HIP HMO Preferred Plan Wellness Program & Rewards | EmblemHealth

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HIP HMO Preferred Plan
Wellness & Rewards Programs

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Wellness Program With Personalized Guidance from Gold Health Coaches

Our Wellness Program’s highly personalized approach is tailored to fit your lifestyle. Fill out the form below to get started on your journey to a healthier and happier you.

Wellness Program Basics

Our Wellness Program* fosters sustained wellness. Over 8,000 members have benefited from behavioral changes by partnering with our health coaches and nurse wellness coaches.

Our personalized approach from credentialed health coaches teaches skills that empower you to live your best life. Featured sessions include coping with stress, burnout, healthier food choices, weight loss, strengthening your immune system, improved sleep, and so much more!

Motivational sessions with our skilled nurse wellness coaches support individuals living with chronic conditions like asthma, diabetes and heart disease.

*Participation in the Wellness Program does not replace care received from a provider.

Track and achieve your goals on our Health and Wellness Program tab.

Sign in at my.emblemhealth.com to get started.

  • Go to My Profile to update your Communication Preferences and Go Paperless.
  • Click the Health and Wellness tab to watch the Know Your Benefits Video and complete the short quiz that follows. You can also launch the Wellness Program from here.

Our Wellness Program has many resources available at your fingertips. You can:

  • Complete the Healthy Living questionnaire so a health coach can contact you to set health goals together.
  • Learn about earning rewards for healthy habits.
  • Read helpful articles in the health library.
  • Confirm your healthy activities, like yoga and steps.
  • See how many entries into the Monthly Wellness Program Rewards Drawing you could be eligible for based on your participation in the program.

Plus, you’ll get the support and encouragement you need to achieve your health goals.

Learn more about how we’re taking care of NYC.

Our Gold Line agents can also share the details about the program and rewards. They’ll even connect you to a coach. Call our Gold Line at 833-CNY-GOLD (833-269-4653) (TTY: 711); Monday to Friday, 8 a.m. to 8 p.m., or Saturday, 8 a.m. to 1 p.m. for more details.

Completing the survey takes just 20-25 minutes – and you can save your questionnaire at any point if you need to complete it later. Finishing the questionnaire is required for EmblemHealth to connect you with your personalized health coach and Care Team.

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 individual health needs and personalized goals. The good news is that you and your coach can check in regularly on progress and make adjustments as needed.

No, the Wellness Program is part of the benefits and support tools to assist you with managing your health. However, completing the Healthy Living questionnaire and tracking your healthy habits will make you eligible for the Monthly Wellness Rewards Drawing.

Healthy living is a commitment that deserves to be celebrated. And we’re here to make sure you do.

Each month, you and up to 20 other winners could get a $250 gift card to use on things that promote your good health. For certain healthy actions you take—like getting a flu shot, completing your online Healthy Living questionnaire, or getting an age-appropriate checkup—you will be entered into a monthly drawing. Most monthly drawing entries will carry over every month through the rest of the calendar year. So the more healthy actions you take, the more chances you have to win. With motivation like this, you’ll be on your way to making this year your fittest one yet.

Rewards for healthy habits.

To start immediately earning entries into the monthly drawing, sign in at my.emblemhealth.com and:

  • Choose to Go Paperless for all communications in your My Profile’s Communication Preferences.
  • Watch the short Know Your Benefits Video and complete the short quiz that follows.
  • Launch the Wellness Program to start taking charge of your health. You can earn entries by completing the following actions:
    • Complete your online Healthy Living questionnaire—a health assessment.
    • Get your annual flu shot.
    • Go for your age-appropriate checkup, like a mammography or colorectal cancer screening. See Drawing Parameters below for checkups and services included.*
    • Our Gold Line agents know all about our Wellness Program Rewards. Call our Gold Line at 833-CNY-GOLD (833-269-4653) (TTY: 711) Monday to Friday, 8 a.m. to 8 p.m., or Saturday, 8 a.m. to 1 p.m. for more details.
    • Complete an average of 10,000 steps a day, or 30 minutes of exercise three times a week.
    • If you have a chronic condition, like asthma or chronic obstructive pulmonary disease (COPD), you can complete your fact sheet, engage in our Care Management program, or visit a physician.

