HIP HMO Preferred Plan Wellness Program & Rewards Frequently Asked Questions

Switch to:

Wellness & Rewards Programs Frequently Asked Questions

health coach with young adults focusing on nutrition and smiling

Wellness Program and Health Coaching

The Healthy Living questionnaire includes a series of questions about your overall health and wellness. It’s a useful way to measure and assess your starting point for achieving your best health. By completing the 20-25 minute Healthy Living questionnaire located on your EmblemHealth Wellness Program portal, you can earn one entry per month as part of the Wellness Program Rewards Drawing (see below for more on the drawing), and have a coach contact you to start setting health goals. You can save your questionnaire at any point if you need to complete it later.

Of course! You can call our Gold Line agents at 833-CNY-GOLD (833-269-4653) (TTY: 711) to connect with the coach that is right for you.

There is no out-of-pocket cost to you. Your health coach is one of the many benefits of your HMO Preferred Plan.

Once you complete your Healthy Living questionnaire, you will have the opportunity to speak individually with your coach to review your results and determine the milestones that best meet your unique health needs and personalized goals. The good news is that you and your coach can check in regularly on progress and adjust as needed.

No, it is not required. The Wellness Program is part of the benefits and support tools to help you manage your health. However, completing the Healthy Living questionnaire and tracking your healthy habits will make you eligible for the Monthly Wellness Rewards Drawing.

Yes! EmblemHealth has a dedicated team of nurse wellness coaches and care managers who can help you manage your chronic condition daily. They can also help develop a long-term plan to achieve your individual goals for better health. Fill out the form on the Wellness Program page to connect with a nurse wellness coach today!

Rewards Drawing

Following are the key activities that will earn you entries into the monthly rewards drawing, as well as the rules. All City of New York HMO Preferred Plan subscribers and spouses are eligible for the monthly rewards drawing. Members will earn one entry for each activity completed. Entries carry over each month until the end of the year.

 

 1.    Member activity: Complete "Go Paperless." 

  • Where to complete activity: On the Communication Preferences page at my.emblemhealth.com.
  • Eligible drawing entries upon completing activity: one (1) entry each month.
  • Entry lasts until: The member changes their election to do everything paperless.
  • Example: The member signs in to my.emblemhealth.com in January and elects to “Go Paperless” for all options. The member will earn one entry beginning in January and one more each month if they maintain the paperless election. 

 2.     Member activity: Complete "Know Your Benefits" video and quiz.           

  • Where to complete activity: On the Health and Wellness page at my.emblemhealth.com.
  • Eligible drawing entries upon completing activity: one (1) entry each month.
  • Entry lasts until: The end of the year.
  • Example: The member signs in to my.emblemhealth.com and completes the video and quiz in February. The member will earn one entry for completing "Know Your Benefits" video beginning in February and one more each month until the end of the calendar year. 
  • Once you “Go Paperless” and view the “Know Your Benefits” video, go to the Health and Wellness page and launch the Wellness Program. Once you agree to the terms of participating in the program and take certain healthy actions—like getting a flu shot, completing your online Healthy Living questionnaire, or getting an age-appropriate checkup—you will be automatically entered into the monthly rewards drawing. Most monthly drawing entries will carry over every month through the rest of the calendar year.

 3.     Member activity: Complete online Healthy Living questionnaire.

  • Where to complete activity: Launch the Wellness Program at my.emblemhealth.com.
  • Eligible drawing entries upon completing activity: one (1) entry each month. 
  • Entry lasts until: The end of the year.
  • Examples:
    • Member completes the Healthy Living questionnaire health assessment (HA) in January. The member will receive one drawing entry beginning in January and one more each month until the end of the calendar year.
    • Member completes the HA in March. The member will receive one drawing entry beginning in March and one more each month until the end of the calendar year.

 4.     Member activity: Attest to getting your flu shot.

  • Where to complete activity: Sign in to my.emblemhealth.com; go to Wellness Program.
  • Eligible drawing entries upon completing activity: One (1) entry each month.
  • Entry lasts until: The end of the year.
  • Examples:
    • The member attests to “Get Your Flu Shot” in February. The member will receive one drawing entry beginning in February and one more each month until the end of the calendar year.
    • The member attests to “Get Your Flu Shot” in December 2023 that they received their flu shot. The member will receive the drawing entry for “Get Your Flu Shot” in December only.

