Preventive Care Benefits (Preventive Care Management Program – PCMP)

Overview

The Preventive Care Benefits, provided through the Preventive Care Management Program (PCMP), are designed to keep you and your family healthier, longer—without adding extra costs to your budget.

This program gives you access to the following!

1. No-cost preventive screenings and immunizations through in-network MagnaCare providers

2. Women’s specialized preventive health services

3. Telemedicine with $0 copays

4. Mental health support and an Employee Assistance Program (EAP)

5. Health coaching and wellness tools

6. Prescription drug coverage

7. A tax-free FSA card for eligible health and wellness purchases

8. A robust digital experience through the TEG Health App and Wellness Hub

Please Note:

The program works alongside your existing health insurance, not instead of it, to give you easier access to care, better tools to stay healthy, and meaningful tax savings, all with no change to your net take-home pay.

Who Is Eligible

You are eligible for the Preventive Care Management Program and its benefits if:

Dependents:

• Eligible dependents typically include:

  • Your spouse

  • Your children under age 26

• Dependents can be added for certain benefits, including:

  • Telemedicine

  • Prescription drug coverage

• Some plans may require you to certify dependent eligibility under penalty of perjury.

Please Note:

If you are unsure about eligibility (for yourself or a dependent), contact support using the information in the “Contacts & Support” section.

What the Benefit Includes

The Preventive Care Management Program includes a wide range of services and tools. Preventive Care Benefits are at the core, supported by several additional wellness resources.

1. Preventive Care through MagnaCare

   When using in-network MagnaCare providers, adults enrolled in this plan have access to comprehensive preventive services covered at 100%. These include:

   • Annual screenings for Blood pressure, Cholesterol, Type 2 diabetes.

   • Cancer screenings: Colorectal cancer, Lung cancer (for eligible current or former smokers), Hepatitis screenings

   • Immunizations: Flu, Hepatitis A and B, HPV, MMR (measles, mumps, rubella), Shingles, Tetanus and others as recommended

   • HIV screening and PrEP medication for eligible adults

   • STI prevention counseling and screening

   • Depression screening and counseling

   • Alcohol misuse screening and counseling

   • Obesity screening and diet counseling for chronic disease prevention

   • Tobacco use screening and counseling, including help and resources to quit

   • Screenings for conditions such as tuberculosis or syphilis in individuals at higher risk

   • Counseling to prevent falls and injury in older adults

How to Access the MagnaCare Benefit:

• Watch for your MagnaCare packet and card (physical or digital).

• Find an in-network provider using MagnaCare’s provider directory or your packet.

• Schedule preventive visits (annual physicals, screenings, immunizations, etc.).

• Show your MagnaCare card at each preventive visit to ensure coverage.

2. Women’s Health Preventive Services
   Women have access to specialized preventive care through MagnaCare and TEG Wellness. These services are covered at 100% when using in-network providers and may include:

   Mammograms and breast cancer screenings, including BRCA risk assessments

   • Cervical cancer screening (Pap tests) and HPV testing

   • Birth control counseling and FDA-approved contraceptives

   • Counseling and support for breastfeeding mothers

   • Bone density screening for women over age 65 and for younger women who are at higher risk

   • Domestic and interpersonal violence screening and support

   • STI counseling for sexually active women

   • Tobacco use counseling and support during pregnancy

   • Gestational diabetes screening for pregnant women

   • Screenings for urinary incontinence and related infections

   • Well-woman visits that include key screenings, counseling, and forward-looking health planning

   • Rh incompatibility and preeclampsia screenings during pregnancy

   • Folic acid supplements and other prenatal preventive care, as clinically appropriate

How to Access Women’s Health Preventative Services:

• Find an in-network provider using MagnaCare’s provider directory or your packet.

• Use the TEG Health app to find providers.

3. Telemedicine
   Telemedicine access through TEG and NYBM allows you to connect with a provider from home, with:

   • 24/7 access, including nights and weekends

   • No-cost telemedicine visits

   • Support for non-emergency conditions such as:

     • Cold and flu symptoms

     • Allergies

     • Minor infections

     • Rashes and skin conditions

     • Annual check-ins and follow-ups
       Providers can also send prescriptions to your preferred pharmacy when medically appropriate.

How to Access the Telemedicine Benefit:

• Log in to the TEG Health App.

• Go to Benefits and select the telemedicine option.

• Or call (484) TELEMED / (484) 835-3633.

• Schedule a future appointment or start an on-demand consultation.

• Connect with a licensed provider via phone or video.

4. Employee Assistance Program (EAP)
   Your EAP offers free, confidential support to you and your family members, including:

   • Mental health counseling: stress, anxiety, depression, relationship issues, conflict, and more (in-person, video, or phone)

   • Financial consultations: budgeting, buying a home, debt management, basic tax questions, identity theft prevention, and savings strategies

   • Legal referrals: estate planning, wills, real estate, bankruptcy, divorce, custody, and other personal legal matters

   • Work-life resources: childcare, adoption, special needs support, eldercare, housing, transportation, education, and pet care

   • Medical advocacy: help navigating insurance, obtaining doctor referrals, medical equipment, and transitional care planning

   • BenefitHub discounts: savings with popular brands like Nike, American Airlines, and more

How to Access the EAP:

• Log into the TEG Health App.

• Choose the Employee Assistance Program option under Benefits.

• Use the code “teghealth” to log in.

• Access mental health counseling, financial consultations, legal referrals, and more.

• Or call the EAP directly at (866) 712-1347.

5. 

