Incentive Points Program Brochure - Lawrence, …...Incentive Points Program, but family members may...

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1 CHAMP Wellness Incentive Points Program Participant Brochure

Transcript of Incentive Points Program Brochure - Lawrence, …...Incentive Points Program, but family members may...

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CHAMP Wellness

Incentive Points Program

Participant Brochure

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Table of Contents Incentive Points Program Web Site ............................... 3

Incentive Points Program Flyer ..................................... 4

Incentive Points Program Details ................................. 5-8

Health Reimbursement Account ................................... 9-10

Incentive Points Program FAQ ..................................... 11-15

Incentive Points Paper Checklist ................................... 16-18

Biometrics Card ............................................................... 19

Incentive Points Contact Information ........................... 20

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CHAMP Wellness Incentive Points Program Cerner Health Web Site

The Incentive Points Program has a new web site! The web site will be accessible 24/7 from any computer with an internet connection. If you participate in the biometric clinics, your health information from that wellness screening will be securely available to you to view in your Cerner Health Account. We encourage you to take advantage of this opportunity. You can use the new Cerner Health web site to: 1. Complete the online Personal Health Assessment to receive a detailed report showing what health

areas you excel in or need to improve. 2. *Schedule an appointment for biometric screenings. 3. Enroll in workshops to achieve your health goals. 4. Participate in challenges and activities that are fun and designed to fit your busy schedule. 5. Track your progress with a variety of logs. 6. Gain access to health tips, articles, newsletters, and HealthWise, a vast library of health content. 7. Utilize other tools to help you monitor and improve your health.

Certain features of the web site are smartphone compatible so that your wellness program is as mobile as you are. As a bonus, many of the activities that you participate in will result in rewards beyond benefits to your health. If you currently use a FitBit, you will be able to upload your steps from your computer. *Please note that you may provide your blood work from your doctor for your biometrics, but the blood work may not be more than 90 days old. You must also still meet with a Nurse Practitioner from the clinic to re-view your biometrics. To provide your blood work from your doctor to the clinic please complete and submit the Biometrics Card.

“Your health plan is committed to helping you achieve your best health. Rewards for participating in a

wellness program are available to all employees. If you think you might be unable to meet a

standard for a reward under this wellness program, you might qualify for an opportunity to earn

the same reward by different means. Contact us at 785-832-3203 and we will work

with you (and, if you wish, with your doctor) to find a wellness program with the same reward

that is right for you in light of your health status.”

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Personal Health           

Assessment (PHA) 

Labs & Biometrics 

First Advisor Visit 

WORTH $150! 

Non‐Tobacco           

Declara on Form 

(Tobacco Free for the past 12 

months or complete CIGNA 

Tobacco Cessa on or Kan 

Quit Programs) 

WORTH $150! 

Par cipate in  Various 

Wellness Ac vi es 

Combina ons of 5, 15, 20, 

30, 50, & 60 Point  Ac vi es 

for a total of 300! 

The ac vi es you complete and  log  in your Cerner Health Account between 10‐1‐14  and 9‐30‐15  

will award you up to $300 in Health Reimbursement Account (HRA) money in January 2016.   

You do NOT have to complete 

Tier 2 in order to complete 

Tier 3 and vice versa. 

NOTE

REQUIRED

To Login to your Cerner Health Account go to 

www.LMH.org and click on the LMH WellCare link. 

and/or

and/or

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Incentive Points Program Details

The City of Lawrence CHAMP Wellness Program is proud to announce that we have enhanced the Cerner Health web site. We are committed to provide a workplace which promotes health and well-being.

The Incentive Points Program runs from October 1 each year until September 30th of the following year. All activities completed during that time frame allow you to earn up to $300 more dollars in your HRA account. Only employees are eligible to earn money in their HRA account by participating in the Incentive Points Program, but family members may use funds in the account.

Beginning in October of 2014, you will have the opportunity to use this new website to complete a health assessment and participate in various wellness initiatives, and activities – all with the goal of helping you take control of your health, reduce health risks, and live a healthier, more active lifestyle.

The Cerner Health website is hosted on a secure server by Cerner Wellness, a leader in online wellness solutions. To access this website, you will create a unique user name and password. All personal health information you record on this website will be kept confidential, in accordance with your HIPAA privacy rights.

How to Participate in the Incentive Points Program

All employees are encouraged to take the opportunity to improve their health by participating in the Incen-tive Points Program. If you are enrolled in the City of Lawrence healthcare plan, you will have the oppor-tunity to earn up to $300 more dollars in your Health Reimbursement Account (HRA).

