Qualifying Events

We have heard your concerns and challenges around completing Qualifying Events. Due to these concerns as well as CDC guidelines, we made the decision to waive Qualifying Events for plan year 2021.
This was a difficult decision because we firmly believe in the importance of preventive care. Cheri Coryea, County Administrator, said, “I would likely not be here today had it not been for the preventative care and the Qualifying Events”. So, while QE is being waived, we highly encourage you to take an active role in your health and make appointments to complete preventive care and attend to any other health concerns as soon as the CDC indicates that it safe for you to do so.
As a reminder, if you experience an urgent health issue, please seek appropriate care. Many local providers are offering telehealth options. If you believe you've been exposed to COVID-19, contact the Manatee Health Line at (941) 242-6649 before seeking treatment or traveling to any physician's office, emergency department, hospital or urgent care center.
Plan levels from 2020 will roll over to 2021. If you are currently in the Ultimate Plan Level, you will remain in that plan level through December 2021.
If you choose to complete labs or preventive care and screenings during this time, you are able to do so with $0 copay.
Health Bucks: If you completed lab work by August 31st and met requirements to earn Health First or Diabetes Mission Control Health Bucks, you will earn them as usual.
  • For Health First, complete labs by August 31st. If your labs indicate you do not have Metabolic Syndrome, you will automatically earn $400 in Health Bucks. If your labs indicate you may have Metabolic Syndrome, you will need to initiate a personalized plan by August 31st. Click here for more info about Health First.
  • For Diabetes Mission Control, members with Diabetes who achieve or maintain an A1C level of 7.0 or below, OR, lower their A1C a full point from last year, automatically earn $300 in Health Bucks. Complete your labs by August 31st to participate. Click here for more information about Diabetes Mission Control.
We have compiled a list of Frequently Asked Questions. If you have any questions or concerns not addressed in the FAQ, please contact your Insurance Coordinator.
Frequently Asked Questions Download QE Instructional BookletSee all Forms

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