Rewards are paid via employee's paycheck. 2017 earned rewards will be paid in March 2017, June 2017, September 2017, December 2017 and April 2018 based on activity processed date. Activity processed date is the date that the myHEALTH myREWARDS program completed the processing of your reward. Our Healthy Living REWARDS Program runs from January 1 to December 31, 2016 and is only available to members enrolled in Medicare Advantage Plans. Act now to receive your $25 Gift Card in the mail. Once we have received notification that you completed the screenings/tests, we will send a $25 Gift Card. Choose your own reward with. Use your Healthfirst Prepaid Card at any of the. Award or promotion program. Blackhawk Discover® gift cards and prepaid. How to Use Your Healthfirst Member ID Card. 2016 Healthfirst Wellness Rewards Program. Your 2016 Medicare Plan. Your protected Healthfirst account is right now easier to make use of!
- Healthfirst Rewards Form 2019 Pdf
- Healthfirst Reward Card Program Form Sample
- Healthfirst Reward Card Program Form Pdf
- Healthfirst Reward Card Program Form
- Healthfirst Member Rewards Form
Health First Rewards Plan (HMO) H1099-014 is a 2018 Medicare Advantage or Medicare Part-C plan by Health First Health Plans, Inc. available to residents in Florida. This plan includes additional Medicare prescription drug (Part-D) coverage. The Health First Rewards Plan (HMO) has a monthly premium of $0.00 and has a in-network Maximum Out-of-Pocket limit of $6,650 (MOOP). This means that if you get sick or need a high cost procedure your co-pays are capped once you pay out of pocket $6,650 this can be a very nice safety net.
Health First Rewards Plan (HMO) is a Local HMO. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you need special care for a physician specialist, your primary care physician will make the arrangements and tell you where you can go in the network. You will need your PCPs okay, called a referral. Without getting a referral or services received from out-of-network providers are not typically covered by the plan.
Health First Health Plans, Inc. works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for Health First Rewards Plan (HMO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Health First Health Plans, Inc. and not Original Medicare. With Medicare Advantage your always covered for urgently needed and emergency care and you receive all of the benefits of Original Medicare from Health First Health Plans, Inc. except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.
2018 Health First Health Plans, Inc. Medicare Advantage Plan Details
| Name: | |
|---|---|
| ID: | H1099-014 |
| Provider: | Health First Health Plans, Inc. |
| Year: | 2018 |
| Type: | Local HMO |
| Monthly Premium C+D: | $0.00 |
| MOOP: | $6,650 |
Plan Services
Health plan deductible
| $0 |
|---|
Diagnostic procedures/lab services/imaging
| Diagnostic tests and procedures | $35 |
|---|---|
| Lab services | $0 copay |
| Diagnostic radiology services (e.g., MRI) | $220 |
| Outpatient x-rays | $35 |
Hearing
| Hearing exam | $30 |
|---|---|
| Fitting/evaluation | Not covered |
| Hearing aids - inner ear | Not covered |
| Hearing aids - outer ear | Not covered |
| Hearing aids - over the ear | Not covered |
Preventive dental
| Oral exam | Not covered |
|---|---|
| Cleaning | Not covered |
| Fluoride treatment | Not covered |
| Dental x-ray(s) | Not covered |
Healthfirst Rewards Form 2019 Pdf
Comprehensive dental
| Non-routine services | Not covered |
|---|---|
| Diagnostic services | Not covered |
| Restorative services | Not covered |
| Endodontics | Not covered |
| Periodontics | Not covered |
| Extractions | Not covered |
| Prosthodontics, other oral/maxillofacial surgery, other services | Not covered |
Vision
| Routine eye exam | Not covered |
|---|---|
| Other | Not covered |
| Contact lenses | Not covered |
| Eyeglasses (frames and lenses) | Not covered |
| Eyeglass frames | Not covered |
| Eyeglass lenses | Not covered |
| Upgrades | Not covered |
Mental health services
| $200 for days 1 through 7 $0 for days 8 through 90 | |
|---|---|
| Outpatient group therapy visit with a psychiatrist | $40 |
| Outpatient individual therapy visit with a psychiatrist | $40 |
| Outpatient group therapy visit | $40 |
| Outpatient individual therapy visit | $40 |
Skilled Nursing Facility
| $0 for days 1 through 20 $150 for days 21 through 100 |
|---|
Rehabilitation services
| Occupational therapy visit | $40 |
|---|---|
| Physical therapy and speech and language therapy visit | $40 |
Ambulance
| $225 |
|---|
Transportation
| Not covered |
|---|
Other health plan deductibles?
