Answers to Your Vitality and Wellness Questions

Transcription

1 Answers to Your Vitality and Wellness Questions What s Inside 2 Vitality Basics 7 Fitness Devices 10 Vitality Check Biometric Screening 13 McKesson Medical Premium Savings 14 Gym Rebates 15 HealthyFood Program 16 Weight Loss Program Rebate 17 Additional Programs 20 Medical Accommodations 21 Taxes on Vitality Rewards 22 Wellness Champions 1

2 Vitality Basics General Information What s Vitality? Vitality is a voluntary wellness program you can join as a McKesson employee. How do I sign up for Vitality? Go to and click First time logging in? Register Now. Follow the prompts to complete your registration. You can also get to the Vitality website from McKNet at If you re the spouse/domestic partner of a McKesson employee, you can register at Click First time logging in? Register Now and follow the prompts to complete your registration. Be sure to enter the last four digits of the employee s Social Security Number, not yours, when registering. Why should I participate in Vitality? Participating in Vitality can help you maintain or improve your health. You can also earn rewards, such as savings on your McKesson medical premiums, Amazon.com gift cards, fitness devices and rebates for your gym fees. How does Vitality work? As a Vitality member, you earn Vitality Points for completing healthy activities in categories such as Prevention, Physical Activity and Online Education. Your Vitality Points determine your Vitality Status, and your Vitality Status determines your rewards. You need to earn 1,000 Vitality Points each year to unlock your premium savings and/or increase your current savings. If your spouse/domestic partner is enrolled in your McKesson medical plan and participates in Vitality, he/she must also earn 1,000 Vitality Points once a calendar year to unlock rewards. The higher your Vitality Status, the greater your savings as shown in the chart on p. 13. As you earn Vitality Points in 2018, your Vitality Status increases and so do your rewards. Earn the initial 1,000 Vitality Points and then keep earning points until you reach Platinum Status. The savings you earn in 2018 are yours to keep for all of What s the Vitality program year? The Vitality year starts on January 1 and runs through December 31 see p. 4 to learn more about how the program year affects your Vitality Status. What s my Vitality Age? Your Vitality Age is a reflection of your health based on your health risks and lifestyle. A Vitality Age equal to or lower than your actual age is a sign of good health. You can find your Vitality Age at Vitality > Health Profile > Health Results. Usa Vitality en español! Entra a Vitality, ve hasta abajo y haz clic en Languages > Español para cambiar de idioma. Vitality Points How do I earn Vitality Points? You earn points by completing healthy activities in a variety of Vitality categories Vitality Reviews, Vitality Check, Online Education, Physical Activity, Goals, HealthyFood, HealthyMind, Certifications, Prevention and Other Activities. Visit the Total Rewards Library to see a list of qualifying Vitality activities totalrewardslibrary > Wellness Programs. How many Vitality Points can I earn per plan year? Each Vitality category has a maximum number of points available. For example, the most points you can earn in the Physical Activity category is 7,000 Vitality Points. To see how many points are available per category, visit Vitality > Points > Points Planner. Does my spouse/domestic partner earn his or her own Vitality Points? Yes. If your spouse/domestic partner is enrolled in a McKesson medical plan, he/she can sign up for Vitality and earn his/her own points. However, your spouse/domestic partner s points (and the Vitality Bucks that come with those points) are added to your Vitality account. You and your spouse/domestic partner also share your Vitality Status. Your spouse/domestic partner can t redeem your Vitality Bucks, except to order a free Fitbit device or buy a more expensive fitness device. 2

3 Vitality Basics Do my Vitality Points roll over each year? Ten percent of your Vitality Points from one year roll over to the next year. This yearly rollover is known as your Kickstart Bonus. Your Kick-start Bonus doesn t count toward the initial 1,000 Vitality Points you need to unlock savings. Once you ve earned 1,000 Vitality Points, your Kick-start Bonus can help you reach a higher Vitality Status quickly. TIP If you earned McKesson medical premium savings in 2017, those are yours to keep for However, if you want to increase your 2018 savings or earn savings for 2019, you need to earn 1,000 Vitality Points in 2018 to unlock your savings. Can I earn Vitality Points for gym workouts? Yes, if your gym offers either cardio or strength training equipment. Pilates, yoga, CrossFit and boot camp programs count as gym workouts. Check in at your gym using the Vitality Today app or track your workouts with an approved fitness device. You ll see your workout posted on the Vitality website about 24 hours after you sync your device. See p. 14 to learn about earning a gym rebate. Can I earn Vitality Points using a fitness device? Yes, as long as your device is compatible with Vitality. Simply link your fitness device to Vitality to submit your workouts automatically. Learn more about fitness devices, including how to link your device and which devices are compatible with Vitality on pp Can I earn Vitality Points for a sports league or event that isn t listed on the website? Yes, as long as the league or event meets certain requirements and you verify your participation. Learn more at Vitality > Points > Points Planner > Physical Activity > Sports Leagues. What can I submit to verify my participation in a sports league or athletic event? You can submit one of the following: Copy of your league schedule with your team s name underlined and highlighted Copy of an award or certificate of league participation Official copy of the race results with your name underlined or highlighted Copy of your race bib Certificate of event completion Proof of registration (charity events only) How do I submit workouts or other activities I haven t tracked with a device? You can self-report any workouts, including gym workouts, at Vitality > Your Account > Forms & Waivers > Self- Reported Workout. Which prevention activities can I submit for points? You can submit these prevention activities for points: flu shot, dental screening, mammogram, pap smear, colorectal screening, childhood immunizations (for children under the age of 18) and vision screening. How long does it take Vitality to update my points after I complete an activity? Your points are updated shortly after Vitality gets and verifies your activity information. For example, if you upload the the steps you tracked with your fitness device, your points are posted in about one business day. It can take up to 45 days for your points to post if Vitality needs to verify your activity or your medical carrier needs to send information. After completing an activity, how much time do I have to submit it for points? Submit your activities as soon as possible. In general, you have up to 90 days to submit a completed activity for points. You can submit activities at Vitality > Your Account > Forms and Waivers. 3

