Take the simple way to wellness — one step at a time
Simple Steps To A Healthier Life is a personalized online health and wellness program that makes it easy for you to help improve or maintain your health in ways that fit your lifestyle. It can help you eat better, lose weight, get in shape, relieve stress and more — in simple steps, at your own pace.

Simple Steps To A Healthier Life is convenient, secure and can be accessed from home or work at any time. Best of all, it’s offered at no additional cost to you.

The program starts with a questionnaire that can help you identify some of your health needs. After you complete the assessment, you will receive an easy-to-understand Health Assessment Summary.

You can use this information to set a few healthy goals for yourself. You can also share it with your doctor to discuss your concerns. Then, follow your doctor’s recommendations and remember to update your health assessment each year, or whenever there’s a change in your health. You’ll also receive an e-mail suggesting online wellness programs based on your unique needs.

Once you become an Aetna member, you can access Simple Steps To A Healthier Life by logging in to Aetna Navigator®.

Managing Chronic Conditions – Aetna Health Connections
Not everyone can be perfectly healthy. But, even with an ongoing health condition, you can reach your own level of good health. The Aetna Health Connections Disease Management Program can help you and your family members.

In this program, you can learn how to:

• Get the treatment and preventive care you need
• Understand and follow your doctor’s treatment plan
• Better manage your ongoing conditions
• Make changes to reach your personal health goals
• Identify and manage your risks for other conditions
  

Support for more than 35 conditions, including:

• Cancer
• Diabetes
• Digestive conditions
• Heart disease
• Lower back pain
• Neurological
• Oncology
• Orthopedic
• Vascular
• And many others

How our program can work for you
As an example, let’s say you have diabetes. You may contact us to join. Or, we may contact you to see if you want help managing your health issues.

Our nurses can then:

• Teach you about, and send you information on diabetes
• Give you online resources to use anytime
• Review the treatment plan and the medications your doctor recommends
• Explain possible side effects and answer your questions
• Give you our 24-hour, toll-free disease management phone number
• Work with you over time to help you meet your goals for managing diabetes and other health conditions

After you speak with a nurse, you will receive a letter. The letter will list the points you discussed and steps you should take before your next discussion with a nurse. Our support team can help you learn how to help protect yourself from future health problems.

Get started
Once you are an Aetna member, you can get started by calling 1-866-269-4500 or submitting a request through Aetna Navigator® . This program is part of your Aetna health plan. There’s nothing extra to pay, and participation is up to you.

 

Find peace of mind
The Aetna Behavioral Health Program provides the mental health care benefits that you and your loved ones need. Through the program, we’ll coordinate behavioral health and wellness services to be sure that you and your doctors use your benefits to the fullest.

You work hard to take care of your physical health. Don’t forget to take care of your mental health, too! The way you feel mentally can make a big difference in your overall wellness. This program can help address:

• Combined medical and behavioral health conditions
• Symptoms of depression
• Anxiety disorders, such as generalized anxiety, panic disorder and Post Traumatic Stress Disorder (PTSD)

Members who complete these programs have been shown to have significant symptom relief and improvement in their overall health.

To learn more about our behavioral health specialty programs, log in to www.aetnabehavioralhealth.com, or call 1-800-424-5679.

See your way to saving — Aetna Vision discount program
You’ll pay less for eyeglasses, contact lenses, cleaning solutions, and even LASIK eye surgery. You’ll also save on eyecare items not typically covered by insurance — like designer frames, sunglasses and lots more.

You work hard to take care of your physical health. Don’t forget to take care of your mental health, too! The way you feel mentally can make a big difference in your overall wellness. This program can help address:

• Prenatal care
• Preterm labor symptoms
• What to expect before and after delivery
• Newborn care
• Quitting smoking
• And more

Resources for high-risk pregnancies
We’ll help you find out if you’re at risk for pregnancy-related conditions. Or, your doctor will tell you if you’re at risk for a high-risk pregnancy. In either case, we’ll guide you through the pregnancy so you can avoid anything that could harm you or your baby.

If you’re eligible, we’ll assign an Aetna nurse to manage your care. He or she will make sure you’re doing everything you can to have the healthiest pregnancy possible.

Get started
The more you know, the better chance you have for good health — for you and your baby. Once you are an Aetna member, you can get started by calling 1-800-CRADLE-1 (1-800-272-3531).

