What is the purpose of the Health Risk Assessment form?
The Health Risk Assessment form is designed to help Passport Health Plan understand your health needs better. By gathering information about your physical and emotional health, the plan can tailor its services and benefits to better serve you. Your responses are confidential and will not impact your benefits.
How do I fill out the Health Risk Assessment form?
To fill out the form, provide your personal information such as name, address, date of birth, and contact details. Answer questions regarding your health status, lifestyle, and any healthcare providers you may have. If you need assistance while filling out the form, you can call 1-877-903-0082 for support.
Will my answers affect my benefits?
No, your answers on the Health Risk Assessment form will not affect your benefits in any way. The information is used solely to enhance the services Passport Health Plan can provide to you.
What if I need help completing the form?
If you encounter any difficulties while completing the form, assistance is available. You can call the support line at 1-877-903-0082 or use TDD/TTY at 1-800-691-5566 for help.
Is my personal information confidential?
Yes, your personal information will be kept private. The Health Risk Assessment form is secure, and any data shared will be protected according to privacy laws and regulations.
What happens if I don’t want to answer certain questions?
You are not required to answer every question, especially those marked as optional. If you feel uncomfortable responding to a particular question, you may choose to decline, and it will not impact your membership or benefits.
Where do I send the completed form?
After completing the form, return it using the provided white postage-paid envelope. Alternatively, you can mail it to Passport Health Plan at the following address: Attn: Health Risk Assessment, 5100 Commerce Crossings Drive, Louisville, KY 40229.
How is the information from the form used?
The information collected from your form helps Passport Health Plan identify any health risks or requirements you may have. This allows for the delivery of appropriate programs and benefits catered to your specific health needs and concerns.
Who should I contact for further questions about the Health Risk Assessment form?
If you have any additional questions about the Health Risk Assessment or your health plan, you can contact customer service at 1-877-903-0082. They are available to assist you with any inquiries you may have.
What if I want to change my information later?
If you need to update or change your information after submitting the form, reach out to Passport Health Plan customer service. They can assist you in ensuring that your records are accurate and up-to-date.