Healthy Miami Premium Discount Program

Checking Your Points

Healthy Miami Account Login

Select My Points, the current year, and scroll down.

We provide the Healthy Miami Premium Discount Program to all benefit-eligible employees and their spouses covered under Miami's health plan.

By participating in this voluntary program and completing specific healthy steps, you can reduce the cost of your premium by up to $720 per calendar year.

The deadline for completing the steps to qualify for the premium discount in 2018 was November 15. Based on when you completed the steps, it may be 4-6 weeks before your PCP wellness visit and your cancer screenings go through the UMR claims process and your points appear in your account.

Points will continue to be uploaded through January 2018, and as long as the steps were completed on or before November 15, you will eventually see the point in your account.

Please be patient while all of the information is received and uploaded into your Healthy Miami account by Cerner Wellness.


Are You Missing Any of These Points?

Click on the point you are missing to see why you might be missing it and what you can do.

Biometric Health Screening

  1. Did you have the screening done on-campus?
    • Call the Healthy Miami TriHealth team at the employee health services center at 513-529-3000 to see why it was not uploaded into your account and so that they can correct it.
  2. Did you have the screening and blood work done through your physician between January 1 and November 15, 2017?
    • If yes, did you and the physician complete the Alternate Biometric Health Screening form?
      • If yes, make sure that it was faxed to TriHealth. Contact the Healthy Miami TriHealth team at 513-529-3000 to see if they received it. If they did not receive it, contact the physician’s office to fax it again.
      • If no, complete the top part of the form and have your physician complete the bottom part and fax it to TriHealth as soon as possible.
    • If no, then you are not eligible for the premium discount in 2018.

Primary Care Physician (PCP) Wellness Visit

Did you have your PCP wellness visit between January 1 and November 15, 2017?
  • If yes, has the claim been processed? Check your explanation of benefits in your umr.com account.
  • If no, then you are not eligible for the premium discount in 2018.
  • Did you complete the online Health Plan Provider Consent form by November 15?
    • If yes, when did you complete it? This point cannot be uploaded until this form is submitted, which means that there will be a delay in your receiving the point. Points will continue to be uploaded until the end of January.
    • If no, then UMR does not have permission to upload your PCP wellness visit point, and you will not be eligible for the premium discount in 2018.
  • Has your PCP visit claim been processed by UMR? Check your explanation of benefits in your umr.com account. When the point is uploaded depends on when you had the wellness visit. It may take 4-6 weeks for the claim to process.
    • If yes, was it processed as a wellness visit covered at 100% or as an established patient visit? If so, then the point will eventually be uploaded.
    • If no, then contact your physician’s office to find out why. Once the claim is processed, the point will eventually be uploaded.

Preventive Screenings (cervical, breast, colon cancer)

  • Did you have your screening within the required time frame? (cervical, every 3 years; breast, every 2 years; colon, every 10 years for colonoscopy or every year for colon health kit.)
    • If yes, has the claim been processed? Check your explanation of benefits in your umr.com account.
    • If no, then you are not eligible for the premium discount in 2018.
  • Did you complete the online Health Plan Provider Consent form by November 15?
    • If yes, when did you complete it? This point cannot be uploaded until this form is submitted, which means that there will be a delay in your receiving the point. Points will continue to be uploaded until the end of January.
    • If no, then UMR does not have permission to upload your cancer screening point, and you will not be eligible for the premium discount in 2018.
  • Has your cancer screening claim been processed by UMR? Check your explanation of benefits in your umr.com account. When the point is uploaded depends on when you had the screening. It may take 4-6 weeks for the claim to process.
    • If yes, then the point will eventually be uploaded.
    • If no, then contact your physician’s office to find out why. Once the claim is processed, the point will eventually be uploaded.

Getting Started

Complete the program steps between January 1 and November 15 in a calendar year and qualify for the premium discount for the following calendar year.

When Enrolling in Health Insurance Coverage

The application of the discount varies based on when you and/or a spouse enroll in health coverage.

  • Enroll between January 1 and June 1
    • Receive discount for current year
    • Complete the program steps in the current year for the discount in the following year.
  • Enroll between July 1 and December 1
    • Receive discount for the remainder of the current year and the following year
    • Complete the program steps in the following year

How Much Can I Save?

Annually, there are three savings levels, $720, $540, or $180. The amount you save on your health insurance premium is based on which specific healthy steps you complete.  If your spouse is covered under your health plan, they can also voluntarily participate in the program. Combined participation determines your total savings. For example, if you both complete all steps, you will actually save $1,440.

The Healthy Miami deductions will show on your paycheck as listed below:

Completed all steps ($720 annual savings)

You will see no Healthy Miami deduction on your paycheck.

Completed only the tobacco free certification ($540 annual savings)

Monthly (12 pays): $15.00/month
Monthly (Faculty 10 pays): $18.00/month
Biweekly (24 pays): $7.50/paycheck

Completed all steps except the tobacco free certification ($180 annual savings)

Monthly (12 pays): $45.00/month
Monthly (Faculty 10 pays): $54.00/month
Biweekly (24 pays): $22.50/paycheck

Did not complete all of the steps

Monthly (12 pays): $60.00/month
Monthly (Faculty 10 pays): $72.00/month
Biweekly (24 pays): $30.00/paycheck

Program Steps

The steps you are required to complete in a calendar year to receive premium discounts depends on your age and gender. The table below provides details for which preventive health steps you must complete to receive the insurance premium discount. Individuals that cannot complete the base steps may have their physician submit a Medical Exemption (PDF 194KB) to qualify for a portion of the premium discount. Similarly, the Alternate Proof of Care form (PDF 768 KB) can be used if a step has been completed outside of the Miami health plan. Please contact Benefits and Wellness at 513-529-3492 if you have any questions regarding these forms.

Please note: We base our frequency of screenings on recommendations by the U.S. Preventive Services Task Force and the U.S. Department of Health and Human Services.