Last year, I decided to be an outlier and questioned our insurance package at work. I had just experienced a brutal health year, in which our insurance company complicated matters by delaying tests, requiring further tests and analysis, and declining coverage. So when I began to hear the rumors that the entire system would be forced on a high deductible plan and the possibility of losing the system's contribution, I felt the need to speak up. Certain administrators seemed to forget that my former career was as a human resource specialist and that I had negotiated health contracts for my clients, so I began to be outspoken, asking questions about the costs, savings, implications, and the policies, procedures, and accountability for the employee, library, and insurance company. In the meantime, I had meetings with our human resource director, insurance representative, insurance consultant, and library director to discuss my concerns. In the end, our director decided not to push everyone onto the new health package.
There has not been much discussion as of yet on what packages will be offered next year, but one major change involving our health care is an alteration in our wellness screenings and credits. Previously, we would receive credits towards our premium if we met certain criteria during our health screenings. The problem with this system was the standards were nearly impossible to meet, forcing most of the staff to have their doctors complete forms stating the employee was being treated or improving that health "problem." These forms were so convoluted that some of the doctors couldn't complete them correctly.
So this year to earn credits, we must attend the health screenings at work and receive credits for taking a required test, signing a non-smoking voucher, completing a health assessment and meeting with a health advisor to discuss our assessment. Now, I don't mind taking the tests, but I dislike the assessment and discussion. I completed an assessment three years ago and was very frustrated by my session. The session is essentially someone lecturing you, personally, on not meeting the established criteria, but without any consideration to your personal health situation because these consultants are not your doctor. Last time, I was told to lower my stress. People who say this should not be in the health care profession. I was lectured non-stop about my cholesterol levels, which are genetically high. I am predisposed to high cholesterol and my doctor can explain the many ways that we have lowered it over the years and why we are avoiding meds at this time. According to the BMI criteria, I am overweight. This is the one that really makes me furious because a health consultant saying this to a twenty-something girl could lead to eating issues. I am not overweight. I am thirty pounds lighter than my heaviest weight. My body is shaped like a pear, which means I'm tiny on top and exponentially larger in the hip and bum area. I am proud of the fact that I have a curvy body and have learned to accept it, which I believe makes me a mentally healthier person.
So I will attend the screenings and the lecture in order to obtain my credits, but I definitely won't like it. And what I can't understand is why I can't have a physical done by my doctor who knows all my health issues instead. The conspiracy theorist in me fears I know the answer to that question.
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8 comments:
I'm on the Wellness committee and I am willing to talk with you about this. I think you are misunderstanding some of the new features this year. I had my own issues with the credit process last year with being pregnant. This situation is MUCH better than in years past.
I agree that things are improving but at the same time, if we want the credits, we are being forced to listen to medical advice by individuals who are not our regular doctors. So I am curious which feature am I misunderstanding?
We were told the four credit process and that we had to do it through the wellness screening rather than our personal doctors, which is a sticking point for me.
I know that we are not using the former criteria but the consultants will use some set standard when reviewing our tests and responses otherwise why have a consultation? Because of my condition, I am closely monitored, so why should I waste 15-30 minutes of my life completing the assessment and having someone tell me how to improve my health when my doctor who is aware of the full situation provides me assessments.
My concern with the assessment and consultations are the lack of knowledge on the consultant's part. Something as simple as recommending more exercise or to walk an extra 15 minutes a day is actually giving me harmful health advice. If they advise a friend of mine to eat more vegetables, they are providing deadly advice.
For some, the screenings and consultations are the only time they see a health care provider but for others, they are a waste of time and money when we could get the same credits for seeing our doctor for our conditions, some of which are bad genetics and not due to us maintaining an unhealthy lifestyle.
Sorry, Colette, I have to agree with Miss M here. The requirements seem simpler, but are just as intrusive. And the "suggestions" they will make this year may be laws in the years to come. I have no problem with passive education, but having someone who doesn't know my situation talking at me and advising me about my health is presumptuous. I also worry about privacy and what all this will lead to in the future.
Colette: I'm happy the standards for blood pressure, bmi, etc are gone. I'm not happy I am being forced into a wellness screening with no privacy and a consultation when I was going to go to my doctor for a screening and consultation. I feel that the screening is a waste of money and time, considering that they are not my medical doctors. And, I don't really want to get on a scale in front of my colleagues. I will do the wellness screening and consultation, but I have to go to my doctor on a yearly basis and since we were told at the beginning of this that we could use the doctor in lieu of the screening I had already planned and scheduled my yearly doctor appointment to coincide with the screening.
The consultants know what's on a piece of paper, they do not know my medical conditions nor am I going to go over them with them. That is between me and my doctor/s.
Just a friendly reminder that this blog is my personal and private writings that I share with close friends. Any comments made on this blog should remain among this group and not be shared with others.
*Sigh* I shouldn't have put myself out there.
I have always hated the credits. I never liked having to go to my doctor to get a stupid form signed. Last year I had to do it 4 times! >:( The committee just doesn't want everyone to be sedentary. This does have a Big Brother feel to it and I have mentioned it. I have been blown off. The whole thing is presumptuous and always has been.
You do have the choice of not doing this at all. The downside is having a higher premium. I have thought about not doing the screening and stuff, but I figure if it knocks a few dollars off what I pay then great.
Since these are closed comments, I will not bring these concerns to the committee.
BTW, I will put down on my health assessment that I like to rock climb and bungee jump on my days off! I want the nurse to have a heart attack just by reading it! LOL
Colette - you should definitely speak up with both us and the committee. I was trying to understand what I had misunderstood. Some of us have already expressed our displeasure over the credits with Kendra. We need people to continue speaking out against questionable decisions.
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