FAQs

How is HealthbyChoice Incentives^SM different from comparable plan products on the market?
How is HealthbyChoice Incentives different from HealthbyChoice Rewards^SM?
Is HealthbyChoice Incentives available to any size of company?
Will my company's employees need computer and Internet access in order to participate in this plan?
Are mid-year changes allowed?
Why does a member's spouse have to meet the program requirements?
What happens if a member is outside the Priority Health service area?
Will my company pay different rates based on how many of our  employees are on the Choice or Standard level of benefits?

Q: How is HealthbyChoice Incentives different from comparable plan products on the market?
A: Several things distinguish HealthbyChoice Incentives from comparable products in our market. Among them:

• Our comprehensive wellness programs and services, along with our custom-designed online tracking systems, tools and resources.
• It's a turnkey solution. There's little involvement required of employers.
• It's easy to understand.
• • There are only three differences between the two benefit levels (copayments, deductibles/out-of-pocket costs and coinsurance.)
    
  • There are only two requirements that members must meet to maintain the better level of benefits, neither of which requires lab work. (However, members that don't meet the health indicator criteria in the second requirement can meet alternative requirements, which do include laboratory testing.)
• It's based on Priority Health's highly acclaimed HealthbyChoice wellness program.
• • In the three years that program has been in the market, it has demonstrated 7-15% better adherence to clinical measures such as physical exams and asthma medication usage.
  • It also showed documented changes in health behaviors, early detection of chronic illness and disease and demonstrated a positive impact on health costs.

Q: How is HealthbyChoice Incentives different from HealthbyChoice Rewards? A: HealthbyChoice Rewards is an employer-driven wellness program. It's sold as an add-on to other Priority Health products. HealthbyChoice Incentives is a health plan combined with a wellness program. There are 4 HMO and 4 PPO options available. It is a full replacement product.

Q: Is HealthbyChoice Incentives available to any size of company?
A: HealthbyChoice Incentives is available to groups with two or more employees.

Q: Will my company's employees need computer and Internet access in order to participate in this plan?
A: One of the two requirements to maintain the Choice level of benefits for the plan year requires Internet access. Members need to complete an online health risk assessment form (available when they log in to this website). Many more wellness resources and tools are available online as well.

To make online access easier, Priority Health offers its members discounts on Dell computers. It is one of the many value-added components of HealthbyChoice Incentives that gives members and employers much more for their money.

Q: Are mid-year changes allowed?
A: No. HealthbyChoice Incentives is available to new business or at renewal only.

Q: Why does a member's spouse have to meet the program requirements?
A: Studies show that couples working together have a better chance of successfully changing their lifestyles. This is necessary to achieve the rate relief targets we are providing and to assure the greatest level of successful long-term lifestyle changes.

Q: What happens if a member is outside the Priority Health service area?
A: Out-of-area members must still meet program requirements to continue on the Choice level of benefits.

Q: Will my company pay different rates based on how many of our employees are on the Choice or Standard level of benefits?
A: No, it doesn't matter how many employees are on either benefit level.  Employers pay a "combined" rate no matter what. In addition, employers never know who among their employees are on the different benefit levels.