4 Vitality Basics Vitality Bucks What are Vitality Bucks? Vitality Bucks are part of your Vitality rewards. Use your Vitality Bucks on the Vitality website to buy items like itunes and Under Armour gift cards, movie passes and fitness devices* from Fitbit, Polar and Garmin. You get one Vitality Buck for each Vitality Point you earn, and Bonus Bucks each time you increase your Vitality Status. * You pay sales tax for the fitness devices you buy on the Vitality website. Do Vitality Bucks roll over? Yes. Your unused Vitality Bucks roll over from one year to the next. You can save your bucks or spend them right away on the Vitality website. Click Rewards > Redeem your Vitality Bucks to see all you can get. You can check how many bucks you have on the Vitality homepage. Vitality Health Review What s the Vitality Health Review (VHR)? The VHR is a voluntary online questionnaire that can help you assess your current health. Completing the VHR only takes minutes and is worth 500 Vitality Points. Your results are confidential, and Vitality uses them to suggest goals and activities that can help you improve your health. When can I take the VHR? You can take the VHR whenever you like. If you take the VHR within the first 90 days of the Vitality year, you earn a bonus of 250 Vitality Points. Vitality Status What s a Vitality Status? Your Vitality Status determines your level of rewards. There are four status levels: Bronze, Silver, Gold and Platinum. Your Vitality Status is based on the number of Vitality Points you earn see the chart below. Medical Coverage You You + Child(ren) You + Spouse/ Domestic Partner You + Family Your Vitality Status in 2018 Bronze Silver Gold Platinum 0 pts 0 pts 2,500 pts 3,500 pts 6,000 pts 9,000 pts 10,000 pts 15,000 pts You can learn about saving on your McKesson medical premiums at > Medical Plans & Programs. Your Savings Carry Over As you earn Vitality Points in 2018, your Vitality Status increases and so do your rewards. Earn the initial 1,000 Vitality Points to unlock your savings and then keep earning points until you reach Platinum Status. The savings you earn in 2018 are yours to keep for all of Where do I take the VHR? Go to Vitality > Resources > Health Resources > Vitality Health Review. You can also take it on the Vitality Today mobile app. Can I update my VHR answers? You can update your VHR answers as many times as you like. Updating your answers doesn t earn you additional points beyond the original 500 Vitality Points for taking the VHR. However, you may get updated goals and see changes to your Health Profile page. To change the Key Measurements section of your VHR, you need to verify and submit your biometric screening results through Quest Diagnostics or online at Vitality > Your Account > Forms and Waivers > Vitality Check. 4

5 Vitality Basics My Goals How do I add a Vitality Status Badge to my McKNet profile? Showing off your Vitality Badge is easy simply follow these steps: On McKNet, go to My McKNet > My McKNet Profile. Click Edit My Profile below your picture. Scroll to Vitality Badges at the bottom of the page and select your Vitality Status. In the Show To box, select who can see your Vitality Badge. You can share your status with everyone or specific groups, such as your team or your manager. When you re finished, click Save and Close. Your Vitality Badge is now visible on your McKNet profile. How do I update My McKNet profile if my Vitality Status increases? Each time you increase your Vitality Status, your Vitality Badge is automatically updated as soon as administratively possible. How do I set a goal? Under Health Profile, select Goals. There are goals recommended by Vitality or you can choose All and find goals that interest you. Click Set, describe your goal and choose a timeframe. What are Personalized Activities? Personalized Activities appear on the right side of your Goals page. Vitality suggests these additional activities based on your active goals. Personalized activities can help you work on specific areas of your health along with your Goals to help you achieve the best results. Do I have to complete Personalized Activities? No. Personalized Activities are suggested by Vitality to help you improve your health. You earn full points for completing an active goal even if you don t complete the Personalized Activity. Can I complete Personalized Activities that aren t tied to an active goal? Yes, but you only earn points for some Personalized Activities that are tied to a recommended or active goal. 5