Pay no monthly premium when you enroll in the Wellness Program
Agreements between the State of New Jersey and bargaining organizations representing State employees require certain State retirees who attained 25 years of service after June 30, 2007 and before June 28, 2011, or who retired on a disability retirement on or after August 1, 2007 and before June 28, 2011, to pay a health contribution of 1.5% of the retirement benefit unless the retired member is enrolled in the Retiree Wellness Program. Participation in the Retiree Wellness Program results in the waiver of the required health contribution.

As a participant in the SHBP/SEHBP Retiree Wellness Program, you must meet certain program requirements by December 31 each year. Doing so will ensure you’re exempt from paying the health contribution of 1.5 percent of your retirement allowance for the given calendar year.

You must complete the following steps to stay in the program. If you don’t complete these steps, you’ll have to pay extra every month for health insurance.

Step 1: Complete or update the health assessment
The secure, online health assessment includes questions about your health. It is part of the Simple Steps To A Healthier Life® program.

• New eligible State retirees – Click here to view the Retiree Wellness Welcome Letter from the SHBP/SEHBP. Once enrolled you will receive a Welcome Kit from Aetna. Complete the health assessment within 60 days of retirement. Follow the instructions for current retirees after that.
• Retirees currently enrolled in the program – Complete or update the health assessment once each year. You’ll have to do this between January 1 and December 31.
• Eligible retirees not currently enrolled in the program – Complete the health assessment once during the month of October. The deadline for completing the health assessment for Open Enrollment is October 31. Once enrolled in the SHBP/SEHBP Retiree Wellness Program, to remain eligible, you must update your health assessment once each year, anytime from January 1 through December 31.
• If you miss the deadline, you must pay a monthly premium each month for the entire year starting in January. You’ll pay 1.5 percent of your monthly retirement allowance. If you are an ABP retiree, you’ll pay 1.5 percent of 50 percent of the highest annual salary you were paid in the five years before you retired. You will be able to rejoin the program for the following year during the next Open Enrollment period.

Here’s how to complete or update the health assessment:  

• Click on Quick Links in the menu above and choose Aetna Navigator. Log in to your secure Aetna Navigator® member website. Not registered? Click on the “Register Now” link to get started. Have your Aetna member ID card handy. Then follow the prompts to create a user name and password, and log in.
• Look for the “I want to” menu on the left side. Click on “Take a health assessment.”
• Answer the questions to complete the health assessment. If this is your first visit, you’ll complete the entire health assessment. If you’ve completed it before, you can simply update it with new information
• Remember to say “yes” to participate in any disease management programs we might recommend.

The health assessment takes about 20 minutes to complete. When you’re done, you’ll get a health report. Your report will include ways for you to be healthier. Remember, the information you provide on the health assessment is kept private. It is not shared with the SHBP/SEHBP.

Step 2: Complete the Annual Wellness Certification form
The Annual Wellness Certification form is included with this letter. Your doctor must sign the form.

To complete the form, you’ll need to do four things:  

1. Have an annual checkup
2. Complete any tests and screenings recommended for your age and gender
3. Have your doctor sign the form.
4. Return the form in the enclosed return envelope.

Click here to see what are the included tests and screenings.

Retiree Wellness Forms

• Retiree Wellness Reminder Letter pdf – for retirees currently enrolled
• Retiree Wellness Reminder Letter pdf – for eligible retirees not enrolled
• Retiree Wellness Physical Certification pdf

A convenient way to focus on your health – right in your own neighborhood
Want to start working on your health goals? Can’t seem to find the time? Now you have a fast and easy way to get started. Aetna and MinuteClinic, the walk-in medical clinic inside select CVS/pharmacy locations, have come together to bring wellness coaching to you – right in your own neighborhood. Click here to learn more.

MinuteClinic nurse practitioners will work one-to-one with you to help you reach your goals. It’s personal and confidential. The details about you and your wellness coaching sessions will stay private. If you like, MinuteClinic will send your doctor a copy of your visit records to keep everyone up-to-date.

Follow these steps:

1. Visit your neighborhood MinuteClinic
2. Bring this flyer with you when you meet with a MinuteClinic nurse practitioner
3. Show your Aetna Medical ID card
4. Choose one of these health goals you’d like to focus on:

• Quitting smoking/tobacco use
• Weight management
• Understanding the results of your health screening

Your Aetna medical plan’s preventive benefit covers the wellness coaching sessions. If you have questions about your coverage, please call the toll-free number on your member ID card.

