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Video: 2025 Annual Enrollment

VIDEO: 2025 ANNUAL ENROLLMENT

The Annual Enrollment process has changed
November 1–26, 2024 

This video provides a quick tutorial on how to complete your 2025 Annual Enrollment. We’ve changed the Dependent Verification requirement, so watch this 4-minute video to learn the new process.

You must verify your spouse or domestic partner to continue their coverage. Coverage will automatically continue for your eligible children.

You can also check out these short videos on reimbursement accounts and the 2025 benefits changes.

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Use this Annual Enrollment checklist to stay on track

Take action by November 26, 2024, to confirm elections or make any changes. You can sign up for text reminders on the Enrollment Website located on Costcobenefits.com.

  1. Read the enrollment instructions and the 2025 Benefits Plan Changes booklet that came in your 2025 Annual Enrollment kit. The kit should have arrived by mail in late October. You can also review this information online at Costcobenefits.com.
  2. Complete the Dependent Verification process to continue coverage for your spouse or domestic partner. If you don’t complete this step, coverage for your spouse or domestic partner will end on December 31, 2024.
  3. Review your enrolled children and remove any children that are no longer eligible. Coverage will automatically continue for children still eligible. Find eligibility details on Costcobenefits.com. If you add any family members to the plan, you must submit required documentation by November 30, 2024.  
  4. Enroll or re-enroll in one or both reimbursement accounts*, the Health Care Reimbursement Account (HCRA) or Dependent Care Assistance Plan (DCAP), if you want to participate in 2025. 
  5. Designate a beneficiary for both life and AD&D insurance on the Enrollment Website and for your retirement plan at RPS.TRowePrice.com.

*Not available in Puerto Rico.

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Video: 2025 Benefits changes

VIDEO: 2025 BENEFITS CHANGES

The hot list: Benefits changes for 2025

Want to know what’s coming in 2025? Watch this new video so you can learn about the new and enhanced benefits arriving soon.

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Discover new and updated benefits available January 1, 2025

Aetna ID card update*

To ensure that you and your family members enrolled in the Aetna medical plan have access to a primary care physician (PCP), a PCP will be assigned to you and your enrolled family members on your Aetna® ID card. Their phone number will be provided so you can call to schedule your preventive care or a new patient appointment. If you already have a PCP you’ve seen in the last two years, that provider will be the name on your card  

  • If you see a nurse practitioner or physician’s assistant, their supervising physician will be the name on your card 
  • You are not required to see the assigned PCP and can change the PCP on your card at any time 
  • There are no changes to your medical plan — this is not an HMO, so you don’t need to get a referral from a PCP to see a specialist 
  • Contact your Aetna Health Concierge at 800-814-3543 (TTY: 711) if you have questions or you’d like to change the PCP on your card 

Dental incentive*

  • Earn a $50 credit toward your annual medical deductible or coinsurance when you get at least one annual dental cleaning 
  • Available for you and each dependent enrolled in Aetna Medical and Dental® plans  

Maternity incentive*

  • Earn up to a $400 credit toward your annual medical deductible or coinsurance for you or your spouse or domestic partner when you enroll and engage in the Aetna Maternity Program during and after your pregnancy 
  • The earlier in your pregnancy you enroll, the more you can earn 
  • Visit Aetna.com/Maternity or call 855-282-6344 (TTY: 711) to learn more and enroll

Chiropractic visits*

  • You’ll have coverage for up to 30 chiropractic visits per year  
  • You no longer need to meet your deductible or coinsurance for visits
  • Your plan’s PCP copay applies
  • Available for you and your dependents enrolled in an Aetna Medical plan

No-cost visits to 98point6®** 

  • Text-based visits to board certified doctors for a $0 copay
  • Available to you and your dependents age 1+ enrolled in a Costco medical plan  
  • Get visit-ready by registering at 98point6.com/Costco or on the 98point6 app 

FitMyFoot 

  • All employees and their family members can get custom foot insoles for $80 per pair to help with foot, knee or back pain
    • Download the FitMyFoot app to scan your feet 
    • Then visit FitMyFoot.com/CostcoEmployee to place your order
    • Custom foot insoles are shipped to your home address
  • For employees and dependents enrolled in an Aetna medical plan, up to three pairs of insoles per year are covered. Deductible and coinsurance apply.