6 Vitality Basics Eligibility Who is eligible for Vitality? Vitality is open to all full-time, benefit eligible employees. If you aren t enrolled in McKesson medical coverage, you won t earn medical premium savings. But you can still earn other exciting Vitality rewards, such as Vitality Bucks to spend on the Vitality Rewards page. Your spouse/domestic partner can join Vitality if he/she is enrolled in a McKesson medical plan. What happens to my Vitality Points if my medical coverage changes in the middle of the year due to a qualifying change? If you add a child to your medical plan, this doesn t affect your Vitality Status, Vitality Points or Vitality Bucks. You keep the same status. If you add a spouse/domestic partner to your medical plan, you keep your Vitality Points, Vitality Bucks and Vitality Status. However, the number of Vitality Points you need to reach the next status level is adjusted. If you drop a spouse/domestic partner from your medical plan, you lose the Vitality Points he/she earned. However, you keep your Vitality Status and the Vitality Bucks you both earned. Note that the number of Vitality Points you need to reach the next status level is adjusted. I started working part-time. Can I still be in Vitality? No. You can t be in Vitality starting on the day you become a part-time employee. You also lose access to the website, your Vitality Points and your Vitality Bucks. Be sure to redeem any Vitality Bucks you have before the day you start working part-time. Can I earn Vitality Points during a leave of absence? If you re covered under a McKesson medical plan during your leave, you still have access to Vitality and can earn Vitality Points. If you re unsure of your medical plan coverage during your leave, contact the HR Support Center at 855.GO.MCKHR ( ); press 1 for Health, Vitality and Pension questions. When is the last day I can use my Vitality Bucks? You can use your Vitality Bucks until the last day you work at McKesson. You lose all your Vitality Bucks after your last day at work. I no longer work at McKesson, but have McKesson medical coverage through COBRA. Can I still participate in Vitality? Yes. If you continue medical coverage through COBRA, you can participate in Vitality. Your spouse/domestic partner is also eligible if he/she is enrolled in a McKesson medical plan. You no longer earn savings on your McKesson medical premiums and lose any Vitality Points and corresponding Vitality Bucks you have accumulated. If you re rehired by McKesson, you get your account back, but not the Vitality Bucks you lost. Participation in Vitality is voluntary and activities are completed outside employees regular working hours. The program is intended to improve the well-being of employees, covered spouses/domestic partners and dependents. Do I get my Vitality account back if I return to full-time status? Yes. If you return to full-time status, you get your account back and you regain access to the Vitality website, your Vitality Points and your Vitality Bucks. If you get your account back during a new Vitality year, you only get 10% of the Vitality Points you had before you started working part-time. 6

7 Fitness Devices Fitness Devices Which fitness device is right for me? I prefer to walk, jog or hike The best device for walking is a pedometer, such as a Fitbit. You may also want to consider an app for your smartphone. I prefer to run The best device for running is the MapMyFitness mobile app. If you run or walk at least 30 minutes and wish to get a more dynamic view of your workout, a heart rate monitor is another device that both novice and experienced runners can enjoy. I prefer to cycle For cycling, use a GPS device, such as a Garmin Fit or the mobile app MapMyFitness/MapMyRide. You may also choose to use a heart rate monitor. I prefer to swim For swimming, use either a heart rate monitor, Garmin Swim or, if you re an open-water swimmer, a GPS watch. I prefer to work out at home For home workouts, whether you follow instructional DVDs, lift weights, run on a treadmill or complete rigorous home projects, you may wish to purchase a heart rate monitor or Fitbit activity tracker. What does a pedometer do? A pedometer counts your steps as you walk, jog or run. To earn Vitality Points for a verified workout using a pedometer, complete a Light, Standard or Advanced workout. Activity Light workout 5,000 9,999 steps Standard workout 10,000 14,999 steps Advanced workout 15,000+ steps Vitality Points* * You re awarded points for only one verified workout per day. What distance is covered in 10,000 steps? 10,000 steps is about 4-5 miles. Helpful Hint: It takes Vitality up to 48 hours to reflect your hard work on their website. If your activities don t show up right away on Vitality, make sure your device is properly linked. If your Points Statement shows you re earning points for your daily activity, then your device is linked. Mobile/Smartphone Apps How does a mobile app track my workouts? If you use fitness apps, such as MapMyFitness, Fitbit MobileTrack, Apple Health, Google Fit or Vitality Today, be sure to link your apps to Vitality to receive Vitality Points. Mobile/smartphone apps use the Global Positioning System (GPS) in your smartphone to track your distance and pace. The app combines this information with the information you provide in your profile (such as gender, height, weight and age), and calculates the number of calories you burn. To earn Vitality Points for a verified workout using the app, complete a Light, Standard or Advanced workout. You can check your calorie count under Stats on your app. Activity Light workout Burn calories in a single session Standard workout Burn calories in a single session Advanced workout Burn 300+ calories in a single session * You re awarded points for only one verified workout per day. Vitality Points* How do I link my mobile app to Vitality? If you use the MapMyFitness, Fitbit MobileTrack or Vitality Today app, you need to link your account to Vitality on the Vitality website under Devices. TIP Be sure you know your Vitality username and password before trying to use the Vitality Today app for the first time. You can click Forgot username? or Forgot password? on the Vitality homepage for help getting your log in information. If you need help resetting your username or password, call Customer Support at I don t know my Vitality username or password because I always use single sign-on from McKNet. How can I get a username and password? You need to create a username and password at as if you were a new member. If you re registering for the first time, go to click First time logging in? Register now and follow the prompts. 7