Note: New hires should complete Tier 1 within 90 days (as well as employees that later decide to partici-pate in the Incentive Points Program). Fire Medical employees will be contacted by their department and will complete their biometrics, physical and first advisor visit around their birthday.

Tier 1-Participation Requirements

All participants must complete Tier 1. No HRA Money will be awarded if Deadline 

Biometric Screening  October 28, 2014 

Personal Health Assessment  October 28, 2014 

First Advisor Visit  February 1, 2015 

Tier 2-Non-Tobacco Declaration Deadline 

Complete the Non-Tobacco Declaration via Cerner Health  September 30, 2015 

OR   

Complete the CIGNA Tobacco Cessation Program or Kan Quit Program and log in Cerner Health 

September 30, 2015 

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Program Activity Descriptions

Biometric Screening: The biometric screening will include blood pressure, pulse, height, weight, waist circumference, total cholesterol, LDL, HDL, triglycerides, HA1c and nicotine testing. It will also serve as a baseline report from which to measure improvement and success. This activity can be completed by scheduling an appointment for your Biometric screening using the Cerner Health website.

To ensure accurate lab results, please follow these steps:

• Do not eat or drink for 10-12 hours prior to your blood test.

• If you are thirsty, sips of plain water only are permitted prior to your blood test. (No coffee, tea, fruit juice, lemonade or alcohol).

• Medications should only be stopped on the instructions of your doctor. Take them with sips of fluid only.

Personal Health Assessment: The Personal Health Assessment consists of questions pertaining to health, diet, fitness and lifestyle and takes 10-15 minutes to complete in your Cerner Health Account. It will also serve as a baseline report from which to measure improvement and success. If you forgot your Cern-er Health username and password contact Cerner directly at 1-888-252-8150.

Non-Tobacco Declaration: You will be able to indicate in your Cerner Health Account if you are tobacco free or if you would like to sign up for the CIGNA Tobacco Cessation Program or the Kan Quit Program as an alternative. Completion of and logging in your Cerner Health account that you have completed of one of these alternative programs will allow you to be eligible to receive $150 for Tier 2. A nicotine test will be a part of this year’s lab work. If you test negative and are nicotine free, we encourage you to stay nicotine free. If you test positive for nicotine, we encourage you to quit using tobacco products. Nicotine testing will not be tied to an incentive this year. However, in future years nicotine testing done may be tied to an incentive.

You will be able to view your lab results online via your Cerner Health account. Again, If you do use products containing tobacco, you can still earn the incentive by completing either the CIGNA Tobacco Cessation Pro-gram or the Kan Quit program.

To sign up for the CIGNA Tobacco Cessation program please call 1-866-417-7848. To sign up for the

Kan Quit program please call 1-800-QUIT-NOW (784-8669).

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Important Dates

October 2014 Cerner Health Website Available

October 28, 2014 Deadline to complete Biometric Screening

October 28, 2014 Deadline to complete online Personal Health Assessment

February 1, 2015 Deadline to complete First Advisor Visit

Sept 30, 2015 Deadline to complete CIGNA Tobacco Cessation or Kan Quit programs (if applicable)

Sept 30, 2015 Deadline to complete all Incentive Points Program requirements

January 1, 2016 HRA Money from Incentive Points Program distributed into your HRA if all program requirements have been met, points have been entered and Participation Form completed.

How to Create your Cerner Health Account Accessing the Portal To access the portal (If you forgot your username and password contact Cerner directly at 1-888-252-8150):

1. Go to http://www.lmh.org

2. Click on LMH WellCare link (top right corner of the page)

3. Click on City of Lawrence CHAMP Wellness Program link

If you participated last year and completed an online personal health assessment, you will login using the left side of the screen.

If you are new to the online portal, you will use the right side of the screen.

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Log-in Instructions for Existing Users 1. Enter your existing Cerner Health username and password. If you have forgotten your password, click on “Forgot Password?” and follow the instructions to reset it. You may also call 1-888-252-8150 to retrieve your username and password.

2. Enter your birth date and CIGNA ID number (which is located on your CIGNA insurance card).

3. The entire Terms of Use will then appear. Please read carefully and click on approve to continue.

4. You will now be directed to create your member profile. Please enter all of the information on the screen (all fields are required).

Nickname- Enter your preferred first name.

Initial Sign Up Weight- Enter your current weight.

