Health Enhancement Program Information


HEP Compliance_Final_C4.doc

CVS CAREMARK MAINTENANCE DRUG LIST

CVS Caremark Mail Service Pharmacy Brochure

Healthcare Options Planner 2011-2012

Performance Drug List July 2011

Prescription Benefit Program

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January 2013: HEP Bonus Payment in Feb. 22nd Paycheck
If you, or a family member on your State medical insurance, have one of the five chronic conditions and complied with the requirements of the HEP disease-management program, you’re entitled to a $100 check.The five chronic conditions are Diabetes, Chronic Obstructive Pulmonary Disorder or Asthma, Hypertension, Hyperlipidemia (high cholesterol), or Coronary Artery Disease (heart disease/heart failure).

The educational component of the disease-management program was not implemented in this first year. Participation in the educational component (talking to a medical professional on the telephone about your chronic condition) will be required for future $100 payments. The insurance company will initiate the telephone conversation.

There is only one $100 payment per eligible policy holder (or household) per year.

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HEP Bonus Information for State Employees 

If you, or a family member on your State medical insurance, have one of the five chronic conditions and complied with the requirements of the HEP disease-management program, you are entitled to a $100 bonus that was to be included in your Feb. 22 paycheck.

For those active state employees who thought they should have received a HEP Chronic Care Bonus, the Comptroller’s Office has set up process for members to report non-payment.

 Employees should email osc.cthep@po.state.ct.us or call 860-702-3560 (this is a voice mail box for HEP issues).

Be sure to email or leave in the voice mailbox their name, employee ID number, phone number and indicate that they did not receive a HEP payment.

 The Office of the State Comptroller has informed us that the chronic conditions of children did not qualify families for a $100 HEP check. A meeting of labor and management will be held at the Comptroller's Office today to review this situation.

For the stipulated agreement covering these payments and a listing of the five chronic conditions. Click here>>

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Important HEP Update!!! This is an important update on the State of CT Health Enhancement Program (HEP).

August 2012: Revised Vision/Dental AgreementSEBAC and the State reached the followin stipulated agreement regarding outstanding vision and dental issues:

In-Network Dentists Must be Used for Free Dental Cleanings. However, those members in United Health Care's enhanced dental plan who used out-of-network dentists for one or two cleanings before 7/1/12 can receive full reimbursement or arrange payment in full. Click Here>> SEBAC STIP Vision Dental

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CT Copmtroller http://www.osc.ct.gov/

Self-Report Compliance http://www.cthep.com

Progress Check List http://vvv.osc.state.ct.us/empret/healthin/2011hcplan/HEPprogress/hepindex.htm