Your Guide to Healthy Activities: Improve Your Health and Lower Your Costs

HealthyU. Live healthy. Earn rewards. UPMC HealthyU is a unique health insurance plan that rewards you for making healthy choices. As a member, you can earn reward dollars in a health incentive account (HIA) by doing healthy activities throughout the year. Activities such as getting a flu shot, visiting your doctor for preventive care, or completing a lifestyle improvement program. The money you earn in your incentive account will automatically be applied to out-of-pocket medical costs, like your deductible, coinsurance, and prescription copayments. Keep in mind, however, that there is a brief delay between when you complete your activity and when your reward dollar credit shows up in your incentive account. You can earn up to $500 for an individual or $1,000 for a family in your incentive account. Eligible activities and reward dollar amounts are subject to change. Find a full list of eligible activities at MyHealth OnLine, the website that powers HealthyU. MyHealth OnLine is your confidential health resource where you can track the balance of your HIA, find doctors and pharmacies, and discover tools and programs that will keep you on track with your health goals. Use this guide to learn about some of the healthy activities you ll find there, complete with brief descriptions and the reward dollars you ll earn by completing them. Please note that activities and associated reward dollars are subject to change. 1

MyHealth Questionnaire - $100 This confidential health risk assessment, powered by WebMD, is an online survey you take once a year. In as little as 20 minutes, the results help you understand your health status. After you complete it, you receive a customized roadmap to better health. All enrolled employees, spouses, and children over 18 years old can complete an assessment for reward dollars. Each assessment is worth $100 if completed in the first 90 days of the benefit year (or your effective date if you join the plan later) and $50 after that. Health Risk Assessment Activities MyHealth Questionnaire (completed within 90 days) 100 MyHealth Questionnaire (completed after 90 days) 50 Health Screening (Routine Blood Work) - $50 We call this important activity Know your numbers! And in this case, knowledge is power and better health. The screening will check your cholesterol and glucose levels. It may also check other important measures like blood pressure, BMI, height, and weight. The screening can be done at your doctor s office, a lab, or at certain convenience care clinics. You will receive $25 for each screening. Each screening is valid for three years ($150 total value). Glucose Screening 25 LDL Screening (lipid) 25 2

Health Coaching: Telephone-Based Lifestyle Programs up to $275 A health coach is your personal trainer for making lifestyle improvements. Whether you want to lose weight, be more physically active, improve nutrition, reduce stress, or stop smoking, your health coach will help you achieve your goal. You ll have weekly phone conversations with your health coach to help you stay accountable, plus a workbook that helps keep you on task. The programs last from 4 to 8 weeks depending on the program you choose, with follow-up phone calls from your health coach at 30, 90, and 180 days. You can only enroll in one program at a time and you cannot enroll in the same program twice in one year. Enrollment 50 Completion 150 Follow up 30, 90, and 180 days 25 each Example program areas: MyHealth Less Stress (stress management), MyHealth Step Up to Wellness (physical activity), MyHealth Ready to Quit (tobacco cessation), MyHealth Weigh to Wellness (weight management), MyHealth Eating Well (nutrition basics) You can call your health coach at 1-866-778-6073. 3

Health Coaching: Online/Self Guided Lifestyle Programs - up to $275 Each of our lifestyle improvement programs is designed to help you achieve a new health routine. You simply choose your online program, then easily track your personal action plan on MyHealth OnLine, our secure, interactive website. The site will direct your program activities. Activities include background reading that builds understanding and prepares you for change; journal activities that help deepen your commitment to change; and a planner that guides and supports your new healthy behaviors. You can only enroll in one program at a time, and you cannot enroll in the same program twice in one year. You must call a health coach to receive enrollment credit. Call 1-866-778-6073 to enroll. Enrollment 50 Completion 150 Follow up at 30, 60, and 90 days 25 each Example program areas: MyHealth Less Stress (stress management), MyHealth Step Up to Wellness (physical activity), MyHealth Ready to Quit (tobacco cessation), MyHealth Weigh to Wellness (weight management), MyHealth Eating Well (nutrition basics) 4

Health Coaching: Condition Management Programs up to $300 Health coaches in this area will help you manage a chronic condition, such as heart disease, diabetes, asthma, COPD, or depression, so you can live your healthiest life possible. You ll have scheduled phone conversations with your health coach, and are guided by a workbook that helps keep you on task. You can only enroll in one program at a time, and you cannot enroll in the same program twice in one year. Enrollment 100 Completion 200 Example program areas: Caring for your child w/adhd, Anxiety, Asthma (adult), Caring for your child w/asthma, Coronary Artery Disease, Congestive Heart Failure, Chronic Obstructive Pulmonary Disease (COPD), Depression, Diabetes, Caring for your child w/diabetes, Hyperlipidemia (high cholesterol), Hypertension (high blood pressure), Low Back Pain (LBP), Maternity, Substance use Call a health coach 1-866-778-6073 to get started today. 5

Coach on Call $25 each If you re not ready to commit to an entire lifestyle or condition management health coaching program, you can participate in Coach on Call. You talk with a health coach over the phone for 5 to 10 minutes and then receive an email with a link to resources specifically designed to help you meet your health goals. You can read through the resources at your leisure. You ll earn up to a maximum of $100 per year (four sessions) for an individual, or $200 per year (eight sessions) for a family through Coach on Call. With a family plan, any one family member can earn the full $200. Coach on Call 25 per program Example program areas: Nutrition Basics, Physical Activity, Stress Management, Tobacco Cessation, Weight Management, Physical Health, Behavioral Health Call a health coach 1-866-778-6073 to get started today. 6

