Taking an active role in maintaining your health is good for you and your wallet. Preventive measures, like annual physicals, help your doctor find potential health issues before they become major problems. Starting a care regimen early for these potential issues may help you avoid illness and save you money on your health care expenses in the long run.
What Do You Need to Do?
To complete the wellness program and qualify for the 2020 wellness incentive:
Visit an in-network provider from November 1, 2018 to November 1, 2019 for a qualified wellness program visit, AND
Visit an in-network provider for a qualified office visit. UMR will use your claims data to determine if you completed your visit—there’s nothing for you to submit or report.
To earn 2020 incentives, you must complete your visit by November 1, 2019. If you have had an office visit since November 1, 2018, you’ve already completed Step 1!
If you have not had a visit, schedule your office visit now to make sure it’s completed by November 1, 2019. Confirm your completed visit on the UMR Member Portal.
*If you enrolled in a University medical plan for the first time after June 30, 2019, you're excused from the qualified wellness visit requirement this year.
What is a Qualified Office Visit?
A qualified office visit includes any office visit you have with an in-network primary care provider (such as a family, general, geriatrics or internal medicine doctor) or a specialist (such as a specialist in cardiology, OB/GYN, oncology, gastroenterology, endocrinology, hematology, pulmonology, nephrology, infectious diseases, neurologist or rheumatology). This includes any visit for:
Preventive exams or screenings
Treatment of a condition or diagnosis
Management of a chronic disease.
Note: Qualified office visits do not include visits to dermatologists, allergists, podiatrists, ophthalmologists or optometrists.
If you do not use tobacco/nicotine products, you must complete the Pledge during Open Enrollment and agree to continue being tobacco-free.
If you DO use tobacco/nicotine products, you must complete the Pledge during Open Enrollment, including committing to enrolling in and completing a recognized tobacco cessation program in 2019. Many recognized tobacco cessation programs that provide services or one-on-one counseling are available at no cost to you, including
Visit theUMR Member Portal to complete the Tobacco Pledge and Notice. Note: The Pledge only applies to you, not your spouse or enrolled dependents.
If you prefer to complete a paper version of the Tobacco Pledge and Notice, send a completed form to Human Resources before November 30, 2019.
If you do not complete the Pledge, you choose to continue to use tobacco/nicotine, or you use tobacco/nicotine and do not commit to enrolling in and completing a recognized tobacco cessation program, you will be assessed the $50 monthly tobacco surcharge (that’s $600 per year!). Note: If you are a nine-month employee, your monthly tobacco surcharge amount may differ to account for the nine-month payroll period.
You’ll pay the surcharge through payroll deductions on an after-tax basis for the entire 2019 calendar year. If you’re assessed the surcharge, you can submit an updated Pledge or enroll in a tobacco cessation program by July 1, 2019. If you do so, you’ll avoid the $50 monthly surcharge from July 1, 2019 through December 31, 2019.
Get Help Quitting—Free of Charge!
Visit your in-network primary care physician for tobacco cessation assistance at no cost to you (limited to two visits per year). Plus, you can receive no-cost Chantix (prescription smoking-cessation medication)—patches or gum. Important: Your office visit must be coded as a tobacco cessation visit in order for the $0 copay to apply.