2019 Wellness Program Guidelines

Transcription

1 2019 Wellness Program Guidelines ARBenefits is pleased to announce a new and improved wellness program for Arkansas State and Public School Employees. Employees have the opportunity to qualify for the 2019 program incentive by completing the steps below. In order to qualify, covered employees and any covered spouse must complete all requirements no later than October 31, ARBenefits has partnered with Catapult Health to offer worksite checkups for state and school employees at a site near you. Screenings, which take approx minutes, offer lab-accurate diagnostic tests, biometric measurements, and a personal report with results and recommendations from a board certified Nurse Practitioner. Completing a worksite checkup through Catapult allows participants to complete both the biometric screening and health assessment requirements during their appointment. Health Assessment Employee and covered spouse must complete a health assessment one of two ways: 1. Employees and covered spouses who participate in a worksite checkup with Catapult Health will complete their health assessment during their appointment. 2. Employees and covered spouses who do not participate in a Catapult Health worksite checkup will need to complete the online health assessment through the ARBenefits Member Portal. The assessment will be rolled out in early The online health assessment through a Catapult Health worksite checkup, and the online health assessment through the ARBenefits Member Portal, are the only assessments that count towards the ARBenefits Wellness program requirements. Biometric Screening Employee and covered spouse must complete a biometric screening through a Catapult Health worksite checkup, or through their physician. Screenings include blood work, height and weight measurements, as well as a test for nicotine use. Employees who would like to have their screening completed by their doctor will need to have their physician complete the ARBenefits Primary Care Provider Form that is available at New for the 2019 incentive Members who test positive for nicotine: can still qualify if they enroll in the GuidanceResources Tobacco Cessation Program. To schedule an appointment for a Catapult Health worksite checkup, or to view a schedule of upcoming Catapult clinics, visit ARBenefits 2019 Wellness Program Guidelines

2 Wellness Program FAQ Have a question that you don t see answered below? Contact EBD at x1, or AskEBD@dfa.arkansas.gov Contents General...1 Biometric Screening...2 Nicotine Screening/BMI...3 Health Assessment...4 Why have requirements changed with the Wellness program? Since the wellness program was implemented in 2015, there had not been any changes made to the core requirements. Employees and covered spouses (starting in 2016) only needed to complete the online Health Assessment and a wellness visit with their physician to earn the discount. The services provided in wellness visits varied, which made it hard to evaluate the effectiveness of the program. The Public School Life and Health Insurance Board, which establishes policies for the ARBenefits plan, wanted to make changes to ensure we offer as beneficial a program as possible for both our members and the plan. Who must complete the requirements to earn an incentive? Covered employees and covered spouses must complete the requirements by 10/31/18 to qualify for a 2019 incentive. What about new employees hired during the year? Employees with a hire date, and members who enroll onto the plan July 1, 2018, or after, will automatically receive credit for the wellness program for ***Employees who transfer between agencies or school districts without a break in coverage are still required to complete the wellness requirements by 10/31/18.*** Members who become effective on the ARBenefits plan between July 1 - October 31, 2018 are encouraged to participate in a biometric screening and health assessment. Do I have to complete the wellness requirements? No, the program is voluntary. However, to earn an incentive towards your monthly premiums, you and your spouse (if covered) need to complete the wellness requirements. How much will the discount be in 2019? The State and Public School Life and Health Insurance Board will decide the amount of the 2019 discount when they set rates for the 2019 plan year. Do covered children need to complete the requirements? No. Only covered employees and covered spouses need to complete the requirements for the 2019 wellness discount. Dependent children can still have an annual visit with their physician covered by the plan. ARBenefits 2019 Wellness Program Guidelines 1

