Qualification Form shows how you measure up

“The behaviors Healthy Blue Living promotes have had a real impact on my health. In only eight months, I lost 90 pounds. What I like the most about Healthy Blue Living is seeing progress. My doctor and I use the health measures on the form to see if I’m within the healthy ranges. Then, we make adjustments to my health plan — together.”

Robert North
Whitmore Lake

With the Qualification Form, your doctor and you get a snapshot of your health with six high-impact health measures.

Together, you can then create a treatment plan to improve specific health measures. Even if you smoke or have a health condition such as diabetes, you can qualify for enhanced benefits by following your doctor’s treatment plan and meeting the follow-up requirements.

Take the Qualification Form (PDF) with you for your doctor to fill out during your first and any follow up visits.

Health assessment


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page modified 11/05/2009