Prevention Reward Employee Program

Chandler Unified School District Plan Document 2012-2013

P. R. E. P.

ii | TableofContents

Table of Contents

1 Welcome to P.R.E.P. 1ProgramOverview 2

Eligibility 2HowtoParticipate 2

2 Completing your P.R.E.P. Options 3WellnessVisit 3HealthRiskAssessment 4-5AdditionalP R E P Options 5-7Rewards 7

3 ProgramAlternatives 8-9

4 Additional Resources 10Glossary 10PreventiveCommunication 11DiabetesFlyer 12WellnessForm 13

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Chandler is committed tosupporting optimum health andwellness for district employeesand their families P R E P (Pre-vention Reward Employee Pro-gram) encourages members toget healthy and stay healthy

Members are encouraged to readtheP R E P guidetogainanunder-standing of the program specifics,requirements,andavailableoptions

Why Prevention?One in eight women in the U S will be affected by invasive breastcancer in their lifetime, and thirtywomeneach dayarediagnosedwithcervical cancer Despite increasedawareness and education sur-rounding women’s health, breastcancer is still the leading cause ofdeathamongwomen Prostate cancer is the most com-moncanceramongmenintheU S andover27,000diedasaresultof

the disease in 2012 Heart diseaseis still the leading cause of deathamongmen,followedbycancer Annual recommended wellnessscreeningstakeonlyabouteighttoten minutes and can alert you andyourdoctorofsignsorsymptomsofseriousdiseaseorillness,includingdiabetes and pre-cancerous cells Whenfoundearly,mostconditionsandcancersarehighlytreatable Don’twait!ScheduleyourWellnessPreventativeExamtodaytoensureyou are on the best possible pathforalongandhealthylifeandkeepreadingtoseehowyoucantakead-vantage of additional rewards fordoingwhat’sbestforyouandyourfamily’swellbeing!

WelcometoP.R.E.P!

2 | P.R.E.P.

ProgramOverview

P. R. E. P isdesignedtomakeparticipa-tionasstreamlinedaspossiblewhilefo-cusingonkeypracticesofgoodhealth Membersareaskedtocompletethree(3)wellnessactivities Thefirsttwoarerequired Therearesevenadditionaloptionsfromwhichmemberschoosethethirdrequirement Thinkofitasa2+1!

Primary Requirements: 1. Annual Wellness Exam (Required) 2. Health Risk Assessment (HRA) (Re-quired) 3. Additional Options (choose one)

• CompleteaSmokingCessationProgram(State,county,oronlinewithUHCcoaching)

• EnrollinDPCAProgramifapplicable(Dia-betesPrevention&ControlAlliance)

• CompleteaUHCOnlineHealthCoachingProgram

• FluVaccination• AttendDistrictWellnessExpoandone(1)

District-SponsoredWellnessClass.

• ParticipateinKidneyScreeningand/orDia-betesScreeningduringtheDistrictWellnessExpo

• PreventiveCancerScreeningasrecommend-edbaseduponage&gender(Mammography,Colonoscopy,ProstateScreening).Formoreinformationaboutpreventivecare,visitwww.uhcpreventivecare.com

• ParticipateinDistrict-SponsoredWeightLossprogram(launchingJanuary2013)

Eligibility&EnrollmentAllCHANDLERemployeeswhoareenrolledinaDistrictMedicalPlanareeligibletoparticipateinP.R.E.P.Separateenrollmentisnotrequired.Participationisvoluntaryandatthesolediscretionoftheemployee.IfemploymentorbenefitsareterminatedpriortotheendoftheP.R.E.P.planperiod,rewardsareforfeited.

HowlongdoIhavetocompletemyP R E P items?CHANDLERplanperiodforP.R.E.P.isMay 1, 2012 through April 30, 2013.Youmayobtainyourwellnessexam,takeyourHRA,andcompleteoneoftheothersixoptionsanytimeduringtheP.R.E.P.planperiod.

All three wellness activities must be completed by April 30, 2013 to be eligible for the reward.

