2 of 8. Overview. Who may use this Benefit? All AIA Vitality members qualify for the rates below. Health Screen Options. 1.

You will earn AIA Vitality Points for your workouts at True Fitmess/ True Yoga/ Bikram Original Hot Yoga centres.

Overview The True Group (ie. True Fitness, True Yoga and Bikram Original Hot Yoga) is one of Asia s largest fitness groups with more than 200,000 members. They offer a wide range of fitness programmes

Offer details Health Check Plan (A) - Women (HBHU) HKD4,831. Detailed Medical History. Complete Physical Examination.

Offer details Health Check Plan (A) - Women (HBHU) HKD4,831 Complete Physical Examination Body Mass Index and Waist Circumference Hematological Tests (for Anemia and blood disease) - Complete Blood Count

THE CLEVELAND CLINIC. personal. Health. Management. Program

THE CLEVELAND CLINIC personal Health Management Program Our Personal Health Management Program offers a comprehensive examination in a package tailored to meet your unique medical needs. Expert Care The

Preventive Services Explained

Preventive Services Explained Medicare covers many preventive care services without charge. Most of these services have been recommended by the U.S. Preventive Services Task Force. However, which beneficiaries

Kaiser Permanente 2016 Sample Fee List *

Kaiser Permanente 2016 Sample Fee List * NORTHWEST What s a Sample Fee List? Knowing how much you can expect to pay for care and services can help give you peace of mind. As a deductible plan member, you

The Executive Physical Program

The Eecutive Physical Program A healthy investment in you! NYU Langone Medical Center s Eecutive Physical Program NYU Langone Medical Center is pleased to offer Eecutive Physicals for New York s business

NJWELL SHBP/SEHBP. Overview for Employees enrolled in the SHBP/SEHBP

NJWELL SHBP/SEHBP Overview for Employees enrolled in the SHBP/SEHBP What is NJWELL? Incentive-based wellness program available to active employees and covered spouses/partners who participate in the State

Kaiser Permanente 2016 Sample Fees List 1

Kaiser Permanente 2016 Sample Fees List 1 SOUTHERN CALIFORNIA Knowing how much you can expect to pay for care and services can give you peace of mind. This Sample Fees List shows you estimated fees for

PASSPORT TO WOMEN S HEALTH

PASSPORT TO WOMEN S HEALTH Introduction W omen are extraordinary. Daughters, sisters, mothers, aunts, cousins, friends, wives. Saint John s Health Center recognizes the importance of women and that women

PPS UNDERWRITING GUIDE FOR APPLICANTS

PPS UNDERWRITING GUIDE FOR APPLICANTS UNDERWRITING guide 2013 WHAT HAPPENS WHEN YOU SUBMIT YOUR APPLICATION FOR INSURANCE? Once an application is submitted it is put through a number of processes to ensure

Preventive Care Recommendations THE BASIC FACTS

Preventive Care Recommendations THE BASIC FACTS MULTIPLE SCLEROSIS Carlos Healey, diagnosed in 2001 The Three Most Common Eye Disorders in Multiple Sclerosis Blood Pressure & Pulse Height & Weight Complete

viva Privilege Card The viva Privilege card, available exclusively to MyCare & MyCare Plus policyholders, offers even more value for your premium, with a special health and wellness discount programme.

Health Maintenance Guidelines for Women

Health Maintenance Guidelines for Women Customize your plan: These guidelines apply to healthy women in the general population. The right plan for your care may differ based on your medical history, family

CRITICAL ILLNESS INSURANCE for the Employees of Kellogg Community College

CRITICAL ILLNESS INSURANCE for the Employees of Kellogg Community College Eligibility How Much Can You Buy? Guaranteed Issue Covered Conditions and Benefit Amount Percentage Offered by Life Insurance Company

Diabetes Health Plan Member Guide

Diabetes Health Plan Member Guide Welcome UnitedHealthcare Diabetes Health Plan Welcome to the Diabetes Health Plan. Our goal is to ensure you are getting the most out of your program. Please use this

Kaiser Permanente 2015 Sample Fee List 1 Members in any deductible plan can use this list to help estimate their charges.