| In-Network | No |
|---|
Foot care (podiatry services)
| Foot exams and treatment | $40 |
|---|---|
| Routine foot care | Not covered |
Medical equipment/supplies
| Durable medical equipment (e.g., wheelchairs, oxygen) | 20% per item |
|---|---|
| Prosthetics (e.g., braces, artificial limbs) | 20% per item |
| Diabetes supplies | 20% per item |
Wellness programs (e.g., fitness, nursing hotline)
| Covered |
|---|
Medicare Part B drugs
| Chemotherapy | 20% |
|---|---|
| Other Part B drugs | 20% |
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
| $6,650 In-network |
|---|
Optional supplemental benefits
| No |
|---|
Inpatient hospital coverage
| $360 for days 1 through 5 $0 for days 6 through 90 |
|---|
Outpatient hospital coverage
| $350 per visit |
|---|
Doctor visits
| Primary | $0 copay |
|---|---|
| Specialist | $37 per visit |
Preventive care
| $0 copay |
|---|
Emergency care/Urgent care
| Emergency | $80 per visit (always covered) |
|---|---|
| Urgent care | $45 per visit (always covered) |
Ratings for Health First Rewards Plan (HMO) H1099
| 2018 Overall Rating |
|---|
| Part C Summary Rating |
| Part D Summary Rating |
| Staying Healthy: Screenings, Tests, Vaccines |
| Managing Chronic (Long Term) Conditions |
| Member Experience with Health Plan |
| Complaints and Changes in Plans Performance |
| Health Plan Customer Service |
| Drug Plan Customer Service |
| Complaints and Changes in the Drug Plan |
| Member Experience with the Drug Plan |
| Drug Safety and Accuracy of Drug Pricing |
Member Experience with Health Plan
| Total Experience Rating |
|---|
| Getting Needed Care |
| Timely Care and Appointments |
| Customer Service |
| Health Care Quality |
| Rating of Health Plan |
| Care Coordination |
Member Complaints and Changes in Health First Rewards Plan (HMO) Plans Performance
| Total Rating |
|---|
| Members Leaving the Plan |
| Complaints about Health Plan |
| Beneficiary Access |
| Health Plan Quality Improvement |
Health Plan Customer Service Rating for Health First Rewards Plan (HMO)
| Total Customer Service Rating |
|---|
| Timely Decisions About Appeals |
| Reviewing Appeals Decisions |
| Call Center, TTY, Foreign Language |
Staying Healthy, Screening, Testing, & Vaccines
| Total Preventative Rating |
|---|
| Breast Cancer Screening |
| Colorectal Cancer Screening |
| Annual Flu Vaccine |
| Improving Physical |
| Improving Mental Health |
| Monitoring Physical Activity |
| Adult BMI Assessment |
Managing Chronic And Long Term Care for Older Adults
| Total Rating |
|---|
| SNP Care Management |
| Medication Review |
| Functional Status Assessment |
| Pain Screening |
| Osteoporosis Management |
| Diabetes Care - Eye Exam |
| Diabetes Care - Kidney Disease |
| Diabetes Care - Blood Sugar |
| Controlling Blood Pressure |
| Rheumatoid Arthritis |
| Improving Bladder Control |
| Reducing Risk of Falling |
| Plan - Cause Readmissions |
Member Experience with the Drug Plan
| Total Rating |
|---|
| Rating of Drug Plan |
| Getting Needed Prescription Drugs |
Drug Safety and Accuracy of Drug Pricing
| Total Rating |
|---|
| MPF Price Accuracy |
| Drug Adherence for Diabetes Medications |
| Drug Adherence for Hypertension (RAS antagonists) |
| Drug Adherence for Cholesterol (Statins) |
| MTM Program Completion Rate for CMR |
Ratings For Member Complaints and Changes in the Drug Plans Performance
| Total Rating |
|---|
| Complaints about the Drug Plan |
| Members Choosing to Leave the Plan |
| Beneficiary Access |
| Drug Plan Quality Improvement |
Health First Rewards Plan (HMO) Drug Plan Customer Service ratings
| Total Rating |
|---|
| Appeals Auto Forward |
| Appeals Upheld |
| Call Center, TTY, Foreign Language |
Healthfirst Reward Card Program Form Sample
Part-C Premium
Health First Health Plans, Inc. plan charges a $0.00 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.