HowtoParticipate

ReviewtheP.R.E.P. guideandsupportingmaterialstofamiliarizeyourselfwiththeoptionsandbenefits.Decidewhichoftheoptionalitemsyouwouldliketocompleteandreviewthecorrelatingsectionofthisguidetoassistyouinsuccessfullycomplet-ingyourchoice.

P.R.E.P. | 3

CompletingYourP R E P Items

AnnualWellnessVisit(*No documentation necessary from employee. To facilitate physician communication on preventive care, you may wish to print a copy of the physician letter on page 11 to accompany you on your wellness visit). Itisimportanttoestablisharelationshipwithyourprimarycarephysician.SeeingyourprimarycaredoctoratleastonceayearforyourannualWellnessVisitises-sentialinprovidingyouandyourdoctoranoverall“snapshot”ofyourcurrentstateofhealth.ForChandlerbenefitedemployees,yourannualwellnessvisitisatnocosttothemember,andtypicallyonlytakesabouttentofifteenminutestocomplete.

Whatcanyouexpectatyourvisit?1• Patient History:Yourdoctorwillaskyou

somequestionstodeterminehowyouarecurrentlyfeelingandifyouhaveanycon-cerns.Typicallyheorshewillalsoaskyouquestionsthatrelatetoyourhabits(diet,exercise,smokingetc.)aswellasyourvac-cinationstatus.

• Vital Signs:Yourdoctorwillcheckyourbloodpressure,heartrate,respiration&temperature.

• Heart & Lung Exam:Yourdoctorwilllistentoyourheartandlungs.• Physical Examination:Thiswouldincludecheckingyourthroat,mouth,tonsils,nose,sinuses,eyes,

lymphnodesandthyroid• Neurological Exam:Thisincludestestingyournerves,strength,balanceandreflexes.• Dermatological Exam:Somedoctorswillchecktheconditionofyourskinandnails.Men:Dependingonyourage,mostdoctorswillcheckforhernia,testicularcancerandprostatehealthduringyourannualexam.Women: IfyoudonotseeyourOBGYNforyourannualcervicalandbreastexam,yourprimarycaredoctorcanperformtheseexamsatthetimeofyourannualphysical.Lab Tests:Doctorswillsometimesorderametabolicbloodpaneltoincludeglucose(bloodsugar)levels,cholesterolandlipids,etc.aswellasaurinalysis.

1The above list is a sampling of what your doctor may order or perform during a routine annual physical. Tests and proce-dures may vary by physician and/or the age of the individual receiving the exam.

4 | P.R.E.P.

PreventionisKey!

Themainpurposeofobtainingyourannualwellnessexamistodiscoverpotentialriskfactorsorcondi-tionsthatrequireattention,managementand/ortreatment.Oftentimes,ifcaughtearly,manydiseasesorconditionscanbesuccessfullytreated,controlledoreliminatedbyfollowingyourdoctorsrecommen-dations.

TocompleteyourP.R.E.P.WellnessVisit,youwillneedtocontactyourpri-marycarephysicianandscheduleyourvisit.Ifyoudonothaveaprimarycaredoctor,youcansearchforanin-networkphysicianatwww.myuhc.com.UsetheProviderSearchToolatwww.myuhc.com.tofindadoctorconvenientlylocatedinyourarea,call,makeyourappointmentandbecertaintoinformtheofficethatyourvisitisforyourAnnualWellnessExam.YoucanalsocallUnitedHealthcare’scustomerserviceat:1(866)314-0335forassistanceinfindingaphysi-cian.Formoreinformationregardingpreventativecare,visitwww.uhcpreventivecare.com.

Youarenotrequiredtohaveyourphysicianprovideproofofyourvisit,noraremembersrequiredtopro-videanythingtotheDistrict.AnannualreportwillbeprovidedtotheProgramAdministratorlistingthosewhohavecompletedtheirwellnessexam.NORESULTSORDETAILSregardingthevisitwillbeprovidedtotheDistrictorProgramAdministrator.

Remember! Your exam must be completed between May 1, 2012 and April 30, 2013

to qualify for the reward.

HealthRiskAssessment(No documentation necessary from employee)Takeyourfirststeptowardsahealthierlifebytakingapersonalizedhealthassessmentat myuhc.com®.Bytakingtheonlinehealthassessment,youcanidentifyyourpersonalhealthneeds,learnhealthyhabitsandcompareyour“lifestylescore”toothersofthesameageandgender.