8 Fitness Devices How do I get the Vitality Today app? Before using the Vitality Today app for the first time, you need to be registered on the Vitality website at Once you know your Vitality username and password, go to your smartphone s app store and search for Vitality Today. Follow the prompts to download it to your smartphone. Then: Tap on the Vitality Today app. Tap Get Started. Read the Disclaimer and tap Agree. Enter your Vitality username and password. Tap log in. I can t reset my Vitality username/password on the Vitality website or on the Vitality Today app. What can I do? Call the Vitality Customer Service Center at to reset your username or password. You can only get the username/password for your own Vitality account. If your spouse/domestic partner needs to get his or her username/ password, he or she needs to make the call. How do I connect the Vitality Today app with Android s Google Fit? Log on to Vitality Today. Tap on the More menu. Give permission to share your data with Vitality by selecting Connect to Google Fit. Choose the Google account you want to link to Vitality Today. Select ALLOW to continue giving permission to share data. How often will Vitality pull my data from my Android Device? Vitality pulls your data from your device each time you open the Vitality Today app. Log in to Vitality Today each time you want to send your data to Vitality. How do I link my Apple Watch to Vitality? You need to link your Apple Watch to Vitality Today to automatically submit your workouts for points. Follow the steps below to link your Apple Watch to Vitality Log on to Vitality Today. Click More in the lower right-hand corner of the screen, then click Apple Health. Click Settings at the top of the Apple Watch screen and follow the prompts to connect. After connecting, you receive a message that says, You re Connected. Vitality Today is now synced to Apple Watch. How can I share data between my Apple Health app/ Apple Watch and Vitality? You can share self-reported health data, such as your Vitality Health Review (VHR) results, between your Apple Health app/apple Watch and Vitality by following the steps below. You don t earn Vitality Points for self-reported health data Log on to Vitality Today. Click My Health Results and follow the prompts to push the VHR data to Apple Watch. Click Update Apple Watch, then Let s do it! to push your data from Apple to Vitality. You receive a message that says, Apple Watch App was updated. 3 of 5 values have been saved successfully. 6. After you allow sharing to Google Fit, you ll be taken back to the Vitality Today app where it will show the Google Fit screen as CONNECTED with your chosen Google address. 8

9 Fitness Devices Heart Rate Monitors How does a heart rate monitor work? A heart rate monitor uses two parts a chest strap and a watch to monitor your heart rate. The chest strap detects your heart rate and transfers that data to the watch, which displays and stores the information. To earn points for a verified workout using a heart rate monitor, complete a Light, Standard or Advanced workout. Activity Light workout Standard workout Advanced workout * You re awarded points for only one verified workout a day. Vitality Points* minutes at 60% of max heart rate = 5 points minutes at 60% of max heart rate = 10 points 45+ minutes at 60% of max heart rate = 15 points What kind of heart rate monitor should I get? There are many heart rate monitors on the market today. Polar and Garmin can link directly to Vitality. If you have another brand, you may be able to import your workouts to Vitality through MapMyFitness. Get Your FREE Fitbit Zip You can get a free Fitbit Zip or a $47 credit toward the fitness device of your choice once per person, per lifetime. You can choose your device from brands like Fitbit, Garmin and Polar. Get yours today at Vitality > Rewards > Redeem Your Vitality Bucks. Link All Your Fitness Devices You can link multiple fitness devices to Vitality and keep earning points when you switch between them. Any device you get from Vitality can link to Vitality during the initial setup. Simply click the special Vitality pop-up box and follow the prompts. Fitness Device Support Contact the manufacturer if your device isn t working right. How do I link my heart rate monitor to Vitality? If you have a Polar device, make sure you can transfer the data to your computer (most commonly done through the Polar Flowlink device) and upload that information to Link to Vitality through the Polar website: Place your cursor over your name in the upper right corner and select Partners. Click on Add a New Partner and select Vitality from the dropdown menu. Enter the last four digits of your Social Security Number, your Vitality ID number, and check the box to accept the data share. This last step is very important. Your data is only transmitted from the date of your registration forward. If you have a Garmin device, link your account to Vitality on the Vitality website under Devices > I have a device > Garmin. Fitbit help.fitbit.com Garmin MapMyFitness Polar

10 Vitality Check Biometric Screening Vitality Check Biometric Screening What s the Vitality Check biometric screening? The Vitality Check biometric screening is a health assessment that uses physical measurements and blood tests to determine your Body Mass Index (BMI), blood glucose, blood pressure, cholesterol level and cotinine level. Am I eligible for a Vitality Check biometric screening? If you can enroll in a McKesson medical plan, you can get a Vitality Check biometric screening at no cost to you once a year. Your spouse/domestic partner needs to be enrolled in your McKesson medical plan so he or she can get a no-cost screening. How do I schedule a biometric screening? Log on to Vitality and under the Health Profile tab, click Vitality Check. Then, go to Quick Links > Schedule your Vitality Check with Quest. Do I have to take the biometric screening? No. The biometric screening, like all wellness activities, is voluntary. How does the biometric screening affect my Vitality Status? If your biometric screening results are in the healthy range, you could earn enough Vitality Points to move directly to a higher Vitality Status. This is because the biometric screening is worth 500 Vitality Points once a year, and you can earn up to an additional 3,525 Vitality Points once a year for in-range results. You get your points when Vitality receives your results. Biometric Screening Body Mass Index (BMI) Healthy Range < 25 & > 18.5 or waist circumference: Men < 40 Women < 35 Vitality Points Earned (once a year) Per screening Per in-range result 125 1,000 Blood Glucose < 100 mg/dl Blood Pressure < 120 mmhg systolic & < 80 mmhg diastolic Total Cholestrol or LDL < 200 mg/dl < 130 mg/dl Cotinine Test < 10 ng/ml Total Points 500 3,525 How do I get my biometric screening results? You can get your results online three to four days after your screening at My.QuestForHealth.com. You get a profile explaining your results in the mail business days later. Your profile includes a medical summary page for you to share with your doctor. Your results also appear on the Vitality website under Health Profile > Health Results about two to four weeks after your screening. How does Vitality use my biometric screening results? Vitality uses your biometric screening and VHR results to suggest personalized wellness goals and adjust your Vitality Age. Find your goals at Vitality > Health Profile > Goals. How do I report my biometric screening results to Vitality? If you take your biometric screening at a McKesson on-site clinic or Quest Diagnostics Patient Service Center (PSC), your screening results are automatically posted on the Vitality website about two to four weeks after your screening. If you take your biometric screening with your doctor, have him/ her fill out the Vitality Check Form*, which is available on the Vitality website under Your Account > Forms and Waivers > Biometrics Physician Waiver. * The form needs to be completed even if your doctor uses a Quest Diagnostics facility to process your screening results. You may have to pay out of pocket for your cotinine screening. Can I dispute my biometric screening test results? If you don t agree with your screening results, you can retest (McKesson doesn t pay for retesting). Discuss the results with your doctor to determine if a retest is right for you. TIP Ask your doctor to code the biometric screening as preventive care to avoid out-of-pocket costs. Recently Hired? You may be able to earn Vitality Points by submitting proof that you completed a biometric screening within six months of your McKesson hire date. 10

