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Wellness Incentives

What are Wellness Incentives?

An annual reimbursement for covered members who complete one of the eligible screening procedures on your critical illness and cancer insurance plans.

Plan Rules:

  • If you or a covered dependent perform one of the eligible screenings, you can file a wellness claim

  • Once approved, you will receive a check for the wellness benefit amount

  • The wellness benefit can be filed annually as long as your critical illness and cancer plans are in force

What Qualifies as Wellness?

Critical Illness - MetLife

• Annual physical exam

• Biopsies for cancer

• Blood test to determine total cholesterol/triglycerides

• Bone marrow testing

• Breast MRI, ultrasound, sonogram

• Cancer antigen 15-3 and 125 blood test for breast cancer (CA 15-3)/ ovarian cancer (CA 125)

• Carcinoembryonic antigen blood test for colon cancer (CEA)

• Carotid doppler

• Chest x-rays

• Clinical testicular exam

• Colonoscopy; Digital rectal exam (DRE)

• Doppler screening for cancer

• Doppler screening for peripheral vascular disease • Echocardiogram; Electrocardiogram (EKG)

• Endoscopy

• Fasting blood glucose/plasma test

• Flexible sigmoidoscopy

• Hemoccult stool specimen

• Hemoglobin A1C

• Human papillomavirus (HPV) vaccination

• Lipid panel

• Mammogram

• Oral cancer screening

• Pap smears or thin prep pap test

• Prostate-specific antigen (PSA) test

• Serum cholesterol test to determine LDL or HDL

• Serum protein electrophoresis

• Skin Exam; Skin cancer biopsy; screening

• Stress test on bicycle or treadmill

• Successful completion of smoking cessation program

• Tests for sexually transmitted infections (STIs)

• Thermography

• Two hour post-load plasma glucose test

• Ultrasounds for cancer detection

• Ultrasound screening of the abdominal aorta for abdominal aortic aneurysms

• Virtual colonoscopy

What Qualifies as Wellness?

Cancer - Guardian

• Bone marrow testing

• BRCA testing

• Breast ultrasound

• Breast MRI

• CA 15-3 (blood test for breast cancer)

• CA125 (blood test for ovarian cancer)

• CEA (blood test for colon cancer)

• Chest x-ray

• Colonoscopy/Virtual

• Colonoscopy

• CT scans /MRI scans

• Flexible sigmoidoscopy

• Hemoccult stool analysis

• Mammography

• Pap smear /ThinPrep pap test

• PSA (blood test for prostate cancer)

• Serum protein electrophoresis (blood test for myeloma)

• Testicular ultrasound

• Thermograph

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How to Submit a Claim - Metlife Critical Illness

Call 1 (800) 438-6388

File your Health Screening Benefit online through the MyBenefits portal at www.metlife.com/mybenefits

Important Note: Must use Jeff Davis County Board of Education when registering for a MetLife MyBenefits account

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How to Submit a Claim - Guardian Cancer

Log on to GuardianLife.com and select "My Account/Login" to register or access your account

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Contact Campus Benefits for assistance with claims.

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