All covered family members, including children, must select a PCP from a select list of Ithaca based In-Network providers if you would like to take advantage of the Enhanced Wellness Program. These PCPs have committed to support this plan and a play a pivotal role in helping you reach your wellness goals for the year. You can select your PCP at the time of enrollment through Benefit Services, or after enrollment through Aetna Navigator or by calling Aetna Member Services at 1-877-371-2007. 

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You and your enrolled adult family members (spouse, domestic partner and children ages 1 and over) schedule annual physical exam(s) and lab work with your Enhanced Wellness PCP. Be sure to ask the provider’s office to email you an invitation from Sustainable Health Systems (SHQ) so you can click on the login to go directly to your SHQ account. Your comprehensive exam and routine preventive lab work are covered at 100% (must be performed within 7 days of appointment).

You and your enrolled adult family members (spouse, domestic partner and children ages 18 and over) will complete a Sustainable Health Questionnaire (SHQ)/Health Risk Assessment (HRA) once a year. This SHQ/HRA must be completed no more than one week prior to your annual comprehensive physical exam with your PCP. Children age 1 through 17 will complete a pediatric assessment in their PCP’s office.

Once you have completed your SHQ/HRA, you are ready for a comprehensive physical exam and a review of your SHQ results with your Enhanced Wellness PCP. There is no cost to you. Once the exam and review have been completed, your PCP will provide you with an Annual Wellness Report from which you and your PCP will develop a healthy living action plan.

Your Wellness Report and healthy living action plan may include referrals to local resources, or to additional services within your PCP’s office, to assist you in achieving your goals. These additional services for smoking cessation, nutritional counseling and diabetic education are covered at 100%. In addition, if you have medical complications or need special attention, your PCP may refer you to the Cayuga Center for Healthy Living (CCHL) for advanced wellness counseling and support for the following services. The costs for these services at CCHL are

• Health Behavior Assessment $20 copay
• Health Risk Assessment Interpretation $20 copay
• Medically Supervised Exercise $20 copay
• Team Conference $20 copay
• Preventive Medical Counseling $20 copay
• Stress Management $20 copay

Faculty and Staff are also eligible to receive a $15 monthly discount from the Ithaca YMCA, Island Fitness or the Cornell Wellness Program (the discount makes the Cornell Wellness free). Spouses and domestic partners who are Cornell employees are eligible if they are covered under CPHL. The CPHL Aetna ID Card and Cornell ID are required to be presented to the fitness centers to confirm eligibility for the discount.

Following your Enhanced Wellness exam, your PCP may decide to have you return for up to 3 monitoring or counseling check-ups during the year. These extra visits are also covered at 100% under the Enhanced Wellness benefit.

You are strongly encouraged to see your Enhanced Wellness PCP at least once every year to complete steps 2-5 above unless otherwise directed by your PCP.

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