MHBP Standard Option and Value Plan members can earn Wellness Fund account rewards for completing a Health Risk Assessment and a biometric screening. The rewards can be earned once per calendar year each covered family member age 18 and older and may be used to help pay for a qualified medical expenses, such as your cost-sharing amounts (copayments, coinsurance and deductibles) for future services, for any covered family members.

Earn up to a $100 credit for completing a Health Risk Assessment (HRA)

A health risk assessment (HRA) can help individuals identify potential risks to their physical and mental health. The HRA starts with a questionnaire that asks about your nutrition, weight, physical activity, stress, safety and mental health, kind of like an interview. Your responses can lead to suggestions and programs that can help you improve your health by reducing risks. After you complete the questionnaire, you’ll get a personalized summary that helps you identify and understand potential risks.

MHBP offers a free and confidential HRA online. To take the HRA, log in to your Aetna Member Website, select Discover A Healthier You and proceed. If you haven’t logged in before, you’ll need to register for a member account.

If you prefer to complete the HRA by phone, call us at 866-533-1410 to schedule an appointment so a health coach can assist you with completing the HRA.

After you complete the HRA, you are eligible to receive a $100 (Standard Option) or a $75 (Value Plan) credit to your Wellness Fund account that can be used for qualified medical expenses, such as your cost sharing amounts for future services. The reward is available one per calendar year to all members age 18 and older and can be used by any covered family member.

After you have completed your HRA, we will credit your Wellness Fund account with your reward.

Earn Up to a $100 Credit for Completing a Biometric Screening

A biometric screening measures certain physical characteristics: height, weight, body mass index, blood pressure, blood cholesterol, blood glucose, and aerobic fitness. It creates a benchmark for you to evaluate changes in your health status over time. Your doctor can do one as part of your annual physical exam, or you can have a biometric screening done – at no cost to you – at a Quest Diagnostics Patient Service Center. When your results are returned by November 30, you’ll earn a Wellness Fund account reward of $100 (Standard Option) or $75 (Value Plan).

How to earn your biometric screening reward:

  • Make an appointment for your screening at a Quest Diagnostics Patient Service Center or request a home kit. To register for your screening or request a home kit, call 855-623-9355 or visit My.QuestforHealth.com and enter the registration key: mhbp.
  • Have your physician perform the screening as part of your annual check-up, record the results on the Biometric Screening Physician Results form and fax the form to Quest Diagnostics no later than November 30. The Biometric Screening Physician Results form and instructions are available at My.QuestforHealth website.

Once your biometric screening is complete, your results will be available online at My.QuestforHealth website.

After you have completed the biometric screening, we will credit your Wellness Fund account with your reward.

Healthy Actions

Healthy actions that make you eligible to earn $50 to be deposited into a Wellness Incentive Fund account that can be used for qualified medical expenses, such as your cost sharing amounts for future services are:

Controlling blood pressure for members with high blood pressure

The Plan will reach out to you if you are identified through claims data as having high blood pressure and will provide you a form for your provider to complete. On the form, your provider must document two (2) controlled blood pressure readings below 140/90 on separate visits during the current calendar year for you to earn the incentive. If you are unable to meet this goal, you will receive the incentive if one of the following is completed by December 1st of the calendar year:

If you are unable to meet this goal, you will receive the incentive if one of the following is completed by December 1st of the calendar year:

  • Telephonic Health Coaching Program (Tobacco/e-cigarette cessation, Weight Management, Exercise, Nutrition, Stress Management)
  • Dietary and nutritional counseling (obtain three counseling visits, which includes individual and group behavioral counseling) (See Section 5(a) Preventive Care, adult in your official Plan Brochure)

Controlling A1c Hemoglobin levels for members with diabetes

The Plan will reach out to you if you are identified through claims data as having diabetes and ask you to have your provider submit your A1c laboratory results. Your A1c laboratory results must be less than 8% during the calendar year for you to earn the incentive. If your HbA1c is greater than or equal to 8%, you will receive the incentive if one of the following is completed by December 1st of the calendar year:

  • Dietary and nutritional counseling (obtain three counseling visits, which includes individual and group behavioral counseling)
  • Diabetic Education or Training
  • Transform Care Program (enroll in the Transform Care Program and check your blood glucose four times per month for four continuous months in the calendar year).

Prenatal Care for members who are pregnant

If you are pregnant, your provider must submit documentation of a prenatal are visit during the first trimester. The documentation submitted must include a copy of the prenatal care medical record from your provider for you to earn the incentive.

  • To receive your $50 incentive for any of the above noted healthy actions, you must submit the required completed form by December 1 of the calendar year to the following address: Aetna, C/O FEHBP QM, 3900 Rogers Rd, San Antonio, TX 78251

Members 18 years of age or older who earn financial incentives through participation in the Health Risk Assessment, Biometric Screening and Wellness Incentive’s Programs are deposited into a Wellness Fund Account and can be used by any covered family member and are available once per calendar year.

Note: Standard Option members are limited to $350 per person per calendar year. Value Plan members are limited to $300 per person per calendar year.

Wellness incentive rewards are available for reimbursement for a Qualified Medical Expenses as defined by IRS Code 213(d). These expenses include, but are not limited to services incurred by you or your covered dependents and includes medical plan deductibles, diagnostic services covered by your plan, long-term care premiums, health insurance premiums if you are receiving Federal unemployment compensation, physician prescribed over-the-counter drugs, LASIK surgery, and some nursing services. If you enroll in Medicare, you can use the account to pay Medicare premiums. For a detailed list of IRS-allowable expenses, request a copy of IRS Publication 502 by calling 800-829-3676, or visit the IRS website and click on “Forms and Publications.” Note: Although physician prescribed over-the-counter drugs are not listed in the publication, they are reimbursable from your Wellness Fund Account.

Wellness incentives are automatically issued when a medical claim is processed that results in member liability (e.g. copay or deductible). Members can also submit a claim to request reimbursement from their Wellness Fund Account by completing the Wellness Fund Reimbursement Request Claim Form.

Note: If you are enrolled in a Flexible Spending Account (FSA) and wellness incentives have been deposited into your Wellness Fund Account, you may not receive reimbursement for the same medical expense from both your Wellness Fund Account and your FSA. If a medical expense is covered under both your Wellness Fund Account and your FSA, your Wellness Fund Account will be used first. You may receive reimbursements from your FSA for medical expenses that are covered by both your Wellness Fund Account and your FSA only after the funds in your Wellness Fund Account have been exhausted.