Kaiser Permanente 2015 Sample Fee List 1 Members in any deductible plan can use this list to help estimate their charges. COLORADO As your partner in health, we want to help you manage your health care

How to get the most from your UnitedHealthcare health care plan.

How to get the most from your UnitedHealthcare health care plan. Your UnitedHealthcare health care plan includes many features and benefits that help you get the care you need and enjoy better overall

Medicare. Orientation Guide

Medicare Orientation Guide Your Medicare Orientation Guide At MCS Classicare (HMO), we take care of you so you feel better every day. That s why we want to get you familiar and provide you with the tools

Mountain View Natural Medicine PATIENT REGISTRATION FORM PATIENT INFORMATION

Mountain View Natural Medicine Lorilee Schoenbeck ND, PC Jessica Stadtmauer ND Dana Dabransky ND Sara Norris ND 185 Tilley Dr. Suite 51 S. Burlington, VT 05403 Phone: (802) 860-3366 Fax: (866) 440-8220

AIA New Zealand Underwriting Philosophy

AIA New Zealand Underwriting Philosophy The AIA New Zealand underwriting practice reflects a core philosophy that focuses on the needs of our producers and their clients. We have a team of well trained

Group Benefits Evidence of Insurability for Comprehensive Optional Critical Illness Insurance

Group Benefits Evidence of Insurability for Comprehensive Optional Critical Illness Insurance INSTRUCTIONS - Please print all answers If required, retain a photocopy for your files. 1a) Plan contract number(s)

Group Critical Illness Insurance Provides lump-sum cash benefits that can help with daily expenses

What can living with a critical illness mean to you? Daily out-of-pocket expenses for fighting the disease while still paying your bills! GROCERIES CAR HOME PRESCRIPTIONS Benefit coverage for A Plus Benefits

Wellness Exam Coverage Highlights

The following Medicare Advantage plans have updated coding procedures for 2013: AARP MedicareComplete UnitedHealthcare MedicareComplete UnitedHealthcare Dual Complete UnitedHealthcare MedicareDirect Wellness

Group Critical Illness Insurance Provides lump-sum cash benefits that can help with daily expenses

What can living with a critical illness mean to you? Daily out-of-pocket expenses for fighting the disease while still paying your bills! GROCERIES CAR HOME PRESCRIPTIONS Benefit coverage for Catholic

Cancer in North Carolina 2013 Report

Cancer in North Carolina 2013 Report January 2014 Updated by Central Cancer Registry Cancer in North Carolina Purpose Cancer is the leading cause of death in North Carolina even though cancer mortality

HEALTHWAY SCREENING & WELLNESS CENTRE - HEALTH SCREENING PACKAGES

HEALTHWAY CLASSIC (FOR MALE & FEMALE) @ $240 Hepatitis A Screening Hepatitis B Screening Hepatitis C Screening - Liver (AFP) - Colon (CEA) 12 Leads Resting Electrocardiogram HEALTHWAY DELUXE FEMALE @ $320

Personal Health Care Journal

Personal Health Care Journal U.S. Administration on Aging Take an active role in your own health care! Protect Detect Report Protect Your Personal Information Treat your Medicare, Medicaid and Social Security

Routine Preventive Services. Covered by Medicare 2012

Routine Preventive Services Covered by Medicare 2012 Brook Golshan, CPC, ACS-EM 2/20/2012 1 Preventive Services Covered by Medicare 2012 Covered by Medicare Part B: Original/Direct Medicare Most of the

Developing Wellness Programs in the Public Sector

Developing Wellness Programs in the Public Sector CCAO Second Wednesday s Program May 9, 2012 Presented By: Pamela Boyer, Human Resources and Benefits Manager Developing a Wellness Program: Wood County

New Medicare Preventive

New Medicare Preventive Services Screening Tests You Can Perform in the Office Charles B. Root, PhD Medicare is finally getting serious about preventive services. Until now, the limited preventive testing

