THM Campaign—Health Assessment Form

THM Campaign—Health Assessment Form

  • Take the form with you to your primary care physician.
  • Have your provider complete the THM form and make sure
    both you and your provider sign the form.
  • Fax or mail the completed form to BCBSMT for processing.

Receive $100 OFF your plan deductible the following year
for completing the Total Health Management assessment!

Employees and covered spouses are eligible for this program.
Please note: Medicare-eligible members and dependent children are not eligible for this incentive.