   Health Coaching
   Health coaching connects you with holistic, certified coaches who support your:

   • Nutrition and healthy eating

   • Physical activity and fitness

   • Stress management and resilience

   • Work/life balance and habit-building
     Features include:

   • 1:1 coaching sessions (phone or video)

   • Goal setting and tailored wellness plans

   • Flexible scheduling and coach selection

   • Measurable progress and engagement tracking

How to Access the Health Coaching Benefit:

• Log in to the TEG Health App.

• Navigate to Benefits and choose the health coaching perk that best fits your needs.

• Follow the prompts to schedule a session with a coach.

• For support, email support@teghealth.com.

6. TEG Health App

   The TEG Health App is your digital home for wellness:

   • Gamified challenges and competitions to keep you motivated

   • On-demand library with 800+ fitness, nutrition, meditation, and recipe videos

   • Integration with 35+ devices (Apple Watch, Fitbit, Google Fit, etc.)

   • Personal wellness assessments and strategic health recommendations

   • Push notifications with health tips and reminders

   • Central access point for:

     • Telemedicine

     • Prescription drug coverage

     • Digital pharmacy card

     • WellnessHub

     • FSA card information

How to Access the TEG Health App:

• Watch for an onboarding email from TEG Health Wellness.

• Download the TEG Health App to your device.

• Log in using the credentials provided in your email.

• Open the Benefits section to see tiles for:

  • Telemedicine, EAP, Health Coaching, Prescription Drug Coverage, FSA digital card, WellnessHub and more.

7. WellnessHub

   WellnessHub, accessed through the TEG Health App, provides:

   • On-demand video library for fitness, nutrition, stress management, tobacco cessation, and more

   • “Road to Wellness” programs focused on step-by-step behavior change

   • Risk resolution guidelines with evidence-based recommendations

   • Electronic medical record access

   • Corporate health profile and predictive modeling

   • Health trackers for exercise, sleep, hydration, and more

How to Access your WellnessHub

• Log into your TEG Health App and Navigate to the WellnessHUb Section.

8. Prescription Drug Coverage
   Your TEG Wellness prescription benefit includes:

   • Access to over 1,200 commonly used medications at no cost

   • A network of 70,000+ pharmacies nationwide

   • Digital pharmacy card available in the TEG Health App

   • Home delivery for maintenance medications

   • In-pharmacy pickup for acute medications

   • Coverage for both acute and maintenance drugs

   • Coverage for you and your eligible family members

How to Access Prescription Drug Coverage

• Watch for your welcome email about prescription benefits.

• Click the “Activate Now” button in the email.

• Complete your account setup.

• Log into your member portal to add dependents, if applicable.

• Access coverage via the portal at: http://member.tegwellness.com/

• For help with prescriptions, call (888) 220-6650.

9. Supplemental Benefit: FSA Card

   Your FSA card is funded using your tax savings from the program and:

   • Gives you access to the full annual amount you elect to put into savings

   • Works like a debit card at pharmacies, doctor’s offices, and other eligible locations

   • Can be used on eligible healthcare expenses such as:

     • Copays and deductibles

     • Prescription medications

     • Vision and dental expenses

     • Medical equipment

     • Menstrual products

     • Certain over-the-counter items and health-related products

How to Access your FSA Card:

• Your FSA card is mailed to your home address.

• Register and activate it through the TEG Health App or member portal.

• Use it like a debit card to pay for eligible healthcare expenses.

• You can also view your virtual FSA card in your TEG Health App.

How It Works

1. Enrollment

   • You are enrolled in the Preventive Care Management Program by your employer as part of a company-wide wellness initiative.

   • Enrollment activates your access to:

     • Preventive care through MagnaCare

     • Telemedicine and EAP

     • Prescription benefits

     • FSA card

     • TEG Health App and wellness resources

2. Preventive Care Visits

   • You receive your MagnaCare card by mail or digitally.

   • You schedule preventive care appointments with in-network MagnaCare providers.

   • When the visit qualifies as preventive under the guidelines and is with an in-network provider, it is covered at 100% (no copays or out-of-pocket costs for the preventive portion).

3. Program Funding and Payroll

   • The program is funded through a combination of:

     • A pre-tax payroll deduction

     • A post-tax reimbursement

   • Your net take-home pay remains the same.

   • Part of your tax savings help fund your enhanced benefits package and FSA card.

4. Use of Other Benefits

   • Telemedicine: call or use the app for 24/7 virtual care (no copays).

   • EAP: log into the TEG Health App or call the EAP number for counseling, financial and legal help, and life-resource referrals.

   • Health Coaching: select a coaching benefit in the app and schedule sessions.

   • Prescription Coverage: activate via your welcome email, then use your digital pharmacy card.

   • FSA Card: use at checkout for eligible health expenses once you receive and activate it.

Important Rules & Policies

• Preventive care services are covered at 100% only when:

  • The provider is in-network with MagnaCare, and

  • The service meets preventive care guidelines (routine screening, not diagnostic).

• This program is supplemental and does not replace your primary health insurance.

• Certain preventive services may depend on:

  • Age

  • Gender

  • Risk factors (such as smoking history, pregnancy, or chronic conditions)

• Enrollment in the program includes:

  • A pre-tax deduction and a post-tax reimbursement on your paycheck

  • A separate line related to tax savings (PCMPSAV) that reflects how the program is funded but does not reduce your net pay

• Your taxable income is reduced due to pre-tax deductions, which:

  • Lowers your taxes throughout the year

  • May result in a slightly smaller refund (because you overpaid less)

• Opting out:

  • You may opt out of the program, but you will lose access to all PCMP benefits, including:

    • Telemedicine

    • FSA card

    • Prescription drug coverage

    • EAP and other wellness services

Contacts & Support

Frequently Asked Questions