REWARD AMOUNT* | HEALTHY ACTIVITY | QUALIFYING AGE** | REWARD RULES | HOW ACTIVITY IS MEASURED |
---|
$75 per calendar year | Annual PCP Visit | Age 21+ | Based on claims, encounter, and supplemental data | Based on claims, encounter, and supplemental data |
$5 per 30-day fill
$30 per 90-day fill
$120 dollar max | Antidepression Medication Management | Age: 18+ | Refill antidepression medication
To be eligible for this reward, the requirement is clinical eligibility – diagnosis of depression. | Based on claims / pharmacy data |
$5 per 30-day fill
$30 per 90-day fill
$120 dollar max | Antipsychotic Medication Management | Age: 21+ | Refill your antipsychotic medication as prescribed | Based on claims / pharmacy data |
$5 per 30-day fill
$30 per 90-day fill
$120 dollar max | Asthma Medication Management | Age: 5-64 | Refill asthma controller medication To be eligible for this reward, the requirement is clinical eligibility –
diagnosis of persistent asthma, for prescribed long-term controller medication only and does not include rescue medications. | Based on claims / pharmacy data |
$50 or $20
depending on screening in current year or within 2 years prior | Breast Cancer Screening | Age: 50-74 | Complete mammogram | Based on claims, encounter, and supplemental data |
$50 or $20
depending on screening in current year or within 4 years prior | Cervical Cancer Screening | Age: 24-64 | Complete cervical cancer screening | Based on claims, encounter, and supplemental data |
$100, $40, $20
depending on screening type and year screened | Colon Cancer Screening | Age: 45-75 | Complete colon cancer screening $100 for colonoscopy in current year OR $20 for colonoscopy within 9 years prior. OR $40 for FIT-DNA in current year OR $20 for FIT-DNA within 2 years prior. OR $20 for FOBT, FIT | Based on claims, encounter, and supplemental data |
$50 per calendar year | Diabetes Eye Exam | Age: 18-75 | Completion of diabetic retinal eye exam To be eligible for this reward, the requirement is clinical eligibility – diagnosis of type 1 or type 2 diabetes. | Based on claims, encounter, and supplemental data |
$30 per calendar year | Diabetes Screening for People Using Antipsychotic Medications | Age: 21-64 | Complete glucose or HbA1c testing To be eligible for this reward, the requirement is clinical eligibility – prescribed Antipsychotic Medications | Based on claims, encounter, and supplemental data |
$30 per calendar year | Flu Shot | Age: 21-64 | Complete annual flu vaccine | Based on claims, encounter, and supplemental data |
$30 per calendar year | Kidney Health Monitoring | Age: 18-85 | Complete eGFR and uACR testing | Based on claims, encounter, and supplemental data |
$75 per calendar year | New Member PCP Visit | Age: 21+ | Complete visit with PCP within 90 days of enrollment | Based on claims, encounter, and supplemental data |
$5 per 30-day fill
$30 per 90-day fill
$120 dollar max | Statin Medication Management | Age Males: 21-75
Age Females: 40-75 | Refill your statin medication as prescribed | Based on claims / pharmacy data |