Complete your annual health survey

Please complete this health survey as best you can. This survey collects information about your health that we use to give you better care. Based on your answers, we may refer you to free programs to help improve your health or prevent disease.

By completing this survey, you are giving us permission to reach out to share program information with you. Your personal results and information will be kept strictly confidential. You are not required to take this survey. If you do, your answers will only be shared with those who need to see them and will not affect your healthcare benefits or eligibility.

WellSense may collect and use information like race, ethnicity, language, gender identity, sexual orientation, sexual preference, religious beliefs, citizenship or immigration status to help improve your healthcare. We may also share this information with your healthcare provider so that they can give you better care. In line with federal and state laws, WellSense takes many steps to protect your information, including physical and electronic safeguards such as encryption and access controls. WellSense will not use this information for underwriting, rate setting or benefit determination. Providing this information is voluntary and will not impact your coverage or benefits with WellSense. For more details on how we keep your data safe, visit https://www.wellsense.org/about-us/health-equity or contact our Member Service Team.

This survey should be completed once per year for each WellSense member in your family. You will have two weeks to complete the survey or make changes once you start it.