Being SMART about your health in 2026
Each year about 40% of Americans make getting healthier one of their New Year’s resolutions. Being SMART about it increases your chance of success. As part of your resolution, set specific, health-related goals, the first one being to schedule your annual check-up with your personal doctor in the next two weeks. What makes that SMART is:
| S | Specific | The specific task is to schedule your annual check-up with your personal doctor. |
| M | Measurable | You can check the box when you’re done. |
| A | Achievable | Scheduling your annual check-up is something achievable with a quick phone call. |
| R | Relevant | Your annual check-up is relevant as meeting with your doctor helps identify things you need to do as you aim to get healthier. |
| T | Time-bound | Giving yourself a deadline to schedule the appointment helps you stick to your plan. |
Other goals to help you and your family get healthier this year should include:
- Completing any follow-up care your personal doctor recommends
- Asking your child’s doctor about lead screenings
- Making sure children get all recommended vaccines, including the HPV vaccine for adolescents
- Scheduling your child’s dentist check-up and fluoride treatment
- If your child takes attention deficit disorder (ADD) or antipsychotic medications, checking with their doctor about other recommended screenings

Planning for a baby in the new year?
Sunny Start helps moms and babies get the care they need during and after pregnancy. We can help with scheduling appointments and making the most of your benefits so you have the right support before and after the baby comes.
Call 855-833-8119 or click here to learn more.
Managing a chronic illness: Map the journey
Managing a chronic illness, like diabetes or hypertension, is a journey. The start of a new year is a great time to make a plan for what mile markers you’ll want to reach along the way. Heart, lung and blood sugar issues can quickly detour your route, so plan for regular testing and follow-up to keep you on the road to better health.
Diabetes mile markers
- Annual check-up
- A1c test at least twice per year
- Annual retinal eye exam
- Kidney function blood test
Heart-related mile markers
- Blood pressure check at least twice per year*
- Annual cholesterol test
*If you take your blood pressure at home, be sure to call your doctor with the results so those can be added to your chart.
The good thing about being a WellSense member is that you don’t have to take the journey of managing a chronic illness alone. We’re here to help. Visit our Your Health page for more information about our disease management programs.
Shutting down the "why try effect"
People with substance use disorder (SUD) often feel shame, are afraid to ask for help, and believe there is no point in getting help because barriers to recovery seem too great. That’s the “why try effect.” We believe, no matter what, there is always a reason to try.
The hardest step for some people is initiating treatment for SUD. That could be an outpatient visit, inpatient admission or partial hospitalization. That may seem daunting, but our Care Managers are available to discuss treatment options and help members get to where they need to be.
Other people may find keeping up with treatment to be the most difficult part. Our Care Managers are there to provide support and resources here as well.

- Preventive services
- Fluoride treatments for members of all ages
- Dental sealants for members younger than 21
- Pain relief and treatment of infections
- Fillings and crowns
- Root canal treatment
Check your benefits
- The Summary of Benefits offers an overview of how you and your plan will share the cost for covered healthcare services.
- The Schedule of Benefits explains your benefits, including deductibles, copayments, and/or coinsurance.
- The Evidence of Coverage provides the most detail about your health plan.
If you have questions about your benefits, contact Member Service at 855-833-8122 (TTY: 711).
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