HEP
Health Enhancement Program
- HEP notifications sent to the employees will resume throughout the year, in regard to remaining requirements for members.
- Any employee who is non-compliant for a prior year should continue to be penalized until they complete their requirements and are reinstated.
2023 HEP REQUIREMENTS
PREVENTIVE SCREENINGS |
AGE |
|
|||||
---|---|---|---|---|---|---|---|
Age |
0-5 |
6-17 |
18-24 |
25-29 |
30-39 |
40-49 |
50+ |
Preventive Visit |
1 per year |
1 every other year |
Every 3 years |
Every 3 years |
Every 3 years |
Every 2 years |
Every year |
Vision Exam |
N/A |
N/A |
Every 7 years |
Every 7 years |
Every 7 years |
Every 4 years |
50-64: Every 3 years 65+ Every 2 years |
Dental Cleanings* |
N/A |
At least 1 per year |
At least 1 per year |
At least 1 per year |
At least 1 per year |
At least 1 per year |
At least 1 per year |
Cholesterol Screening |
N/A |
N/A |
Every 5 years (20+) |
Every 5 years |
Every 5 years |
Every 5 years |
Every 5 years |
Breast Cancer Screening (Mammogram) |
N/A |
N/A |
N/A |
N/A |
N/A |
1 screening between age 45-49** |
As recommended by physician |
Cervical Cancer Screening (Pap Smear) |
N/A |
N/A |
Every 3 years (21+) |
Every 3 years |
Pap smear only every 3 years or Pap and HPV combo screening every 5 years |
Pap smear only every 3 years or Pap and HPV combo screening every 5 years |
Pap smear only every 3 years or Pap and HPV combo screening every 5 years to age 65 |
Colorectal Cancer Screening |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
Colonoscopy every 10 years. Annual FIT/FOBT to age 75 or Cologuard screening every 3 years |
* Dental cleaning are required for family members who are participating in one of the state dental plans. **Or as recommended by your physician
Have questions? Need help finding a provider or pharmacy?
Contact your Care Coordinators by calling (833) 740-3258 or logging onto your Quantum Health benefits portal through https://carecompass.ct.gov or using the MyQHealth app.
For State Partnership medical, dental, pharmacy, and HEP benefit information, visit: https://www.osc.ct.gov/ctpartner/