February 5, 2024
2024 Medicare Member Wellness Rewards
Jefferson Health Plans will continue to offer Wellness Rewards, our Medicare rewards program, to all Medicare members in 2024. Wellness Rewards incentivizes Medicare members to complete specific health-related activities to earn rewards dollars on a reloadable flexible spending card. Please note that our Medicare rewards program is different from our Medicaid/CHIP rewards program.
Please refer to the attached list for all eligible health activities and details on the rewards program. This information can also be found at www.HPPlans.com/rewards. Some health activities, such as medication adherence activities and preventive health screenings, are tied to current Quality Care Plus (QCP) measures. Jefferson Health Plans has found that encouraging patients to complete these activities may help improve performance on these QCP measures.
Overview of the Jefferson Health Plans’ Medicare Wellness Rewards Program
- All eligible activities must be completed in 2024 and rewards must be redeemed in 2024.
- Members will receive a personalized letter in the mail listing all their 2024 eligible activities. Members will only be rewarded once for each eligible activity completed.
- If your patients have questions about Wellness Rewards, they should call Member Relations at 1-866-901-8000 (TTY 1-877-454-8477).
- To ensure that your patients are rewarded for their completed activities, please submit claims timely and correctly.
Here is a sample image of the new Jefferson Health Plans Flex Card. This card will be loaded with Wellness Rewards, OTC allowances, and Flex benefit dollars for applicable members.
Jefferson Health Plans’ Medicare Wellness Rewards Activities (2024)
|
Activity |
QCP Impact |
Eligibility Criteria |
Action Needed to Earn |
Reward |
|
Medicare Annual Wellness Visit |
|
All Medicare members |
Complete a Medicare Annual Wellness Visit. |
$50 |
|
Flu Shot |
|
All Medicare members |
Present your Jefferson Health Plans Medicare Member ID card at in-network providers/pharmacies and get a flu shot. |
$20 |
|
Member Portal Sign-up |
|
All Medicare members |
Sign up for the Member Portal at hpp.healthtrioconnect.com. |
$5 |
|
Diabetes Retinal Eye Exam |
✓ |
Medicare members who are diabetic or were screened for diabetes |
Complete a retinal or dilated eye exam with an eye care professional. |
$25 |
|
Medicare Health Assessment |
|
DSNP Medicare Members |
Complete an initial or annual Medicare Health Assessment with a Jefferson Health Plans care coordinator. |
$50 |
|
Diabetes Kidney Tests |
|
Diabetic Medicare members |
Complete an estimated glomerular filtration rate (eGFR) test and a urine albumin-creatinine ratio (uACR) test. |
$25 |
|
Colorectal Cancer Screening |
✓ |
Medicare members aged 40 or older |
Complete a Colorectal Cancer Screening test (FOBT, Flexible Sigmoidoscopy or Colonoscopy, or FIT-DNA test). |
$25 |
|
Bone Mineral Density Test |
|
Medicare members with Osteoporosis diagnosis |
Complete a bone density test. |
$100 |
|
Breast Cancer Screening |
✓ |
Female Medicare members aged 35 or older |
Complete a mammogram screening. |
$50 |
|
Comprehensive Medication Review (CMR) |
|
Medicare members eligible for a CMR under the Medication Therapy Management (MTM) Program |
Complete a CMR with the MTM vendor by calling 855-795-6337. |
$15 |
|
Cholesterol Medication1 |
✓ |
MTM-eligible Medicare members 18 years or older with high cholesterol who have been prescribed cholesterol medications, and completed a CMR |
Fill a 30-day, 60-day, or 90-day supply of a prescribed cholesterol medication, max $60 per year. |
$5-$60 |
|
Diabetes Medication1 |
✓ |
MTM-eligible Medicare members 18 years or older with diabetes who have been prescribed oral diabetes medications, and completed a CMR |
Fill a 30-day, 60-day, or 90-day supply of a prescribed oral diabetes medication, max $60 per year. |
$5-$60 |
|
Hypertension Medication1 |
✓ |
MTM-eligible Medicare members 18 years or older with hypertension who have been prescribed blood pressure medications, and completed a CMR |
Fill a 30-day, 60-day, or 90-day supply of a prescribed blood pressure medication, max $60 per year. |
$5-$60 |
₁ Members earn $5 for a 30-day fill (max. 12 times per year), $10 for a 60-day fill (max. 6 times per year), or $15 for a 90-day fill (max. 4 times per year).
If you have any questions about the Wellness Rewards Program, please visit www.HPPlans.com/rewards.