Part-D Deductible and Premium
Health First Rewards Plan (HMO) has a monthly drug premium of $0.00 and a $0.00 drug deductible. This Health First Health Plans, Inc. plan offers a $0.00 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by Health First Health Plans, Inc. above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $0.00. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.
Healthfirst Reward Card Program Form Pdf
Premium Assistance
Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The Health First Rewards Plan (HMO) medicare insurance offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $0.00 for 75% low income subsidy $0.00 for 50% and $0.00 for 25%.
| Part C Premium: | $0.00 |
|---|---|
| Part D (Drug) Premium: | $0.00 |
| Part D Supplemental Premium | $0.00 |
| Total Part D Premium: | $0.00 |
| Drug Deductible: | $0.00 |
| Tiers with No Deductible: | 0 |
| Benchmark: | not below the regional benchmark |
| Type of Medicare Health: | Enhanced Alternative |
| Drug Benefit Type: | Enhanced |
| Full LIS Premium: | $0.00 |
| 75% LIS Premium: | $0.00 |
| 50% LIS Premium: | $0.00 |
| 25% LIS Premium: | $0.00 |
| Initial Coverage Limit: | $3750 |
| Gap Coverage: | No |
Gap Coverage
In 2018 once you and your plan provider have spent $3750 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA 'donut hole') You will be required to pay 35% for brand-name drugs and 44% on generic drugs unless your plan offers additional coverage. Beamng drive key code. This Health First Health Plans, Inc. plan does not offer additional coverage through the gap.
Coverage Area for Health First Rewards Plan (HMO)
(Click county to compare all available Advantage plans)
Source: CMS. Supercopier 5.
Data as of September 2, 2017.
Star Rating as of September 6, 2017.
For More Information on Ratings Please See the CMS Tech Notes Here.
Notes: Data are subject to change as contracts are finalized. For 2018, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.
Includes 2018 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.
Biometrics Screening and Health Survey
Health plan deductible
| $0 |
|---|
Diagnostic procedures/lab services/imaging
| Diagnostic tests and procedures | $35 |
|---|---|
| Lab services | $0 copay |
| Diagnostic radiology services (e.g., MRI) | $220 |
| Outpatient x-rays | $35 |
Hearing
| Hearing exam | $30 |
|---|---|
| Fitting/evaluation | Not covered |
| Hearing aids - inner ear | Not covered |
| Hearing aids - outer ear | Not covered |
| Hearing aids - over the ear | Not covered |
Preventive dental
| Oral exam | Not covered |
|---|---|
| Cleaning | Not covered |
| Fluoride treatment | Not covered |
| Dental x-ray(s) | Not covered |
Healthfirst Rewards Form 2019 Pdf
Comprehensive dental
| Non-routine services | Not covered |
|---|---|
| Diagnostic services | Not covered |
| Restorative services | Not covered |
| Endodontics | Not covered |
| Periodontics | Not covered |
| Extractions | Not covered |
| Prosthodontics, other oral/maxillofacial surgery, other services | Not covered |
Vision
| Routine eye exam | Not covered |
|---|---|
| Other | Not covered |
| Contact lenses | Not covered |
| Eyeglasses (frames and lenses) | Not covered |
| Eyeglass frames | Not covered |
| Eyeglass lenses | Not covered |
| Upgrades | Not covered |
Mental health services
| $200 for days 1 through 7 $0 for days 8 through 90 | |
|---|---|
| Outpatient group therapy visit with a psychiatrist | $40 |
| Outpatient individual therapy visit with a psychiatrist | $40 |
| Outpatient group therapy visit | $40 |
| Outpatient individual therapy visit | $40 |
Skilled Nursing Facility
| $0 for days 1 through 20 $150 for days 21 through 100 |
|---|
Rehabilitation services
| Occupational therapy visit | $40 |
|---|---|
| Physical therapy and speech and language therapy visit | $40 |
Ambulance
| $225 |
|---|
Transportation
| Not covered |
|---|
Other health plan deductibles?
