INSURANCE

WELLNESS DISCOUNT & CLINICS

Primary Health Insurance (AR Benefits /EBD) Wellness Discount Deadline 10/31/2019


REMINDER if using PCP:

Both employee and covered spouse must complete the survey and Primary Care Physician (PCP) visit and form if they did not participate in the onsite Catapult Clinic clinic.


Online Assessment Instructions:

Choose the Health Risk Assessment button at bottom of this link

https://healthadvantage-hmo.com/members/arkansas-state-public-school


When using your PCP, this form must be completed and submitted for both employee and covered spouse:

AR Benefits Primary Care Provider Form


Discount Requirement Scenarios A , B, or C

https://www.dfa.arkansas.gov/employee-benefits-division/arbenefits/state-forms-and-publications/public-school1

A) All employees or covered spouses who use their Primary Care Physician for Wellness Assessment MUST have their PCP complete this form and it is the responsibility of the EMPLOYEE to submit completed form to the email address at the bottom of this form BEFORE October 31, 2019. This is required to ensure your discount is applied.

B) Employees utilizing the onsite Catapult Wellness Clinics are not required to do this. Your Catapult session completes and submits all requirements for the discount.

C) If Employee or Employee's covered spouse is PREGNANT and cannot complete the Catapult assessment:

Your OB-GYN is to complete all the "Non-Lab" information on this form and check the highlighted box. Employees are responsible for submitting to ARbenefits using the email or fax# on the form.



Important Links for CATAPULT HEALTH Onsite Wellness Check Clinics:

Online Scheduler – www.TimeConfirm.com/ARBenefits (REGISTER NOW)

Catapult Customer Support – support@catapulthealth.com – Support for associates who need further assistance with their appointment before and after their checkup.

West Memphis School District Clinics Schedule . (Clinics are for employees and spouses covered under school insurance.)

SUPPLEMENTAL HEALTH (Payroll Deduction)

SUPPLEMENTAL HEALTH (Personal EFT)

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