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PMAC FAQs

Frequently Asked HEM and Health Assessment Questions

QUESTION: I took my health assessment during open enrollment. I chose not to share the results with my provider. Two months later, a health coach from my medical plan called me. She tells me she would like to share some information with me about some available programs that could benefit me. How does my medical plan have information about me even though I chose not to share it?

ANSWER: Your medical plan is likely contacting you based on other information they already have. There are several reasons your medical plan might contact you:

  • Medical plans have basic information about each of their enrollees. They may reach out to you about a program that relates to people of your age and gender for instance.
  • Medical plans process the claims sent in by your provider(s). Claims include diagnosis and treatment information. They may contact you based on the information on your claim.
  • In the past, you may have called your medical plan about certain types of services. They might follow up with you occasionally to see if you are interested in programs they offer.

PEBB does not receive your health assessment results nor do we share information with your provider. You might consider sharing them though. It is one of the easiest ways to learn about health programs your medical plan offers.

QUESTION: Does PEBB have a list of approved health actions? I want to be sure I meet the program’s requirements.

ANSWER: PEBB does not have a list of required health actions for HEM’s two required health actions. You get to choose what is meaningful to you. The goal is to choose health actions aimed at improving your health and wellbeing. If you would still like some ideas for health actions, you’re in luck! 

We have a list of health action examples.

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