11 Vitality Check Biometric Screening How can I contact Quest Diagnostics? Call a.m. - 8:30 p.m. Central time, M-F and 7:30 a.m. - 4 p.m. Saturday. You can also visit My.QuestForHealth.com. Are screening results confidential? Yes. We respect the privacy of your personal health information. Quest Diagnostics handles every aspect of biometric screenings, including linking your information to Vitality. Quest Diagnostics provides McKesson with an anonymous summary of screening results for all participants. The summary doesn t identify any individuals. (Although you can choose to share your results with your spouse/ domestic partner, you don t have direct access to each other s screening information.) Are my screening results shared with McKesson? No. McKesson only sees combined data for purposes of healthcare operations, such as quality assessment and improvement activities. Any individually identifiable health information, maintained or transmitted by Quest Diagnostics and Vitality, is protected health information (PHI) under the Health Insurance Portability and Accountability Act of 1996 ( HIPAA ), as amended. PHI isn t shared with McKesson unless you provide a signed release form. For more information, refer to McKesson s Notice of Privacy Practices. To get a copy of the notice, call the HR Support Center at 855.GO.MCKHR ( ) and press 1. How do I prepare for my screening? Continue to take all of your medications. It s important to fast don t eat or drink anything but water for 9-12 hours before the screening. If you have a medical condition that prevents you from fasting (e.g., diabetes), talk with your doctor about how to prepare. I m pregnant. Will I still be able to take the biometric screening? As always, follow your doctor s advice. If biometric screenings are already part of your regular care, you may find it s easiest to submit your results using the Vitality Check Form. You can download the form from the Vitality website Your Account > Forms and Waivers > Vitality Check. Or, if you prefer, you can schedule a biometric screening at a McKesson on-site location or through a Quest Diagnostics PSC. Be sure to update your medical history in the VHR to reflect that you re pregnant or submit the Prenatal Care Verification form (Vitality > Your Account > Forms and Waivers). Vitality can adjust your goals as needed with this information. 11

12 Vitality Check Biometric Screening My Health Results What does it mean if my results are in range? In-range results are good indicators that you re taking the right steps to stay healthy. Keep practicing better health by getting regular checkups, staying active and participating in our wellness programs. What does it mean if one or more of my results are out of range? Out-of-range results may be a sign of potential health risks. We encourage you to discuss your results with your doctor. He/she can answer your questions and use your results to suggest ways to maintain or improve your health. Reasonable Alternative Standards Why should I complete a Reasonable Alternative Standard? When you receive an out-of-range result, Vitality automatically provides you with an alternative goal, or Reasonable Alternative Standard, designed to help you get closer to the in-range result. And, by completing the Reasonable Alternative Standard, you can earn the same number of points awarded for the in-range result. What s an example of a Reasonable Alternative Standard? For example, if you have an out-of-range result for cotinine, you can participate in the Quit for Life program through Vitality. To start the program, simply set an eight-week Quit Smoking goal at Vitality > Health Profile > Goals. Where can I find my Reasonable Alternative Standards? Find your specific Reasonable Alternative Standards at Vitality > Health Profile > Goals. Activate and complete these goals to take steps toward a healthy level. What happens if I can t meet a Reasonable Alternative Standard? If you can t meet a Reasonable Alternative Standard, you may qualify to earn the same reward by different means with your doctor s approval. To see if you qualify, talk to your doctor and submit a completed Biometrics Physician Waiver to Vitality. The waiver requires you to submit a letter from your doctor stating that you can t meet the alternative in-range standard. Find additional details at Vitality > Your Account > Forms and Waivers. Medical Accommodations If you re unable to meet any Vitality outcome-based standard, Vitality automatically offers you ways to earn the same reward by different means, regardless of any medical condition and without your doctor s approval. If you think you re unable to meet an activity-only Vitality standard, see p. 20 for more information. 12

