1. PEEHIP Wellness Screening Program Human Resources Manager
Micah Fisher
Human Resources Manager
February 19, 2015

2. Who is required to participate?
YOU ARE REQUIRED to participate if you are enrolled in the PEEHIP Blue Cross Blue Shield hospital /medical plan
Active members
Covered spouses
Non-Medicare eligible retirees
Covered non-Medicare eligible spouses of retirees
COBRA
Leave of Absence

3. Who is NOT required to participate?
Medicare eligible retirees
Medicare eligible spouses on retired contracts
Children
Members who are ONLY enrolled in VIVA, Optionals or Supplements

4. What is participation?
PEEHIP Wellness Program is a “Participatory Program,” which means members and eligible spouses must only participate, not meet any specific health standard.

5. Earn a waiver of the monthly wellness premium
For those who do NOT participate, a $ monthly wellness premium will be applied to members and their spouses for a possible total $ per month.
: Single coverage = $65 per month
Currently - $15 (180) vs. $65 (780) = +$600
: Family coverage = $277 per month
Currently - $177 (2,124) vs. $277 (3,324) = +$1200

6. REQUIRED by all Eligible Members
Complete a Wellness Screening – NLT
Your choices:
Attend a workplace wellness screening by ADPH nurses
Visit the County Health Departments which are offering screenings throughout the state
Visit your doctor’s office for a wellness screening
No copay for 1 annual routine preventative visit
Members should provide the doctor with the Healthcare Provider Screening Form
Members should NOT send the forms to PEEHIP. The doctor must mail or fax the completed form to ADPH at

7. What is tested at the Wellness Screenings?
Blood Pressure
Total Cholesterol (HDL and LDL)
Triglycerides
Blood Glucose
Height
Weight
Waist
Body Mass Index (BMI)

8. REQUIRED by all Eligible Members
Complete the Health Questionnaire
The Health Questionnaire is available online at
The Health Questionnaire can be completed by telephone at

9. Additional Requirements
Additional requirements are ONLY for those who receive a letter notifying them that they are a candidate for coaching
Participate in Wellness Coaching and /or Disease Management (reduce health risks, manage weight, stress and eat healthier)
5 chronic diseases identified for Wellness Coaching:
Asthma
Diabetes
Coronary Artery Disease
Congestive Heart Failure
COPD

10. Required Coaching Coaching minimum requirements include:
1 phone call to MyActiveHealth OR
100 Heartbeats of online coaching credit (4 weeks)

11. Questions If you have questions, please contact:
Micah Fisher, Human Resources Manager or
PEEHIP –
MyActiveHealth –