Manage your Healthfirst account anytime. Find in-network doctors, urgent care centers, and pharmacies Pay your premium bills Change your Primary Care Provider (PCP) Submit Reward card forms View or print your Healthfirst Member ID card and important forms Get. Sep 19, 2019 Health First Reward Form In the United States, Visa Prepaid Cards are issued by MetaBank, Member FDIC, pursuant to a license from Visa U.S.A. The information on this site has been translated into French and Spanish for your convenience only. Jul 18, 2018 The Healthfirst Wellness Reward Card Program is a way for Healthfirst members to earn rewards for taking care of themselves. The program is available to Healthfirst Medicaid and Child Health Plus members. Open our for a step-by-step guide to getting started. GEHA's is available for two adult (age 18 or older) health plan members per household.
Choose the healthy activities you want to complete. Each completed activity below is worth reward points (example, 500 points = $50). It can take up to three days to receive your link to redeem your points. Earn up to 1,500 points for a maximum of $150 per calendar year. Adult children (ages 18 and older) covered under a family member's policy can earn up to 1,000 points for a maximum of $100 per calendar year. Rewards come in the form of gift cards to your choice of national retailers and restaurants. All points must be redeemed by Dec. 31, 2020. SSM Health employees are not eligible.
The health assessment asks lifestyle-related questions to evaluate your overall well-being. By completing your online health assessment, you’ll unlock additional reward points for additional healthy activities.
Log in to your WellFirst Health member portal. If you are a first-time user and have your member number from your ID card handy.
After you are completely logged in to the portal and you have selected your WellFirst Health plan, click the 'LIVING HEALTHY' link. A new WebMD One tab will open.
Before you can start the Health Assessment, WebMD One will ask you several one-time only questions.
First-time WebMD Living Healthy users will need to register.
On the WebMD Living Healthy homepage, click the 'Health Assessment' link in the menu in the upper right corner.
Enter your most recent health screening measurements into the health assessment. You can find these measurements from an onsite screening if offered by your employer or from a clinic visit by logging into your MyChart account.
After you’ve answered all the questions and entered your health screening measurements, click “Finalize” to complete your health assessment.
After finishing your health assessment, log any additional healthy activities you have completed.
Log in to your Living Healthy portal and click the “Rewards” tab.
Click “Log it” next to the other healthy activities you have completed. Please provide any additional information requested.
Complete one My Health Assistant goal per calendar quarter to earn the maximum points.
Complete a health topic self-assessment once a month to earn the maximum points.
After logging your activities, you will receive an important email from WellFirst Health that you will use to access your Living Healthy reward. It can take up to three days to receive your link to redeem your points. Your reward comes in the form of gift card(s) to your choice of many national retailers, restaurants and other popular merchants.
Click the link in the email, which takes you to a website that displays available gift card merchants. Select the gift cards you wish to receive. You can even split your reward in different amounts to different merchants.
Once you have selected your gift card(s), click “Checkout” and enter your mailing address.
Click “Place Order” to finish and you will receive your gift card(s) by U.S. mail. Please allow up to 14 business days.
Be sure to complete all activities and redeem your points by the end of the reward year–Dec. 31, 2020.
If your coverage ends Dec. 31, 2020, be sure you submit your assessment, complete your activities and redeem your points before that date.
Members
Kickoff Activity
Points
Online Health Assessment You must complete this activity before you can redeem your reward.
500
Well-Being Activities
Annual preventive office visit
225
Learn about Virtual Visit from SSM Health
100
Annual dental visit
75
Annual flu vaccine
75
Immunizations
50
Active MyChart account
50
Submit Advance Directive forms to your physician
50
Complete five mindfulness classes
50
Living Healthy Portal Activities
My Health Assistant goal Complete one My Health Assistant goal per calendar quarter and earn 100 wellness points. You may earn a maximum of 400 wellness points a year by completing four goals per calendar year.
100
Sync Device Connect your wireless fitness trackers to your Living Healthy account for the most accurate health and activity measurements.
50
Health topic self-assessment Complete a self-assessment once a month and earn 20 wellness points. You may earn a maximum of 240 wellness points per calendar year.
20
Health Tracker Earn two wellness points every time you use a Health Tracker, up to 15 times a month. You may earn a maximum of 360 wellness points per calendar year.
2 per tracker
Community-Related Activities
Participate in a run/walk event
100
Purchase produce from a CSA, farmers' market or participate in a local community garden
75
Explore a new state park/trail
50
Volunteer your time
50
Adult Dependents
Adult children (ages 18 and older) covered under a family member's policy can earn up to 1,000 points for a maximum of $100 per calendar year (before Dec. 31, 2020). SSM Health employees are not eligible.
Well-Being Activities
Points
Annual preventive office visit
225
Learn about Virtual Visit from SSM Health
100
Annual dental visit
75
Annual flu vaccine
75
Immunizations
75
Active MyChart account
50
Submit Advance Directive forms to your physician
50
Complete five mindfulness classes
50
Living Healthy Portal Activities
My Health Assistant goal Complete one My Health Assistant goal per calendar quarter and earn 100 wellness points. You may earn a maximum of 400 wellness points a year by completing four goals per calendar year.
100
Sync Device Connect your wireless fitness trackers to your Living Healthy account for the most accurate health and activity measurements.
50
Health topic self-assessment Complete a self-assessment once a month and earn 20 wellness points. You may earn a maximum of 240 wellness points per calendar year.
20
Health Tracker Earn two wellness points every time you use a Health Tracker, up to 15 times a month. You may earn a maximum of 360 wellness points per calendar year.
2 per tracker
Community-Related Activities
Participate in a run/walk event
100
Purchase produce from a CSA, farmers' market or participate in a local community garden
50
Explore a new state park/trail
50
Volunteer your time
50
Rewards for covered adult children Covered adult children (ages 18 and older) can earn up to $100 per year for completing healthy activities, however, they are not required to complete the Health Assessment. Rewards for this activity are excluded from the rewards program (formerly a $50 value) due to changes made by the Equal Employment Opportunity Commission (EEOC) Final Rule on Employer Wellness Programs and the Genetic Information Nondiscrimination Act (GINA). Covered adult children may continue and are encouraged to complete the health assessment within their Living Healthy portal for their own benefit, however, regulations prevent WellFirst Health from rewarding this activity as of Jan. 1, 2017.
Check with your plan administrator for reward offerings specific to your plan WellFirst Health reserves the right to validate each healthy activity you submit for reward points at any time. Only WellFirst Health members age 18 and older are eligible for Living Healthy rewards. Your employer may be required to report health plan-issued incentives as taxable income. WellFirst Health is required to report incentive payment information to your employer. Your health information is protected by federal law and will not be shared with your employer.
Redeeming your points All points must be redeemed by Dec. 31, 2020. SSM Health employees are not eligible. Be sure you submit your assessment and complete your activities before that date. It can take up to three days to receive your link to redeem your points. If you wait too long to complete your activities, you might not receive your points before the current reward year ends.
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
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)
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 Application
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 Member Rewards Form
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
Healthfirst Reward Card Program Form Template
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. 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.
Reward Card Balance
Data as of September 2, 2017.
Star Rating as of September 6, 2017.
Reward Card Best Buy
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.
Healthfirst Reward Card Program Form
Includes 2018 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.
