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San Mateo County has provided onsite wellness screenings and rewards for many years. Through the work of the labor-management Benefits Committee, the “Physician Option” was introduced last year.  This alternative option can be done instead of attending a County onsite Wellness Screening, and enable an employee to remain eligible for financial incentives.  This screening option will again be available in 2017.

You can now schedule a visit with your doctor or health care provider to get updated lab testing and medical results done. Your health care provider is asked to report your most current test results and medical information on a specific Physician Submittal Form. The document is to be completed and certified by your doctor and given back to you.

You are fully responsible for sending the completed Physician Submittal Form to BaySport, the County’s wellness vendor. You can send it in one of numerous ways, as explained on the attached cover sheet. Keep a copy for your records. Deadline is June 30, 2017.

Please do not return the Physician Submittal Form to the County. The County does not see the Physician Submittal Form. You first give it to your doctor, and then you give the completed/signed form to BaySport. Additionally, you will review and sign the required Program Disclosure/Release statement; it limits who can view your medical information thereafter.  You will note that the County and Court, its supervisors and management staff are not on that list. New for 2017 is an additional notice with detailed information on how your data is being secured.  This is to comply with new regulations to protect you. This notice is informational onlyAs always, this is a completely voluntary program.

It is your responsibility to ensure that your Employee Coversheet, the signed Program Disclosure / Release Statement and the completed / certified Physician Submittal Form are sent to BaySport on or before June 30, 2017. THE REQUIRED DOCUMENT IS A TOTAL OF THREE PAGES.

What are the benefits of completing my Wellness Screening through my physician?

  • This option appeals to individuals concerned about privacy / confidentiality of onsite Wellness Screening clinics sponsored by the County
  • Getting tests done at your doctor’s office will be considered the same as participating in a County Wellness Screening. Choose one.
  • The Privacy, Confidentiality and Transfer of Health Information are completely in your hands.
  • Doctor will decide what tests to order as part of the Wellness Screening done at the doctor’s office, based upon medical group practice protocols and national screening guidelines.
  • Use sick leave or see doctor on your own time. You will pay co-pays and all costs associated with your doctor’s visit.
  • New option this year, based upon employee feedback

Instructions:

  1. Complete the Employee Coversheet with all contact and transmittal information as requested (page 1)

  2. Sign the Program Disclosure / Release Statement (page 2).

  3. Include the completed / certified Physician Submittal Form completed by your doctor (page 3). Note: If your doctor has attached a copy of the results instead of writing the numbers on the Physician Submittal Form, include your doctor's attached copy to the packet for a total of four pages in length.

  4. Send your packet (1. CoverSheet 2. ProgramDisclosure/Release 3. Physician Submittal Form) to BaySport on or before June 30, 2017. Keep a copy for your records. Choose one of the following methods to submit to BaySport:

    • By email: SCAN the packet and send it to smcgov@baysport.com

    • By FAX: TRANSMIT the packet to BaySport at (408) 395-7350

    • By US Mail: MAIL the packet to: BaySport, Inc. Attn: SMCo Wellness, 14830 Los Gatos Blvd, Suite 101, Los Gatos, CA 95032

      • The envelope must be postmarked no later than June 30, 2017. It will require additional postage.

    • Hand-Deliver your packet to BaySport: You can drop it off at the check-in desk at any County Wellness Screening scheduled between February 1 and June 30, 2017 or at the BaySport office at BayClub-Redwood Shores, 200 Redwood Shores Parkway, Redwood City during normal business hours (M-F, 8am - 4pm). Submit your packet in a sealed envelope; and be certain that your name and County Employee ID number are written (clear and legible) on the front of the envelope. If delivering at a County Wellness Screening, it should be initialed and dated by a BaySport employee in your presence. If delivering to the BaySport office, it should be hand-stamped by a BaySport employee. Do not leave your packet on an unattended table or next to a locked door after hours as BaySport cannot guarantee receipt.

  5. Upon receipt, the packet will be electronically date stamped.

​BaySport will send a confirmation to your email address within 10 business days of your transmittal indicating that they have received all three pages of your packet, or indicating that the packet is incomplete and missing documentation must be re-submitted.
If you haven't received an email confirmation after 10 business days of submitting your Physician forms, please contact BaySport at smcgov@baysport.com or 650-779-4315.