PEEHIP Wellness Program
PEEHIP has "Teamed Up For Health" with the Alabama Department of Public Health (ADPH) and will soon team up with another strategic partner to launch a new and improved PEEHIP Wellness Program.
The following members enrolled in the PEEHIP Hospital Medical Plan (group #14000) are required to participate:
- Active employees and their covered spouses
- Non-Medicare-eligible retirees
- Non-Medicare-eligible spouses covered on retiree contacts
All of the above must complete the applicable wellness components by May 31, 2015. The program does not require meeting any conditions or measurements related to a health factor.
Children or any dependents other than covered spouses are not required to participate.
Active employees who are Medicare-eligible are required to participate since PEEHIP is their primary payer while they remain actively employed. Retired members who are Medicare-eligible and covered Medicare-eligible dependents on retiree contracts are not required to participate.
The Wellness Program consists of some new programs and greater access to existing ones to help our members manage their health and become more educated in the lifestyle choices they have.
Required to complete by all eligible members of the Wellness Program:
- Wellness Screening
- Health Risk Assessment Questionnaire (HRA)
Required only if you are identified as a candidate for these programs:
- Disease Management
- Wellness and Lifestyle Education Coaching
The Wellness Screenings consist of the following measurements:
- blood pressure
- total cholesterol including HDL and LDL
- blood glucose
- height, weight, waist
- body mass index
ADPH provides the screenings at the worksite locations for active employees. Alternatively, all eligible members can obtain a screening at any of the statewide ADPH county locations or through their personal healthcare provider. Screenings obtained as of June 1, 2014, at these alternative locations will be accepted.
All screenings regardless of location must be completed by May 31, 2015.
If you decide to use your personal healthcare provider to do your screening, use the Healthcare Provider Screening Form. This form must be completed and faxed or mailed to ADPH by your healthcare provider in order to be accepted. Please note - incomplete forms will not be accepted. If you have already obtained a screening at your healthcare provider, simply have the doctor who administered your screening to completely fill out the Healthcare Provider Screening Form, and then ask for it to be sent by mail or faxt to ADPH. Under the Affordable Care Act (ACA) as part of the federal healthcare reform laws, no copay is required for one annual preventive routine office visit obtained through your in-network healthcare provider.
Also, no copay is required if an ADPH wellness coach gives you an Office Visit Referral Form to take with you to a physician’s office to follow up with the abnormal results or risk factors identified during the screening process. The referral is only good for 60 days from the screening date.
Starting January 1, 2015:
The Health Risk Assessment (HRA) which will be available January 1, 2015, is a health questionnaire used to provide you with an evaluation of your health risks and quality of life and gives individualized feedback to motivate behavior change to reduce health risks.
If the HRA identifies an opportunity for improving your health, Wellness and Lifestyle Education Coaching will be available to you. The coaching process will offer numerous resources and services to help you maintain or improve upon a healthy lifestyle.
PEEHIP’s Disease Management Program focuses on five chronic illnesses and the reduction of future complications associated with these diseases: asthma, diabetes, coronary artery disease, congestive heart failure and chronic obstructive pulmonary disease (COPD).
The program is a system of coordinated healthcare interventions and communications in which patient self-care efforts are significant. Applicable members will be required to participate beginning January 1, 2015, if identified as a candidate.