E-mail address- Enter the e-mail address you would like to use for this account (work e-mail ad-dress or a personal e-mail address)

5. When everything has been filled out successfully, you will then be directed to the Cerner Health dashboard.

6. At the top, you will see the steps that must be completed in order to earn the incentive. Click on each step and follow the instructions.

Log-in Instructions for New Users

1. Enter your e-mail address and click on “Sign Up”.

2. Create your account by filling in your name, birth date, and gender. You will also create your username and password, select and answer a security question, and agree to the Terms of Use.

3. You will then be directed to another screen where you will enter your birth date and your CIGNA ID member number (which can be found on your insurance card).

4. The entire Terms of Use will then appear. Please read carefully and click on approve to continue.

5. You will now be directed to create your member profile. Please enter all of the information on the screen (all fields are required).

Nickname-Enter your preferred first name.

Initial Sign Up Weight- Enter your current weight.

E-mail address- Enter the e-mail address you would like to use for this account (work e-mail ad-dress or a personal e-mail address)

6. When everything has been filled out successfully, you will then be directed to the Cerner Health dashboard.

7. At the top, you will see the steps that must be completed in order to earn the incentive. Click on each step and follow the instructions.

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Health Reimbursement Account

An HRA is a program that allows an employer to set aside funds to help pay for employees’ medical

expenses. The funds provided to the employee in their Health Reimbursement Account are tax free.

The use of Health Reimbursement Accounts provides employees incentives (i.e. rollover features)

to be active participants in their healthcare spending (smart consumers).

How the Health Reimbursement Account works:

Individual Plan Family Plan

 

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Health Reimbursement Account

The City will fund $250 to the HRA for an individual and $500 for a family. These funds will be avail-

able for use on Jan. 1st for medical claims only (cannot be used for Rx or Dental).

In addition to the money provided to you by the City you can earn up to $300 more dollars in your

HRA by participating in the Incentive Points Program. Only employees may earn HRA dollars. Family

members may use HRA dollars, but cannot earn HRA dollars.

The funds are not physically in a bank account but the amounts will be recorded electronically with

Cigna.

The HRA funds help offset your deductible of $1,000 for an individual / $2,000 family.

You will not have to fill out claim forms to use the HRA funds. Providers (doctors, hospitals, etc…) send

claims to CIGNA.

Preventive (routine) medical services such as yearly physicals/exams will continue to be paid at 100%

by the plan (will not use HRA funds).

Claims for non-preventive services will first be paid for with funds out of the HRA.

Once you have used all of the funds in the HRA, you will pay the costs of claims until you reach the re-

mainder of the deductible.

Once you have met the deductible, eligible claims will be paid at 80% by the plan (you pay 20%).

You continue to pay 20% until the out of pocket maximum of $2,000 individual / $4,000 family has been

met (amounts include deductible). (Please note: Any co-payments for emergency room visits do not go

toward your out of pocket maximum.)

One family member can use all of the HRA funds in a family plan.

No one on a family plan will have to meet more than an individual deductible or out of pocket maximum.

Maximum carryover for unused HRA funds is $1900.

Should you terminate coverage under the healthcare plan, unused HRA funds are not portable.

To view your claims and HRA balances log onto www.mycigna.com.

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CHAMP Wellness

The CHAMP Wellness Incentive Points Program is sponsored by the City of Lawrence as part of the overall benefits you receive as an employee of the city. The program is administered by the Lawrence Memorial Hospital (LMH) WellCare Clinic. The CHAMP Wellness Incentive Points Program is composed of three tiers. The activities you complete October 1, 2014 thru September 30, 2015 will award your Health Reimbursement Account (HRA) money in January 2016.

Tier 1 - Participation Requirements All participants must complete Tier 1. No HRA Money will be awarded if Tier 1 is incomplete. Tier 1 includes your:

Personal Health Assessment (PHA) Labs & Biometrics First Advisor Visit

Tier 2 - Non-Tobacco Declaration Completion of Tier 2 awards you $150 in HRA Money. Must be tobacco free for the past 12 months or complete the CIGNA Tobacco Cessation or Kan Quit program.

Tier 3 - Wellness Activities Completion of Tier 3 awards you $150 in HRA Money.

Participants must earn 300 points to complete Tier 3.

Points are awarded based on your participation in the wellness activities listed below. Each item in the below columns corresponds with the indicated number of points. You can mix and match combinations of 5, 15, 20, 30, 50 and 60 point activities.

A maximum of $150 can be earned in Tier 3. Earning < 300 points = $0 HRA money; earning ≥ 300 points = $150 HRA money.