Alma  

  • Effective January 1, 2025, you’ll have expanded access to mental health providers and a new way to search for a therapist online through Resources for Living (RFL). Alma, available through the RFL website, allows you to search for providers who are in the network and accepting new patients. Also, with Alma, you:
    • Can schedule a consultation with the provider of your choice
    • Receive automatic authorization for 6 free therapy sessions per issue per year for you, all your household members and dependent children up to age 26
    • Filter your provider search based on personal preferences
    • Can view a provider’s profile before requesting a consultation
    • On average, have your first therapy session within 5 days
    • Have access to providers that offer both virtual and in-person support

Well-being coaching

  • You can also talk with an RFL Well-being coach for free and confidential coaching sessions to help with your personal goals, such as:
    • Developing better eating habits
    • Learning better time management
    • Stepping out of your comfort zone
  • Visit RFL.com/Costco or call 833-721-2320 (TTY:711) to learn more

WeightWatchers

  • Your monthly rates are now even lower! $9 for you and $14.50 for your spouse or domestic partner and dependents 18+ 
  • Visit WW.com/Costco or call 866-204-2885 to learn more 

LifeMart

  • Discounts on gym memberships, virtual fitness and childcare** programs 
  • Click here to access your employee savings 

Sleepio

  • A no-cost, online sleep improvement program
  • Clinically proven to help you clear your mind, get better sleep and have better days in just 6 weeks
  • Available to you and your dependents 18+ enrolled in a Costco medical plan
  • To get started:
    • Visit Sleepio.bighealth.com/Costco and complete the coverage check
    • Click the link in the confirmation email you receive to download the Sleepio app and create your account
    • Complete the baseline sleep quiz and start seeing the benefits of Sleepio

Cylinder** Available now!

  • Expert help and support for gut health and digestive issues, no diagnosis needed
  • Available at no cost for you and your dependents 18+ enrolled in a Costco medical plan 
  • Get started at Go.CylinderHealth.com/Costco (access code: Costco) or call 8882465019

Dependent basic life insurance

  • Your dependents enrolled in a Costco medical plan automatically receive basic life insurance with Unum at no cost to you.
  • Coverage increases from $1,500 to $3,000 for each enrolled dependent

New programs and services are available January 1, 2025. Visit Costcobenefits.com to learn more.

*Available to the Mainland only.
**Not available in Puerto Rico.

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Video: 2025 Reimbursement accounts

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VIDEO: 2025 REIMBURSEMENT ACCOUNTS

Save money on taxes with reimbursement accounts

Available to Mainland and Hawaii only

Wouldn’t it be nice to save money on your annual taxes while paying for things you need, such as medications and childcare? That’s the benefit of reimbursement accounts.

When you enroll in Costco reimbursement accounts during Annual Enrollment, you can put aside pretax dollars to reimburse yourself for eligible expenses throughout the year.

Health Care Reimbursement Account (HCRA) – For eligible health care expenses.

Dependent Care Assistance Plan (DCAP) – For eligible dependent care expenses.

Watch the video below for a quick overview of your reimbursement account options, administered by Inspira Financial.

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Frequently asked questions about reimbursement accounts

How does a reimbursement account work?

When you enroll in an HCRA or DCAP, you choose how much to contribute by thinking about how much you’ll need to cover your expenses. If you have a reimbursement account for 2024, you should also consider the amount you may roll over from 2024 to 2025. The money is automatically taken out of your paycheck and deposited into your reimbursement account before payroll taxes are calculated. You can fund these accounts up to the annual limit set by the IRS.

When do I enroll in an HCRA and DCAP?

HCRA

If you want to enroll or re-enroll in an HCRA for 2025, you must make your elections during Annual Enrollment, November 1 – 26. If you enrolled in a HCRA for 2024, you need to re-enroll for 2025 to participate. You can only enroll in an HCRA during Annual Enrollment.

DCAP

Enroll or re-enroll in a DCAP for 2025 during Annual Enrollment, November 1 – 26. You can enroll, change or stop your DCAP election at any time during the year if there is a qualifying change in your dependent care needs. If you enrolled in a DCAP for 2024, you need to re-enroll for 2025 to participate.

What expenses do reimbursement accounts cover?

HCRA

You can use your HRCA for eligible health care expenses for you, your spouse and eligible dependents. These include items that are not covered by your medical plan, such as your copays, deductibles and coinsurance, as well as other health care items and services, such as prescriptions and dental and vision expenses. 

See a complete list of eligible health care expenses. 

DCAP

Your DCAP can be used for eligible dependent care expenses necessary for you and your spouse to work. Funds can be used to pay for childcare for your dependents age 12 and under, or to care for another family member incapable of self-care such as a spouse, a child age 13+ or a parent. Expense examples include day care, after-school care and in-home care.  

See a complete list of eligible dependent care expenses. 

Note: The DCAP cannot be used for dependent care health care expenses 

How do I pay for items and services with my reimbursement accounts?

