GO GOLD. with Go365 GET ACTIVE LIVE HEALTHY ENJOY REWARDS
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1 GO GOLD with Go365 GET ACTIVE LIVE HEALTHY ENJOY REWARDS Start earning points and living your healthiest life January 1, 2018
2 Gold is the New Silver We appreciate you participating in the Humana Go365 program! Our wellness initiatives at Winter have allowed us to keep employee costs for healthcare premiums the same for a fifth consecutive year, thanks in part to your participation. A successful and award-winning wellness program, like Go365, is all about helping you improve your lifestyle and manage rising healthcare costs. We have partnered with Humana to be the model of excellence, achieving 100% participation of covered employees and passing the savings on to you. Your participation is critical to our ability to keep healthcare premiums low! In the past, employees were required to reach Silver Status to be eligible for the Wellness Rate for the following plan year. In 2018, employees are required to reach Gold Status to be eligible for the Wellness Rate in Read on to find out about the program features and see how easily you can get to GOLD and live a healthier life in the process! If you have any questions contact Carol Swanson, Human Resources Manager, at or cswanson@wintercompanies.com
3 Gold Status 8,000 One adult per policy 12,000 combined Two adults per policy 4,000 additional For each dependent 18+ on the policy Your first steps to get to Gold Starting 1/1/2018: Step 1: Complete Health Assessment Log onto your account at Go365.com to complete your health assessment. This will give you Recommended Activities designed specifically for you. Recommended Activities can have a big impact on your overall health, as well as earn you a lot of points. Step 2: Biometric Screening Winter will be holding two biometric screening days, one at the 191 office and one at the Norcross office. Family members are welcome to attend. To sign up for Norcross, go online to: bit.ly/norcross-2018 To sign up for 191, go online to: bit.ly/ Step 3: Preventive Screenings Complete preventive exams based on your age and gender and submit within 90 days to earn up to 400 additional points. Employees will receive an additional day of PTO to complete their screenings in (See the compliance chart and forms for more details). Step 4: First Workout Earn 750 points by completing your first verified workout. Step 5: Continue Earning Points to Reach Gold Status See the following pages, as well as your Ready. Set. Go365 booklet for all the ways you and your dependents can get to GOLD! All employees who complete their Health Assessment & Biometric Screening by February 28 will earn a Wellness Day!
4 Gold is the New Silver Unlock activities to earn more points! Here are the ways you can earn points in Go365: 1. Activities Things you can do every day to get healthier. 2. Recommended Activities Personalized based on your Health Assessment responses. 3. Challenges Motivate yourself and your co-workers in a healthy competition. Below is an example of how you can reach Gold Status. Additional activities can be found in your Ready. Set. Go365 Booklet. Points Earned Employee Gold Health Assessment 500 once/program year Employee Platinum HA Bonus Points Fast Start 250 for completion within first 90 days of program year Update/Confirm Contact Information 50 once/program year Calculators x pts each Conversations x pts each Monthly Go365 Sign-In pts/month for 8 months Biometric Screening Completion* 2,000 once/program year Biometric Screening in Range: Blood Pressure** 400 once/program year Biometric Screening in Range: Blood Glucose** 400 once/program year Nicotine Test 400 once/program year Nicotine Screening in Range 400 once/program year First Aid Certification 125 once/program year Dental Exam x pts each x2 (January & July) Vision Exam 200 once/program year Flu Shot 200 once/program year First Verified Workout Each Program Year 750 once/program year Join a Sponsored Monthly Challenge x points/month for 8 months Join Any Monthly Challenge x points/month for 8 months 7,000 Steps Achieved 2 Days a Week pts x16 days Run/Walk a 5K (Level 1 athletic event) 250 up to 3,000 pts/program year Join a Sports League 350 up to 1,400/program year GOLD STATUS REACHED (8,000) 8,167 complete to earn your Wellness Day * Biometric Screenings will be January 5 th at Norcross and January 12 th at 191 **Employees can earn up to 2,000 points for Screenings that are in range. BMI-800; Blood Pressure- 400; Blood Glucose- 400; Total Cholesterol- 400 Recommended activities are not medical advice. Consult your Physician. Bonus Bucks are not tied to Points and increase a Go365 member s buying power in the Go365 Mall. Bonus bucks are awarded when a Go365 member reaches Silver, Gold and Platinum status, and are doubled when the prior year highest Status is achieved. Go365 is not an insurance product. Not available with all Humana health plans. We are committed to helping you achieve your best health. Rewards for participating in Go365 are available to all members. If you think you might be unable to meet a standard for a Go365 reward, you might qualify for an opportunity to earn the same reward by different means. Sign in to your Go365.com account and visit the Message Center to send us a secure message and we will work with you (and, if you wish, with your healthcare practitioner) to develop another way to qualify for the reward.
