d11.ezonlineregistration.netSchool District 11 - EZOnlineRegistration
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d11.ezonlineregistration.net
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Title:School District 11 - EZOnlineRegistration
Description:2018 HEALTH PROMOTION PROGRAM Important Program Information Health Promotion Program Intro Video Welcome to the D11 Health Promotion Program! This program is designed to assist in forming a relationsh
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2018 HEALTH PROMOTION PROGRAM Important Program Information Health Promotion Program Intro Video Welcome to the D11 Health Promotion Program! This program is designed to assist in forming a relationship with a Primary Care Physician, improving and taking control of your health, and keeping your health benefits affordable and sustainable. All D11 employees covered on the District’s health plan will begin in the Platinum Plan on 7/1/2018. In order to qualify for the Platinum Health Plan for next fiscal year (7/1/2019 through 6/30/2020), All D11 Health Plan participants and covered spouses have the opportunity to participate in the Health Promotion Program between 1/1/18 and 3/31/19. EARN PLATINUM PLAN FOR 7/1/19-6/30/20 IN 2 STEPS: STEP 1: Submission of the completed Health Provider Screening Form by the enrolled employee and enrolled spouse (if applicable) no later than 5pm on 3/31/2019. STEP 2: Employee’s completion of the online Personal Health Survey no later than 5pm on 3/31/19. FIRST TIME USERS: Follow the steps below to print your Provider Health Screening Form and complete your online Personal Health Survey. Enter your date of birth (mm/dd/yyyy) and member ID number. Your member ID number can be found on your medical insurance card (be sure to enter all the characters without spaces or dashes) If you are a spouse covered by the medical plan, log in to your Continental Benefits portal (myCBcompass) at: www.continentalbenefits.com to access your individual member ID number (the number listed on the insurance card is for the main subscriber only). (Upper right click on "Log in/Sign up”, then under Web Portal you will see, " To access Continental Benefits' new web portal, myCBcompass, please click here ". This will link you to the mycbcompass.com log in/register for new account page). Click "Verify." Once you have verified your eligibility, please complete your online Personal Health Survey and print your Provider Health Screening Form to take to your appointment with your doctor Create a User Name and Password. To access your account, you will need to create a username and password. If you participated in the program last year your username and password will be the same Please provide your Date of Birth (mm/dd/yyy) and Member ID number (12-digit number found on your medical card with no spaces). Date of Birth: Employee ID: Verify RETURNING USERS: Click here to return your Personal Health Portal. COMPLETING THE HEALTH PROMOTION PROGRAM: Click here to read more... Schedule an appointment with your primary care physician (PCP) for your annual routine physical and preventative bloodwork. To be eligible, appointments need to fall between 1/1/2018 through 3/31/2019. a. If you have seen your physician for your annual routine physical and preventative bloodwork retroactively back to 1/1/18, you can simply bring this form to your physician for completion. For the purpose of this program, there is no need to have another physical or bloodwork completed if you have already done so between 1/1/18 and 3/31/19. b. To get the best value out of your appointment, you may ask if your physician would like to have labs run before your appointment. c. It is encouraged that you ask your physician which labs are being ordered. NOTE: anything above and beyond what is listed on the Provider Screening Form will be the members' financial responsibility! Print your Provider Health Screening Form (also attached) and complete Section 1 (Participant Information). Attend your appointment with your PCP. Give the Provider Health Screening Form to your PCP for completion of section 2 of the form. a. In order to process your screening form, ALL INFORMATION is required. Any incomplete or illegible forms are at risk of not being processed. The required lab testing (indicated on the Provider Health Screening form) and exam are covered under your health plan preventative services. Any additional labs/tests will be the member’s financial responsibility. Complete your online Personal Health Survey (PHS): http://d11.ezonlineregistration.net. You can complete your online PHS prior to your appointment with your PCP. Return the provider form to Penrose. Forms can be returned by the member or the physician by email, fax or drop off. Fax: 719-776-2084 (confidential) Email: JenniferJarry@Centura.Org Schedule Drop Off: Please call 719-776-7983 NOTE : All forms for current members & spouses (covered on the health plan) are due no later than 03/31/2019 by 5:00 pm MST. You will receive a confirmation email within 5 business days upon receipt of the Provider Screening Form. You will receive a second email once the form has been processed and uploaded to your Personal Health Survey Portal. Please note that it may take up to 10 business days for Penrose to process and upload forms. Penrose will not return any calls regarding processing of Provider Screening Forms prior to 10 business days from submittal. If you have any questions please call 719-776-7983. Individual results of this process are completely confidential. BEST Health Plan and District 11 will only see an aggregate report and will not have access to individual results. Copyright © 2020 Applied Health Analytics. All Rights Reserved. | (855) 581-9910...
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