Frequently Asked Questions (FAQ)

Important Notes You have the potential to earn up

to $300 in HRA money if you complete all three tiers.

You do not have to complete Tier 2 in order to receive $150 for com-pletion of Tier 3 (or vice versa).

Before you are awarded any HRA money, you need to complete all required information in your Cerner Health Account.

Q: How do I log my activities to earn points?

A: After you have logged in to your Cerner Health (accessed by visiting www.lmh.org) you can select the activities you have completed and log your date of completion.

Q: What kinds of activities can I earn points for?

A: All the activities you can earn points for are listed in this document.

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CHAMP Wellness

Complete Tier 3 Wellness Activities!

BMI in Healthy Range

50 points

Triglycerides in Healthy Range

50 points

Blood Pressure in Healthy Range

50 points

Bad Cholesterol in Healthy Range

50 points

BMI Improvement

5% or more Imp. = 50 points

Triglyceride Improvement

5% or more Imp. = 50 points

Blood Pressure Improvement

5% or more Imp. = 50 points

Bad Cholesterol (LDL) Improvement

5% or more Imp. = 50 points

Steps Logged

5,000 steps or more/day = 1 point

Max Points=60

Cardiovascular Activity

30 min. or more of moderate to vigor-ous physical activity/day = 1 point

Max Points=60

Weight Logged (up to 1 point per wk that weight is logged)

30 points total

Exercise Logs

Second Follow-Up With Advisor 15 points

Recommended Follow-Up With Primary Care Physician (PCP)

15 points

Recommended Follow-Up with PCP/Chiropractor for Neck and/or Back Pain Management

15 points

Follow Up

Annual Routine Physical 30 points

Complete a Mammogram as Recommended

30 points

Complete a PAP Screen as Recommended

30 points

Complete a Colonoscopy as Recommended

30 points

Get an Annual Flu Shot 30 points

Complete a Dental Check-Up Twice a Year (15 points each)

30 points Max

Complete a Vision Exam as Recommended

30 points

Complete a Prostate Screening as Recommended

30 points

Wear Seat Belt (& helmet if applicable)

15 points

Take Folic Acid as Recommended 15 points

Complete Nicotine Replacement Therapy

5 points

Take Current Medications as Prescribed

5 points

Track Your Weight 30 points

Prevention & Screening

Results Incentives

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You can also receive points for the following preventative wellness activities:

Daily Logging of Nutrition and Exercise for 6 Consecutive Weeks

Purchase of Fresh Fruits and Vegetables on at least

15 Different Occasions

Eat a Healthy Diet (15 pts each Max 60 each)

12 Consecutive Weeks of Participation in an Ongoing Fitness Program

Gym Membership or Work with Personal Trainer 3x/Week for 12 Consecutive Weeks

Bike to Work on Average of 2x/week for 12 Non-Consecutive Weeks

Exercise Your Heart (30 pts each Max 60 each)

Participate in Community Walk Event

Participate in Community Run Event

Participate in Community Bike Event

Participate in One Self-Defense Class

Attendance at CHAMP Wellness Event

Exercise Your Heart (5 pts each Max 35 pts)

Participation in Sports League for 6 weeks

Participation in Weekly Fitness Class for at least 30 minutes/week for 6 weeks

Participate in One President’s Fitness Challenge or 6 weeks

Participate in One Walk Kansas

Exercise Your Heart (15 pts each Max 90 pts)

Attend One Nutrition Class

Attend One Healthy Cooking Class

Attend One CPR Certification Class

Attend One Health & Wellness Seminar or Webinar

Attend One Tobacco Cessation Course

Attend One EAP Offered Course

Health Education Seminars (5 pts each)

CIGNA Disease Management Program Participation

CIGNA Lifestyle Management Program Participation

6 weeks Weight Management Program

Participation

Condition Management (15 pts each Max 60 each)

CHAMP Wellness

Complete Tier 3 Wellness Activities!

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CHAMP Wellness Frequently Asked

Questions

Q: What do I do if my points aren’t adding correctly?

A: Contact the Human Resources division at (785) 832-3203.

Q: Can I participate in the incentive points program if I am a tobacco user?

A: Yes! If you’re a tobacco user, you can complete tier 1, tier 2 and tier 3 of the program and earn $150 HRA money.

Q: Do my points rollover to the following year?

A: No, points expire at the end of the plan year.

Q: How do I prove my BMI, blood pressure, triglycerides, or bad cholesterol has improved in order to receive points?