5 Gold is the New Silver Unlock activities to earn more points! Here are the ways you can earn points in Go365: 1. Activities Things you can do every day to get healthier. 2. Recommended Activities Personalized based on your Health Assessment responses. 3. Challenges Motivate yourself and your co-workers in a healthy competition. Below is an example of how you can reach Gold Status. Additional activities can be found in your Ready. Set. Go365 Booklet. Points Earned Employee Spouse Health Assessment once/program year Employee + Spouse HA Bonus Points Fast Start for completion within first 90 days of program year Update/Confirm Contact Information once/program year Calculators x pts each Conversations x pts each Monthly Go365 Sign-In pts/month for 8 months Biometric Screening Completion* 2,000 2,000 once/program year Biometric Screening in Range: Blood Pressure** once/program year Biometric Screening in Range: Blood Glucose** once/program year Nicotine Test once/program year Nicotine Screening in Range once/program year Dental Exam x pts each x2 (January & July) Vision Exam once/program year Preventive Screening*** 400 once/program year First Verified Workout Each Program Year once/program year GOLD STATUS REACHED (12,000) 6, ,730 =13,060 Gold Platinum complete to earn your Wellness Day * Biometric Screenings will be January 5 th at Norcross and January 12 th at 191 **Employees can earn up to 2,000 points for Screenings that are in range. BMI-800; Blood Pressure- 400; Blood Glucose- 400; Total Cholesterol- 400 ***Based on age-appropriate screenings such as a Pap smear, mammogram, prostate exam or colorectal screening. See Preventive Screening Guide. Recommended activities are not medical advice. Consult your Physician. Bonus Bucks are not tied to Points and increase a Go365 member s buying power in the Go365 Mall. Bonus bucks are awarded when a Go365 member reaches Silver, Gold and Platinum status, and are doubled when the prior year highest Status is achieved. Go365 is not an insurance product. Not available with all Humana health plans. We are committed to helping you achieve your best health. Rewards for participating in Go365 are available to all members. If you think you might be unable to meet a standard for a Go365 reward, you might qualify for an opportunity to earn the same reward by different means. Sign in to your Go365.com account and visit the Message Center to send us a secure message and we will work with you (and, if you wish, with your healthcare practitioner) to develop another way to qualify for the reward.
6 Gold is the New Silver Unlock activities to earn more points! Here are the ways you can earn points in Go365: 1. Activities Things you can do every day to get healthier. 2. Recommended Activities Personalized based on your Health Assessment responses. 3. Challenges Motivate yourself and your co-workers in a healthy competition. Adult Dependent Gold Platinum Below is an example of how you can reach Gold Status. Additional activities can be found in your Ready. Set. Go365 Booklet. Points Earned Adult Dependent Health Assessment 0 learn about your health & unlock recommended activities Update/Confirm Contact Information 50 once/program year Calculators x pts each Conversations x pts each Monthly Go365 Sign-In pts/month for 8 months Biometric Screening Completion* 0 learn about your health & unlock recommended activities Nicotine Test 400 once/program year Nicotine Screening in Range 400 once/program year First Aid Certification 125 once/program year Dental Exam x pts each x2 (January & July) Vision Exam 200 once/program year Flu Shot 200 once/program year First Verified Workout Each Program Year 750 once/program year Join a Sponsored Monthly Challenge x points/month for 8 months Join Any Monthly Challenge x points/month for 8 months 7,000 Steps Achieved 2 Days a Week pts x16 days GOLD STATUS REACHED (4,000) 4,017 * Biometric Screenings will be January 5 th at Norcross and January 12 th at 191 complete to earn your Wellness Day Recommended activities are not medical advice. Consult your Physician. Bonus Bucks are not tied to Points and increase a Go365 member s buying power in the Go365 Mall. Bonus bucks are awarded when a Go365 member reaches Silver, Gold and Platinum status, and are doubled when the prior year highest Status is achieved. Go365 is not an insurance product. Not available with all Humana health plans. We are committed to helping you achieve your best health. Rewards for participating in Go365 are available to all members. If you think you might be unable to meet a standard for a Go365 reward, you might qualify for an opportunity to earn the same reward by different means. Sign in to your Go365.com account and visit the Message Center to send us a secure message and we will work with you (and, if you wish, with your healthcare practitioner) to develop another way to qualify for the reward.
