Get a Health Screening Before the Year Ends

If you complete a health screening—and document your results on the Health Care Provider form—before the year ends, you’ll earn $50 for every healthy target you meet for weight, blood pressure, cholesterol, blood glucose and cardiorespiratory fitness. That’s up to $250 off your 2015 medical premiums!

  1. Complete the Health Care Provider form using information provided by your primary care providerIf you already had your 2014 annual exam, simply call your provider to get your 2014 numbers and complete the form with those numbers. If you haven’t had your 2014 annual exam, make an appointment now and have your primary care provider fill out the form.
  1. Self-administer the cardiorespiratory test. For instructions, see pages 3 – 6 of the form. Fill out the form on page 2.
  1. Submit both parts of the form to StayWell by Dec. 31, 2014. See page 1 of the form for instructions.

About two weeks after you submit the form, you’ll be able to visit to see which health targets you met and which incentives you earned! Your results are always confidential.


You must complete the Health Risk Questionnaire (HRQ) by Dec. 31, 2014, to earn any incentives and avoid a $100 penalty. To take the HRQ, visit

If you have questions about the health screening, HRQ or any part of our Health Management program, call StayWell at 1.800.721.2696, Monday through Thursday, 8 a.m. to 8 p.m.; Friday, 9 a.m. to 6 p.m.; Saturday, 8 a.m. to noon (all Central time).


Get an Additional $200 off Your 2015 Medical Premiums!

You can complete two Take Action activities for up to $200 ($100 each) off your 2015 medical premiums. If you’ve started a Take Action activity, make sure you complete it before the end of the year. If you haven’t started an activity, you still have time to complete a competitive fitness event, such as a 5k walk/run. Visit for details and to log your activity.