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Member Resources:
Healthy Incentive Programs
At PHP, we care about your good health. That is why we provide you with
healthcare coverage that emphasizes preventive care. We offer a variety of
opportunities that will help you adopt a healthier lifestyle. Read on to see
how PHP can help you take charge of your health.
PHP offers the following weight loss incentive programs:
Inches Away
Weight Loss Reimbursement Program
Smoking Cessation Program
Sweet PHP Rewards
Inches Away - For Adults
PHP's Inches Away program is designed to encourage, support, and reward your
goal of acheiving a healthy weight. Inches Away reimburses portions of the cost
of a physician-supervised weight loss program, over an 18-month period of
continued treatment and successful completion of a weight loss program. Click
here to download the
Inches Away brochure.
Inches Away - For Adolescents
The adolescent program reimburses a total cost of a weight loss program, and is
paid in one payment after completion of the program. Parkview SHAPEDOWN and the
Lutheran ACE program qualify for this incentive program. Click here to download
the Inches Away
brochure.
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PHP Weight Loss Reimbursement Program
PHP also offers an independent incentive program, with a lifetime maximum
reimbursement of $200. To qualify, the following must be documented in your PHP
physician's records:
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Your weight prior to beginning the program.
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Physician's recommended weight loss goal.
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Maintained recommended weight loss for the duration of one year.
Your
Responsibilty:
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Document all costs incurred while attaining the recommended weight. (This
includes all costs associated with the weight loss program you choose to attend
such as lab fees, office visits, supplements, etc.)
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Maintain weight loss for the duration of one year.
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Maintain active coverage with PHP throughout the entire process.
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Submit all paid receipts and a copy of the pertinent documented medical records
to:
Physicians Health Plan
Attn: Customer Service Department
8101 West Jefferson Blvd.
Fort Wayne, IN 46804
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PHP Smoking Cessation Program
In effort to support healthy lifestyles, PHP has established two separate
programs to help members who want to quit their smoking habit. Select the
program that best suits you!
The CHANTIX™ Benefit Program
CHANTIX™ is a covered medication specifically developed to help individuals kick
the tobacco habit and available under your benefit plan. PHP will cover up to
two consecutive twelve-week courses of CHANTIX™ in a calendar year. Each
twelve-week course consists of three individual prescriptions, each with its
own 2nd tier co-payment or co-insurance. The success rate to quit smoking is
higher if an individual takes advantage of a support program in conjunction
with drug therapy. A program called "GetQuit" is free of charge to those using
CHANTIX™. Logon to www.chantix.com
for more information.
Smoking Cessation Reimbursement Program
A reimbursement program is available for members who elect not to use CHANTIX™
medication to quit smoking. PHP will reimburse a member up to $300 for charges
paid for any type of therapy (including nicotine patch, nicotine gum, nicotine
inhalers, and/or classes) if the member remains smoke-free for at least one
year after the end of the therapy. Here are more program details:
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The PHP member is responsible for all smoking cessation costs while becoming
smoke-free.
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After a one year, smoke-free period, the PHP member must have a PHP
participating physician complete and submit the
Non-Smoking Verification Form.
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The PHP member must submit all paid receipts to PHP for consideration. After
review, PHP will reimburse the member up to a maximum of $300 (per lifetime).
Depending on the therapy used, copays may apply.
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The member must be an active PHP member throughout the entire process.
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Return the Non-Smoking Verification Form and paid receipts to:
Pharmacy Department
PHP
8101 West Jefferson Blvd.
Fort Wayne, IN 46804
Additional support programs for use with any drug therapy are available at our
Nurseline 24/7 and also at MyHealth 24/7, and under the AHA Start! Health
programs link located in the Health Resources section of this Web site.
If you have any questions about this program, please contact PHP Customer
Service at (260) 432-6690 ext. 11, 1-800-982-6257 ext. 11, or at (260) 459-2600
for the hearing impaired.
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Sweet PHP Rewards
Sweet PHP Rewards is a Diabetes Management program aimed at assisting those
members with a diabetes diagnosis to make healthy lifestyle changes. The focus
is on educating members about healthy lifestyle including diet, exercise, taking
daily medications, and frequent blood testing.
Sweet PHP Rewards members receive monthly incentives such as reduced or
eliminated copays and deductibles on medication and testing strips. This program
consists of one-on-one, phone-based assessment and personalized coaching to
encourage behavioral lifestyle changes. Click here for
a program brochure.
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