Adult Qualifying Events
Who Needs to Qualify For Plan Year 2020?
- All members, regardless of age, except those with a Benefits Effective Date of 1/1/19 or later.
- Members with Diabetes and/or are Nicotine Exposed must complete specific qualifying events annually for the Ultimate and Best Plan Levels.
ULTIMATE Plan Level
BEST Plan Level
BETTER Plan Level
BASIC Plan Level
- No qualifying events are required
Fasting Lab Work must be completed at one of the designated Lab Draw...
Schedule your exam with your Primary Care Physician (or...
Age Based Screenings are included in the criteria needed to qualify for...
A summary of the required Qualifying Events for each plan level are...
In order to qualify for the BEST or ULTIMATE Health Plan Levels, members...
Finding a physician you trust, have rapport with, who has reasonable...
Qualifying Event instructions and related forms
Qualifying Events - Frequently Asked Questions