Theassessmenttakesapproxi-mately15minutestocompleteandyouwillbeprovidedwithim-mediatefeedbackonthecurrentstateofyourhealth.Inaddition,yourresponsesareusedtohelpcreateapersonalizedonlineexpe-riencespecificallyforyou.

Plus,youwillhaveaccesstosev-eralhealthimprovementresourc-esandinteractivetools,suchas

quizzes,exerciseprograms,plannedmeals,andactionstepstohelpyouachieveyourpersonalhealthgoals.

Baseduponyourscore,aninteractiveonlineHealthCoachmayrecommenduptothreehealthimprove-mentprogramstohelpyouachieveyourpersonalhealthgoals,suchas:

• Nutrition• Exercise• SmokingCessation• DiabetesLifestyle• HeartHealthyLifestyle• WeightLoss• StressManagement

Togetstarted,visitmyuhc.com.Onceyouareloggedinonthehomepageclickon“Health Assessment.”

If you haven’t yet registered with myuhc.com, click“RegisterNow.”It’squickandeasy!

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theCenterforDiseaseControlidentified64.5percentofU.S.adultsasbeingoverweight.Notonlyisobesitytheprimaryfactorcausingpre-diabetes,italsoplaysakeyroleinhealthcomplicationsamongindividualslivingwithdiabetes.

Fortunately,thereareactionsthatcanbetakentore-ducetheprevalenceofpre-diabetes,theclinicalcom-plicationsassociatedwithdiabetes,andthefinancialburdentheepidemicplacesonemployers.TheDia-betesPreventionandControlAlliance,aninnovativenewprogramfromUnitedHealthcare,isatthecenterofthesolution.

MembersofUnitedHealthcarewhoarediabeticorpre-diabeticareinvitedtoparticipateinafreeprogramaimedatloweringpatientcostsandcomplicationsrelatedtodiabetes.

Ifyouhavebeendiagnosedwithdiabetesorpredia-betes,calltheappropriatenumberbelowtofindoutifyouqualifytoenroll.

1(800)650-2885fordiabetics1(800)237-4942forpre-diabetics

IfitisdeterminedthatyouareaqualifiedcandidatefortheDPCAprogramandenroll,yourconfirmationofENROLLMENTONLYwillbeprovidedtotheProgramAdministratorbyUnitedHealthcareasverifi-cationofyourchosenadditionalP.R.E.P.option.

Aninformationalprogramflyercanbefoundatthebackofthisguide.

JustlikeyourWellnessvisit,youarenotrequiredtoprovideproofofcompletingyourHRA.AnannualreportwillbeprovidedtotheProgramAdministratorlistingthosewhohavecompletedtheHRA.NORE-SULTSORSCORINGfromyourriskassessmentwillbeprovidedtotheDistrictorProgramAdminis-trator.

AdditionalP.R.E.P.OptionsYouareonlyoneoptionawayfromearningyouradditionalHSAdepositorstipend!

Chooseanyoneoftheitemsbelowtomeetyourfinalgoalof2+1.

Preventive Cancer Screenings(Documentation necessary from employee)Screeningmeanscheckingyourbodyforcancerbeforeyouhavesymptoms.Gettingscreeningtestsregularlymayfindbreast,cervicalandcoloncancersearlywhentreatmentislikelytoworkbest.EOB (explanation of benefits) is required for proof of completion. Visit myuhc.com to locate your EOB. Fax, e-mail or mail to PREP Coordinator.

Weight Loss Program(Documentation necessary from employee)TheDistrictwillbesupportingweightlossprogramsatmultiplesitesbeginningJanuary2013.Moreinfotocome.Signature of attendance is required at each Weight Loss event site. Sign-in sheet avail-able at site. Fax, e-mail or mail to P.R.E.P. Coordi-nator.

