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Healthy Advantage Rewards
Healthy Advantage Rewards Overview ,[object Object],[object Object],unhealthy    health   chronic   health care  behavior   risks   disease   costs
Healthy Advantage Rewards Overview Employee completes specific healthy activity Employee receives funding to use for paying for the deductible and/or coinsurance portions of their out-of-pocket health insurance costs Employer incents specific healthy activities for their employees (Security Health Plan members) through a health reimbursement arrangement (HRA)
Healthy Advantage Rewards Overview ,[object Object],[object Object],[object Object],[object Object]
Advantage to Employers ,[object Object],[object Object],[object Object]
Flexibility 1.  Choose which incentives to offer (List may be expanded as new administrative capabilities become available.) Annual mammogram Incentive Fasting blood sugar (glucose) screening Cholesterol screening Annual preventive service exam Participation in a disease management program Flu vaccination Non-tobacco user or completion of the Wisconsin Tobacco Quit Line Life Focus health risk assessment
Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Flexibility ,[object Object],[object Object],$25 $25 Annual mammogram Varied amount  ( based on perceived value of incentive ) Flat dollar amount Incentive Fasting blood sugar (glucose) screening Cholesterol screening Annual preventive service exam Participation in a disease management program Flu vaccination Non-tobacco user or completion of the Wisconsin Tobacco Quit Line Life Focus health risk assessment $25 $25 $25 $25 $25 $50 $50 $25 $25 $25 $25 $25 $25 $25
Flexibility ,[object Object],[object Object], Annual mammogram  Primary incentive   (must be completed before other healthy activities are incented) Secondary incentive Incentive Fasting blood sugar (glucose) screening Cholesterol screening Annual preventive service exam Participation in a disease management program Flu vaccination Non-tobacco user or completion of the Wisconsin Tobacco Quit Line Life Focus health risk assessment      
Pilot Group 772% net increase 152% net increase 23% net increase
 
Incentives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Annual mammogram Amount Incentive Fasting blood sugar (glucose) screening Cholesterol screening Annual preventive service exam Participation in a disease management program Flu vaccination Non-tobacco user or completion of the Wisconsin Tobacco Quit Line Life Focus health risk assessment $50 $75 $75
Diversified Benefit Services, Inc. (DBS) ,[object Object],[object Object],[object Object],[object Object]
Diversified Benefit Services, Inc. (DBS) ,[object Object],[object Object],[object Object]
Costs ,[object Object],[object Object],[object Object],[object Object]
Cost Savings Without Healthy Advantage Rewards Employer A- $250 deductible Employees   25 Premium PEPM $  880  (PEPM=per employee, per month) Monthly premium $  22,000 Annual premium $ 264,000 With Healthy Advantage Rewards-scenario 1 Employer A- $1250 HDHP deductible  Employees     25 Premium PEPM $  720 Monthly premium $  18,000 Annual premium $ 216,000 Premium savings per year:  $48,000 $625 HRA incentive account/subscriber:  $15,625 HRA set-up fee ($3.25/ee- $90 min)  $  90 HRA account fee from DBS ($4.35):  $  1,305 Total incentive account cost:   $17,020 Total potential savings after maximum incentive account funding:  $30,980 With Healthy Advantage Rewards-scenario 2 Employer A- $1000 deductible, $25 office visit copay Employees   25 Premium PEPM $  800 Monthly premium $  20,000 Annual premium $ 240,000 Premium savings per year:  $ 24,000 $500 HRA incentive account/subscriber:  $12,500 HRA set-up fee (3.25/ee-$90 min)   $  90 HRA account fee from DBS ($4.35):  $  1,305 Total incentive account cost:   $13,895 Total potential savings after maximum  incentive account funding:  $10,105
Advantage for Members ,[object Object],[object Object],[object Object],[object Object]
Advantage for Members
[object Object],[object Object],Contact your independent insurance agent or the Security Health Plan  Sales Department at 1-800-622-7790 to add this benefit to your coverage.

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Healthy Advantage Rewards

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  • 3. Healthy Advantage Rewards Overview Employee completes specific healthy activity Employee receives funding to use for paying for the deductible and/or coinsurance portions of their out-of-pocket health insurance costs Employer incents specific healthy activities for their employees (Security Health Plan members) through a health reimbursement arrangement (HRA)
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  • 6. Flexibility 1. Choose which incentives to offer (List may be expanded as new administrative capabilities become available.) Annual mammogram Incentive Fasting blood sugar (glucose) screening Cholesterol screening Annual preventive service exam Participation in a disease management program Flu vaccination Non-tobacco user or completion of the Wisconsin Tobacco Quit Line Life Focus health risk assessment
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  • 10. Pilot Group 772% net increase 152% net increase 23% net increase
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  • 16. Cost Savings Without Healthy Advantage Rewards Employer A- $250 deductible Employees 25 Premium PEPM $ 880 (PEPM=per employee, per month) Monthly premium $ 22,000 Annual premium $ 264,000 With Healthy Advantage Rewards-scenario 1 Employer A- $1250 HDHP deductible Employees 25 Premium PEPM $ 720 Monthly premium $ 18,000 Annual premium $ 216,000 Premium savings per year: $48,000 $625 HRA incentive account/subscriber: $15,625 HRA set-up fee ($3.25/ee- $90 min) $ 90 HRA account fee from DBS ($4.35): $ 1,305 Total incentive account cost: $17,020 Total potential savings after maximum incentive account funding: $30,980 With Healthy Advantage Rewards-scenario 2 Employer A- $1000 deductible, $25 office visit copay Employees 25 Premium PEPM $ 800 Monthly premium $ 20,000 Annual premium $ 240,000 Premium savings per year: $ 24,000 $500 HRA incentive account/subscriber: $12,500 HRA set-up fee (3.25/ee-$90 min) $ 90 HRA account fee from DBS ($4.35): $ 1,305 Total incentive account cost: $13,895 Total potential savings after maximum incentive account funding: $10,105
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