3 Biometric Screening (Catapult Health Worksite Checkup) Did EBD contract with Catapult Health to provide the new worksite checkups? No, EBD and Catapult Health did not enter into a contract to provide worksite checkups. Catapult Health is already an in-network provider. Therefore, Catapult Health will bill a claim to EBD for every screening just like any in-network provider. How do I schedule an appointment with Catapult Health? Catapult Health will be contacting agencies and school districts to set up clinics during When a clinic is going to be at your district/agency, or in your area, you will receive information from your agency/district Health Insurance Representative. You will receive a link to schedule your appointment online. Once you schedule your appointment, you can receive reminders when your appointment date is approaching. To set an appointment time, and to see an upcoming schedule of clinics, members can go to How long does it take to complete a Catapult Health screening? A screening conducted by Catapult Health usually lasts approximately 40 minutes. What is included during a Catapult Health screening? 1. Lab-accurate finger stick blood test to measure: blood glucose, lipids, liver enzymes, A1C 2. Biometric measurements: height, weight, blood pressure, abdominal circumference 3. Depression screening 4. Cotinine (nicotine) screening 5. Private consultation with a nurse practitioner Is there a charge to the member for a Catapult Health worksite screening? No, the employee and/or covered spouse will not be charged for their Catapult Health worksite screening. Catapult Health is already an in-network provider, and will submit a claim to the plan like any provider. The billing details for worksite checkup claims have already been vetted to make sure the member will not receive a charge. If I participate in a Catapult checkup, can I still have an annual visit with my physician? Yes, even if you participate in a Catapult worksite checkup, you can still have an annual visit with your physician and/ or your OB/GYN covered by the plan. If you participate in a Catapult Health checkup, your physician does not need to complete the ARBenefits Primary Care Provider Form. Biometric Screening (Member Primary Care Physician) Can a physician perform my biometric screening instead of Catapult Health? Yes, employees and covered spouses can have their physician perform their biometric screening. The employee and/ or spouse will need to have their physician fill out the Primary Care Provider Form available at Members may receive a charge for services if their physician does not bill services as preventive when they submit the claim to Health Advantage for the visit. Where do I find the necessary Primary Care Provider Form? The required form for members to take to their Primary Care Provider, if they wish their PCP conduct their screening is available at or by clicking here. It is the responsibility of the member to take that form to their physician to complete, and to also make sure the form is submitted to the fax number on the form by 10/31/2018. The PCP form must be filled out completely in order to be processed. ARBenefits 2019 Wellness Program Guidelines 2

4 Nicotine Screening Why was the nicotine screening added? The ARBenefitsWell program was implemented as an effort for employees to take charge of their health, but is also a way for the plan to contain costs. If conditions can be diagnosed early and managed, or through action, prevented entirely, both the member and the plan benefit. Conditions that occur through nicotine use create a large expense for the member and the plan. Through action, members can experience improved health, which can lower costs. If I test positive for nicotine, when do I have to enroll in the tobacco cessation program? If you and/or your covered spouse tests positive for nicotine, you need to enroll in the GuidanceResources Tobacco Cessation program by 10/31/2018 to qualify for However, you do not need to wait until you have your nicotine test to enroll in tobacco cessation. Members who already smoke, or know that they will test positive for nicotine, can enroll into the GuidanceResources Tobacco Cessation Program anytime of the year up until the 10/31/2018 deadline. How do I enroll in the GuidanceResources Tobacco Cessation program? To enroll in the GuidanceResources Tobacco Cessation program, you can contact GuidanceResources at Body Mass Index (BMI) Are the added requirements based on BMI? Members who have a BMI determined to be high risk will receive education and information on programs offered to them. Based on outcomes and data from initial year of implementation, the Board will consider, for 2019 activities and 2020 incentive determination, required enrollment in tobacco cessation for members who test positive for nicotine, and enrollment in weight management or obesity counseling for members whose BMI is over 40. ARBenefits 2019 Wellness Program Guidelines 3

5 Health Assessment How do I complete the necessary health assessment? There are two way employees and covered spouses can complete the required Health Assessment. 1. Employees and covered spouses who participate in a Catapult Health worksite checkup will complete the required health assessment during their appointment. 2. Employees and covered spouses who choose to have their doctor complete their biometric screening, and members who are excluded from having a screening due to pregnancy or double mastectomy need to complete the online health assessment by logging into their ARBenefits Member Portal account. The online health assessment through the ARBenefits Member Portal will be rolled out in early If I complete a Catapult Health checkup, do I need to complete the online health assessment? No. If you complete a checkup through Catapult Health, the questionnaire you complete during your appointment will fulfill the health assessment requirement. The online health assessment through the ARBenefits Member Portal is only for those who do not complete a checkup through Catapult Health. What if I have trouble logging into my ARBenefits account? If you need assistance logging into your ARBenefits.org account, you can contact EBD at x1 or AskEBD@dfa.arkansas.gov. If your cover your spouse, your spouse will need to register their account at by using their Member ID number located on their ARBenefits ID card. Do I need to complete my Health Assessment prior to having a biometric screening? No, you do not have to complete your online Health Assessment prior to having a biometric screening through Catapult Health, or through a physician. ARBenefits 2019 Wellness Program Guidelines 4

