Knowledgebase-Requiring Employees to Use Their Health Insurance to Pay for Physicals and Shots

Information Product

Title:Requiring Employees to Use Their Health Insurance to Pay for Physicals and Shots
Summary:MTAS was asked about employees using their health insurance annual exam benefit to cover the cost of required annual physicals and required shots that are free under their health insurance.
Original Author:Stokes, Richard
Product Create Date:09/26/2012
Last Reviewed on::01/03/2017
Subject:Personnel--Health and safety; Insurance--Health
Original Document:

Reference Documents:

Text of Document: From: Stokes, Richard L
Sent: Wednesday, September 26, 2012 9:15 AM
Subject: RE: Emergency Personnel Yearly Physicals/OT Pay questions

Good morning

Sorry for the delay in responding to your inquiry. You posed some interesting questions about requiring employees to use their health insurance to pay for physicals and shots. The answer to both questions is yes the city can do it and others cities do. I spoke with Bonnie and she indicated that she has heard of it being done a couple of ways:

1. They can go to physician of their choice and get a form filled out, or
2. The employer can provide a series of onsite mobile clinics and pay for it separately or have them file the claims through insurance

The other question, though, is do you really want to? Since it is wellness related, wouldn’t it be more appropriate to make it an incentive and convenient. You can get a larger group done at one time as oppose to them trickling in one at a time.

Finally, have you thought of the impact on your health insurance with the influx of claims for physical exams and shots?

I hope this information is helpful. Feel free to contact me if you have questions or I can be of any further assistance.

Richard L. Stokes, IPMA-CP, PHR
Office Manager/Human Resources Consultant
Executive Director - TN Chapter IPMA-HR
The University of Tennessee
Municipal Technical Advisory Service
226 Capitol Blvd. Bldg., Suite 606
Nashville, TN 37219
615/532-6827 (office)
615/532-4963 (fax)

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