Life Insurance Application Form

Life Insurance Application Form INSTRUCTION To be completed by all applicants PERSONAL DETAILS Surname First name Middle name Sex Female Male Marital status (please tick) Single Married Other Current residential

SHIIP Combo Form. 1-855-408-1212 www.ncshiip.com. North Carolina Department of Insurance Wayne Goodwin, Commissioner

SHIIP Combo Form Seniors Health Insurance Information Program North Carolina Department of Insurance Wayne Goodwin, Commissioner 1-855-408-1212 www.ncshiip.com What is SHIIP? Seniors Health Insurance Information

Experience and Quality Assurance MES Vision Provider Network nationwide Four

Experience and Quality Assurance MESVision has been providing exceptional vision care services to millions of individuals and thousands of employer groups since 1976 MESVision is the only medically led

HEALTH SCREENING PACKAGES FOR UOB LADY S CARD MEMBERS

HEALTH SCREENING PACKAGES FOR UOB LADY S CARD MEMBERS Our health and wellness services range from preventive care through early health screening to medical aesthetics and wellness services, including seamless

2014 Coding Procedures Update for Medicare Advantage

2014 Coding Procedures Update for Medicare Advantage The following Medicare Advantage plans have updated coding procedures for 2014: AARP MedicareComplete UnitedHealthcare MedicareComplete UnitedHealthcare

CORPORATE WELLNESS PROGRAM

CORPORATE WELLNESS PROGRAM WELLNESS Wellness has become an increasingly relevant issue in companies large and small as organizations have come to realize how proactively addressing health and wellness

Disclosures. Definitions. CDC Website

Disclosures Deborah Grady, MD, MPH Professor of Medicine Deputy Editor, JAMA Internal Medicine Co-Director, Center for Healthcare Value Co-Director, Clinical and Translational Science Institute Salary

Group Critical Illness Insurance Provides lump-sum cash benefits that can help with daily expenses

What can living with a critical illness mean to you? Daily out-of-pocket expenses for fighting the disease while still paying your bills! GROCERIES CAR HOME PRESCRIPTIONS Group Critical Illness Insurance

EXECUTIVE HEALTH EXAM

EXECUTIVE HEALTH EXAM A health evaluation that looks deeper. While modern medicine may help you celebrate more birthdays, the quality of your years will largely depend on your diligence in pursuing a

Group Critical Illness Insurance Provides lump-sum cash benefits that can help with daily expenses

What can living with a critical illness mean to you? Daily out-of-pocket expenses for fighting the disease while still paying your bills! GROCERIES CAR HOME PRESCRIPTIONS Benefit coverage for Cobb County

88 percent of heart attack victims under the age of 65 are able to return to their usual work. 1. solutions GROUP CRITICAL ILLNESS INSURANCE

PROTECTION solutions 88 percent of heart attack victims under the age of 65 are able to return to their usual work. 1 1 2009 Heart and Stroke Statistical Update, American Heart Association GVCIP2 GROUP

1MFBTF GJMM PVU GPSNT BOE GBY 'PSNT XJMM CF TJHOFE BU ZPVS BQQPJOUNFOU

CELL PHONE: PATIENT HISTORY FORM - CONFIDENTIAL DATE: PATIENT: (LAST NAME) (FIRST NAME) (Ml) (NICKNAME) DOB: Primary Physician/ Family Doctor: Phone: Past Medical History (Click all that apply) High blood

Group Critical Illness Insurance Provides lump-sum cash benefits that can help with daily expenses

What can living with a critical illness mean to you? Daily out-of-pocket expenses for fighting the disease while still paying your bills! GROCERIES CAR HOME PRESCRIPTIONS Group Critical Illness Insurance

Life Insurance Pre-assessment Request

Life Insurance Pre-assessment Request Financial Adviser: Business name: Phone number: Client Surname: First Initial: Age next birthday: Gender: About this document This Life Insurance Pre-assessment Request

