PEEHIP Wellness Program New and Enhanced!. PEEHIP Wellness Program  Fact: According to the US Department of Health and Human Services, chronic diseases.

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Presentation transcript:

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: 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 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

PEEHIP Wellness Program Wellness 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 Wales PEEHIP Wellness Coordinator