Partner with us to feel your best and get rewarded.

Learn more, including the specific details and rules for the Monthly Wellness Rewards Drawing. 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.

*Recommended medical visits for reward entries include:

  • Preventive visits: For members age 19-39, preventive visits should be completed once every three years. For members age 40-49, preventive visits should be completed once every two years. For members over age 50, preventive visits should be completed on an annual basis.
  • Cervical cancer / HPV screening: For female members age 21-65, cervical cancer and HPV screenings should be completed once every three years.
  • Mammogram screening: Female members age 50-74 should receive a recommended mammogram screening once every two years. For patients between age 40-50, one baseline screening is recommended during this time.
  • Colorectal cancer screening: Members age 50-70 should receive one of the screening options available, including a colonoscopy and Cologuard® screening.
  • Complete appropriate chronic condition activities: For members with asthma, coronary artery disease, chronic obstructive pulmonary disease, heart disease, hypertension, or diabetes, completing an annual physician exam is recommended.

What is the online Healthy Living questionnaire and how long does it take?

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 minutes 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. You can save your questionnaire at any point if you need to complete it later. 

What if I don’t have a personal email?

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

How do I earn a monthly rewards entry for “Going Paperless”?

By selecting “Go Paperless” for all communications through our member portal, you are choosing to receive all communications from EmblemHealth online. You will earn one entry a month into the Wellness Program Rewards Drawing if you keep your paperless preference active.

What is the “Know Your Benefits” video and quiz and how do I complete it?

The “Know Your Benefits” video provides a brief and helpful overview of your benefits. After watching the full video and completing the short quiz, you can earn one entry each month until the end of the calendar year. The video and quiz are available on the Health and Wellness page at my.emblemhealth.com.

When do the screenings and other services I receive count toward the rewards drawing and where may I track my entries?

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, 2022 through Dec. 31, 2022 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.

Once I “Go Paperless” and view the “Know Your Benefits” video, do I have to take any other action for my rewards drawing entries to be counted?

Yes, go to the Health and Wellness page at my.emblemhealth.com 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.

I have a chronic condition and need support managing my health daily. Are there programs that I can enroll in to provide more direct care and management?

Yes, EmblemHealth has a dedicated team of coaches and care managers who can help you manage your chronic condition daily and develop a long-term plan to achieve your individual goals for better health. You can even win entries into the monthly rewards drawing by completing certain activities to help you get on the track to better health. By completing a survey or reading a fact sheet in the EmblemHealth Wellness Program portal, you are entered into the drawing entry for that month and every month after for the rest of the year.

You can also earn monthly drawing entries by participating in ongoing case management with your coach and even for completing a medical visit for checking in on your chronic condition. All activities are designed to make managing your health a whole lot easier and more rewarding. Call a Gold Line agent at 833-CNY-GOLD (833-269-4653) (TTY: 711) Monday to Friday, 8 a.m. to 8 p.m., and Saturday, 8 a.m. to 1 p.m. to find out more.

How do I track my steps as part of the monthly Wellness Program Rewards Drawing?

Tracking steps can be a simple way to reach your exercise goals. Check your mobile phone to see if it includes a step tracking program, or you may purchase a separate tracking device to adequately measure your steps. You can also earn a rewards entry by completing 30 minutes of exercise three times a week. By tracking your progress on the EmblemHealth Wellness Program, you can earn a rewards entry—one per month—when you complete these activities. Staying fit has never been more fun.

May other members who are on my plan earn Wellness Program Rewards entries for healthy habits?

At this time, only HMO Preferred Plan subscribers and their spouses are able to earn entries.

Where can I see more details about the Wellness Program Rewards Drawing?

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

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.