| In-Network | No |
|---|
Foot care (podiatry services)
| Foot exams and treatment | $40 |
|---|---|
| Routine foot care | Not covered |
Medical equipment/supplies
| Durable medical equipment (e.g., wheelchairs, oxygen) | 20% per item |
|---|---|
| Prosthetics (e.g., braces, artificial limbs) | 20% per item |
| Diabetes supplies | 20% per item |
Wellness programs (e.g., fitness, nursing hotline)
| Covered |
|---|
Medicare Part B drugs
| Chemotherapy | 20% |
|---|---|
| Other Part B drugs | 20% |
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
| $6,650 In-network |
|---|
Optional supplemental benefits
| No |
|---|
Inpatient hospital coverage
| $360 for days 1 through 5 $0 for days 6 through 90 |
|---|
Outpatient hospital coverage
| $350 per visit |
|---|
Doctor visits
| Primary | $0 copay |
|---|---|
| Specialist | $37 per visit |
Preventive care
| $0 copay |
|---|
Emergency care/Urgent care
| Emergency | $80 per visit (always covered) |
|---|---|
| Urgent care | $45 per visit (always covered) |
Ratings for Health First Rewards Plan (HMO) H1099
| 2018 Overall Rating |
|---|
| Part C Summary Rating |
| Part D Summary Rating |
| Staying Healthy: Screenings, Tests, Vaccines |
| Managing Chronic (Long Term) Conditions |
| Member Experience with Health Plan |
| Complaints and Changes in Plans Performance |
| Health Plan Customer Service |
| Drug Plan Customer Service |
| Complaints and Changes in the Drug Plan |
| Member Experience with the Drug Plan |
| Drug Safety and Accuracy of Drug Pricing |
Member Experience with Health Plan
| Total Experience Rating |
|---|
| Getting Needed Care |
| Timely Care and Appointments |
| Customer Service |
| Health Care Quality |
| Rating of Health Plan |
| Care Coordination |
Member Complaints and Changes in Health First Rewards Plan (HMO) Plans Performance
| Total Rating |
|---|
| Members Leaving the Plan |
| Complaints about Health Plan |
| Beneficiary Access |
| Health Plan Quality Improvement |
Health Plan Customer Service Rating for Health First Rewards Plan (HMO)
| Total Customer Service Rating |
|---|
| Timely Decisions About Appeals |
| Reviewing Appeals Decisions |
| Call Center, TTY, Foreign Language |
Staying Healthy, Screening, Testing, & Vaccines
| Total Preventative Rating |
|---|
| Breast Cancer Screening |
| Colorectal Cancer Screening |
| Annual Flu Vaccine |
| Improving Physical |
| Improving Mental Health |
| Monitoring Physical Activity |
| Adult BMI Assessment |
Managing Chronic And Long Term Care for Older Adults
| Total Rating |
|---|
| SNP Care Management |
| Medication Review |
| Functional Status Assessment |
| Pain Screening |
| Osteoporosis Management |
| Diabetes Care - Eye Exam |
| Diabetes Care - Kidney Disease |
| Diabetes Care - Blood Sugar |
| Controlling Blood Pressure |
| Rheumatoid Arthritis |
| Improving Bladder Control |
| Reducing Risk of Falling |
| Plan - Cause Readmissions |
Member Experience with the Drug Plan
| Total Rating |
|---|
| Rating of Drug Plan |
| Getting Needed Prescription Drugs |
Drug Safety and Accuracy of Drug Pricing
| Total Rating |
|---|
| MPF Price Accuracy |
| Drug Adherence for Diabetes Medications |
| Drug Adherence for Hypertension (RAS antagonists) |
| Drug Adherence for Cholesterol (Statins) |
| MTM Program Completion Rate for CMR |
Ratings For Member Complaints and Changes in the Drug Plans Performance
| Total Rating |
|---|
| Complaints about the Drug Plan |
| Members Choosing to Leave the Plan |
| Beneficiary Access |
| Drug Plan Quality Improvement |
Health First Rewards Plan (HMO) Drug Plan Customer Service ratings
| Total Rating |
|---|
| Appeals Auto Forward |
| Appeals Upheld |
| Call Center, TTY, Foreign Language |
Healthfirst Reward Card Program Form Sample
Part-C Premium
Health First Health Plans, Inc. plan charges a $0.00 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.