DPCA Program(No Documentation necessary from employee)Diabetesisoneofthefastestgrowingdiseasesinthecountry.Morethanoneinfouradultsispre-diabeticandoneintenadultsisdiabetic.Whilethesestatis-ticsraiseconcern,othersuncoveropportunity.Forinstance,inaNationalHealthandNutritionSurvey,

6 | P.R.E.P.

Flu Vaccinations(Documentation necessary from employee)It’smoreimportantthanevertotakecareofyourhealth.Bygettingasingleflushotyoucanprotectyourselfagainsttheseasonalflu,H1N1andotherformsofthefluvirus.Thereareseveralwaysyoucanobtainafluvaccine:

• AttendtheDistrict-SponsoredWellnessExpotoreceiveyourvaccination. Proof of vaccina-tion will be provided.

• Visityourphysicianorcallthemembernum-beronyourhealthplanIDcardtofindapro-vidernearyou.EOB (explanation of benefits) is required for proof of completion. Visit myuhc.com to locate your EOB. Fax, e-mail or mail to P.R.E.P Coordinator.

• VisitanetworkConvenienceCareClinicoroneoftheparticipatingnationalUnitedHeath-carenetwork.EOB (explanation of benefits) or receipt of service is required for proof of completion. Fax, e-mail or mail to PREP Coordinator.

Complete a Smoking Cessation Program(Documentation necessary from employee)OneoutoffivedeathsinAmericacanbeattribut-edtocigarettesmoking.Nowistheperfecttimetomakethedecisiontoquitandgetpaidformakingalifelongcommitmenttoyourhealth!Completeastate,county,orUHChealthcoachingcessationprogramtomeetyouradditionalP.R.E.P.require-ment.

Visitthelinksbelowtofindaprogramoptionthatisrightforyou.

ArizonaSmoker’sHelpline(800)556-6222www.ashline.org

MaricopaTobaccoUsePreventionProgram(602)372-7272www.mactupp.org

UnitedHealthcareOnlineHealthCoach1(888)842-4224www.myuhc.com

Youcanalsospeakdirectlytoyourdoctoraboutsmokingcessationoptionssuchasmedicationsandothersupporttools.

Pleasefax,e-mailormailyourproofofprogramcompletiontoP.R.E.PCoordinator UHC Online Health Coaching Program(No documentation necessary from employee)UnitedHealthcare’sHealthCoachingprogramsthroughwww.myuhc.com® offeravarietyofper-sonaltoolsandtopicstoexplore.Membersmovethroughapersonalizedprogramthatprovideseducationandoptionsforimprovement.Programoptionsinclude:

• Nutrition• Exercise• SmokingCessation• WeightLoss

Visit www.myuhc.com®andonceyouareloggedinselectthe“Health&Wellness”tabthen“OnlineHealthCoach”tobeginyourprogramtoday!

AnannualreportwillbeprovidedtotheProgramAdministratorattheendoftheprogramlistingthosewhohavecompletedtheonlinecoachingprogram.Nodetailsofthecoachingwillbepro-videdtotheDistrictorProgramAdministrator.

P.R.E.P. | 7

Wellness Expo-Wellness Classes/Kidney Screening/Diabetes Screening (Documentation necessary from employee)ChandlerprovidesemployeesanopportunitytoattendfreeclassesondifferentwellnesstopicsofferedduringtheWellnessExpo.Membersarerequiredtoattendatleast1classofferedduringtheWellnessExpotoqualifyforthereward.EmployeesmayalsoparticipantintheKidneyand/orDiabetesscreen-ingsofferedduringtheWellnessExpotoqualifyforthereward.

ClassesaretypicallyanhourlongandareheldatthesametimeastheWellnessExpo.Times,daysandlocationsaredeterminedbytheDistrictandaresubjecttochange.Alistofclasseswillbepublishedinthefallof2012.ProofofattendancewillbeprovidedtoemployeesandshouldbesenttotheP.R.E.P.Coordinator.

Rewards!Congratulationsforcompletingyour2+1P.R.E.P.!

TheDistrictMedicalPlanyouareenrolledindetermineswhichrewardyouareeligibletoreceive.

