- Washoe County School District
- Insurance Premium Discount
-
BIG Change for 2025/2026!
For employees on WCSD medical insurance, you have an opportunity to qualify for a reduced premium rate by participating in the Wellness Program. You can save up to $40.00 a month per employee and spouse on the plan.
In order to qualify for the discount on your monthly premium, you must:
- Complete an annual wellness visit with your Primary Care Provider (PCP)
- Complete the online Health Assessment which is available September 1, 2025 - December 1, 2025, on the Sydney Health App
-
I am a retired employee. Do I need to complete the annual wellness visit?
Yes, all retired employees and their spouses must complete the visit in order to qualify for the discount.
-
Does my spouse and/or my dependents need to complete the annual wellness visit?
We encourage that everyone completes the annual wellness visit, however, only you and your spouse are eligible for the discount. The employee is eligible for a $40 a month discount and the spouse the eligible for a $40 a month discount.
-
Why am I being asked to complete an annual wellness visit?
This is part of our health plan preventative care initiative. These visits help identify potential health issues early, promote overall well-being and can lead to lower healthcare costs for both employees and WCSD. We want to be able to offer a reduced premium for employees and support a proactive approach to healthcare.
-
If I am hired after August 1, do I need to complete the annual wellness visit?
If you are hired on August 1 or later, you are not required to complete the annual wellness visit or the health assessment. You will automatically receive the discount for the next year. However, we encourage you to try to complete the visit and/or a wellness screening that way you are established and get in the practice of understanding what is required
-
Do I need to complete anything else other than the wellness visit to receive the discount?
Yes, the annual Health Assessment is required to be completed between September 1 and December 1 2025. It is a 4-minute reflection on your health on the Sydney health app. In order to qualify it must be completed during that allotted timeframe.
-
What labs should I ask my provider for?
An annual preventative lipid panel is covered by WCSD, we have a helpful form on our website that can help guide your conversation with your PCP if you’d like to use it. It is not required to be filled out, unless you’d like it for your personal use.
-
In the past, school nurses were able to do my screening, is that an option?
Currently, no we are asking that you schedule with a provider.
-
What are my options if I cannot get an appointment with a provider?
We will be having the Wellness Screening at a variety of different WCSD sites in the fall. You can complete a screening in place of a wellness visit. However, we still recommend getting established with a primary care provider (PCP) that way moving forward you will have the ability to complete your annual wellness visit easier. Live Health Online has many available appoitments as well.
-
What if I completed my annual visit prior to being on WCSD insurance?
- Preventative Wellness Visit Verification - ONLY for visits not submitted through Anthem
- Please use This Form to upload documentation for your preventative wellness visit. Please ONLY fill out this form if you see a doctor that is not covered by Anthem. If you show your insurance card at your appointment, it will be tracked through Anthem claims. This form is ONLY for cash payment doctors, holistic doctors, and doctors out of network. If you need clarification, please email benefits@washoeschools.net. Please be advised that your WCSD benefits fully covers your annual wellness visit and we urge you to get established with a PCP. This verification will be required annually and if you see a doctor in network, it will run automatically through your claims.
-
What if I completed my annual visit at the beginning of the year?
You are eligible, the claim will be stored in Anthem. As long as it is completed in 2025 you are eligible for the discount in 2026.
-
What is the cost of the appointment?
If you schedule an “Annual Preventive Appointment” with an in-network provider, the cost will be free. It is important to note that this visit is not meant for diagnosing or treating new or existing conditions. If additional concerns are addressed during your appointment, they may be billed separately and may not be fully covered under preventative care. Contact the number on the back of your insurance card for coverage details.
-
Can I see my GP or OBYGN for the wellness visit?
Yes, the doctor that completes your annual wellness visit and annual labs are eligible. However, we highly encourage that you have a primary care provider on file.
-
When do I need to see the doctor?
You must have an annual wellness visit completed between January 1, 2025, and December 31, 2025, to be eligible for the discount. This is required annually.
-
What do I do if the doctor I see does not take WCSD health insurance?
- Preventative Wellness Visit Verification - ONLY for visits not submitted through Anthem
- Please use This Form to upload documentation for your preventative wellness visit. Please ONLY fill out this form if you see a doctor that is not covered by Anthem. If you show your insurance card at your appointment, it will be tracked through Anthem claims. This form is ONLY for cash payment doctors, holistic doctors, and doctors out of network. If you need clarification, please email benefits@washoeschools.net. Please be advised that your WCSD benefits fully covers your annual wellness visit and we urge you to get established with a PCP. This verification will be required annually and if you see a doctor in network, it will run automatically through your claims.