13 McKesson Medical Premium Savings Save on McKesson Medical Premiums How can I save money on McKesson medical premiums? You need to earn 1,000 Vitality Points before you can increase your current savings and/or earn savings for If your spouse/domestic partner is enrolled in your McKesson medical plan and participates in Vitality, he/she also needs to earn 1,000 Vitality Points in 2018 to unlock savings. Savings Calendar September 30, 2018 The savings you earn by September 30 show up on UPoint during Annual Enrollment. November 30, 2018 The savings you earn by November 30 start on your first paycheck of As you earn Vitality Points, your Vitality Status increases and so do your savings. Take action to earn the initial 1,000 Vitality Points and then keep earning points until you reach Platinum Status. How much can I save on McKesson medical premiums? The amount you save depends on your Vitality Status after earning 1,000 Vitality Points (see table below). Do my premium savings carry over to the following year? Yes. The savings you earn in 2018 carry over to If you re a returning Vitality member, the savings you earned in 2017 are yours for all of Can I use my Kick-start Bonus to unlock my McKesson medical premium savings? No. You need to earn 1,000 Vitality Points each year apart from your Kick-start Bonus to work toward increasing your 2018 savings and earn savings for How do I know if I ve completed the requirements I need to earn a higher Vitality Status? You can track your Vitality Status at the top of the Vitality homepage. How do I reach a higher Vitality Status and earn savings? You can reach a higher Vitality Status by earning Vitality Points. Find ways to earn points at Vitality > Points > Points Planner. Vitality Points Employee Only or Employee + Children Vitality Status Points Needed Bronze 0 pts Silver 2,500 pts Gold 6,000 pts Platinum 10,000 pts Employee + Spouse/Domestic Partner or Family Vitality Status Points Needed* Bronze 0 pts Silver 3,500 pts Gold 9,000 pts Platinum 15,000 pts Premium Savings Employee Only or Employee + Children Vitality Status Premium Savings Unlocked Savings at Bronze $35 a month Silver $75 a month Gold $115 a month Platinum $125 a month Employee + Spouse/Domestic or Family Vitality Status Premium Savings Unlocked Savings at Bronze $70 a month Silver $150 a month Gold $230 a month Platinum $250 a month 13

14 Gym Rebates General How do I earn a Gym Rebate? Join a qualifying* gym if you haven t already. Complete at least 48 Standard or Advanced workouts by December 31, 2018 (see chart on p. 7). To get credit for a workout, either: Check in at your gym using the Gym Visits button on the Vitality Today app. or Wear a Vitality-approved fitness device and complete a Standard or Advanced workout. You receive 10 Vitality Points for workouts you complete at the gym using the Vitality Today app. Or, if you prefer to use a fitness device, you can receive 10 Vitality Points for each Standard workout or 15 Vitality Points for each Advanced workout you complete at the gym. If you use a fitness device to complete your gym workout, it needs to capture data equal to a Standard or Advanced workout at the gym, or continue to capture data equal to a Standard or Advanced workout throughout the day. TIP Before you workout, see if your fitness device is approved at Vitality > Resources > Guide to Vitality > Linking to Vitality > Fitness Devices. Request your rebate on the Forms and Waivers page after you ve completed at least 48 Standard or Advanced workouts. Get your once-a-year rebate of up to $275. * A qualifying gym is one that offers cardio and weight-training equipment or is a Vitality-approved, non-standard athletic facility, e.g., a yoga or Pilates studio, martial arts studio, boot camp (when it s a program and not a gym) or CrossFit establishment. What if I don t have a gym contract? If you don t have a copy of your signed gym contact, Vitality will accept other forms of proof of payment. You can also submit a letter from your gym stating the amount you pay in membership fees, the type of membership you have and how long you ve been a member. Are there any other options for reporting a gym workout if I don t want to use a fitness device or Vitality Today app to check in at my gym? Yes. You can submit a gym workout to qualify for Vitality Points. You need to complete your workout at a gym offering cardio or strength training equipment, such as a Pilates or yoga studio, CrossFit or boot camp program. You need to include a printout from your gym or program verifying your attendance. You have 90 days to submit your workout after you complete it. For more details go to Vitality > Your Account > Forms & Waivers > Gym Workout. Is my spouse/domestic partner eligible for a rebate? Yes, if you both meet the workout requirements. Are my children eligible for a rebate? No. When can I request my rebate? You can request your rebate as soon as you complete 48 Standard or Advanced workouts. It s a good idea to wait until you pay at least $275 in gym fees. If you pay less than $275 a year, wait until the end of the year to get the most savings. You have 90 days from December 31, 2018 to request your rebate for 2018 gym fees. Where do I submit my Rebate Request Form? You can only submit your Rebate Request form after you ve completed at least 48 Standard or Advanced workouts. Go to Vitality > Your Account > Forms & Waivers > Wellness Rebates. When do I get my rebate? Your rebate will be deposited in your bank account as soon as administratively possible. Can I get a gym rebate for the previous program year? Yes, as long as you submit your Wellness Rebates form within 90 days of the end of the program year. What are partner gym discounts? If you sign up with a partner gym, such as 24 Hour Fitness, Curves or LA Fitness, you may be able to get some discounts. The discount type and amount depends on the gym you go to. You can learn more at Vitality > Rewards > Partner Gym Discounts. 14

15 HealthyFood Program Vitality HealthyFood Program What s the HealthyFood program? This program makes it more affordable to buy fresh and nutritious foods at grocery stores across the country. As you buy qualifying foods, you earn: Up to 50 Vitality Points a month Up to 10% savings on the healthy food you buy Exclusive coupons How do I participate? There are two ways through Walmart and NutriSavings. I shop at Walmart. How do I sign up for the HealthyFood program? Register for a HealthyFood card at > HealthyFood > Walmart. Use your HealthyFood card at any of Walmart s 4,000 U.S. locations when you buy foods labeled Great For You to: Receive a 5% discount on your Great For You purchases 10% if you complete the Vitality Check biometric screening. If I sign up for the Walmart HealthyFood program, can I also sign up for NutriSavings? Yes. Whether you participate in the HealthyFood program through Walmart, NutriSavings or both, you can earn up to 50 Vitality Points a month. How do I sign up for NutriSavings? Register at > HealthyFood >NutriSavings. Link your favorite grocers loyalty cards to NutriSavings. Use your grocers loyalty cards when buying healthy food to earn 2 Vitality Points for each eligible healthy food item you buy. Log on to the NutriSavings website at and select Food Catalog from the homepage to see a complete list of eligible healthy foods. You can also find recipes, articles and other information about healthy food on the NutriSavings website. Earn 2 Vitality Points for each Great For You item you buy. Visit Vitality > Rewards > Vitality Healthyfood > Great For You Foods > Great For You catalog to see a list of all the foods you can buy to earn rewards. 15

