Healthy Miami Premium Discount Program
We provide the Healthy Miami Premium Discount Program to all benefit-eligible employees and their spouses covered under Miami's health plan.
By participating in this voluntary program and completing specific healthy steps, you can reduce the cost of your premium by up to $720 per calendar year.
Spouses covered under your health plan can also voluntarily participate in the program. Combined participation determines your total savings ($1440).
Program Steps
The steps you are required to complete in a calendar year to receive premium discounts depend on your age and gender.
Individuals that cannot complete the base steps may have their physician submit a Medical Exemption to qualify for a portion of the premium discount. Similarly, the Alternate Proof of Care form can be used if a step has been completed outside of the Miami health plan. All forms can be found in your Healthy Miami account. Please contact the Benefits office at 513-529-3926 if you have any questions regarding these forms.
Please note: We base our frequency of screenings on recommendations by the U.S. Preventive Services Task Force and the U.S. Department of Health and Human Services.
Getting Started
Complete the program steps between January 1 and November 15 in a calendar year and qualify for the premium discount for the following calendar year.
When You and/or Spouse Enroll in Miami's Health Insurance
The application of the discount varies based on when you and/or a spouse enroll in health coverage.
- Enroll between January 1 and June 1
- Receive discount for current year
- Complete the program steps in the current year for the discount in the following year.
- Enroll between July 1 and December 1
- Receive discount for the remainder of the current year and the following year
- Complete the program steps in the following year
How Much You Can Save
- $180 per year: Complete required base steps for your age group without completing the Tobacco-Free step
- $540 per year: Complete the Tobacco-Free Step only
- $720 per year: Complete all required steps for your age group
If your spouse is covered under your health plan, they can also voluntarily participate in the program. Combined participation determines your total savings. For example, if you both complete all steps, you will actually save $1,440.
The Healthy Miami deductions will show on your paycheck per person (you and/or spouse) as listed below:
Completed ALL Steps
You will see no Healthy Miami deduction on your paycheck.
Completed Preventive Steps Only
Monthly (12 pays): $15.00/month
Monthly (Faculty 10 pays): $18.00/month
Biweekly (24 pays): $7.50/paycheck
Completed the Tobacco-Free Step only
Monthly (12 pays): $45.00/month
Monthly (Faculty 10 pays): $54.00/month
Biweekly (24 pays): $22.50/paycheck
Did Not Complete all of the Steps
Monthly (12 pays): $60.00/month
Monthly (Faculty 10 pays): $72.00/month
Biweekly (24 pays): $30.00/paycheck
2023 Premium Discount Program Steps (recommended order of completion) | How to Get a Point for Each Step by 11/15/2023 | Required Based on Age Group |
---|---|---|
Base Step 1: Health Plan Provider Consent Form (Gives Anthem permission to upload any points from claims) |
Complete your online Health Plan Provider Consent form located in your Healthy Miami Account | All groups |
Base Step 2: Biometric Health Screening (BHS) |
Complete your Biometric Health Screening (Schedule at the Miami Health Center or regional campuses through your Healthy Miami Account) Or use the Alternate Biometric Screening form found in your Healthy Miami Account to submit lab work from your doctor's office or an independent lab. |
All groups
|
Base Step 3: Primary Care Physician (PCP) Wellness Visit | Complete a PCP well visit (at your PCP office, an in-store clinic, or through telehealth services) | All groups |
Base Step 4: Colon Cancer Screening |
Colonoscopy (every 10 years) Cologuard (by prescription every 3 years) Colon Health Kit (every year) |
Male and Female Age 50 and Over |
Base Step 5: Breast Cancer Screening |
Complete every two years. |
Female Age 50 and Over |
Base Step 6: Cervical Cancer Screening |
Complete every three years. | Female-all ages |
Step 7: Tobacco-Free Certification Tobacco Cessation Coaching |
Complete every year. Will be awarded a point upon completion of program. |
All Groups |
Personal Health Assessment |
Complete your online Personal Health Assessment located in your Healthy Miami Account |
Optional |