Active employees covered by PEIA PPB Plans A, B or C receive a $10 a month premium discount for participating in the Improve Your Score program. To maintain the discount, you must meet screening and/or engagement requirements, depending on your Improve Your Score color or status as a participant. It's a two-step process:Step One: Screening.
You must “know your numbers” and get your report card by:
1. Attending a Pathways to Wellness worksite health screening
at your worksite. You may also attend a screening at any other PEIA Pathways worksite with prior notice to the PEIA Pathways staff. Standard worksite screenings are offered at no charge to PEIA members. For those just beginning participation in the program, it may take up to 90 days following a screening for your premium discount to begin.
To find a health screen near you, go to Pathways to Wellness
2. Reporting results of a screening by your physician. If you’ve already had this blood work done through your physician’s office or another provider, you may download the Improve Your Score Premium Discount Form
, which is under Find a Form
on the home page. Then, have your provider complete the necessary information and return the form to the address listed on the form. (Remember, you will be responsible for any applicable coinsurance or copayment if your physician performs the screening.)
To report a health screen by your physician, use the Improve Your Score Premium Discount Form
Participants in Improve Your Score screenings receive a color-coded report card from PEIA using the stop light system: green for healthy; yellow for moderate risk; and red for high risk.Step Two: Engagement.
Act on your report card and improve your health status:Green:
If your overall score is green, congratulations and keep up the great work! You will maintain your premium discount as long as you get screened at least every other plan year and maintain your green overall score.Yellow or Red:
If your overall score is yellow or red, you must take some action everyplan year to improve your modifiable risk factors. The following activities will count as “engagement” to maintain your discount:
You must continue to get screened and receive a new report card at least every other plan year to continue participating in this discount program. If your overall score improves from yellow or red to green, then you follow the instructions for a “green” score above.
To qualify for the discount for the full plan year, by April 30 each year you must have been screened within the past 2 plan years, and if your score is yellow or red, you must have engaged in one of the activities listed above for the plan year.
PEIA may offer alternative settings for screenings at times of peak demand, such as the annual open enrollment period. When these alternative settings become available, they will be listed on the wellness Web site at www.peiapathways.com
To check your status or report your engagement activity, click on the green Manage My Benefits
button above, log in (or register, if you haven't used the site before), and choose the "Premium Discounts" button at the top of the list. From here you can view and manage all of your premium discounts.