PEIA offers discounts for being tobacco free, having an advanced directive/living will and participating in the Improve Your Score program.
Tobacco-Free Discount
If you've been tobacco-free for six months, report your status on
Manage My Benefits and have your premium reduced $25 a month for single coverage and $50 a month for family coverage under PEIA PPB Plans A, B and C, Humana the Special Medicare Plan. If you have family coverage, all members of your family must be tobacco-free for six months to be eligible for the discount. If you quit now, six months from now your premiums can be reduced. Optional life insurance premiums also are discounted for tobacco-free members.
If you want to quit using tobacco, we offer the following benefits:
- An office visit with a physician twice per 12-month period for smoking-related counseling.
- Nicotine patches at no cost to the member; both the deductible and the copayment are waived on nicotine patches when prescribed by a physician and purchased at a network pharmacy.
- All other prescription and over-the-counter (OTC) tobacco cessation products after deductible with the applicable generic, preferred or non-preferred copayment, depending on their status on PEIA's Preferred Drug List.
No need to enroll in a program. When you're ready to quit, just schedule a visit with your doctor to discuss quitting and get a prescription for any covered over-the-counter product or prescription medication to help you quit.
Go to
Nicotine Replacement Therapies.
Members may use the tobacco cessation benefit three times per lifetime. This includes previous attempts.
Only members paying the "tobacco-user" premium have access to these benefits.
To check your status, 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.
NOTE: The Health Plan HMO members are not eligible for the tobacco-free discount.
Improve Your Score Discount
Active employees covered by PEIA PPB Plans A, B or C receive a $10 monthly 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 color or status as a participant.
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 every other plan year and maintain your green overall score.
RED or YELLOW - If your overall score is yellow or red, you must take some action every plan year to improve your modifiable risk factors. The following activities will count as “engagement” to maintain your discount:
- see your medical home or primary care physician
- participate in PEIA’s Face to Face Diabetes Program
- participate in the PEIA Weight Management Program
- participate in the Dr. Ornish Program for Reversing Heart Disease
- participate in the Ornish Spectrum education program
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 within the past 12 months.
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.
NOTE: The Health Plan HMO members are not eligible for the Improve Your Score discount.
Advance Directive/Living Will Discount
Active employees covered by PEIA PPB Plans A, B or C and retirees covered by PEIA PPB Plan A, Humana or the Special Medicare Plan who notify PEIA on
Manage My Benefits that they have executed an Advance Directive/Living Will are eligible for the $4 monthly discount. An Advance Directive/Living Will is a legal document for making known your wishes about end-of-life care or what medical treatments you desire. It also can be referred to as a health care directive or physician’s directive.
Please do not send PEIA a copy of your Advance Directive/Living Will.
To check your status, 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.
NOTE: The Health Plan HMO members are not eligible for the advance directive/living will discount.