 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: 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 an entry beginning in January, and for 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: 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 an entry for completing "Know Your Benefits" video beginning in February, and for each month until the end 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: 1 entry each month 
  • Entry lasts until: The end of the year
  • Examples: 1) Member completes the Healthy Living questionnaire health assessment (HA) in January. The member will receive the drawing entry beginning in January, and for each month until the end of the calendar year. (2) Member completes the HA in March. The member will receive the drawing entry beginning in March, and for 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: 1 entry each month
  • Entry lasts until: The end of the year
  • Examples: (1) The member attests to “Get Your Flu Shot” in February. The member will receive the drawing entry beginning in February, and for each month until the end of the calendar year. (2) The member attests to “Get Your Flu Shot” in December 2022 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: 1 per measure each month
  • Entry lasts until: The end of the year
  • Examples: (1) The member gets their preventive checkup in February. The claim is not processed until May. The member will get a drawing entry for “Getting Your Age-appropriate Checkup” starting in May, and for each month until the end of the calendar year. (2) The member gets their preventive visit in February. The claim is processed in April. The member receives a drawing entry for “Getting Your Age-appropriate Checkup” starting in April, and for 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 also receive another drawing entry for “Getting Your Age-appropriate Checkup” starting in May, and for each month until the end of the calendar year (i.e., the member will receive 1 entry starting in April for the preventive visit, and an additional entry starting in May for the mammography).

6.     Member Activity: Complete appropriate Chronic Condition activities (See Drawing Parameters for list of Chronic Conditions)

  • Where to complete activity-A: Completing member goals on fact sheet or survey in EmblemHealth Wellness Program platform, or engage in ongoing case management. Where to complete activity-B: Physician visit for chronic condition management (claims based).
  • Eligible Drawing Entries Upon Completing Activity: 1 entry each month     
  • Entry lasts until: The end of the year
  • Examples: (1) The member completes the goals fact sheet in January. The member earns a drawing entry starting in January, and for each month until the end of the calendar year. (2) The member is engaged in Care Management starting in April. The member earns a drawing entry starting in April, and for each month until the end of the calendar year.
  • Example (for those completing activity through physician visit for chronic condition management): The member goes to the doctor for their asthma in July. The claim is not processed until October. The member will earn an entry for “Complete Appropriate Chronic Condition” starting in October, and for each month until the end of the calendar year.  

7.     Member Activity: Member averages 10,000 steps per day or 30 minutes of exercise activity 3 times a week  

  • Where to complete activity: Member attests in EmblemHealth Wellness Program platform.
  • Eligible Drawing Entries Upon Completing Activity: 1 entry the month the steps are uploaded
  • Entry lasts until: The month they upload their steps
  • Examples: (1) The member attests that they completed the requirement (achieved 10,000 steps per day/30 minutes of activity per week) in the EmblemHealth Wellness Program platform in January, February, and March. The member will earn an entry for each month they attested. (2) The member attests that they completed the requirement (achieved 10,000 steps per day/30 minutes of activity per week) in January and February. The member will earn an entry for each month they attested. The member forgets to attest in March. The member does not earn an additional entry in March.

NOTES:

* All subscribers and spouses of CNY HMO Preferred Plan are eligible to enter the monthly wellness drawing.

** Monthly drawing prizes will be given to up to 20 winners. Prizes valued up to $250. Limitation of one winning per member. Members should be 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. Members will receive gift cards electronically. 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. 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 / HPV Screening

  • 21-65: One every 3 years

Screening Mammogram

  • 57-74: One every 2 years
  • 40-50: One baseline between age 40-50

Colorectal Cancer Screening

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

Complete Appropriate Chronic Condition Activities

Asthma, Coronary Artery Disease (CAD), Chronic Obstructive Pulmonary Disease (COPD), Heart Disease / Heart Failure, Hypertension, Diabetes (Type 1 or 2)

Member will receive 1 entry any time they complete each activity (yearly).

  • Complete member goals (fact sheet or survey in Wellness Portal)
  • Physician visit for chronic condition management (claims based)

Notes:

If the member has multiple conditions, the member would be eligible to earn additional drawing entries for each requirement completed.

Dedicated Gold Line Service

Call our Gold Line, 833-CNY-GOLD (833-269-4653) (TTY: 711), where our specially trained Gold Line agents will make it easier for you to get your questions answered, and get the care you need more quickly.

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