7 Preventive Screenings Our employees are our most valuable asset. We are committed to making sure that you are at your healthiest. Preventive exams are an important part of ensuring that you are staying on top of your health. In 2018, employees will be allowed 8 hours of paid time off to complete health screenings that are appropriate for their age and gender. You can also earn up to 400 Go365 points for completing appropriate screenings, helping you get to Gold staus. 1. Visit your doctor & get your appropriate screenings. See the following pages to determine what screenings are appropriate for your age and gender. 2. Earn your Go365 Points To earn your points, you may either go online or mail/fax the Go365 Prevention Activity form to Humana. 3. Earn your PTO Submit your doctor s note to Human Resources.
8 Preventive Health Guide Here are suggested guidelines for screenings and checkups for healthy adults. There are also vaccination and immunization guidelines for children and adults on the back page. Individuals with a family history of certain diseases and those with other risk factors should discuss preventive health measures with their primary care physician (PCP). For complete benefit details, refer to your plan s Certificate of Coverage or Summary Plan Description. Preventive care keeps you healthy, prevents illness and detects disease in the early stages when it s easier to treat. Healthy adult preventive healthcare guidelines Wellness visit Annually. This should include a health review with your provider and a physical exam. Your exam should include measurement of height, weight and body mass index (BMI). It s also a good time to talk to your doctor about ways to increase physical activity. Cholesterol/lipid screening Every five years, or more often if you re at risk or have above-normal levels. A 9-12-hour fast is required. If you have cardiovascular problems or diabetes, you may need a test every year. Diabetes screening and tests Every three years, or more often if you re at risk. If you have diabetes, the following exams and tests are recommended each year: HbA1c test, LDL cholesterol, kidney test and retinal or dilated eye exam. Blood pressure Every 1-2 years if normal (less than 120/80), more often if you have high blood pressure or diabetes. Bone density screening for osteoporosis Periodically as directed by your doctor, usually around age 65 or older. Some may need frequent screening after a bone fracture or if you re at high risk for osteoporosis. Eye exam Every 2-4 years up to age 64 and then every 1-2 years. Eye exams test for glaucoma and macular degeneration two common age-related conditions. Colorectal cancer screenings Talk to your doctor about your risks and which colorectal cancer screening test and schedule is best for you. For ages 50 and older, most recommend an annual fecal occult blood test, a flexible sigmoidoscopy every five years or a colonoscopy every 10 years. Women only Mammogram Every 1-2 years for women age 40 and older. Younger women should follow their doctor s recommendations. Also talk to your doctor about clinical breast exams. Pap test and pelvic exam At least every three years or more often as directed by your doctor. Talk to your doctor about your risks and which Pap testing schedule is best, especially if you ve had a hysterectomy or are 65 or older. only Men only Prostate exam Talk to your doctor about your risks and which test and schedule is right for you. Exams include a digital rectal exam and a prostate-specific antigen test (PSA). This material is provided for informational use only and should not be construed as medical advice or used in place of consulting a licensed medical professional. You should consult with your doctor to determine what is right for you. GCA0B2LHH 1215
