is enrolled in the program by faxing the Care Plan to Anthem. (1 point) Get the tests or screenings that your doctor says you need. Your doctor will let us know that you have received these. (1 point) Attend a health education class. (2 points) Call Anthem at (800) Members with hearing loss or speech impairment may call the TTY line at (800) We will enroll you in a local health education class that meets your needs. We will help you find classes on diabetes, heart care, managing your weight, and how to quit smoking. If you are a parent of an enrolled child, you may need to attend the class as well. We will confirm that you have completed the class so that you can earn your points.

7 Call MedCall to learn more about making healthy choices. (1 point) Phone MedCall, the 24-hour nurse help line. The number is (866) Members with hearing loss or speech impairment may call the TTY line at (800) Tell the nurse on the phone: I m an Anthem member enrolled in Healthy Returns 4 Healthy Choices. I m calling to learn about MedCall services I can use. The MedCall nurse will talk to you about MedCall services. The nurse will connect you to an audiotape you can listen to. MedCall has audiotapes on diabetes, heart care, eating right, watching your weight, or quitting smoking. MedCall will let Anthem know that you have called, so you can earn your point. Call Anthem and request a Quit Kit to stop smoking. (1 point) If you smoke and are ready to quit, call us at (800) Members with hearing loss or speech impairment may call the TTY line at (800) Ask for a Quit Kit. It s the first step to a smoke-free you! Anthem will confirm your request for a Quit Kit, so you can earn your point. Complete the chosen action items on your Care Plan. You should have a total of at least 4 earned points. The next step is to choose your gift! See the next page to make your choice.

8 Weight Watchers 13-Week Plan Receive 4 Weight Watchers meeting vouchers. After you attend 4 meetings and follow the instructions sent with the vouchers, Anthem will send you 4 more meeting vouchers. After using the second set of 4 vouchers, you ll receive a final set of 5 vouchers. or Healthy Returns Gift Package Gym bag Fitness towel Exercise mat Insulated thermos cup Step-n-Tune pedometer/radio combo Digital food scale American Heart Association Cookbook Food Journal/Diary

9 Good 4 You! Congratulations! You earned 4 points. Now you may choose a Healthy Returns gift. Check the item you would like to receive. (Please select one.) Weight Watchers 13-Week Plan Healthy Returns Gift Package Fold here and tape closed. Member Name: Anthem Member ID Number (located on your Anthem ID card): Ship To Address: City: State: ZIP Code: Signature: Phone: How to return this card: 1. Choose your reward. Check only one of the boxes above. 2. Fill in your name and address above. 3. Fold this card in half with Anthem s address on the outside. Tape it closed. 4. Drop it in the mail. The postage is already paid. Please allow up to four weeks for shipping.

10 I did it! Ask me how Healthy Choices = Healthy Returns. In Ohio, Anthem Blue Cross Blue Shield Partnership Plan, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. Registered marks Blue Cross and Blue Shield Association.

11 Healthy Returns 4 Healthy Choices Care Plan NOTE: Each member must earn 4 or more points to receive a Healthy Returns reward. Patient Name: Doctor Name: Anthem ID No. Referring Doctor (if any): Doctor s Instructions for Patients: I may be reached after hours and on weekends at: ( ), or call MedCall at (866) with questions or concerns. If you have a medical emergency, call 911 or go to your nearest emergency room. Physician: Please complete this Care Plan with your patient. Fax to Anthem at (877) Keep a copy in the patient s medical file or record, and give the original back to the patient. Ways for Members to Earn Points Physician Notes Points 1. Recommended Screenings Your doctor will recommend any needed tests. Cholesterol Screening HbA1c Test Diabetic Retinal Eye Exam Nephropathy Screening 1 point for enrolling/doctor checkup 1 point for completing any or all recommended tests Doctor: Check All Requested Tests Requested Completed Cholesterol HbA1c DRE Nephropathy 2. Attend a health education class. Members may select classes about controlling diabetes, healthy habits for the heart, weight management or classes to quit smoking. Call Anthem at (800) to find a nearby health education class. 2 points for attending a health education class. Anthem Health Services will confirm and track member attendance. Comments: 3. Call MedCall, the 24-hour nurse help line. Call MedCall at (866) Tell the nurse you are calling for the Healthy Returns 4 Healthy Choices program. The nurse will help you select audio topics that can help you learn more about your health! 1 point for calling MedCall. 4. Take steps to quit smoking. We can help you commit to quit! Call Anthem at (800) to request a Quit Kit. 1 point for requesting a Quit Kit. Anthem Health Services will confirm and track member attendance. Comments: Anthem Health Services will confirm and track member requests for Quit Kits. Comments: Total Points Earned I have worked with the patient identified above to complete the Healthy Returns 4 Healthy Choices Care Plan. Attending Doctor Signature: Date: Member or Parent/Guardian Signature: Date: In Ohio, Anthem Blue Cross Blue Shield Partnership Plan, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. Registered marks Blue Cross and Blue Shield Association.

12 Free Gift Offer Inside! In Ohio, Anthem Blue Cross Blue Shield Partnership Plan, Inc., is an independent licensee of the Blue Cross and Blue Shield Association. Registered marks Blue Cross and Blue Shield Association OH /07

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