The Preventive PLUS HX Solutions Health Contingent Wellness Program is a member-centered strategy that promotes member and physician engagement.
Enhance health of your members
About health contingent wellness program
The Hx Benefit Design structure was carefully designed to be compliant with Part 146 Requirements for the Group Health Insurance Market with the Final Rule Incentives for Non-discriminatory Wellness Programs in Group Health Plans by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 06/03/2013 146.121 Prohibiting discrimination against participants and beneficiaries based on a health status-related factors. The Regulations increase the maximum permissible reward under a health-contingent wellness program offered in connection with a group health plan (and any related health insurance coverage) from 20 percent to 30 percent of the cost of coverage. The regulations would further increase the maximum permissible reward to 50 percent for wellness programs designed to prevent or reduce tobacco use.
The HX Solutions Health Contingent Wellness Program requires an individual to satisfy a standard related to a health factor to obtain a reward (or require an individual to do more than a similarly situated individual based on a health factor in order to obtain the same reward).