 5.     Member activity: Getting your age-appropriate checkup. (See Drawing Parameters for checkups and services included.)         

  • Where to complete activity: Member earns the drawing entry after the claim has processed.     
  • Eligible drawing entries upon completing activity: One (1) per measure each month.
  • Entry lasts until: The end of the year.
  • Examples:
    • The member gets their preventive checkup in February. The claim is not processed until May. The member will get one drawing entry for “Getting Your Age-appropriate Checkup” starting in May and one more each month until the end of the calendar year.
    • The member gets their preventive visit in February. The claim is processed in April. The member receives one drawing entry for “Getting Your Age-appropriate Checkup” starting in April and one more each month until the end of the calendar year. The member also gets a mammography in April. The claim processes in May. The member will receive another drawing entry for “Getting Your Age-appropriate Checkup” starting in May and one more each month until the end of the calendar year. (So the member will receive one entry per month starting in April for the preventive visit and an additional entry each month starting in May for the mammography.)

  6. Member activity: Engage with a health coach or nurse wellness coach. You must engage in one or more individual sessions with a health coach or nurse wellness coach or participate in a group program.

  7. Member activity: Complete a self-guided learning course in MySpark Central.

NOTES:

  • All subscribers and spouses of CNY HMO Preferred Plan are eligible to enter the monthly wellness drawing.
  • Monthly drawing prizes will be awarded to up to 20 winners. Prizes valued at $250. Limit of one win per member per year. Members are encouraged to use the gift card toward a product or service that promotes good health. Examples include purchasing healthy cookbooks, over-the-counter vitamins, or exercise equipment.
  • Monthly drawings will take place the 20th of each month. The drawing is random, and a member can only win once per year. Members will receive electronic gift cards. If you do not have a valid email address, please call us at 833-CNY-GOLD (833-269-4653) (TTY: 711).

For keeping up healthy habits, like getting a flu shot or age-appropriate checkup, you can earn entries into a monthly drawing valued at $250. Your progress and drawing entries will be tracked in the Wellness Program. Certain activities are tracked through claims that may take up to 90 days to come in.

Following are the key activities that are eligible for rewards drawing entries.

Go for Age-Appropriate Checkups

Preventive Visits*

  • 19-39: One every 3 years
  • 40-49: One every 2 years
  • 50+: Annually

Cervical Cancer Screening / human papillomavirus (HPV) Screening

  • 21-65: One every 3 years

Screening Mammogram

  • 50-74: One every 2 years
  • 40-50: One baseline between ages 40-50

Colorectal Cancer Screening (starting at age 45)

  • Colonoscopy every 10 years, or
  • Flexible Sigmoidoscopy every 5 years, or
  • FOBT/FIT annually, or
  • Cologuard® screening every 3 years

Diabetes screening

  • 30-39: One every five years
  • 40+: One every three years

*Preventive services are covered in full only when provided in accordance with the comprehensive guidelines supported by the Health Resources and Services Administration (HRSA), or if the items or services have an “A” or “B” rating from the United States Preventive Services Task Force (USPSTF); if the immunizations are recommended by the Advisory Committee on Immunization Practices (ACIP), or when required by New York state law.

Your progress and drawing entries will be tracked through the Wellness Program, and you can check your entries online. Preventive services and screenings received from Jan. 1, 2023 through Dec. 31, 2023, will count toward entries in the monthly drawing. Because certain activities are tracked through claims, it may take up to 90 days to be registered with the Wellness Program.

At this time, only HMO Preferred Plan subscribers and their spouses can earn entries.

See the drawing rules and parameters above. You may also call the Gold Line at 833-CNY-GOLD (833-269-4653) (TTY: 711) Monday through Friday, 8 a.m. to 8 p.m., or Saturday, 8 a.m. to 1 p.m. We can make sure you get your questions answered.

Call our Gold Line at 833-CNY GOLD (833-269-4653) (TTY: 711) Monday through Friday, 8 a.m. to 8 p.m., or Saturday, 8 a.m. to 1 p.m. We can make sure you have the information and resources you need.