Part of earning an incentive on your 2021 monthly benefit contribution is to self-report that you are Nicotine Free or have completed a Nicotine Free eligible alternative between November 1, 2019 and October 31, 2020.
You must complete a State-sponsored health screening, self-report your nicotine status, and self-report completion of a Next Step eligible activity to qualify for any Incentive in 2021.
Click here for directions to self-report your activity.
These programs are approved as Next Step activities because they use proven strategies to address lifestyle factors that will help you manage or lower any of the four At-Risk Levels listed below. The At-Risk Levels are screening test results that can indicate you are at-risk for adverse health consequences if you take no action to address them. This impacts your own quality of life and the financial health of our State Plan as well.
Some of these programs have prerequisites you must meet to be eligible.
Please consult with your provider before engaging in any new activity or program.
*May have an out-of-pocket cost.
|Body Mass Index (BMI)/Waist Circumference
||BMI of more than 30
Male - 40" or more
Female - 35" or more
||More than 130/80mmHg
||More than 200 mg/dL (or total Cholesterol/HDL ratio is more than 4)
|Fasting Blood Glucose Level
||Greater than 100mg/dL
Health screening results for BMI, blood pressure, cholesterol, and blood glucose are predictors of your risk for developing conditions like heart disease, cancer, and diabetes. We want to encourage members to take steps to prevent or control these conditions in order to increase your health and control costs for yourself and the State Plan.
If your results are above the levels indicated above, they will show up as elevated (higher risk level) on your State-sponsored health screening results. Members whose results are above these levels are at increased risk for adverse health conditions.
Click HERE for answers to Frequently Asked Questions.
The State Plan offers the incentive program to all plan members and their enrolled spouse/domestic partner. If you think you may be unable to meet a standard of the incentive program, you may qualify for an alternative program or different means to earn the incentive. You must contact the Health Care & Benefits Division (HCBD) as soon as possible at (800) 287-8266, TTY (406) 444-1421, or email firstname.lastname@example.org. We will work with you (and if you wish, your doctor) to design a program with the same incentive that is right for you.
We will maintain the privacy of your personally identifiable health information. Medical information that personally identifies you and that is provided through the incentive program will not be used to make decisions regarding your employment. Your health information shall only be disclosed to carry out specific activities related to the incentive program (such as responding to your request for a reasonable accommodation). You will not be asked or required to waive the confidentiality of your health information to participate or to receive an incentive. Anyone who receives your information for purposes of providing you services through the incentive program will abide by the same confidentiality requirements.
We securely maintain all electronically stored medical information we obtain through the incentive program, and will take appropriate precautions to avoid a data breach. If a data breach does occur involving information you provided to us for the incentive program, we will notify you immediately.
A copy of the Plan’s privacy notice is available on the HCBD website or by going to http://benefits.mt.gov/Portals/195/Documents/hipaa%20notice.pdf.