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HEP

Health Enhancement Program

The Health Enhancement Program has been reinstated and all 2023 requirements will need to be completed by December 31, 2023.
  • 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/