HDHP with HSA Reward: $200 HSA deposit Onceverificationofcompletion(orparticipation)hasbeenreceivedbytheProgramAd-ministratorattheendoftheprogram,membersenrolledintheHDHPlanwithHealthSavingsAccountwillreceiveanadditionaldepositof$200intheirOptumHealthBankSavingsAccountinJune2013.1

PPO Traditional Plan

Reward: $200 StipendOnceverificationofcompletion(orparticipation)hasbeenreceivedbytheProgramAd-ministratorattheendoftheprogram,membersenrolledinthePPOTraditionalPlanwillreceivea$200stipendthroughnormalpayrollprocess.

1 Valley Schools and Chandler reserve the right to alter HSA deposit date(s) if necessary.

8 | P.R.E.P.

Program Alternatives*

1. WellnessExamIfamemberisunabletocompleteanAnnualWellnessVisit,aphysician’snoteisrequiredconfirmingthemember’sinabilitytocompletethevisit.Adetailedexplanationisnotnecessary.Thephysician’snotecanbemailedorfaxedto:Fax:1(877)594-4375Mail: ValleySchools P.R.E.P.Coordinator(Confidential) POBox41760 Phoenix,AZ85080

2. HealthRiskAssessmentIfamemberisphysicallyunabletocompletetheHealthRiskAssessmentonline,themembercanfilloutthealternaterequestformatthebackofthisguideandchooseoneofthealternateP.R.E.P.optionstocompleteinplaceoftheHRA.

3. DPCAProgramTheDPCAProgramisopenonlytomemberswhoarediabeticorpre-diabetic.IfamemberdoesnotqualifyfortheDPCAprogram,theycanelecttocompleteoneoftheotheralternateP.R.E.P.options.

4. SmokingCessationIfamemberdoesnotsmoke,theymaychoosetocompleteoneoftheotheralternateP.R.E.P.options.

5. FluVaccinationsIfamemberisphysicallyunabletoreceiveafluvaccination,theymaychoosetocompleteoneoftheotheralternateP.R.E.P.options.

6. HealthCoachingIfamemberisunabletoparticipateintheonlinehealthcoaching,theymaychoosetocompleteoneoftheotheralternateP.R.E.P.options.

7. DistrictWellnessExpo-WellnessClass/KidneyScreening/DiabetesScreeningIfamemberisphysicallyunabletoattend1wellnessclass,kidneyordiabetesscreeningofferedattheWellnessExpo,theymaychoosetocompleteoneoftheotheralternateP.R.E.P.options.

P.R.E.P. | 9

* If a member is physically unable to complete any of the P.R.E.P. options, please contact the P.R.E.P. Plan Administrator for further guidance at: (623) 594-4370.

8.District-SponsoredWeightLossProgramIfamemberisunabletoparticipateinaweightlossprogram,he/shemaychooseanotheroption.

9.CancerScreeningsIfapreventivecancerscreeningisnotrecommendedbasedupontheperson’sageandgender,themem-bermaychooseanotheroption.

10 | Glossary

GlossaryofTerms

• Annual Wellness VisitPhysicalexaminationconductedbyyourphysiciantodetectpossiblediseasestatesorriskfactors.Someexamplesofawellnessvisitwouldbe:annualphysical,wellwomanexam,wellmanexam,colonoscopy.

• HDHP - High Deductible Health Plan DistrictSponsoredHealthPlanOptionthatfocusesonconsumerismandisoftenpairedwithahealthsavingsaccount.

• DPCA - Diabetes Prevention and Control Alliance UnitedHealthcarespecialprogramtoassistandeducatediabeticsandpre-diabetics.

• HRA - Health Risk AssessmentAnonlinesurveywhichprovidesmembersa“score”representingtheircurrentstateofhealth&alertingmembersofpossibleareasforimprovement.

• HSA - Health Savings AccountTaxfreesavingsaccountassociatedwithmemberswhoareenrolledinahighdeduct-iblehealthplanorconsumerdrivenhealthplan.

• EOB - Explanation of BenefitsAstatementprovidedbyahealthinsurancecompanytocoveredindividualsexplain-ingwhatmedicaltreatmentand/orserviceswerepaidforontheirbehalf.

