Amerigroup Community Care Rewards Raffle program

Transcription

1 Amerigroup Community Care Rewards Raffle program WEBPMD April 2016

2 The Wellness Rewards Raffle program About the program: Members ages 3-21 who receive annual wellness exams can enter a raffle to win exciting prizes. The program began March It s easy to participate: A member brings their Raffle Rewards brochure to their wellness exam and has it signed by their doctor. Just drop the brochure in the mail. No stamp is needed! 2

3 Raffle prizes include: Wellness brings rewards Bicycles Toys R Us gift cards Washington Redskins jerseys Movie gift cards Soccer jerseys Laptop and bag 3

4 Who can participate? Amerigroup members ages 3-21 who live in Prince George s and Montgomery counties can participate. 4

5 How it works 1. The member brings a Rewards Raffle brochure to his or her annual wellness exam. 2. The PCP or office staff completes the PCP section of the brochure. He or she will sign and date it once the exam is complete. 3. The member mails the brochure to Amerigroup. No stamp is needed. 4. Winners will be chosen at random prize drawings held throughout the year. 5

6 How it works Attention providers: Complete the PCP Information section 6

7 We need our provider partners 1. Educate your staff. Prepare them for increased call volume and appointments. 2. Display the Raffle Rewards brochure in your waiting room and contact your local Provider Relations representative for extras. Like any other materials, we respect your right to refuse. 3. Stamp or sign the brochure for Amerigroup members who complete an annual wellness exam. 4. Submit your claims as soon as possible. Entries will be verified through claims records, so it s important to submit your claim when the member submits the brochure. 7

8 Wellness exam opportunities 365-day rule Amerigroup will pay for one wellness exam every calendar year, regardless of the last date of service. You don t have to wait 365 days to receive payment for a wellness visit claim. Sick and wellness visits You can submit a claim for both a sick visit and wellness exam using modifier 25 in conjunction with the appropriate E&M code for the sick visit. Other health insurance For members who have other health insurance, he or she can submit an explanation of benefits from the other company, along with a claim to recoup the remaining expenses. 8

9 How will Amerigroup members learn about the program? Mail Eligible Amerigroup members in Prince George s and Montgomery counties received brochures by mail beginning in March. Phone We will also call eligible members to tell them about the program and the importance of routine screenings. 9

10 What if The member loses the brochure or doesn t receive one? Members will receive several brochures by mail through the course of the year and can get extra brochures from their provider s office. The member forgets to have the brochure signed? We will randomly select prize winners based on claims, so the member can still enter the raffle. A member doesn t win during the first prize drawing? The member remains eligible for future prize drawings. There are several Amerigroup members in a household? Only members ages 3-21 are eligible. 10

11 Disclaimer These rules govern the raffle and, by participating, you agree to be bound by these rules. Winners will be determined by random drawing. The drawing will take place on December 7, 2016, at approximately 12:30 p.m. Eastern time. Winners will be notified by telephone and/or and/or mail. Prizes cannot be redeemed for cash. No purchase is necessary to enter the raffle, and winners need not be present to win. Children under 18 years of age must be accompanied by a parent or guardian to claim a prize. Winners will assume and be responsible for any and all local, state and federal taxes or fees, including without limitation all applicable sales, use, luxury, income and special taxes. Amerigroup specifically disclaims all express or implied warranties, including without limitation warranties of merchantability and fitness for a particular purpose. Winners assume all risk in connection with the prizes, and Amerigroup shall have no liability to the winner of any prize for any reason, including without limitation, any costs incurred or losses suffered by the winner of any prize. Prize winners must claim their prize within 30 days of the drawing. If a winner does not claim their prize within 30 days of the drawing, another raffle entry will be drawn. That winner will be notified immediately. Drawing may be postponed due to weather or any state of emergency declared by state or county local authorities. In such event, a new date, place and time for the drawing will be determined by Amerigroup, which will be published in the Amerigroup website. Amerigroup and its representatives will not be held responsible for lost, stolen or damaged raffle entries. Odds of winning are determined by the number of participants. A list of winners may be requested by ing Amerigroup at: MDOutreach@amerigroup.com. 11

12 Questions? Call Your Local Provider Relations or Health Promotions representatives at