16 Weight Loss Program Rebate Weight Loss Program Rebate What s the Weight Loss Program Rebate? We know everyone s path to weight loss is unique. That s why we offer you savings toward the weight loss program that works best for you. If the program you enroll in is eligible, you can get an annual rebate of up to $200 for your program fees. Rebate Eligibility How do I know if my weight loss program fees are eligible for a rebate? You can get a rebate for your weight loss program if you re eligible for Vitality and: Have a starting Body Mass Index (BMI) of 30 or above (verified by your biometric screening results). Participate in a weight loss program that includes a series of in-person meetings between you and other program participants and counselors. You can t get a rebate for online or single-session programs and seminars. Can I get a rebate for my weight loss medicine? No. You can t get a rebate for medicines, procedures, devices, food, program materials or nutritional supplements. How do I get my rebate? Simply submit the following documents to Vitality: Rebate Request form Copy of your supporting BMI results Proof of payment You ll get your rebate as soon as administratively possible after you submit the documents at Vitality > Your Account > Forms & Waivers > Wellness Rebates. 16

17 Additional Programs Condition Support Program What s the Condition Support program? The Condition Support program is available to help you (or a covered family member) understand and manage certain chronic medical conditions, such as asthma, diabetes, heart disease, high blood pressure and high cholesterol. A condition support manager can address your questions and health concerns, and assist you in following your doctor s treatment plan. Am I eligible for the Condition Support program? You need to be enrolled in the HSA, HSA Plus or HRA Core medical plan to use the Condition Support Program. How do I enroll? You can find enrollment details at Vitality > Resources > Guide to Vitality > Additional Programs > Condition Support Program. Be sure to contact your medical plan carrier s condition support manager. I m covered by a medical plan other than the HSA, HSA Plus or HRA Core plan. Can I earn Vitality Points for participating in a different Condition Support program? If you re not covered by the HSA, HSA Plus or HRA Core plan, contact your medical plan carrier to see if they offer similar programs. To get Vitality Points for participating in a similar program, you need to complete the Disease Management form and submit it directly to Vitality. You can find the form at Vitality > Your Account > Forms and Waivers > Disease Management. Can I earn points by participating in the Condition Support program? Yes. You can earn 300 points (once each quarter) by enrolling and participating in one of the following support programs: Asthma COPD Coronary Artery Disease Congestive Heart Disease Diabetes Depression Heart Failure High Blood Pressure High Cholesterol Your Vitality Points show up automatically as long as you enroll in the program and complete your participation. It can take up to 90 days for the points you earn through the program to show up on your Vitality Points Statement. Where can I learn more about the Condition Support program? You can learn more at Vitality > Resources > Guide to Vitality > Additional Programs > Condition Support Program. 17

18 Additional Programs Maternity Care Program How can the program help me have a healthier pregnancy? The Maternity Care program can give you and your covered spouse/domestic partner prenatal education and guidance during the early stages of pregnancy through your newborn s first months. What can I learn from the program? The Maternity Care program can help you learn about pre-term births, risk factors, preventive measures, and signs and symptoms of pre-term labor and postpartum depression. Depending on your medical plan, a nurse may guide you as you learn about your pregnancy, your baby s development and how to practice healthy habits during pregnancy. Am I eligible to participate? You and your covered spouse/domestic partner are eligible to participate in the Maternity Care program, at no cost to you, if you re enrolled in the HSA, HSA Plus or HRA Core plan. If you re not enrolled in one of these plans, contact your medical plan carrier to see if they offer a similar program. Can I earn Vitality Points by participating in the program? Yes. You earn 300 Vitality Points each quarter you participate (max four quarters). To get points, submit a Maternity Management form directly to Vitality each quarter you participate. You can find the form at Vitality > Your Account > Forms and Waivers > Maternity Management. For questions about earning points and submitting the form, contact Vitality at or wellness@powerofvitality.com. Volunteer Program What s the Volunteer program? The Volunteer program is one of the ways McKesson helps you help your community. Who can participate in the program? Only benefit eligible McKesson employees can participate in the Volunteer program. Can my spouse/domestic partner also earn points for volunteering? No. Can I earn points for volunteering? Yes. For every 25 volunteer hours, you earn 250 Vitality Points each quarter. How do I submit my volunteer hours? Log on and submit your hours at mckessonfoundation.com. Go to Volunteer > Manage My Activities > Record Hours for an Individual Project. After you record 25 hours, McKesson submits your volunteer hours to Vitality. How many points I can earn for volunteering? You can earn up to 1,000 Vitality Points a year. Can I earn retroactive points for my volunteer hours? Yes. You can submit any volunteer hours you completed since January 1, How do I enroll? Contact your medical plan carrier to enroll in the Maternity Care program, as shown below. Medical Plan Carrier Maternity Care Program Phone Aetna Beginning Right Program Anthem Future Moms Program Cigna Healthy Babies Program

