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A health plan that rewards you for being, getting and staying healthy

A health plan that rewards you for being, getting and staying healthy. SM. Health byChoice Incentives. Combines your medical plan with the opportunity to save money when you stay healthy or make measureable improvements to your health. Why we encourage healthy lifestyles.

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A health plan that rewards you for being, getting and staying healthy

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  1. A health plan that rewards you for being, getting and staying healthy SM

  2. HealthbyChoice Incentives • Combines your medical plan with the opportunity to save money when you stay healthy or make measureable improvements to your health

  3. Why we encourage healthy lifestyles • 70% of all chronic health conditions are preventable • Chronic disease = 75% of $1.4 trillion in costs • Diabetes • Obesity • Tobacco use • Heart disease

  4. Two benefit levels Standard Choice OR Standard– You’ll havehigher copayments, coinsurance and deductibles Choice– You’ll save money with lower copayments, coinsurance and deductibles

  5. How it works • You’ll start at the money-saving Choice level, with lower copayments and deductibles. To remain at this level, you and your covered spouse must meet the requirements within 90 days of the plan effective date. • If you miss the deadline, everyone on your plan will move to the Standard level on day 91. You keep the same great benefits, but will have higher copayments and deductibles.

  6. Complete two easy steps 1 Complete the confidential, online health assessment Ask your doctor to submit a HealthbyChoice Incentives form to verify you meet the criteria 2

  7. Health indicators • You must be tobacco-free — (6-month look-back) • Body mass index — must be under 30 (6-month look-back) • Blood pressure — must be under 140/90 (6-month look-back)

  8. Health indicators If you don’t meet the health indicators, you can still qualify if you: • Complete a fasting cholesterol test • Complete a fasting blood sugar test • Agree to follow your doctor’s treatment recommendations

  9. What happens on day 91? • If you and your spouse meet the requirements within 90 days of your plan’s effective date, you’ll remain at the money-saving Choicelevel • If you miss the deadline, everyone on your plan will move to the Standard level on day 91. You keep the same great benefits, but you’ll have higher copayments and deductibles

  10. The next plan year • You keep the level you were in – Choiceor Standard– for the first 90 days while you complete the requirements to earn the Choice level again • Don’t worry, we’ll remind you to re-qualify every year you’re in the plan

  11. Getting started…

  12. See your doctor to have your form completed

  13. Go to priorityhealth.com

  14. Create an online account

  15. 1. Find the HealthbyChoice box2. Click “Go Now”to see your requirements and take the health assessment

  16. On your HealthbyChoice Incentives page, click “Go to WebMD HealthQuotient now”

  17. Check your status online 24/7

  18. Communications • On day 5 and 45, you’ll receive a reminder letter from us • Once all commitments are met, you’ll receive a congratulations letter

  19. We’re here to help • Find easy-to-use web-based tools and health information online • Save money with our HealthFit discounts on fitness club memberships, laser eye surgery, running shoes, computers and more • Personalized health coaching

  20. Questions along the way? • Contact customer service using the phone number on the back of your member ID card

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