We want you to be your healthiest And we’ll give you the tools you need to get there. Click on the panels below for more information about the wellness programs that are available to Aetna members.
The State Health Benefits Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) are introducing NJWELL — a program designed to help actively employed members of the SHBP/SEHBP live a healthy lifestyle. When you are healthier, everyone wins. You’ll feel better, you’ll have more energy for your family and your job, and you’ll typically require less costly health care. Here’s what you need to know about NJWELL:
Know Your Numbers – and Receive a Financial Incentive!
The NJWELL program can help you learn, track and improve your numbers so you can get or keep your health on track. It’s easy to follow and comes free with your health plan. And, there is a special incentive just for knowing your numbers. When you complete your health assessment and a biometric screening, you will receive a $100 incentive. So will your spouse/partner when they complete the same requirements! This easy plan is the first of a three year path towards better health. Next year and beyond, we will add more rewards for health actions, but the first year is aimed at knowing your numbers.
There are two steps to learn more about your general health (and earn the incentive).
Special Incentive Plan Designed Just for You.
250 points per person = $100 incentive per employee and $100 spouse incentive ($200 total available).
It’s that easy!! And, we will keep track of your rewards on the wellness portal.
Health and Wellness Portal
Beginning in January, 2014, you (and your eligible dependents) will have access to our health and wellness website. The website is powerful, because it is powered by your unique health information. Noted below are just a few highlights:
You will be able to access the website securely from any computer or even from your smartphone or mobile device. We strive to make it easier for you…
Once your website is live (in January, 2014), simply log into www.myactivehealth.com/NJWELL to get started.
Wellness Lifestyle Coaching Programs
The NJWELL program provides support to help you reach your health goals. And it’s a lot easier than you’d think. You’ll have your own personal health coach, who will work with you over the phone to set and achieve personal goals. Do you want to:
If any of these areas are of interest to you, our coaches can help, with guidance in setting goals, developing a personal action plan to achieve those goals, and support along the way.
Disease Management Support Programs
The NJWELL program also provides support for health conditions. You can have a registered nurse as your personal health coach. Your nurse will work with you one-on-one over the phone to:
And that’s just a start. Your nurse will be there for you to help you get healthier than you ever thought you could.
Once you are an Aetna member, you can get started by calling 1-855-231-1219 (starting January 1st). This program is part of your Aetna health plan and participation in programs will be at no additional cost to you.
NJWELL Forms and Resources
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.
Here’s how to complete or update the health assessment:
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:
Click here to see what are the included tests and screenings.
Retiree Wellness Forms
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:
Support for more than 35 conditions, including:
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:
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.
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:
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.
Helping you and your baby grow healthy
You get the Beginning Right maternity program with your Aetna health benefits and insurance plan. Use it throughout your pregnancy. And even after your baby is born.
There’s a lot of information on pregnancy. We’ll make it easier to find, by sharing materials to help you have a healthy one. You’ll get information, in English and Spanish, on:
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.
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).
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:
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:
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.
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:
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:
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.
Most plans already cover well-woman care with no member cost share. Well-woman care includes counseling about important health issues as well as:
Additional services for pregnant women
*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.
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