What is a qualified office visit?

This site up was updated 8-1-2018.

For the 2019 wellness reward, a qualified office visit includes preventive exams or screenings, a visit for treatment of a condition or diagnosis, or a visit to manage a chronic disease.  This visit must be between November 1, 2017 and November 1, 2018 (both dates inclusive).

A qualified visit includes any office visit received from an In-Network Primary Care Provider (Family, General, Geriatrics or Internal Medicine) or Specialist (examples:   Cardiologist, OB/GYN, Oncologist, Gastroenterologist, Endocrinologist, Hematologist, Pulmonologist, Nephrologist, Infectious Disease Specialist, Neurologist or Rheumatologist).

A visit to these providers are excluded and do not qualify for step 1 of the Wellness Incentive:  Dermatologist, Allergist, Podiatrist, Ophthalmologist or Optometrist.

There is no form to complete and no need to contact UMR to report your visit. UMR will use claims data to confirm your visit.

IMPORTANT:  the relaxed criteria described above only applies through 11-1-2018, which qualifies you for the 2019 wellness reward (along with a successful tobacco pledge).  The original requirement of getting an annual physical will resume next year.  So be sure to get an annual physical next year, within the dates 11-1-2018 and 10-31-2019, so that you will be eligible for the 2020 wellness reward.