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HBC Product Comparison
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HealthbyChoice Rewards
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HealthbyChoice Incentives
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Employer-driven wellness program
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Consumer engaged health plan combined with a wellness program (offering 4 HMO,
4 PPO options)
New for plans effective January 1, 2009: 6 HMO, 5 POS and 4 PPO options
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Sold as an add-on wellness program to other Priority Health
products
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Sold as a medical health plan
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Employer defines customized health requirements, due dates and types of rewards
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Priority Health has set the financial incentive for members with the better of two benefit levels (Choice vs. Standard). The Choice level features lower copays, deductibles, out-of-pocket costs and coinsurance.
Members and their families achieve the Choice benefit level if they meet the two requirements set by Priority Health within 90 days of their effective date of coverage.
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| Employer rewards members based on their individual timelines |
Priority Health offers incentive upfront through the opportunity to maintain the Choice benefit level for the plan year – and into the first 90 days of the next plan year – if specific requirements are met within 90 days of effective date of coverage.
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Member does not have to meet any specific target health criteria to
collect rewards
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To maintain the Choice benefit level, employees and their spouses must complete a qualification form indicating the status of three health indicators.
If members don't meet this requirement, they may also maintain the Choice benefit level by completing alternative requirements.
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For groups of 51 or more eligible employees
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For groups of two or more eligible employees
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| Web tools, fitness club discounts and other resources |
Web tools, fitness club discounts and other resources
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High employer engagement and employee support to develop programs that meet specific group’s needs
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Turnkey solution; Priority Health works directly with members
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Employer chooses who to include in
program
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- All members must participate
- Both employee and covered spouse must meet requirements for
Choice level of benefits within 90 days of effective date of
coverage to maintain Choice level through the end of the plan year
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