Hospital Confinement Indemnity Insurance

Hospital Confinement Indemnity Insurance Medical BridgeSM 3000 Base / Plan 1 FL Can you afford the out-of-pocket costs not covered by your health insurance? coloniallife.com How will you cover all of your

Protection Plans. Adviser Guide. 19 May 2014

Protection Plans Adviser Guide 19 May 2014 Contents 1 Introduction 4 1.1 Benefit fundamentals 5 1.2 Ownership 8 1.3 Premiums and policy discounts 16 1.4 Adviser remuneration 20 1.5 Underwriting philosophy

OCCUPATIONAL HEALTHCARE. www.medmark.ie. insurance medical. specialists INSURANCE MEDICAL PATIENT GUIDE

OCCUPATIONAL HEALTHCARE www.medmark.ie insurance medical specialists INSURANCE MEDICAL PATIENT GUIDE Medmark are specialists in Insurance Medicine. We are recognised leaders in Ireland for insurance medical

Group Critical Illness Insurance

What can living with a critical illness mean to you? Daily out-of-pocket expenses for fighting the disease while still paying your bills! GROCERIES CAR HOME PRESCRIPTIONS Group Critical Illness Insurance

PREVENTIVE CARE SERVICES Detailed descriptions

PREVENTIVE CARE SERVICES Detailed descriptions How often and what kind of preventive care services you need depends upon your age, gender, health and family history. Not all items on this list are covered

Cardiff Health Check for People with a Learning Disability.

Cardiff Health Check for People with a Learning Disability. Date Marital status Name Ethnic origin Principal carer Age Sex Address Weight (kg/stone).. Blood Pressure Smoke (per day). Height (meters /feet)

Southern Healthcare Agency Network Blue Summary of Benefits

Southern Healthcare Agency Network Blue Summary of Benefits This summary is designed for the purpose of presenting general information only and is not intended as a guarantee of benefits. It is not a Summary

RADIOLOGY SERVICES. By Dr Lim Eng Kok 1

INTRODUCTION RADIOLOGY SERVICES By Dr Lim Eng Kok 1 Radiology is the branch of medicine that deals with the use of ionising (e.g. x- rays and radio-isotopes) and non-ionising radiation (e.g. ultrasound

CIVIL AVIATION REQUIREMENTS SECTION 7 - FLIGHT CREW STANDARDS, TRAINING AND LICENSING SERIES C PART II EFFECTIVE: FORTHWITH

GOVERNMENT OF INDIA OFFICE OF DIRECTOR GENERAL OF CIVIL AVIATION TECHNICAL CENTRE, OPP SAFDARJANG AIRPORT, NEW DELHI CIVIL AVIATION REQUIREMENTS SECTION 7 - FLIGHT CREW STANDARDS, TRAINING AND LICENSING

Clinical Indicator Ages 19-29 Ages 30-39 Ages 40-49 Ages 50-64 Ages 65+ Frequency of visit as recommended by PCP

SCREENING EXAMINATION & COUNSELING UPMC Health Plan Clinical Indicator Ages 19-29 Ages 30-39 Ages 40-49 Ages 50-64 Ages 65+ Annually Physical Exam and Counseling 1 Blood Pressure 2 At each visit. At least

Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64

Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 1. BMI - Documented in patients medical record on an annual basis. Screen for obesity and offer intensive counseling and behavioral

Michigan Electrical Employees Health Plan Benefits & Eligibility-at-a Glance Supplement to Medicare - Medicare Enrollees

Medicare Coverage BCBSM Supp Coverage Preventive Services 12 months, if age 50 and older Colonoscopy - one per calendar year 1 0 years (if at high risk every 24 months) approved amount**, once per flu

Prevents future health problems. You receive these services without having any specific symptoms.

Preventive Care To help you live the healthiest life possible, we offer free preventive services for most Network Health members. Please refer to your member materials, which you received when you enrolled

Horton General Hospital Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) Information for patients

Horton General Hospital Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) Information for patients What is a Deep Vein Thrombosis (DVT)? A DVT is a blood clot which forms in a deep vein, usually in

What can living with a critical illness mean to you?