A: Contact the LMH WellCare Clinic (785-505-3112) to set up an appointment with an advisor. Once your improvement has been verified by the advisor, the WellCare Clinic staff will import your points for you.

Q: What do I do if I forgot my username or password?

A: If you forgot your username and password con-tact Cerner directly at 1-888-252-8150. Human Re-sources will not be able to assist you with retrieving your username or password.

Q: How do I prove what I have reported is accurate?

A: Employees must enter and complete all infor-mation in their Cerner Health account certifying the points recorded were earned by performing the ac-tivities associated with each point value.

Q: Do I have to pay to participate?

A: There is no cost payable to the City of Lawrence to participate in the program. However, some of the activities you can receive points for may have their own individual costs.

Q: Can my spouse and/or dependent participate in this program?

A: No.

Q: Can temporary employees, volunteers, or seasonal employees participate in this program?

A: No.

Q: If I am a new regular employee how do I sign up to participate in the CHAMP Wellness Incentive Points Program?

A: Please contact the City of Lawrence WellCare by calling 785-505-3112 to schedule an appointment.

Q: Will the information I report through the Incentive Points Program remain confidential?

A: Yes! The WellCare Clinic staff are the administrators of the incentive points program. All medical and wellness staff are employees of Lawrence Memorial Hospital. All medical records are obtained and maintained by Lawrence Memorial Hospital in compliance with HIPAA. Lawrence Memorial Hospital is a medical provider and operates under strict adherence to confidentiality and privacy laws.

Q: What is the time frame?

A: The activities you complete October 1, 2014 thru September 30, 2015 will award you HRA money in January 2016.

CHAMP Wellness

Frequently Asked Questions

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CHAMP Wellness Frequently Asked

Questions

Q: Do I have to see a certain medical provider to earn points?

A: Unless specified otherwise, you can earn points for seeing both network and non-network providers. However, we recommend you visit network providers whenever possible as network providers typically cost less. One exception is that to receive points for a second follow-up visit with an advisor, you must see a LMH WellCare clinic advisor.

Q: Do I need to submit proof every time I complete a wellness activity?

A: To receive points for a wellness activity, you need to log that activity on your Incentive Points Program account (via lmh.org).

Q: Do I need to log my activities as I complete them, or can I just log them all at the same time?

A: We recommend you log your activities as you complete them to increase accuracy of the records you are submitting. Activities need to be completed and logged by September 30, 2015.

Q: I have completed my PHA and biometrics, why doesn’t that progress show on my ac-count?

A: Your progress will only be complete once you have completed all three participation requirements: PHA, labs and biometrics, and your first advisor

visit.

Q: How do I know if my fitness program, event, webinar, etc. qualifies to earn points?

A: Please use your best judgment. If you have any specific questions or concerns about an activities validity, please contact Human Resources at (785) 832-3203.

Q: My “Participation Requirement” activities are only worth one point. Does that mean they earn me $1?

A: No - “participation requirement” activities are a requirement for participation in the incentive points program. You will not receive any HRA money if all you do is complete these. Any points that appear to be associated with these program requirements simply serve to visually illustrate on your dashboard when you have completed the requirements.

Q: I already have 300 points in Tier 3, can I continue to log my activities?

A: Yes and we encourage you to do so. However, the money awarded in the incentive points program is the same. Once you have obtained 300 points, the program’s Tier 3 award amount is $150 regardless of amount of points in excess of 300 you log.

Q: I have special health circumstances that prevent me from completing wellness activities as provided to earn 300 points. How can I participate in the program?

A: We have included a variety of wellness activities such that individuals of all ages, regardless of their health situation, can easily earn 300 points. However, the WellCare Clinic staff can at any time arbitrarily award points for healthy activities based on their discretion. Please contact the WellCare Clinic staff with any concerns at (785) 505-3112 to arrange for an alternate medically appropriate activity.

CHAMP Wellness

Frequently Asked Questions

“Your health plan is committed to helping you achieve your best health. Rewards for participating in a wellness program are available to all employees. If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify for an opportunity to earn the same reward by different means. Contact us at 785-832-3203 and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status.”

