WELLNESS INCENTIVES

What are Wellness Incentives?

An annual reimbursement for covered members who complete one of the eligible screening procedures on your critical illness and/or cancer insurance plans.

Plan Rules

  • Eligibility: You, spouse and dependents who are covered on the critical illness or cancer plans

  • How it works:

         - If you or a covered dependent get one of the eligible screenings, you can file a wellness claim

         - Once approved, you will receive a check for the wellness benefit amount

         - The wellness benefit can be filed annually as long as your critical illness and cancer plans are in force

Contact Campus Benefits for assistance with claims.

Email: mybenefits@campusbenefits.com

Call 1-866-433-7661, option 5

What Qualifies as Wellness?

Critical Illness - MetLife

Including but not limited to:

• Annual physical exam
• Biopsies for cancer
• Blood test to determine total cholesterol/triglycerides
• Bone marrow testing
• Breast MRI, ultrasound, sonogram
• Cancer antigen 15-3 and 125 blood test for breast cancer
(CA 15-3)/ovarian cancer (CA 125)
• Carcinoembryonic antigen blood test for colon cancer
(CEA)
• Carotid doppler
• Chest x-rays
• Clinical testicular exam
• Colonoscopy; Digital rectal exam (DRE)
• Doppler screening for cancer
• Doppler screening for peripheral vascular disease
• Echocardiogram; Electrocardiogram (EKG)
• Endoscopy
• Fasting blood glucose/plasma test
• Flexible sigmoidoscopy
• Hemoccult stool specimen
• Hemoglobin A1C
• Human papillomavirus (HPV) vaccination
• Lipid panel
• Mammogram
• Oral cancer screening
• Pap smears or thin prep pap test
• Prostate-specific antigen (PSA) test
• Serum cholesterol test to determine LDL or HDL
• Serum protein electrophoresis
• Skin Exam; Skin cancer biopsy; screening
• Stress test on bicycle or treadmill
• Successful completion of smoking cessation program
• Tests for sexually transmitted infections (STIs)
• Thermography
• Two hour post-load plasma glucose test
• Ultrasounds for cancer detection
• Ultrasound screening of the abdominal aorta for
abdominal aortic aneurysms
• Virtual colonoscopy

How to Submit a Claim?

• Call 1-800-GET-MET8. (800-438-6388)

• File your Health Screening Benefit online through the MyBenefits portal at www.metlife.com/mybenefits or by mail with a paper claim form.

• Important Note: Must use Madison County School District when registering for a MetLife MyBenefits Account.

Cancer - Guardian 

• Bone marrow testing
• BRCA testing
• Breast ultrasound
• Breast MRI
• CA 15-3 (blood test for breast cancer)
• CA125 (blood test for ovarian cancer)
• CEA (blood test for colon cancer)
• Chest x-ray
• Colonoscopy/Virtual
• Colonoscopy
• CT scans /MRI scans
• Flexible sigmoidoscopy
• Hemoccult stool analysis
• Mammography
• Pap smear /ThinPrep pap test
• PSA (blood test for prostate cancer)
• Serum protein electrophoresis (blood test for
myeloma)
• Testicular ultrasound
• Thermograph

How to Submit a Claim?

• Log on to guardianlife.com and select “My Account/Login” to register or access your account.

Campus Logo_Blue Gradient (1) (1).png

Phone: 866-433-7661 (Option 5)

Fax: 770-394-0333

The Madison County Schools' Benefit Portal is provided for illustrative purposes only. Actual benefits, services, premiums, claims processes and all other features and plan designs for coverage offered are governed exclusively by the provider contract and associated Summary Plan Description (SPD). easy.