What can living with a critical illness mean to you? Daily out-of-pocket expenses for fighting the disease while still paying your bills! GROCERIES CAR HOME PRESCRIPTIONS Benefit coverage for Broward County

William A. Barber, MD, FACS Amanda. Morehouse, MD, FACS Erin Bowman, MD Anna Deriso, RNC, WHNP, MSN Kristy Donaldson, PA-C

275 Collier Road NW Suite 470 Atlanta, GA 30309 William A. Barber, MD, FACS Amanda. Morehouse, MD, FACS Erin Bowman, MD Anna Deriso, RNC, WHNP, MSN Kristy Donaldson, PA-C www.atlantabreastcare.com Phone:

BT Protection Plans. Adviser Guide. 20 May 2013

BT Protection Plans Adviser Guide 20 May 2013 Contents 1 Introduction 5 1.1 Benefit Fundamentals 6 1.2 Ownership Options 8 1.3 Premiums and Policy Discounts 11 1.4 Adviser Remuneration 14 1.5 Underwriting

MILLRISE MEDICAL PRACTICE NEW PATIENT REGISTRATION/HEALTH QUESTIONNAIRE

MILLRISE MEDICAL PRACTICE NEW PATIENT REGISTRATION/HEALTH QUESTIONNAIRE PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS. To register with the Practice please complete this questionnaire as fully as possible.

Critical Illness Insurance

Critical Illness Insurance from Allstate Benefits Benefits are paid for you and covered family members Protection for out-of-pocket expenses upon a positive diagnosis CHOOSE You choose the benefits to

Integrated Medical Services (IMS) New Patient Registration Sheet

Personal Information Today s Date: Patient First Name: Initial: Last Name: DOB: Age: Social Security #: Email: Address: Street Apt # City/State/Zip Home Phone: Work Phone: Cell phone: Gender : M F Language:

Group Critical Illness Insurance Provides lump-sum cash benefits that can help with daily expenses

What can living with a critical illness mean to you? Daily out-of-pocket expenses for fighting the disease while still paying your bills! GROCERIES CAR HOME PRESCRIPTIONS Benefit coverage for Medical Solutions,

Darius Peikari, M.D. Internal Medicine

Thank you for selecting Darius Peikari, M.D., PA for your healthcare needs. Please fill out the enclosed paperwork and bring it in with you when you come for your appointment. Also, be sure to bring your

Mortgage Protection Plan/Level Term Plan With/Without Critical Illness Cover

Metropolitan Police Friendly Society Berwick House, 8-10 Knoll Rise, Orpington, Kent, BR6 0EL Despatch: MPFS Orpington - Phone: 01689 891454 - Metphone: 2 Email: enquiries@mpfs.org.uk - Web: www.mpfs.org.uk

We, Us and Our means Citibank Berhad (297089-M) its successors-in-title or assigns.

Citibank Rewards Program Terms & Conditions This Citibank Rewards Program Terms and Conditions governs the entitlement of Citibank Credit Card customers and Debit & ATM Cardholders (including those issued

Critical Illness Insurance

Choosing to plan for sudden illness Can your finances survive a serious illness? Maybe it s happened to someone you know. A sudden illness such as a heart attack or stroke with devastating physical and

Group Critical Illness Insurance

What can living with a critical illness mean to you? Daily out-of-pocket expenses for fighting the disease while still paying your bills! GROCERIES GROCERIES CAR HOME PRESCRIPTIONS HOME RESCRIPTIONS Group

APPLICATION FOR THE RN to BSN PROGRAM NAME: ADDRESS:

APPLICATION FOR THE RN to BSN PROGRAM PLEASE PRINT CLEARLY NAME: ADDRESS: Please check Campus you wish to attend: Rutgers Camden: Atlantic Cape Community College: Camden County College at Blackwood: Home

Including changes in health status since last exam. Known occupational exposures.

