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Example of how to save with the Enhanced plan.
Helen’s employer offers the Health Engagement plan. The plan provides Helen
with a $1,000 deductible and higher copays if she stays in the Standard plan;
but Helen will have no deductible in the Enhanced plan.* Helen is in pretty
good health. Recently though, she hurt her knee. Helen’s PCP referred her to
a specialist. The specialist recommends an outpatient procedure to help Helen
recover. Helen’s out-of-pocket costs will be much lower in the Enhanced plan
than the Standard plan, as shown by the chart below:
Enhanced Plan
Standard Plan
PCP Visit
$15
$30
Specialist Visit
$30
$45
Outpatient Copay
$100
$100
Deductible
$0
$1,000
Total out-of-pocket costs:
$145*
$1,175*
* Costs vary based on your specific plan. This example shows a typical Health Engagement benefit
plan. Please check with your benefit administrator for a complete summary and cost-sharing
breakdown for your plan.
We want to help you meet your goals.
Take advantage of the programs and services geared to help improve your
health — and your out-of-pocket costs.
To stop tobacco/nicotine use, several treatment plans are available to
help you quit:
- Smoking (tobacco/nicotine) cessation counseling services provided
by your PCP
- Smoking Intervention Program (SIP) or Freedom From Smoking
Program (FFS)
- Prescription and over-the-counter smoking (tobacco/nicotine)
cessation drugs or products, such as nicotine patches, gum, nasal
spray or inhaler*
- Electronic counseling services with the HealthMedia® BREATHE
TM
program
* You may be asked to send in your receipts for over-the-counter products that helped
with your tobacco cessation treatment. If you are asked for your receipts for any of
the previous options, please send them to: HAP, Attn: Correspondence Department,
2850 W. Grand Blvd., Detroit, MI 48202. Or fax your receipts to (313) 664-8400.
Don’t forget to include your name and health plan ID number.
HAP’s Restore CareTrack®– an award-winning disease management
program that includes support from a nurse health coach and other
resources to help with chronic conditions.
HAP’s Weight Management program offers nutritional counseling
as well as doctor-supervised and prescription-assisted weight loss
programs. You can also get deep discounts on Weight Watchers®
memberships.
To learn more about our many programs and services, log in at
hap.org
.
Notice of Reasonable Alternative
We are committed to helping you achieve your best health. Rewards for
taking part in a wellness program are available to all employees. If you are
not able to meet a standard for a reward under any of our wellness programs,
you might qualify for an opportunity to earn the same reward by different
means. We will also work with your doctor, if you wish, to find a wellness
program option with the same reward that is right for you.