The PEIA Finance Board voted to implement the three-year Healthy Tomorrows initiative for active employees and non-Medicare retirees in the PEIA PPB Plans.
PEIA is investing in prevention for the sake of the policyholders and the PEIA plan. When faced with the rising cost of healthcare and a population that is living longer, PEIA wants to promote healthier living, healthier lifestyles and policyholders that are aware of health concerns in their own bodies.
PEIA members were encouraged to choose a doctor to build a working relationship with in year one of the Healthy Tomorrows Program.
Annual checkup and general Lipid Panels are provided without charge to PEIA policyholder once every plan year.
During Open Enrollment (April 2 – May 15, 2015), policyholders had to designate a primary care physician (PCP) to avoid a $500 deductible penalty for Plan Year 2016.
If you are enrolled in either the Medical Home or Comprehensive Care Partnership program, you have already named a primary care physician and do not have to take any additional steps to meet this requirement.
Click here for a searchable online directory of PCPs, MHPs and CCPs.
Click here for a Provider Directory in .PDF format.
Policyholders must see their primary care physician after reporting their doctor’s name to PEIA. Your primary care physician must test your blood pressure, blood glucose, cholesterol and waist circumference and report it to PEIA on the Healthy Tomorrows Reporting Form before the end of Open Enrollment (May 15, 2016) .
Healthy Tomorrows Reporting Form
Pick a PCP Form
Policyholders must have your blood pressure, blood glucose and cholesterol within an acceptable range or have a physician’s certification that those numbers cannot be met.
Healthy Tomorrows acceptable ranges
Healthy Tomorrows Reporting Form (Plan Year 2018)
In any year that you do not comply with the initiative, you will face an additional $500 medical deductible.
NOTE: PEIA covers one annual physical per plan year for members at no cost. Bring the Adult Annual Physical and Screening Examination Form to your doctor.
Healthy Tomorrows Picking a PCP
Healthy Tomorrows Beyond Picking a PCP
Healthy Tomorrows Frequently Asked Questions
Healthy Tomorrows in a Nutshell
Healthy Tomorrows Information for Managers