Firefighters Medical Checklist Individualized Health Risk Appraisal Written feedback to uniformed personnel concerning health risks and health status is required following the annual examination. Reporting

ALPA COMPASS ACCIDENT AND CRITICAL ILLNESS INSURANCE Frequently Asked Questions (FAQs)

1. What is Compass Critical Illness insurance and who can be covered? 1a. What Critical Illnesses are covered? 1b. Is health screening required or is there a waiting period? 1c. Is there a pre-existing

Critical Illness Insurance Provides lump-sum cash benefits upon diagnosis of a covered critical illness

What can living with a critical illness mean to you? Daily out-of-pocket expenses for fighting the disease while still paying your bills GROCERIES CAR HOME PRESCRIPTIONS Critical Illness Insurance Provides

Personal Statement/ Member s Statement

Personal Statement/ Member s Statement Group Life including Income Protection Policy Ref No. MP9926 Member ID: Employer Name: Disclosure Notice Your duty of disclosure Before you enter into a contract

North Country Holistic Care Center PATIENT REGISTRATION FORM. Patient Information. Name: Address: City: State: Zip: Email

PATIENT REGISTRATION FORM Patient Information Name: Address: City: State: Zip: Telephone #: Home: Cell: Email Date of Birth: Age: Sex: M F Social Security #: - - Referred by: Employment Information Employer:

BESTmed Medical Scheme

BESTmed Medical Scheme An overview of for 2011 Members Who is BESTmed? BESTmed is an open, registered medical scheme, administered by Sanlam Healthcare Management (SHM). SHM is a wholly-owned subsidiary

How To Get A Life Insurance Policy From Aia Australia

Personal Statement/ Member s Declaration Group Life including Salary Continuance Issued March 2004 Member ID: Employer Name: Disclosure Notice Your duty of disclosure Before you enter into a contract of

GOOD HELP. Cork TO THOSE IN NEED. Bon Secours Hospitals. BON SECOURS HOSPITAL College Road, Cork

Health Screening booklet 28/10/2009 09:28 Page 1 Bon Secours Hospitals Built on an ETHOS of quality, care and compassion, Bon Secours hospitals provide the very best in medical treatment, delivered in

Cultivating Employee Health and Wellness. Xiaoxue Huang, MD Beijing United Family Hospital and Clinics November 20, 2014

Cultivating Employee Health and Wellness Xiaoxue Huang, MD Beijing United Family Hospital and Clinics November 20, 2014 Dr. Xiaoxue Huang Internal Medicine physician from the US Speaks English and Mandarin

An Ounce of Prevention

VOLUNTARY BENEFITS CRITICAL ASSISTANCE P L U S CRITICAL ILLNESS INSURANCE Underwritten by Transamerica Life Insurance Company, Cedar Rapids, Iowa. An Ounce of Prevention Critical illness lump-sum benefits,

Body Composition & Longevity. Ohan Karatoprak, MD, AAFP Clinical Assistant Professor, UMDNJ

Body Composition & Longevity Ohan Karatoprak, MD, AAFP Clinical Assistant Professor, UMDNJ LONGEVITY Genetic 25% Environmental Lifestyle Stress 75% BMI >30 OBESE 25-30 OVERWEIGHT 18-25 NORMAL WEIGHT 18

Evaluation of Diagnostic and Screening Tests: Validity and Reliability. Sukon Kanchanaraksa, PhD Johns Hopkins University

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this

I have diabetes. In case of emergency, please call: Healthcare Provider s Name. Name. Telephone. Address. Hospital. City. Pharmacy.

Self-Care Diary Name Address City Healthcare Provider s Name Hospital State ZIP I have diabetes. In case of emergency, please call: Name Pharmacy Diabetes Educator s Name Address 1 Small Steps to Managing

1960 Ogden St. Suite 120, Denver, CO 80218, 303-318-3840

Dear Valued Patient, 1960 Ogden St. Suite 120, Denver, CO 80218, 303-318-3840 Thank you for choosing Denver Medical Associates as your healthcare provider. We strive to provide you with the best possible

Step 1: Complete the attached Health Appraisal and Medical History Questionnaire, Goal Inventory, and Liability Waiver.