6 FEBRUARY 2018 Some Facts About Your Catapult Checkup Employees and covered spouses can book an appointment for any scheudled clinic. You will not be charged for your checkup. Your checkup will be filed as a preventive claim, and covered at 100%. Your checkup will be quick and easy...it takes about 45 minutes. The blood test only involves a quick finger stick, and you ll meet privately with a licensed Nurse Practitioner who will review your results, answer questions and help you create an action plan for improving your health. Fasting prior to your appointment is strongly encouraged. This fasting enables accurate screening results. To book your appointment, or find more locations, visit WEDNESDAY 7 Camp Robinson Military Base North Little Rock Hamburg School District Hamburg Van Buren School District - Van Buren TUESDAY 13 ARDOT Central Office Little Rock Ozark School District Altus THURSDAY 8 Camp Robinson Military Base North Little Rock Van Buren School District - Van Buren WEDNESDAY 14 Ozark School District Ozark FRIDAY 9 DHS Main Office Little Rock DFA 1515 Building Little Rock THURSDAY 15 South Side Bee Branch S.D. Bee Branch Spring Hill School District Hope MONDAY 12 ARDOT Central Office Little Rock Ozark School District Ozark AR Banking Dept. Little Rock FRIDAY 16 Arkadelphia School District Arkadelphia Greenbrier School District Greenbrier AR Geological Survey Little Rock *Times and locations subject to change. February 2018 Catapult Clinic Schedule

7 MONDAY 19 Conway CHDC Conway MONDAY 26 Conway CHDC Conway TUESDAY 20 SEAHDC Warren TUESDAY 27 Fort Chaffee Military Base Fort Chaffee Arch Ford Educational Co-op - Plumerville WEDNESDAY 21 SEAHDC Warren DFA Union Building Little Rock WEDNESDAY 28 Fort Chaffee Military Base Fort Chaffee Dardanelle School District Dardanelle Greenbrier School District Greenbrier Game & Fish Commission - Mayflower THURSDAY 22 DFA 501 Building Little Rock THURSDAY MAR. 1 Mena School District Mena Dardanelle School District Dardanelle DHS Main Office - Little Rock COSL Main Office - Little Rock FRIDAY 23 Greenbrier School District Greenbrier FRIDAY MAR. 2 Dardanelle School District Dardanelle Pangburn School District - Pangburn *Times and locations subject to change. February 2018 Catapult Clinic Schedule

8 ARBenefitsWell Primary Care Provider (PCP) Form ARBenefits ASE / PSE Member Instructions ARBenefits is excited to announce a new benefit in 2018! This year, you can receive a minute Catapult Health Preventive Checkup at work that counts towards the 2019 ARBenefitsWell requirements. For a schedule of Catapult worksite checkup events, go to If your location is not listed, check back soon. If you have a Catapult Health Checkup at work, you do not need to complete and return this form. If you choose to go to your local doctor for your Preventive Checkup to complete your biometric screening requirement, this form must be completed and returned. This is your responsibility, not your Provider s. PLEASE PRINT CLEARLY. If your information is not easily readable, it will not be recorded. PATIENT AUTHORIZATION AND RELEASE I agree to the release of the information requested below from my Provider to Catapult Health and ARBenefits in order to complete requirements for the ARBenefitsWell program. ALL INFORMATION REQUESTED BELOW IS REQUIRED. PATIENT S FIRST AND LAST NAME (PRINTED): AR BENEFITS MEMBER ID #: DATE OF BIRTH: / / PATIENT S SIGNATURE: SOCIAL SECURITY # (LAST 4 DIGITS ONLY): MOBILE #: ( ) - PROVIDER INSTRUCTIONS To meet the ARBenefits wellness requirements, your patient must complete a Preventive Checkup (or be exempt due to health reasons) and test for Nicotine/Cotinine. PLEASE COMPLETE ALL INFORMATION, THEN RETURN THIS FORM TO YOUR PATIENT. Please check this box if your patient has a medical reason for being exempt from completing lab work. PROVIDER S NAME (PRINTED): PROVIDER S SIGNATURE: Date of Tests / / Did patient fast? YES NO Height feet inches Weight lbs. Abdominal Circumference inches Blood Pressure / mmhg Total Cholesterol mg/dl HDL Cholesterol mg/dl LDL Cholesterol mg/dl Triglycerides mg/dl Glucose mg/dl Cotinine (nicotine) POSITIVE NEGATIVE This completed form must be received by October 31, Send via Secure efax: ARBenefitsWell program details can be found at