• P.R.E.P. COORDINATORDarleneKrachtEmail:dkracht@vsit.orgFax:1(877-594-4375)Mail:ValleySchools P.R.E.P.Coordinator(Confidential) P.O.Box41760 Phoenix,AZ85080

*Be certain to retain a copy of your EOB from United Healthcare of your wellness exam should further verification be necessary. All EOB’s and claims summaries can be found

at: myuhc.com. If you do not receive your HSA deposit or your stipend by August 30, 2013, please fax a copy of your

EOB to: 1(877-594-4375).

Why preventive care is important

Preventing disease and detecting disease early, if it occurs, are important to living a healthy life. And the better your health, the lower your health care costs are likely to be. Following certain guidelines, along with the advice of your doctor, can help you stay healthy. Talk to your doctor about your specific health questions and concerns, and follow his or her recommendations. Under the health reform law, members in most health plans are eligible to receive certain preventive care services, based upon age, gender and other factors, with no cost sharing (copayments, coinsurance and deductibles) as long as services are rendered by physicians and other health care professionals who participate in the plan’s network.

Getting started: The importance of your preventive health visit.

Making an appointment for a preventive health visit can help you establish the baseline for your current health, and identify any health issues before they become more serious. Preventive checkups and screenings can help you and your doctor discuss care options that may help maintain or improve your health. During a preventive visit your doctor will usually determine what tests or screenings you need based on many factors such as your age, overall health status and any chronic conditions you might have. For more information on preventive care, visit our website at www.uhcpreventivecare.com to identify your age and gender-specific preventive care guidelines, based on recommendations of the U.S. Preventive Services Task Force and other health organizations. When you schedule your preventive health visit, share the letter below with your Physician to help prevent common coding or billing errors that may occur. Certain services can be done for preventive or diagnostic reasons. When a service is performed for the purpose of preventive screening and is appropriately reported, it will be processed under the Preventive Care Services benefit. When a service is done for diagnostic purposes it will be billed under the applicable non-preventive medical benefit. Dear Physician or Healthcare Provider: As part of the federal Patient Protection and Affordable Care Act of 2010, your patient may be enrolled in a health plan that covers certain preventive care services with no cost sharing (copayments, coinsurance and deductibles) as long as services are rendered by an In-Network provider. UnitedHealthcare has updated its Preventive Care Services Coverage Determination Guideline (CDG) to help physicians identify and correctly code preventive services they deliver to UnitedHealthcare members. UnitedHealthcare notifies network providers of all CDG changes through the Network Bulletin and the UnitedHealthcareOnline portal. Please use these resources to determine what preventive services will be covered with no cost share for your patient. The health care professionals online portal can be accessed at www.unitedhealthcareonline.com. You can also use this site to verify a member’s eligibility in the plan. Your local network contact is also available to answer questions or assist in any way. UnitedHealthcare is dedicated to helping people live healthier lives, and we encourage our members to receive age- and gender-appropriate preventive care services.

12 | P.R.E.P.Are you one of the 80 million Americans

living with diabetes or pre-diabetes?

Members of United Healthcare who are diabetic or pre-diabetic are invited to participate in a free program aimed at lowering patient costs and complications related to diabetes.

Diabetes prevention program includes:

16-week session, 1 hour/week, at

YMCA

Tips for reducing risk of developing type 2 diabetes

Healthy lifestyle management

Ongoing education and behavior

modification

Diabetes control program includes:

Private meetings w/ Walgreens

pharmacist

Monitoring of medication, blood pressure, weight, labs

Coordination w/ primary care phy-

sician

Self-management education

For more information, contact united healthcare:

1-800-650-2885 for diabetics 1-800-237-4942 for pre-diabetics

P.R.E.P. | 13

Dear P.R.E.P. Coordinator:

IcertifythatIamunabletocompletetheHealthRiskAssessmentonlineatmyuhc.com®.IchoosethefollowingP.R.E.P.optionbelowtocompleteinplaceoftheHRA.

SmokingCessation

DPCAProgram

FluVaccinations

UHCOnlineHealthCoaching

1WellnessClass/WellnessExpo

District-SponsoredWeightLossProgram

CancerScreenings

Name:_______________________________District:_______________________

Signature:_____________________________Date:_________________________