To participate in the SHBP Retiree Wellness Program, you must complete the health assessment questionnaire online1 by the due date in your SHBP Retiree Wellness Program invitation letter you received from Horizon BCBSNJ.
If you do not complete a health assessment by the deadline in your invitation letter, you may enroll in the program for the following calendar year by completing a health assessment between January 1 and October 31 of the current year.
The health assessment questionnaire must be completed after you retire (or enroll with Horizon BCBSNJ for your retiree health coverage) and before the deadline listed in your invitation letter. Health assessments completed prior to the effective date of your retiree health coverage may not be used to enroll in the SHBP Retiree Wellness Program. The health assessment, which is secure and confidential, will help you identify risks that may lead to chronic disease.
The health assessment covers:
- Current health conditions
- Vital statistics, including cholesterol and blood pressure measurements
- Lifestyle factors, such as exercise, diet, stress, alcohol consumption and tobacco use
- Life events, including family, key relationships and job status, if applicable
To get accurate results, please have the following information available when you take the health assessment:
- Height and weight
- Blood pressure reading
- Blood sugar level
- Cholesterol and triglyceride values
If you’ve had your annual physical exam, you can simply call your doctor for these numbers. If you haven’t had your annual exam, you should still take the health assessment and provide the information you do have so you meet your enrollment deadline. After your next annual exam, be sure to update your health assessment.
After completing the health assessment, your health score will be displayed online. Print Reports will give you options to receive feedback based upon your results, including:
- A detailed summary of your potential health risk factors and their connection to your overall wellness
- Suggestions for minimizing or eliminating these health risks
- A summary that you can share with your doctor
We will advise the SHBP if your health assessment is completed by the due date in your SHBP Retiree Wellness Program invitation letter. Individual results will not be reported to the SHBP.
Requirements to stay enrolled
Have a complete physical exam each year, along with the appropriate tests and screenings as recommended by your doctor, and submit a completed Annual Physician Certification (APC) to Horizon BCBSNJ to be received by December 31 each year. Your first annual physical and APC must be completed by December 31 of the year you retire, unless you retire in September, October, November or December. If you retire or receive our invitation letter in those months, you have until December 31 of the following year to have your physical exam and submit your first APC.
- SHBP health plans cover one annual routine wellness physical exam per calendar year. Submit only one APC each year based on the exam.
- Most routine screenings are covered only when you use in-network doctors and other health care professionals and facilities.
- An APC form is in the back pocket of this brochure. Copies are also available at HorizonBlue.com/retireewellness or by calling Member Services at 1-800-414-SHBP (7427).
- Re-take the health assessment each year between January 1 and December 31, preferably after your annual physical. Note your current weight, blood pressure, blood sugar, cholesterol and the results of your tests and screenings. See pages 4 and 5 for age-appropriate and gender-specific preventive screening guidelines.
- If you are eligible, participate in Horizon BCBSNJ’s Chronic Care Program. A review of claims data and/or your health assessment results may indicate that you are eligible to participate in the Chronic Care Program. The Horizon BCBSNJ nurses who support this program work with you and your doctor to make sure you get the health information and support you need to take care of a chronic health condition. Information about the program and instructions for contacting a nurse care manager will be mailed to you. If you are eligible to participate in the Chronic Care Program, you must do so to maintain your enrollment in the SHBP Retiree Wellness Program.
Noncompliance with program requirements
If you are terminated from the SHBP Retiree Wellness Program for noncompliance or if you did not complete a health assessment by the deadline in your SHBP Retiree Wellness Program invitation letter, you may enroll in the SHBP Retiree Wellness Program for the following calendar year by completing a health assessment between January 1 and October 31 of the current year.
No. Only the retiree subscriber is required to comply with the SHBP Retiree Wellness Program requirements.
The SHBP Retiree Wellness Program is designed to identify and address health risks, promote wellness, prevent disease and provide guidance to individuals with chronic conditions, encouraging the development of a healthy lifestyle.
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 percent 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. State retirees who attained 25 years of service, or retired on a disability retirement prior to July 1, 2007, are subject to the premium sharing arrangements at the time they attained 25 years or retired on a disability. Visit the Division of Pensions and Benefits Retiree Wellness Program website for more information.
The Retiree Wellness Program will be offered to all eligible State of New Jersey retirees who are enrolled in SHBP health coverage through the SHBP carriers, Aetna or Horizon Blue Cross Blue Shield of New Jersey. Visit the Division of Pensions and Benefits Retiree Wellness Program website for more information.
No, participation is voluntary, but the State of New Jersey waives your contribution requirement for your health coverage if you participate. If you do not participate in the program, 1.5 percent health contribution will be deducted from your retirement check. The contribution will continue for the remainder of your retirement unless you enroll/re-enroll in the SHBP Retiree Wellness Program.
The program is for all eligible retirees regardless of residence. Participation is voluntary; the State of New Jersey waives your contribution requirement for your health coverage if you are enrolled.
Once Horizon BCBSNJ is notified of your eligibility for the SHBP Retiree Wellness Program by the State of New Jersey, you will receive our invitation letter and SHBP Retiree Wellness Program brochure, explaining the enrollment process and compliance requirements.
To enroll in the SHBP Retiree Wellness Program when you retire, you must complete a health assessment using the online Health Assessment Tool (HAT) within two months of retirement or notification. The due date and instructions for completing your initial health assessment and all compliance requirements will be stated in the invitation letter you receive from Horizon BCBSNJ. Health assessments completed prior to your retirement are not acceptable for the SHBP Retiree Wellness Program. A health assessment must be completed after you retire and by the due date in your invitation letter to meet SHBP Retiree Wellness Program compliance requirements.
The Health Assessment Tool (HAT) and other valuable resources are accessible through My Health Manager, powered by WebMD®. On this secure site, you are able to access, track and manage your health care information from one location.
- Sign in.
- To complete the health assessment for the first time, choose Take It Now. To update your responses or re-take the health assessment questionnaire, go to the Healthy Living tab at the top, select Health Assessment Tool, choose Update Score. Remember to use the Save & Continue button on each page of the health assessment questionnaire and click Finalize to record your responses for that section. Then, answer a few additional questions about yourself and your experience with the health assessment and click Finish. Once you have completed these steps, you will see your health score, “completed” and the current date next to your health score.
NOTE: Retirees who do not have access to the Internet must call Member Services at 1-800-414-7427 to request a printed copy of the health assessment. Online submission is recommended, since paper forms take up to 30 days to be reported to us, and will not be processed at all if they are not fully completed when received. Online completions are reported to us the Monday following completion.
To get the most accurate results, you should have the following health information:
- Height and weight
- Blood pressure level
- Blood sugar level
- Cholesterol and triglyceride values
If you’ve had your annual physical, you can simply call your doctor for these numbers. If you haven’t, you should take the health assessment and provide the information you do have to meet your initial or annual compliance deadline. Once you have your next checkup, you may update your online health assessment with current information.
A physical examination is all that is required. Please also ask your physician which additional screening tests are appropriate for you. Refer to the SHBP Retiree Wellness Program brochure you received for guidelines on recommended screenings and tests.