Healthwise Conversations - $25 each Healthwise Conversations use storytelling and animation to help you get smart about lifestyle topics like healthy weight and eating, positive thinking, and getting active. Healthwise Conversations can act as a convenient virtual health coach, dynamically teaching you about a health topic and helping you develop a plan for improvement. You can earn $25 per session, for the first four videos you watch. Maximum $100 per individual plan/$200 per family plan. Get Active 25 per program Healthy Weight 25 per program Healthy Eating 25 per program Positive Thinking 25 per program Sleep Well 25 per program 7

MyHealth Selections $150 If you are ready to make a change in your life but your goal doesn t fit into any of our program areas, a health coach can tailor a program for your specific needs. We can even tailor three or four of our lifestyle programs into one. As with the other health coaching programs, you ll talk regularly with a health coach over the phone to help you stay accountable, and you ll receive customized material that complements your health coaching. Enrollment 50 Completion 100 Program areas: Caring for your child w/adhd, Anxiety, Asthma (adult), Caring for your child w/asthma, Coronary Artery Disease, Congestive Heart Failure, Chronic Obstructive Pulmonary Disease (COPD), Depression, Diabetes, Caring for your child w/diabetes, Hyperlipidemia (high cholesterol), Hypertension (high blood pressure), Low Back Pain (LBP), Substance use, MyHealth Less Stress (stress management), MyHealth Step Up to Wellness (physical activity), MyHealth Ready to Quit (tobacco cessation), MyHealth Weigh to Wellness (weight management), MyHealth Eating Well (nutrition basics) 8

Emmi Decide $50 These 20-minute interactive videos can help you learn more about your health condition and treatment options. The videos explain your alternatives, discuss risks, and ask questions about your preferences so that you and your doctor choose the treatment plan that is best for you. The EMMI Decide video programs allow for a 100 reward dollar maximum for individuals, and a $200 maximum for families. For a full list of programs, visit MyHealth OnLine. Bariatric treatment options 50 Treatment options for Benign Prostatic Hyperplasia (BPH) 50 Early Stage Breast Cancer Treatment Options 50 Coronary Artery Disease 50 Treatments for Chrohn s Disease 50 Treatment options for chronic low back pain 50 Treatment options for hip osteoarthritis 50 Treatment options for Low-risk Prostate Cancer 50 Treatment options for knee osteoarthritis 50 Uterine Fibroid treatment options 50 9

Well Visits and Immunizations $100 These activities are extremely important for keeping you healthy because they enable you to head off trouble before it starts. You receive a maximum of $100 per person per year for all well visits and immunizations. This applies for both adults and children and includes routine physicals and gynecological visits. The exams must be coded by your physician as a preventive exam to qualify. Well Visits and Immunizations 100 per visit or vaccine Periodic physical exam Hepatitis B Human papilloma virus (HPV) Measles virus, live, for subcutaneous use Measles, mumps, and rubella virus (MMR) 10

Health Screenings $100 Regarding the screenings listed below: Each family member can receive reward dollars for one screening per year. Screenings can help lower your chronic disease risk. They also help you detect problems early, when they are far more treatable. Your doctor can assist you in determining what screenings you need and when. Remember, however, that the screening must be coded by your doctor as a preventive service. Please consult with your doctor to determine which screenings are appropriate for you. Screenings 100 per screening Breast Cancer Screening Cervical Cancer Screening Chlamydia Infection Screening Colorectal Cancer Screening (every 5 years only) Osteoporosis Screening Flu Shot $50 Getting a flu shot is easy and convenient. Flu shots are available at your doctor s office, many pharmacies, convenience care clinics, and even some mobile locations. Flu season usually lasts from October through May. All members are eligible for reward dollars regardless of age or health status. Flu Vaccine 50 11

Dental and Vision Visiting your dentist once or twice a year is something you may already do. Dental health is crucial to your overall health, and getting regular cleanings can prevent painful and expensive repairs. Periodic eye and vision examinations are an important part of health care. Many eye and vision problems have no obvious signs or symptoms. Early diagnosis and treatment are important for maintaining good vision and eye health. If your dental or vision benefits are provided by another insurance carrier, you will need to submit a Health Incentive Account submission form to receive your reward dollars. The form is available on www.upmchealthplan.com. * Dental exam 50 Vision exam 100 *Dental is $50 per visit, two times per year, per person Vision is $100 per visit, one time per year, per person 12

If you re interested in doing activities that have the biggest impact on your health, we can help. A health coach can recommend healthy activities for you based on your claims data and answers to your MyHealth Questionnaire. Get started by calling a health coach at 1-866-778-6073. You can also find a customized list of healthy activities by visiting www.upmchealthplan.com and logging in to MyHealth OnLine. Click on MyHealth Central to view your personalized list of activities. Call us with questions about your benefits and coverage or for help accessing MyHealth OnLine. UPMC Health Plan Health Care Concierge Team 1-877-563-0301 Monday Friday from 7 a.m. to 7 p.m. Saturday from 8 a.m. to 3 p.m. TTY users: 1-800-361-2629 13