Part-D Deductible and Premium
Health First Rewards Plan (HMO) has a monthly drug premium of $0.00 and a $0.00 drug deductible. This Health First Health Plans, Inc. plan offers a $0.00 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by Health First Health Plans, Inc. above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $0.00. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.
Healthfirst Reward Card Program Form Pdf
Premium Assistance
Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The Health First Rewards Plan (HMO) medicare insurance offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $0.00 for 75% low income subsidy $0.00 for 50% and $0.00 for 25%.
| Part C Premium: | $0.00 |
|---|---|
| Part D (Drug) Premium: | $0.00 |
| Part D Supplemental Premium | $0.00 |
| Total Part D Premium: | $0.00 |
| Drug Deductible: | $0.00 |
| Tiers with No Deductible: | 0 |
| Benchmark: | not below the regional benchmark |
| Type of Medicare Health: | Enhanced Alternative |
| Drug Benefit Type: | Enhanced |
| Full LIS Premium: | $0.00 |
| 75% LIS Premium: | $0.00 |
| 50% LIS Premium: | $0.00 |
| 25% LIS Premium: | $0.00 |
| Initial Coverage Limit: | $3750 |
| Gap Coverage: | No |
Gap Coverage
In 2018 once you and your plan provider have spent $3750 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA 'donut hole') You will be required to pay 35% for brand-name drugs and 44% on generic drugs unless your plan offers additional coverage. Beamng drive key code. This Health First Health Plans, Inc. plan does not offer additional coverage through the gap.
Coverage Area for Health First Rewards Plan (HMO)
(Click county to compare all available Advantage plans)
Source: CMS. Supercopier 5.
Data as of September 2, 2017.
Star Rating as of September 6, 2017.
For More Information on Ratings Please See the CMS Tech Notes Here.
Notes: Data are subject to change as contracts are finalized. For 2018, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.
Includes 2018 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.
Biometrics Screening and Health Survey
Healthfirst Reward Card Program Form
- If you have not completed both your biometrics screening and health survey, these activities will display under the gray bar labeled Biometrics Screening and Health Survey Required to Earn Any Rewards. To earn $150, both your biometrics screening and health survey must be completed by 12/31/17.
- Once you complete an activity, a checkmark will be displayed next to the associated activity. Once you have completed both your biometrics screening and health survey, they will appear under the gray bar labeled Completed Activities. The completed activity date is the date you took the final step to complete your biometric screening, health survey, annual physical or personal health action. The activity processed date is the date that the myHEALTH myREWARDS program completed the processing of your reward. Some activities take several weeks to be reported to the myHEALTH myREWARDS program to be processed.
Annual Physical or Personal Health Action Plan
Healthfirst Member Rewards Form
- If you have not completed either your annual physical or a Personal Health Action Plan, these activities will appear under the gray bar labeled Additional Activities to Earn Rewards (must complete Biometrics Screening and Health Survey before this reward can be paid).
- Please note that these activities can be completed at any time, but you will not earn $125 until you have completed both the biometrics screening and health survey.
- If you complete either your annual physical or Personal Health Action Plan before you complete both the biometrics screening and health survey, the activities will appear under the gray bar labeled Pending Activities. This means that rewards for this activity are pending until successful completion of both the biometrics screening and health survey.
- New for 2017: Spouses/domestic partners enrolled in the P&G US Active Health Plan for secondary coverage must complete a Personal Health Action Plan with UHC to earn an additional $125. A claim for an annual physical no longer qualifies.
