Members and spouses who have coverage through Anthem Blue Cross Blue Shield (Anthem) or UnitedHealthcare are eligible for incentives. Dependents are not eligible for incentives or biometric screenings.
*The Be Well SHBP program does not apply to Kaiser Permanente or the Medicare Advantage Options.
|BE WELL SHBP BENEFITS||ANTHEM OR UNITEDHEALTHCARE MEMBERS AND SPOUSES||ANTHEM OR UNITEDHEALTHCARE DEPENDENTS 18+|
|Sharecare App/Desktop Companion||•||•|
|2020 Physician Screening Form||•|
|Telephonic/Online Well-being Coaching||•|
|Well-being Challenges and Activities||•|
TO EARN YOUR WELL-BEING INCENTIVE POINTS, COMPLETE THE FOLLOWING STEPS BETWEEN JANUARY 1 AND NOVEMBER 30, 2020:
Earn 120 well-being incentive points:
ASSESS YOUR HEALTH
Complete your RealAge® Test for 120 well-being incentive points. A confidential, online questionnaire that will take about 10 minutes to complete.
Note: Well-being incentive points cannot be awarded until completion of the RealAge Test.
Biometrics, Telephonic Coaching and Online Pathways taken before completion of the RealAge Test can only be applied to well-being incentive points upon RealAge Test completion.
Earn up to 360 additional well-being incentive points (after completing the RealAge Test):
Complete a biometric screening, the coaching pathway, online pathway or a combination of all three.
KNOW YOUR NUMBERS
Complete a Biometric Screening for 120 well-being incentive points. You have three options: through your physician using the 2020 Physician Screening Form, at an SHBP-sponsored Screening Event, or at a Quest Diagnostic Patient Service Center.
TELEPHONIC COACHING PATHWAY
Actively engage in telephonic coaching. Earn 60 well-being incentive points for one completed coaching call per calendar month. You can earn 60 well-being incentive points up to 4 times, for a maximum of 240 well-being incentive points
Note: You may complete as many coaching calls as you like in a month; however, a maximum of one call in a calendar month qualifies you for the 60 well-being incentive points.
Earn 120 well-being incentive points up to 2 times, for a maximum of 240 well-being incentive points by completing two of the following challenges within the challenge, as listed below:
- 5,000 Steps Challenge (Complete and track 21 of 30 days in January, April, July or October).
- Stress Challenge (Complete and track 21 of 30 days in February, May, August or November).
- Green Day Challenge (Complete and track 21 of 30 days in March, June or September).
Note: Well-being incentive points are earned by tracking your activity. When eight green day indicators are collected in a 24-hour period, you earn a green day. Well-being incentive points cannot be awarded until completion of the RealAge Test. Biometrics, Telephonic Coaching and Online Pathways/Challenges taken before completion of the RealAge Test can only be applied to well-being incentive points upon RealAge Test completion.
ARE YOU GETTING THE POINTS YOU DESERVE?
You and your covered spouse are each eligible to earn up to 480 well-being incentive points and choose to redeem for:
- A $150 Visa Reward Card (to use anywhere Visa is accepted) OR
- A $225 Walmart Gift Card (to use on pharmacy and vision center items) OR
- 480 well-being incentive credits (to apply toward eligible medical or pharmacy expenses)
Points can be redeemed through the Sharecare Redemption Center and will no longer automatically transfer into member’s HRA, MIA, or HIA incentive accounts with Anthem or UnitedHealthcare. The earlier you complete these actions, the earlier you will receive your points and will be able to redeem them.
Well-being incentive points not redeemed by December 15, 2020 will be sent to your respective Medical Claims Administrator as well-being incentive credits to be used towards eligible medical and pharmacy expenses.
Well-Being Incentive Credits
You and your covered spouse are each eligible to earn up to 480 well-being incentive points and can redeem for well-being incentive credits to offset medical and pharmacy expenses. Well-being incentive points can be redeemed in increments of 120 for well-being incentive credits. The State Health Benefit Plan (SHBP) deposits the credits into the accounts below to help you offset eligible medical expenses:
ANTHEM MYINCENTIVE ACCOUNT (MIA)
- Health Maintenance Organization (HMO)
- Health Reimbursement Arrangement (HRA)
UNITEDHEALTHCARE HEALTH INCENTIVE ACCOUNT (HIA)
- Health Maintenance Organization (HMO)
- High Deductible Health Plan (HDHP)
Members can redeem points for the $150 Visa Reward Card or the $225 Walmart Gift Card only if they’ve earned all 480 well-being incentive points in 2020. If a member starts redeeming their points for credits, they will not be eligible to receive a reward card. Rollover credits from 2019 cannot be used to redeem the 2020 reward card. Reward Cards will be sent directly to the member and covered spouse redeeming their points within 8 weeks from redemption. The Visa Reward Card expires within 12 months after card Issuance.
Walmart Gift Cards can only be used at participating pharmacy and vision centers operated and owned by Walmart. The Walmart card does not expire.
ALL THE INFORMATION YOU NEED FOR A 2019 WELL-BEING INCENTIVE POINTS APPEAL.
Members and covered spouses who wish to appeal a 2019 well-being incentive points distribution for well-being activities completed in 2019, please use the forms below for instruction and submission.
Appeals, along with the requested documents, must be submitted by 5:00 pm, ET January 31, 2020. Well-Being Incentive Points Appeals submitted after this date will be denied.
All appeals approved after December 1, 2019 will apply only towards redemption of well-being incentive credits.
LEVEL 1 – WELL-BEING INCENTIVE POINTS APPEALS
To file a Well-Being Incentive Points Appeal, complete all applicable sections on the Level 1 – 2019 Well-Being Incentive Points Appeal form, sign and date the form and submit according to the instructions on the form.
If the 2019 Incentive Action in question was not satisfied due to circumstances beyond your control, you should explain why in the space provided on the 2019 Well-Being Incentive Points Appeal Form. Examples of “circumstances beyond your control” include, but are not limited to, the following: long-term hospital stay and hospice stay.
You should submit the form, along with the supporting documentation. An example of appropriate supporting documentation includes:
- A copy of the completed 2019 Physician Screening Form and proof that it was sent to Sharecare by November 30, 2019 (if applicable).
- A copy of the Know Your Numbers Form as proof of participation and completion of a biometric screening at an SHBP-Sponsored Screening Event.
- Print screen or take a snapshot of the incentive status when activities through the Sharecare App or online platform are complete.
LEVEL 2 – FORMAL APPEAL
If your Level 1 – 2019 Well-Being Incentive Points Appeal is denied, you may file a Formal Appeal, which must be postmarked within 15 calendar days following the date of the 2019 Level 1 – Well-Being Incentive Points Appeal decision. To file a Formal Appeal, you must complete the Level 2 – 2019 Well-Being Incentive Points Appeal Form and attach a copy of the 2019 Level 1- Appeal decision, along with any supporting documentation.
Generally, a decision by the Formal Appeal committee will be issued within 30 thirty (30) calendar days following receipt. The written notice of the decision by the Committee is the final step in the administrative proceedings and will exhaust all administrative remedies.
HOW TO SUBMIT:
Complete the required forms, sign and date and then submit using one of the following:
Attention: State Health Benefit Plan Appeal
701 Cool Springs Blvd.
Franklin, TN 37067