Please use the contact information below for questions or concerns. Abraham Lincoln High School Name: Eric Nicholson Email: Eric_Nicholson@dpsk12.org Phone: 7204235043 Bruce Randolph School Name: Greg

Critical Illness Claim Statement

Critical Illness Claim Statement For your protection, the following disclosures are required by state law and are based on the state where you live: If you live in the states of Alaska or Oregon, the following

MEDICAL EXAMINATION FORM A. (Certificate of registration as a Crane Operator Application / Renewal for operators aged 50 to 69 years)

MEDICAL EXAMINATION FORM A (Certificate of registration as a Crane Operator Application / Renewal for operators aged 50 to 69 years) Kindly note that you must fast 8 hours before you see your doctor. If

The Guide to Medicare Preventive Services for Physicians, Providers, Suppliers, and Other Health Care Professionals. May 2005

for Physicians, Providers, Suppliers, and Other Health Care Professionals May 2005 DISCLAIMER This Guide was prepared as a tool to assist providers and is not intended to grant rights or impose obligations.

Health Risk Appraisal Profile

Language (Character Set): Health Risk Appraisal Profile Congratulations for completing your Health Risk Appraisal Questionnaire! Last update: June 4, 2012; 8:27:54 CDT This Health Risk Appraisal is not

High Blood pressure and chronic kidney disease

High Blood pressure and chronic kidney disease For People with CKD Stages 1 4 www.kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National Kidney

Preventive Health Services

understanding Preventive Health Services For the most current version of this document, visit www.wellwithbluemt.com or www.bcbsmt.com. Preventive health services include evidence-based screenings, immunizations,

Plan Comparison. Executive Plan. Comprehensive Series. Priority Series. Saver Series. Core Series. KeyCare Series. Executive

Plan Comparison 20 13 Executive Plan Executive Comprehensive Classic Comprehensive Classic Delta Comprehensive Classic Comprehensive Zero MSA Essential Comprehensive Essential Delta Comprehensive Priority

PREFERRED UNDERWRITING CLASSIFICATIONS

PREFERRED UNDERWRITING CLASSIFICATIONS term ADVISOR GUIDE ABOUT EQUITABLE LIFE OF CANADA Equitable Life is one of Canada s largest mutual life insurance companies. For generations we ve provided policyholders

Your Guide to Medicare s Preventive Services

Your Guide to Medicare s Preventive Services C E N T E R S F O R M E D I C A R E & M E D I C A I D S E R V I C E S This is the official government booklet with important information about: What disease

Rheumatology. Rheumatoid Arthritis

Rheumatology Rheumatoid Arthritis The Rheumatology service specialises in the diagnosis and treatment of diseases affecting the musculoskeletal system. Other than providing inpatient and outpatient consultation,

Preparing for Transplantation

Preparing for Transplantation How Do I Get on a Transplant List? David A. Dreyfus John B. Valencia I have been told I need a kidney transplant? What s my first step DO Your Homework!! Without a living

Wellness Program Guide

2012 Wellness Program Guide Contents I. Welcome 2 II. Wellness Program Q & A 3 III. How the Wellness Program Works 4 A. Activities to Earn Points 5 B. First Step Registration 6 C. Awareness 8 D. Prevention

Complete this form if you want to apply for or increase your Income Protection insurance cover. Suburb/City/Town State/Territory Postcode

Member Details form Member Income Protection Form w Complete this form if you want to apply for or increase your Income Protection insurance cover. Income Protection insurance cover, also known as salary

DATA CAPTURE FORM LIFE INSURANCE

DATA CAPTURE FORM LIFE INSURANCE APPLICANT 1 APPLICANT 2 Title First Names Surname Date of Birth Marital Status Address Telephone Email In which country were you born? In the last 2 years, have you lived