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Requirements for Samaritan Choice Wellness Plan Incentives

Employees who meet Samaritan Health Services’ requirements for health insurance coverage are able to enroll in any Samaritan Choice health plan without satisfying any other criteria. If an employee chooses to enroll in the SAMARITAN CHOICE WELLNESS PLAN, he/she may be eligible for an initial incentive and other incentives. The SAMARITAN CHOICE WELLNESS PLAN is designed to support the health and wellness of Samaritan Health Services’ employees and their family members. This is achieved through a combination of innovative programs, incentives and benefits.

To participate in the WELLNESS PROGRAM INCENTIVES for SAMARITAN CHOICE WELLNESS PLAN, employees are required to:

  1. Complete an online Health Risk Assessment (HRA).
  2. Complete an on-site biometric screening provided by our third-party vendor and held during advertised dates.
  3. Complete other requirements as may be personalized for each participant based on the results of their HRA and biometric screening.

The Incentive option(s) currently available under the WELLNESS PROGRAM are:

  • Premium incentive

Employees covered by the SAMARITAN CHOICE WELLNESS PLAN who participate in WELLNESS PROGRAMS offered by the plan may qualify for additional INCENTIVES throughout the year.

All Personal Health Information (PHI) is confidential and will be managed in compliance with The Health Insurance Portability & Accountability Act of 1996 (HIPAA) Privacy Rules where required by applicable law.

Employee Acknowledgement and Agreement to Incentive Requirements

By enrolling in the SAMARITAN CHOICE WELLNESS PLAN, I understand that I will be eligible for the WELLNESS PROGRAM INCENTIVES if I complete certain requirements, such as the HRA and biometric screening. I understand and acknowledge that my failure to complete any requirements will result in disqualification from the WELLNESS PROGRAM INCENTIVES. My failure to comply with the requirements for the WELLNESS PROGRAM INCENTIVES for SAMARITAN CHOICE WELLNESS PLAN will not affect my eligibility or enrollment in the Plan.

For more information about the SAMARITAN CHOICE PLAN benefits or enrollment requirements, visit choice.samhealthplans.org or contact Samaritan Health Plans’ customer service, Monday – Friday, 8 a.m. to 8 p.m. at 541-768-4550 in Corvallis, or toll-free 1-800-832-4580 (TTY 1-800-735-2900). For information about your premiums for SAMARITAN CHOICE PLANS options, contact your local Samaritan Health Services’ Human Resources department.

Notice Regarding Wellness Program Incentive 

The WELLNESS PROGRAM is a voluntary wellness program available to all employees. The program is administered according to federal rules permitting employer-sponsored wellness programs that seek to improve employee health or prevent disease, including the Americans with Disabilities Act of 1990, the Genetic Information Nondiscrimination Act of 2008, and the Health Insurance Portability and Accountability Act, as applicable, among others. If you choose to participate in the WELLNESS PROGRAM you will be asked to complete a voluntary health risk assessment or “HRA” that asks a series of questions about your health-related activities and behaviors and whether you have or had certain medical conditions (e.g., cancer, diabetes, or heart disease). You will also be asked to complete a biometric screening, which will include a blood test to determine your cholesterol and blood glucose levels. Cholesterol is a waxy substance found in the fats in your blood. High cholesterol can cause cholesterol deposits to build up in your arteries, making it harder for blood to flow through them, which can lead to chest pain, heart attack and stroke. Glucose is a type of sugar found in your blood and a major source of energy for your body. High blood glucose, which is also known as hyperglycemia, may cause dry mouth, frequent urination, feelings of constantly being tired, weight loss, blurry vision, and can be a sign of diabetes. You are not required to complete the HRA or to participate in the blood test or other medical examinations to enroll in the WELLNESS PLAN.

However, employees who choose to participate in the WELLNESS PROGRAM will receive an incentive for completing the HRA and biometric screening. Although you are not required to complete the HRA or participate in the biometric screening, only employees who do so will receive the incentive.

Additional incentives may be available for employees who participate in certain health-related activities or achieve certain health outcomes, based on their individual HRA and biometric screening results. If you are unable to participate in any of the health-related activities or achieve any of the health outcomes required to earn an incentive, you may be entitled to a reasonable accommodation or an alternative standard. You may request a reasonable accommodation or an alternative standard by contacting Samaritan Choice Plans’ customer service.

Your HRA and biometric screening results will be used to provide you with information to help you understand your current health and potential risks, and may also be used to offer you services through the WELLNESS PROGRAM, such as individual health coaching, chronic condition management, and other services as may be identified and appropriate based on your individual screening results. You also are encouraged to share your results or concerns with your own doctor.

Protections from Disclosure of Medical Information

We are required by law to maintain the privacy and security of your personally identifiable health information. Although the WELLNESS PROGRAM and Samaritan Health Services may use aggregate information it collects to design a program based on identified health risks in the workplace, SAMARITAN CHOICE WELLNESS PLAN will never disclose any of your personal information either publicly or to the employer, except as necessary to respond to a request from you for a reasonable accommodation needed to participate in the WELLNESS PROGRAM, or as expressly permitted by law. Medical information that personally identifies you that is provided in connection with the WELLNESS PROGRAM will not be provided to your supervisors or managers and may never be used to make decisions regarding your employment.

Your health information will not be sold, exchanged, transferred, or otherwise disclosed except to the extent permitted by law to carry out specific activities related to the WELLNESS PROGRAM, and you will not be asked or required to waive the confidentiality of your health information as a condition of participating in the WELLNESS PROGRAM or receiving an incentive. Anyone who receives your information for purposes of providing you services as part of the WELLNESS PROGRAM will abide by the same confidentiality requirements. The only individual(s) who will receive your personally identifiable health information is (are) a registered nurse, a doctor, or a health coach in order to provide you with services under the WELLNESS PROGRAM.

In addition, all medical information obtained through the WELLNESS PROGRAM will be maintained separate from your personnel records, information stored electronically will be encrypted, and no information you provide as part of the WELLNESS PROGRAM will be used in making any employment decision. All employee medical information is maintained in strict accordance with state and federal law, such as HIPAA. Appropriate precautions will be taken to avoid any data breach, and in the event a data breach occurs involving information you provide in connection with the WELLNESS PROGRAM, we will notify you immediately.

You may not be discriminated against in employment because of the medical information you provide as part of participating in the WELLNESS PROGRAM, nor may you be subjected to retaliation if you choose not to participate.

If you have questions or concerns regarding this notice, or about protections against discrimination and retaliation,
please contact Samaritan Choice Plans’ Compliance department, Monday – Friday, 8:30 a.m. to 5 p.m. at 541-768-4550 in Corvallis, or toll-free 1-800-832-4580 (TTY 1-800-735-2900).

 

Talk with our Member Services representatives

call us at 541-768-4550 800-832-4580 TTY 800-735-2900 8 a.m. to 8 p.m.
Mon.–Fri.
or Visit our office 2300 NW Walnut Blvd. in Corvallis8 a.m. to 5 p.m. Mon.–Fri.