Wellness Incentive and Surcharges

Wellness Incentive

Eligible subscribers can qualify for one of these wellness incentives:

  • A $125 reduction in the subscriber's 2017 PEBB medical deductible.
    OR
  • A one-time deposit of $125 into the subscriber's health savings account (if enrolled in a PEBB consumer-directed health plan in 2017).

The SmartHealth requirements in 2016 to qualify for a wellness incentive for 2017 are:

  • Complete the SmartHealth well being assessment.
  • Earn 2,000 total points within the PEBB Program’s timelines.
  • Be eligible in the year the incentive applies.

When is the deadline to meet the requirements for the wellness incentive?

  • If you are currently enrolled in PEBB medical and you are continuing enrollment in 2016, or if you are a new PEBB medical subscriber and you start your enrollment in January through June, you have until September 30, 2016 to get your points.
  • If your enrollment starts in July or August, you have 120 days from the day your benefits start to get your points.
    Example: Julie is new to state employment and her benefits start July 1, 2016. Julie’s has to complete her 2,000 points by October 29, 2016 to qualify for the $125 wellness incentive.
  • If your enrollment starts in September through December, you have until the end of the year (December 31, 2016) to get your points.

Surcharges

Tobacco Use Surcharge – This monthly $25 surcharge is required in addition to your medical plan premium if you or a family member enrolled on your PEBB medical coverage uses a tobacco product.

Spousal Coverage Surcharge – This monthly $50 surcharge is required in addition to your medical plan premium if you have a spouse or registered domestic partner enrolled on your PEBB medical coverage, and your spouse or registered domestic partner has chosen not to enroll in employer-based group medical insurance that is comparable to Uniform Medical Plan (UMP) Classic.

To help employees determine the actuarial value of their spouse or domestic partner’s health plan, a calculator will be provided on the PEBB website. The employee will need the Summary of Benefits and Coverage for the spouse or partner’s offered employer-sponsored health plan(s) to determine the actuarial value of the health plan with the calculator.