9 Vaccination/immunization guidelines Keep a record of your immunizations and give your healthcare providers a copy. Talk to your doctor about your risk for infection and which immunizations you may need. Child Recommended for all Recommended for members with a high risk factor VACCINE Birth 1 mos 2 mos 4 mos 6 mos 9 mos 12 mos 15 mos 18 mos mos 2-3 yrs 4-6 yrs Hepatitis B Rotavirus (RV) as needed Tetanus, diphtheria, pertussis (DTaP) AGE Haemophilus influenzae type b (Hib) as needed Pneumococcal Inactivated poliovirus Influenza 1-2 doses yearly Measles, mumps, rubella (MMR) Varicella (chickenpox) Hepatitis A 2 doses 2 doses Meningococcal Adolescent VACCINE 7-10 years years years Tetanus, diphtheria, pertussis (Td/Tdap) 1 Tdap dose if needed to catch up 1 Tdap dose if needed to catch up Human papillomavirus (HPV) 3 doses 3 doses if not completed Meningococcal Booster at 16 or if not previously vaccinated Influenza Pneumococcal Hepatitis A AGE yearly Older children should receive Hepatitis B, polio, MMR and chickenpox if not vaccinated or if they did not receive all recommended doses as a child. Adult VACCINE years years years years 65 years and up Tetanus, diphtheria, pertussis (Td/Tdap) Human papillomavirus (HPV) Varicella (chickenpox) Zoster (shingles) Measles, mumps, rubella (MMR) Influenza 2 doses Boost with TD every 10 years, substitute 1 time dose of Tdap if not previously vaccinated 3 doses if series not completed 1-2 doses if no history of the vaccine or disease AGE 2 doses if no chickenpox history or not vaccinated yearly 1 Td booster every 10 years Pneumococcal PCV13 (conjugate) (for smokers and those with certain chronic conditions) Pneumococcal PPSV23 (polysaccharide) 1 or 2 doses (for smokers and those with certain chronic conditions) Hepatitis A Hepatitis B Meningococcal 2 doses 3 doses 1 or more doses Adult high risk can be caused by medical, occupational, lifestyle or other indications. Source: Centers for Disease Control and Prevention. Immunization Schedules. Retrieved Dec. 4, 2015 from GCA0B2LHH 1215
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11 Go365 TM Prevention Activity To receive your Points, you must send this completed form along with valid proof of participation, within 90 days of completing the activity. This form can be used for more than one prevention activity. Please keep a copy of the form and proof for your records. Proof should be submitted for each prevention activity completed. Multiple activities can be submitted per form. You don t need to submit this form or proof if your doctor submits a medical claim to Humana. How to use this form: 1. Get proof of the completed prevention activity 2. Fill out this form completely 3. Submit this form and one form of proof for each activity to Go365 Examples of valid proof for this activity include: Copy of the Explanation of Benefits that includes the dates of service and description of the service The doctor s claim form showing the relevant Current Procedural Terminology (CPT) or billing codes The record or certificate / receipt documenting the date and service description Member information please print Member ID number: First name: Date of birth (MM/DD/YYYY): Last name: Phone number: Adult prevention activity Activity Colorectal screening (female or male, 50+ years) Dental exam (all ages) Flu shot (all ages) Mammogram (female, 40+ years) Pap test (female, 18+ years) Prostate check (male, 40+ years) Vision exam (all ages) Date of service (MM/DD/YYYY): Continued > GCHJLWEEN 1216 Page 1 of 4
12 Go365 TM Prevention Activity Child prevention activity NOTE: Go365 defines a child as being 17 years of age or younger. Activity Dental exam Flu shot Immunizations Date of service (MM/DD/YYYY): Activity Preventive care visit Vision exam Date of service (MM/DD/YYYY): Consent to release and use of information I acknowledge that I or my child has completed the activity(s) listed and that the information I am submitting is accurate and complete. I understand and agree that Go365 and its representatives have the right to review and verify the information provided for this activity. Member signature if you are 18 or older: Date (MM/DD/YYYY): Parent / guardian signature required if member is 17 or younger: Date (MM/DD/YYYY): Send the completed form any of these ways: Fax: Mail: Go365 P.O. Box Lexington, KY Important Note: Go365 reserves the right to confirm the accuracy of all information received and we may audit your submission at any time. Invalid or inaccurate submissions will result in the denial or removal of Bucks and/or Points. GCHJLWEEN 1216 Page 2 of 4
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