Get Quad/graphics Health Plan Screening Form

Completing the Quad/Graphics Health Plan Screening Form online is a straightforward process designed to help you manage your health screenings efficiently. This guide will provide you with step-by-step instructions to ensure that you fill out the form correctly and return it to the appropriate party.

Follow the steps to accurately complete the health plan screening form.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Enter your personal information in the designated fields, including your name, date of birth, and whether you are the employee or spouse. Make sure to fill in all required fields.
3. Provide the date of your health screening. It is crucial to ensure this date is accurate as it correlates with your eligibility for potential healthcare premium discounts.
4. Complete the required biometrics section. Carefully record your health statistics such as blood pressure, hemoglobin A1C, cholesterol levels, weight, and height. Ensure all values are filled in accurately as any missing entries could lead to the form being considered incomplete.
5. If applicable, indicate your results for the tobacco testing requirement. A positive or negative status must be clearly noted to determine your eligibility for lower premiums.
6. After your healthcare provider completes their section, they should sign and date the form to confirm the information provided during your screening.
7. Return the completed form to QuadMed at the specified address or place it in a sealed envelope and submit it to your local HR office for routing. Be sure to allow adequate time for processing.

Complete your Quad/Graphics Health Plan Screening Form online today to stay on top of your health and potential premium savings.