2014 Open Enrollment Frequently Asked Questions (FAQs)
- Do the wellness premium credits apply to the monthly dependent rates or just the subscriber rate?
- The wellness premium credits only apply to the employee-only (subscriber) rate.
- If I change from employee-only to employee-family during the year, do the premium credits apply if I have already completed the wellness activities?
- Yes, once you complete the wellness activities for the current benefit year, they will not need to be repeated. You should consider selecting a Primary Care Provider (PCP) for any dependents added during the benefit year to take advantage of reduced copay savings when visiting that provider.
- If I transfer to another North Carolina state agency during the year, will I need to redo the wellness activities to reduce the premium?
- No, once you complete the activities for the current benefit year, they will not need to be repeated until the next enrollment period.
- How do I attest to not smoking?
- You will attest during Open Enrollment through your agency's enrollment system (BEACON or eEnroll). If you smoke and choose not to commit to a smoking cessation program, you will pay an additional $20 per month.
- Will the State Health Plan be conducting worksite screenings to verify whether subscribers are non-smokers or enrolled in a cessation program?
- No. It will be the subscriber's responsibility to attest as a non-smoker and/or enroll in a smoking cessation program.
- Does chewing tobacco count as smoking?
- No. Smoking is defined as inhaling a tobacco product.
- Does smoking "e-cigarettes" count as smoking or are they considered a smoking cessation program?
- No. They are not considered as smoking nor are they considered a smoking cessation program.
- In the past with the former Comprehensive Wellness Initiative, if members committed to a smoking cessation program they had to have a physician certification form. Is that necessary this time?
- No. There will not be a certification form required.
- For the smoking attestation, do I and my spouse have to attest?
- Yes. If your spouse is covered under the plan, you will be required to attest for him/her as well.
- Will I be required to complete the wellness activities again next year?
- Specific wellness activities beyond the 2014 benefit year have not yet been finalized.
- Do the results of my Health Assessment determine whether or not I receive a premium credit?
- The results of the Health Assessment are completely confidential and the credit is received based on completing the assessment, not the results.
- What if I have already taken the Health Assessment? Do I need to take it again prior to the end of Open Enrollment?
- If you took the Health Assessment on November 1, 2012 or after, you do not need to take it again for this Open Enrollment. However, you are welcome to update any applicable information.
- When can I take the Health Assessment and have it count toward the incentives in 2014?
- You can log in now to complete the Health Assessment through the Personal Health Portal, which is accessible at www.shpnc.org. In fact, if you completed it any time on or after November 1, 2012, it will count towards the premium credit for 2014. You can also go ahead and select a Primary Care Provider (PCP) through your agency's enrollment system.
- Do I have to do all 3 wellness activities?
- No. You can complete any number of the activities in order to reduce your premium. However, the activities need to be completed by November 15, 2013, and you only receive the credits for the activities completed by this date.
- What are the questions on the Health Assessment? Will I be able to go back into the Health Assessment at a later time to complete it?
- The questions in the Health Assessment relate to your health and wellness behaviors. You will need to complete the Health Assessment in its entirety to receive the premium credit. If you do not know some of the answers, you are able to select "I don't know" as an answer. You are able to log back in and complete your assessment at a later time.
- Can I earn wellness premium credits if I am a member through COBRA?
- No. The wellness premium credits are not available to COBRA members. However, you can take advantage of the wellness incentives when accessing medical services under either the Enhanced 80/20 Plan or the Consumer-Directed Health Plan (CDHP).
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