19 Additional Programs Living Smoke Free What is Living Smoke Free? Living Smoke Free is an eight week interactive program that supports your efforts to successfully quit smoking. You can access the program on the Vitality website and the Vitality Today mobile app. After signing up, you get personalized Newsfeed interactions, helpful resources and Vitality Today mobile app notifications that encourage and increase your motivation. The first two weeks of the program prepare you to quit. The next six weeks give the guidance and support you need to reach your goal. What kind of interactive support can I get? You get: Monday motivations Personalized Newsfeed information Messages and tips about how to handle cravings, mood problems, smoking cessation aids, relapses and weight gain How do I sign up? Set an eight-week Quit Smoking goal at Vitality > Health Profile > Goals. How do I earn Vitality Points for participating? You need to set an eight-week Quit Smoking goal and check in on your goal for at least four of the eight weeks to earn 725 Vitality Points. You also earn 30 Vitality Points each week that you check in on any (or all) of your active goals up to 1,500 Vitality Points a year. 19

20 Medical Accommodations Medical Accommodations I have a medical condition that limits my ability to meet a Vitality standard. What can I do? When a short-or long-term medical condition limits your ability to engage in physical activities or meet a Vitality standard, Vitality makes it possible for you to stay on track with a medical accommodation. How do medical accommodations work? For each activity-based standard you re physically unable to meet, Vitality offers an alternate activity that allows you to earn the same amount of Vitality Points. For example, if you typically earn 10 Vitality Points a day for a 30-minute workout, Vitality recommends a non-physical activity worth 10 Vitality Points. For each outcome-based standard you re unable to meet, such as a blood pressure range, Vitality automatically offers you ways to earn the same amount of points by different means. How do I request a medical accommodation? You need to complete a form and submit it to Vitality. Go to Your Account > Forms and Waivers and select the appropriate form based on the standard or activity you re unable to meet. If you need to, have your doctor complete his/her portion of the form and submit your completed form by to wellness@powerofvitality.com or fax it to Be aware that submission via isn t secure until received by Vitality. For your protection, Vitality strongly recommends sending your form via their secure fax. Why does my doctor have to complete a portion of the form? Based on your doctor s suggestions, Vitality offers alternative activities you can complete to earn points. Your doctor may also need to approve the alternative activities. 20

21 Taxes on Vitality Rewards Taxes on Vitality Rewards What Vitality rewards are considered taxable? The total value of items purchased on Vitality with Vitality Bucks and your gym rebate are considered taxable. Do I pay taxes on Vitality rewards? No. McKesson pays the taxes for all Vitality rewards by adding money (gross up) to your paycheck. Each month, McKesson processes a gross up record for the Vitality rewards you earned in the previous month. The record also includes the rewards your spouse/domestic partner earned. This process helps keep all taxes properly reported and reflected on your paycheck. How is this reflected on my paycheck? Taxable reward earnings are shown in the box Taxable Benefits under a description of Vitality Power Points. This amount shows the taxable reward value. Under Hours and Earnings, an item with the description of Gross Up Vitality Points lists the amount that offsets the taxes. This amount is 63% of the taxable reward value listed in Taxable Benefits. For example, Laura gets $35 worth of gift cards on the Vitality website. Her Taxable Benefit (Vitality Power Points) is $35, and her Gross Up in Hours and Earnings (gross up Vitality Points) is $22.05, as shown in the chart below. 21

22 Wellness Champions Wellness Champions How can I help promote better health at my worksite? Think about becoming a Wellness Champion to help promote better health. As a Wellness Champion, you can be a leader and earn rewards for creating healthy events at work. Can I earn Vitality Points for being a Wellness Champion? Yes. You can earn up to 2,000 Vitality Points. WellnessChamps@McKesson.com to learn more about the perks of becoming a Wellness Champion. What are my duties as a Wellness Champion? As a Wellness Champion, you create fun events to inspire your coworkers to maintain or improve their health and well-being. You also help promote our health and wellness programs. You would spend about two to three hours a month on Wellness Champion activities. These include: Linking coworkers with the Health and Wellness Team. Going to monthly meetings. Asking coworkers about their interests and needs. Making a plan to schedule, promote and assess events at work. Reporting to the Health and Wellness Team about program activities, progress, problems and next steps. Vitality a.m. - 5 p.m. Central time, M-F wellness@powerofvitality.com En español entra a Vitality, ve hasta abajo y haz clic en Languages > Español. Visit the Vitality website: Employees Inside McKesson s network: Outside McKesson s network: Spouses/Domestic Partners Go to Use your name, birth date and address, and the last four digits of the employee s Social Security Number to register. Wellness Champion Talk with your Wellness Champion to learn about upcoming events and healthy activities at your location. You can find out who your Wellness Champion is at McKNet > Pay & Benefits > Health & Wellness > Wellness Champion Directory. HR Support Center 855.GO.MCKHR ( ) Press 1 for Health, Vitality and Pension questions. Benefit experts are available 7 a.m. - 6 p.m. Central time, M-F. Oprime 1 para asistencia en español a través del McKesson Benefits Center. Total Rewards Library Get information about our health and wellness programs from any computer connected to the internet. McKesson is committed to helping you achieve your best health and offers all employees Vitality Points for participating in Vitality. If you are unable to meet any Vitality outcome-based standard, Vitality automatically offers you ways to earn the same reward by different means, regardless of any medical condition and without your doctor s approval. If you think you are unable to meet an activity-only Vitality standard (or a reasonable alternative to such standard), you might qualify for an opportunity to earn the same reward by different means with your doctor s approval. Visit the Forms and Waivers page on the Vitality website to download the applicable waiver form. If necessary, complete your portion of it, have your doctor complete his/her portion of it and then submit it to Vitality. Vitality will use your doctor s recommendations to apply a medical accommodation for you in light of your health status. If you have any questions, contact the Vitality Customer Service Center at January 2018