Embarking on a journey towards better health and wellness is now more rewarding with the introduction of Aspire by a leading healthcare provider. This Health Engagement program is designed not only to encourage healthier lifestyle choices but also to financially benefit members who actively participate. By opting for the Aspire Enhanced Plan, members can significantly reduce their out-of-pocket healthcare costs in return for their commitment to maintaining a good health score, signified by a Member Qualification Form completion and a requisite score achievement. This innovative approach requires members and their covered spouses to actively engage with their personal care physicians (PCPs) to pave the path towards qualifying for the enhanced plan. As part of the commitment to health, members are also expected to complete a Health Risk Assessment, providing insightful data into their health risks and establishing a baseline for their health engagement journey. For those who might find the steps challenging due to various reasons, the program offers flexibility and support to ensure that every member has the opportunity to benefit from the Enhanced plan. Additionally, the program highlights success stories, like Helen's, showcasing the tangible benefits of choosing the Enhanced plan over the Standard plan. With higher deductibles and copays, the Standard plan serves as an alternative for those unable to meet the Enhanced plan's criteria, ensuring that all members still receive quality care. This program underlines the importance of proactive health management, supporting members through various initiatives aimed at smoking cessation, chronic condition management, and weight management, among others. By promoting an inclusive approach to wellness, complete with alternatives for those facing challenges, the initiative is not just about saving costs but fundamentally about enhancing the quality of life for its members.
| Question | Answer |
|---|---|
| Form Name | Hap Member Qualification Form |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | hap qualification form, iStriveSM, BMI, SucceedTM |
Dear Valued Member:
We are happy you are taking part in Aspire, a Health Engagement program. This program rewards healthy lifestyle choices by saving you money on
Save
The Enhanced plan can help save you money on your
1.Have your personal care physician (PCP) complete the Member Qualiication Form located in the middle of this booklet.
2.Demonstrate your commitment to good health with a score of at least 80 on your Member Qualiication Form. We can help you meet your goals!
3.Log in at hap.org and complete the free SUCCEED® Health Risk Assessment.
Standard Plan
The Standard plan provides the same quality of care, but with higher copays and deductibles. At the end of your qualiication period, if you and/or your covered spouse have not completed the three steps to qualify for the Enhanced plan, you will automatically be placed in the Standard plan.
If you have any questions about Aspire, call Customer Service Monday through Friday, 7 a.m. to 7 p.m., and 8 a.m. to noon on Saturday at (888)
As always, your membership is appreciated, and we look forward to serving as your health plan for many years to come!
Sincerely,
Richard D. Chaney
Vice President, Customer Service
Aspire to be Healthier
We believe a health plan should look out for your
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If you choose to stay in the Enhanced plan, you and your covered spouse need to complete the following steps by the end of the qualiication period.*
Step 1. Complete and submit your Member Qualiication Form.
Schedule an appointment with your personal care physician (PCP). If you don’t have a PCP, you can choose one by logging in at hap.org and selecting “Find a Doctor/Facility.”
Be sure the form is completed in full and submitted before the end of the qualiication period. Either you or your doctor can submit the form, but please keep a copy for your records. If your doctor submits the form for you, you are responsible for ensuring that we receive the form on time. You can view your status anytime by logging in at hap.org.
Step 2. Score at least 80 points on your Member Qualiication Form.
Points are assigned based upon meeting speciic wellness targets or by participating in health improvement programs. To qualify for the Enhanced plan, you will need to meet the wellness targets listed on the Member Qualiication Form to earn 80 points. If you do not or cannot meet the wellness targets, you still may be able to meet the program requirements by working with your doctor.
If you’re not willing to commit to lifestyle changes or work with your doctor to meet the
Step 3. Complete your Health Risk Assessment.
To help you understand your health risks, complete the free conidential online SUCCEED® Health Risk Assessment. It takes about 20 minutes to complete.
To ind the assessment, log in at hap.org using your health plan ID number and password, then select the Health Risk Assessment link from the Quick Links section. If you have not registered yet, select Register Now. After registering you will be redirected to the hap.org homepage to log in.
The personal health information you enter online in the assessment will not be shared with any other party without your speciic consent, as required by law.
At the end of your qualiication period, if you and/or your covered spouse have not completed the three steps to qualify for the Enhanced plan, you will automatically be placed in the Standard plan with higher
*If there are circumstances that make it diicult for you to complete any of the required steps for the Enhanced plan, please call Customer Service at (888)
Example of how to save with the Enhanced plan.
Helen’s employer ofers the Health Engagement plan. The plan provides Helen with a $1,000 deductible and higher copays if she stays in the Standard plan; but Helen will have no deductible in the Enhanced plan.* Helen is in pretty good health. Recently though, she hurt her knee. Helen’s PCP referred her to a specialist. The specialist recommends an outpatient procedure to help Helen recover. Helen’s
|
Enhanced Plan |
Standard Plan |
|
|
|
PCP Visit |
$15 |
$30 |
|
|
|
Specialist Visit |
$30 |
$45 |
|
|
|
Outpatient Copay |
$100 |
$100 |
|
|
|
Deductible |
$0 |
$1,000 |
|
|
|
Total |
$145* |
$1,175* |
*Costs vary based on your speciic plan. This example shows a typical Health Engagement beneit plan. Please check with your beneit administrator for a complete summary and
We want to help you meet your goals.
Take advantage of the programs and services geared to help improve your health — and your
•To stop tobacco/nicotine use, several treatment plans are available to help you quit:
-Smoking (tobacco/nicotine) cessation counseling services provided by your PCP
-Smoking Intervention Program (SIP) or Freedom From Smoking Program (FFS)
-Prescription and
-Electronic counseling services with the HealthMedia® BREATHETM program
* You may be asked to send in your receipts for
Don’t forget to include your name and health plan ID number.
•HAP’s Restore CareTrack®– an
•HAP’s Weight Management program ofers nutritional counseling as well as
To learn more about our many programs and services, log in at hap.org.
Notice of Reasonable Alternative
We are committed to helping you achieve your best health. Rewards for taking part in a wellness program are available to all employees. If you are not able to meet a standard for a reward under any of our wellness programs, you might qualify for an opportunity to earn the same reward by diferent means. We will also work with your doctor, if you wish, to ind a wellness program option with the same reward that is right for you.