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CHAMP Wellness

Annual Routine Physical Date:

Dr.: 30 points

Complete a Mammogram as Recommended Date:

Dr.: 30 points

Complete a PAP Screen as Recommended Date:

Dr.: 30 points

Complete a Colonoscopy as Recommended Date:

Dr.: 30 points

Get an Annual Flu Shot Date: 30 points

Complete a Dental Check-Up Twice a Year Date: Date:

Dr.: Dr.:

15 pts ea

30 pts Max

Complete a Vision Exam as Recommended Date:

Dr.: 30 points

Complete a Prostate Screening as Recommended Date:

Dr.: 30 points

Wear Seat Belt (& helmet if applicable) 15 points

Take Folic Acid as Recommended 15 points

Complete Nicotine Replacement Therapy Date Completed: 5 points

Take Current Medications as Prescribed 5 points

Prevention & Screening

Complete Tier 3 Wellness Activities!

This paper checklist can be used to track your Incen ve Points by hand so that when you go online to log your points you can enter 

them from this form.  Please note that you must s ll enter all points in your Pure Wellness Account . 

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Second Follow-Up With Advisor Date:

15 points

Recommended Follow-Up With Primary Care Physician Date:

Dr.: 15 points

Recommended Follow-Up with PCP/Chiropractor for Neck and/or Back Pain Management

Date:

Dr.: 15 points

BMI in Healthy Range 50 points

Triglycerides in Healthy Range 50 points

Blood Pressure in Healthy Range 50 points

Bad Cholesterol in Healthy Range 50 points

BMI Improvement Percent: 5% or more Imp. = 50 points

Triglyceride Improvement Percent: 5% or more Imp. = 50 points

Blood Pressure Improvement Percent: 5% or more Imp. = 50 points

Bad Cholesterol (LDL) Improvement Percent: 5% or more Imp. = 50 points

Follow Up

CHAMP Wellness Incentive Points Program

Results Incentives

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You can also receive points for the following preventative wellness activities:

Eat a Healthy Diet (15 pts each Max 60 pts each)

Exercise Your Heart (30 pts each Max 60 each)

Participate in Community Walk Event

Participate in Community Run Event

Participate in Community Bike Event

Participate in One Self-Defense Class

Attendance at CHAMP Wellness Event

Exercise Your Heart (5 pts each Max 35 pts)

Exercise Your Heart (15 pts each Max 90 pts)

Health Education Seminars (5 pts each)

Condition Management (15 pts each Max 60 each)

Exercise Logs

Participation in Sports League for 6 weeks

Participation in Weekly Fitness Class for at least 30

Participate in One President’s Fitness Challenge

Participate in One Walk Kansas

Daily Logging of Nutrition and Exercise for 6 Consecutive Weeks

Purchase of Fresh Fruits and Vegetables on at least 15 Different Occasions

Attend One Nutrition Class

Attend One Healthy Cooking Class

Attend One CPR Certification Class

Attend One Health & Wellness Seminar or Webinar

Attend One EAP Offered Course

Attend One Tobacco Cessation Course

CIGNA Disease Management Program Participation

CIGNA Lifestyle Management Program Participation

6 weeks Weight Management Program Participation

Steps Logged 5,000 steps or more/day = 1 point

Max Points=60

Cardiovascular Activity

30 min. or more of moderate to vigorous physical activity/day = 1 point

Max Points=60

Weight Logged (up to 1 point per wk that weight is logged)

30 points total

12 Consecutive Weeks of Participation in an Ongoing Fitness Program

Gym Membership or Work with Personal Trainer 3x/Week for 12 Consecutive Weeks

Bike to Work on Average of 2x/week for 12 Non-Consecutive Weeks

“Your health plan is committed to helping you achieve your best health. Rewards for participating in a wellness program are available to all employees. If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify for an opportunity to earn the same reward by different means. Contact us at 785-832-3203 and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status.”

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Biometrics Card

Name: ___________________________________

Health Plan ID#__________________

Blood Pressure_____________________________

Pulse_____________________________________

Height____________________________________

Weight____________________________________

Waist Circumference________________________

Total Cholesterol____________________________

LDL____________ HDL_________

Triglycerides___________________

Glucose/HA1c_________________________

Nicotine___________________________ You may mail or fax this completed card to: WellCare Clinic, 1130 W. 4th Street, Suite 1015, Lawrence, KS 66044 Fax:  785‐505‐3126

Blood Work May Not Be More Than 90 days Old.

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Incentive Points Program

Contact Information

LMH WellCare Clinic

Inside the 4th Street Health Plaza at 1130 W 4th Street, Suite 1015, Lawrence, KS 66044 Phone: (785) 505-3112

City of Lawrence Human Resources

Questions about the Incentive Points Program

Call Ryann Waller at 785-832-3209 or email at: [email protected]

Cerner Health Account Username and Password Assistance

Call 1-888-252-8150 to retrieve your username and password.