Additional Information on Value-Added Benefits: the Highmark House Call Program and FitOn Program!

The Highmark House Call Program: Additional Talking Points and Reference Guide

Previously, Highmark introduced the Highmark House Call Program. Below they will be answering some questions you and your clients may have about the program, and sharing a helpful reference guide for you to use!

The Highmark House Call Program is a comprehensive, at-home assessment that gives members one-on-one time with a Licensed Nurse Practitioner. Members get preventive care from the privacy of home, or virtually if they'd prefer. House Calls aren't meant to replace annual wellness visits, but to complement the care members already get from their PCP.

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What happens during a House Call Visit?

During the visit, a Licensed Nurse Practitioner will:

• Discuss the member's medical history and risk factors.
• Review the member's medications and address any side effects.
• Suggest or complete certain tests (if applicable).
• Offer tips for keeping the member's home safe and secure.

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What happens once the House Call Visit is complete?

Members will receive a detailed summary of their visit which will also be sent to their PCP to keep them updated on the member's health.

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Is there a cost to members associated with the Highmark House Call Program?

There is no additional cost to the member. The Highmark House Call Program is a value-added benefit included with the member's coverage.

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How is eligibility for the Highmark House Call Program defined?

The House Call Program is available to all Medicare Advantage members once per plan year.

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Highmark previously mentioned members receiving resources and referrals to additional services and providers as needed. Is member information shared with outside vendors?

All referrals are routed through Highmark.

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Highmark will share more information about the House Call Program in the coming weeks. In the meantime, they have put together a helpful resource to keep on hand in case you get any questions about the program.

To view and download the Highmark House Call Program resource, click here.

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FitOn Program (MA, Medigap, and D-SNP)

You may be aware that Highmark is transitioning their MA, Medigap, and D-SNP members from SilverSneakers to a new fitness program called FitOn Health.

As a reminder, FitOn offers:

• Access to 13,000+ gyms, studios, and community centers across the country.
• Online fitness class options for all fitness levels, led by trained instructors.
• Wellness classes to help members build healthy habits.
• Meal planning resources with 500+ exclusive recipes.
• Educational courses for managing chronic conditions.

Members get 32 credits every month, which is like having $80 per month to spend on gym memberships and classes. The average gym membership costs between 12 and 25 credits. If a membership costs 12 credits, the member will have 20 credits left for additional memberships or classes. Credits are replenished on the first day of the month and don't roll over. Members aren’t limited to a network, but in-network gyms might be a better deal for a member's credits.

Some gyms are already part of FitOn. If a member's gym is included, the member will maintain uninterrupted access to the facility. They will receive a letter in the mail in December from FitOn letting them know if their gym is part of FitOn.

If a member's gym isn't part of FitOn, they'll still be able to use their credits at that gym, but they'll need to set up a digital debit card through FitOn. Members can do this online or by calling FitOn for help (will be able to do so after 1/1/25).

Important Dates:

• Existing Silver Sneakers users will receive a letter from Highmark in early November introducing FitOn and explaining how credits work.
• By mid-December, members will receive another letter from FitOn Health letting them know if their gym membership has been transferred to FitOn and providing their FitOn ID number. They will not receive a physical card from FitOn.
• Beginning January 1st members can call FitOn or login to their FitOn account to add or change gym memberships.

Members can create or access their FitOn account online or with the app:

• Go to www.FitOnHealth.com/register
• Create an account by entering their email address and creating a password.
• Answering a few questions to help setup their profile and workout preferences.
• If a member prefers assistance with setting up their account they can call FitOn at 1-855-946-4036, Monday - Friday, 8 a.m. - 9 p.m. They’re available to answer questions now but won’t be able to update members' accounts until January 1st.

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