Visit your neighborhood MinuteClinic when you can. It’s open seven days a week, including evenings and weekends. You don’t need an appointment. Just walk in. Meet with a MinuteClinic nurse practitioner on your schedule. Go online to find a location near you. Visit www.MinuteClinic.com to find a location near you. Or, call the MinuteClinic call center at 1-866-389-ASAP (2727) for clinic locations and current wait times.

We understand. Your time is valuable. So is your health. We make it easy for you to meet with a MinuteClinic nurse practitioner and take another step along your path to wellness. It’s right in your own neighborhood.

Women’s preventive services covered with no member cost share
Good news for women! Your health benefits and insurance plan covers the women’s preventive services* listed here with no copays, coinsurance or deductible when provided in network.

You won’t have to pay anything for these services when:

• The doctor or other health care provider is in our network and the main purpose of your visit is to get preventive care
• You choose generic contraceptives**
• You buy a breast pump according to the guidelines of your plan

But, these services are not preventive when they are part of a visit to diagnose, monitor or treat an illness or injury. Then copays, coinsurance and deductibles apply.

Women can get checkups, preventive prenatal care, lactation consulting services, breast pumps and more with no out-of-pocket costs.

Contraceptive coverage
We cover the following under your medical plan, whether or not you have pharmacy coverage with Aetna. There will be no member cost share when your provider bills Aetna for these services separately from other services:

• Administration of certain contraceptives, such as the insertion of IUD’s or injections
• Women’s sterilization procedures

Here’s how you access contraceptives without cost share
If your prescriptions are not covered under a pharmacy plan: your Aetna medical plan will cover generic contraceptives with a prescription. Pay for your generic contraceptive drugs and devices at the pharmacy. Then send your completed claims form and pharmacy receipt that includes the patient’s name, date of purchase, drug name and codes and the charge, to Aetna. We’ll reimburse you.

Prenatal care and breastfeeding
You won’t have to pay anything for your routine prenatal visits provided by an in-network provider. You will pay your normal cost share for delivery, postpartum care, ultrasounds or other maternity procedures, specialist visits and certain lab tests, though.

If you need support with breastfeeding, we’ll cover up to six visits with a lactation consultant with no cost to you. Check with your in-network Ob/Gyn or pediatrician. They may offer these services through their office. You may also check our online provider directory on Aetna Navigator®. Or, call the Member Services number on your Aetna ID card to find a lactation consultant in our network.

We’ll also cover:

• A certain selection of standard electric breast pumps (non-hospital-grade) within 60 days of birth, once every three years, or
• A certain selection of manual breast pumps within 12 months of birth, if you have not received an electric or a manual breast pump in the last three years
• Another set of breast pump supplies, if you get pregnant again before you are eligible for a new pump

Before buying a pump, check out the details on our website. Go to the Individuals and Families section on www.aetna.com, choose Health and Wellness, then Women’s Health. Or, call Member Services to learn details of what is covered and find a participating breast pump supplier.

Well-woman care
Most plans already cover well-woman care with no member cost share. Well-woman care includes counseling about important health issues as well as:

Screenings for:

• Breast cancer (mammography every 1 to 2 years for
  women over 40)
• Cervical cancer (for sexually active women)
• Chlamydia infection (for younger women and other women
  at higher risk)
• Gonorrhea (for all women at higher risk)
• Interpersonal or domestic violence
• Osteoporosis (for women over age 60 depending on risk factors)
• Alcohol misuse, obesity, and tobacco use
• Blood pressure
• Cholesterol (for adults of certain ages or at higher risk)
• Colorectal cancer (for adults over 50)
• Depression
• Type 2 diabetes (for adults with high blood pressure)
• HIV
• Syphilis
• Diabetes (including screening during pregnancy)

Additional services for pregnant women

• Anemia screenings
• Bacteriuria urinary tract or other infection screenings
• Rh incompatibility screening, with follow-up testing for
  women at higher risk
• Hepatitis B counseling (at the first prenatal visit)
• Expanded counseling on tobacco use
• Breastfeeding interventions to support and promote
  breastfeeding after delivery

 

*These changes go into effect when plans become effective or renew on or after August 1, 2012. Employers with grandfathered plans may choose not to cover some of these preventive services or to include cost share (deductible, copay or coinsurance) for preventive care services.

**Brand-name contraceptive drugs, methods or devices only covered with no member cost-sharing under certain limited circumstances when required by your doctor.