wellness programmes
Overview
- HIPAA and ACA Requirements
- ADA Requirements
- GINA Requirements
- Additional Information
Overview
Wellness programs generally come in two different forms:
- Participatory Wellness Programs:
- Generally available without regard to an individual’s health status. Either no reward is offered, or none of the conditions for obtaining a reward are based on an individual satisfying a standard related to a health factor.
- Health-Contingent Wellness Programs:
- Requires participants to satisfy a standard related to a health factor in order to obtain a reward. There are two types of health-contingent wellness programs:
- Activity-only programs require an individual to perform or complete an activity related to a health factor in order to obtain a reward. Examples include a walking, diet or exercise program.
- Outcome-based programs require an individual to attain or maintain a specific health outcome (such as not smoking or attaining certain results on biometric screenings) in order to obtain a reward.
Wellness programs are generally subject to certain requirements under the Health Insurance Portability and Accountability Act (HIPAA), the Americans with Disabilities Act (ADA), and the Genetic Information Nondiscrimination Act (GINA).
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