Health Risk Assessment

You have until September 30th to complete the healthy activities report/form for 2015.  There are three things that each enrolled adult will need to do by the deadline:

  • Select a Primary Care Physician (PCP)
  • Complete the Health Risk Assessment
  • Meet with your Primary Care Physician

An online version of Health Risk Assessment Form is available on each health provider’s website. Or you can call your provider’s toll free number, noted in the table below, to request that they send the forms to you in the mail. The submission instructions are included on the forms.

Once you complete the online form, a report with the results will be generated for you. Bring a printed copy of them to discuss with your selected PCP and have them sign the Physician Verification Form.

Instructions for this process for each plan are available at: http://ter.ps/healthrisk.

The full Wellness Program information can be found at:  http://ter.ps/992.

CareFirst BlueCross BlueShield EPO, PPO For the health assessment form call:1-800-783-4582

To designate a Primary Care Physician (PCP), call:1-800-225-0131

Kaiser Permanente IHM To obtain both the health assessment form and a form to designate a Primary Care Physician (PCP) call:1-855-839-5763
United HealthCare Choice EPO, Choice PPO To obtain both the health assessment form and a form to designate a Primary Care Physician (PCP), call:1-877-818-5826

Last updated: March 16, 2017

Last updated: March 16, 2017