Weight Management

Since the mid-seventies, the prevalence of overweight and obesity has increased sharply for both adults and children. Studies show that among adults aged 20-74 years the prevalence of obesity increased from 15.0% to 32.9%. As you know, being aware of your health status and personal health risks is the first step toward becoming healthier – and ensuring a better quality of life over the long term. The good news is that even minimal weight loss and exercise can improve or prevent complications associated with being overweight. By participating in the Weight Management Program, you can improve your health and quality of life. The program helps you to facilitate weight loss through diet, exercise and behavior modification. If desired, one of our health coaches will help you implement changes to increase your quality of life. Members who have a BMI (Body Mass Index) of 35 or greater will be invited to participate in the Weight Management Program. This program provides counseling, educational materials, and other support to help participants improve their health. As an incentive for participation, the following expenses will be covered at 100% when provided by an in-network provider. Member Benefits: To begin utilizing the following benefits, you must enroll. Up to two (2) office visits per plan year (height, weight, blood pressure required) - paid at 100% when provided by an in-network provider. CPT Codes: 99201-99215, 99241-99245, 99381-99404 Up to two (2) HbA1c (glucose 3 month average) - paid at 100% when provided by an in-network provider. CPT Code: 83036 Up to two (2) fasting blood sugar (fasting glucose) - paid at 100% when provided by an in-network provider. CPT Code: 82947 Up to two (2) lipid profile (cholesterol, LDL, HDL, and triglycerides) - paid at 100% when provided by an in-network provider. CPT Codes: 80061 and/or 82465 One (1) visit to your local health screening per plan year. For additional information regarding health screening events, for South Dakota Employee Health Plan members go to www.bopweb.com, for Associated School Board members contact your business manager. This program is ongoing until BMI falls below 35 or member opts out. Program Participation Process Step 1 Member must see a physician for a physical evaluation. (SD Insurance Plan will pay for this visit when provided by a DakotaCare Provider). Your physician should recommend an exercise program according to your fitness level to be preformed a minimum of 3x a week for 30 minutes. Once your physician has evaluated your current health status - enter your height, weight, and blood pressure on the Weight Management Website. Step 2 Member begins and maintains exercise routine. You can begin an exercise routine and log your workouts on the Weight Management Website as you go. Step 3 Member attends nutrition support group. Choose a nutrition support group and attend meetings regularly. Participation in Weight Watcher's, Overeater's Anonymous, or a nutrition support group of your choice is encouraged. Submit a brief summary every two weeks about your attendance and participation in your support group or a summary of the lifestyle changes that you have made on the Weight Management Website. Step 4 Member submits food diary. Submit a food diary every 2 weeks that consists of 4 days per week. 2 weekdays and 2 weekend days. This information can be entered on the Weight Management Website. Please Join Us Participation in HCMTI's Weight Management Program is voluntary. We encourage your participation, and invite you to challenge yourself with this comprehensive weight management tool. Your rewards will be both better health and in turn less medical expense. Let us help you reach your goals for weight management and a healthier lifestyle. To learn more about the Weight Health and Lifestyle Management Program, please contact the Weight Health Manager @ 877-977-0159, visit the Weight Management website at www.hcmti.com/weight, or email: weight@hcmti.com. Click here for the weight management fact library!