HCRA

You have a few different ways to access your HCRA. The default reimbursement method for the HCRA is autopay. This feature automatically pays your portion of medical and dental claims, such as copays, directly from your account. If you plan to use your funds for something specific, such as braces, you can turn off autopay at the start of the year on the Inspira website or app. You’ll also receive the Inspira Card® — the HCRA debit card — to use for eligible expenses at the Costco Optical Department, Costco Hearing Aid Center or any pharmacy. If needed, you can pay upfront for an eligible item or service and submit a claim for reimbursement. 

DCAP

To use your DCAP, you need to pay upfront for your eligible dependent care or service, then submit a receipt and a claim form to get reimbursed from your account. You can submit claims on the website or app.

How much can I contribute to my reimbursement accounts?

HCRA

You can contribute $120-$3,300 per year to your HCRA account. This funding limit is set each year by the IRS. You can access the full amount of your annual HCRA election on January 1, 2025.

DCAP

You can contribute up to $5,000 per year to your DCAP account, or $2,500 if married and filing separately. Access is limited to the current money in your account. You can get reimbursed up to the amount of your year-to-date contributions, not the entire annual amount selected.

What happens if I have funds left over at the end of the year?

HCRA

Only a small portion of your HCRA balance can roll over to the next plan year. If you are enrolled in an HCRA for 2024, your rollover amount to use in 2025 is $640. This amount is determined each year by the IRS. You forfeit any balance over the rollover limit that remains in your account after the claim filing deadline of April 30, 2025.

DCAP

The DCAP offers a grace period, where funds from the previous year can still be accessed. You can use the funds you contributed to the DCAP for 2024 for any eligible services through March 15, 2025. Claims can be submitted until April 30, 2025. Any funds remaining after the deadline will be forfeited.

Visit the Enrollment Website on Costcobenefits.com to make your reimbursement account elections during Annual Enrollment. For more information, see the resources below.

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How your body reacts when you quit tobacco or nicotine

Kicking the habit isn’t easy. But if you’re able to quit smoking or vaping, you may notice some small improvements right away. Maybe you’re less out of breath during everyday activities or your sense of smell is better. There are also changes going on that you can’t see — from the moment you take your last puff.  

If you’re a current user of tobacco or nicotine, maybe now is the time to decide if you’re ready to start your smoke-free life. You can join thousands of smokers across the country in taking the first step during the Great American Smokeout® on November 21. You can also enroll in the Costco Tobacco & Nicotine Cessation Program to get coaching and support to help you on your journey.

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A timeline of your body’s recovery 

Check out the infographic below to learn how your body recovers from tobacco over time. Many of these changes apply to quitting nicotine too1.

1Hawai‘i Public Health Institute. 12 Things That Happen to Your Body When You Stop Vaping

Sources:
American Cancer Society. Health benefits of quitting smoking over time.
WebMD. What happens to your body when you quit smoking.

Ready to quit? Check out the resource below for help. 

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The top 10 reasons to get regular dental and vision exams

Did you know that getting regular dental cleanings can reduce your chances of ending up in the hospital by up to 28%?

That’s a great reason to schedule your annual dental appointment (and eye exam) before the year is over. If you need more motivation, check out the “top ten” list below. While some of the reasons may be familiar to you, others may be surprising — and may motivate you to get these exams on your calendar every year. 

If you haven’t gotten your two yearly dental cleanings or haven’t had your eyes checked this year, there’s still time to schedule your annual visits. Dental exams and cleanings are covered at 100% when you’re enrolled in a Costco dental plan and see an in-network dental provider. Your Costco benefits also offer an allowance toward your annual eye exam and $175 per year toward the cost of prescribed eyewear (this amount can be spread out over the whole calendar year and doesn’t need to be used all at once).

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10 reasons to get your yearly exams

Dental

Prevents tooth decay

At your teeth cleaning, your dental hygienist removes the plaque and tartar deposits that are too hard to get to during regular brushing. Left unchecked, these can cause cavities, tooth loss, gum disease and other issues.

Catches dental concerns early

Annual visits allow your dentist to catch cavities and other concerns early, when they’re easier and less costly to treat. For example, a simple filling today could require a surgical extraction and expensive implant if left untreated.

Improves cancer outcomes

Recent research shows that people diagnosed with throat, nasal cavity, and other head and neck cancers have a 30% higher survival rate 10 years after their diagnosis if they visited their dentist regularly.1 

Lowers risk of early delivery during pregnancy 

Pregnant women who have good oral hygiene and routinely visit their dentist are less likely to experience premature delivery, a baby with low birth weight and preeclampsia.2

Impacts heart health

Poor oral health can increase the risk of heart disease, such as heart attack or stroke. Research suggests that bacteria present in gum disease can travel through the bloodstream to trigger inflammation and infection in the heart.

Vision

Improves eyesight 

A comprehensive eye exam with an optometrist is the best way to determine if you need corrective lenses and check whether your current prescription has changed. These exams can also identify common conditions such as myopia (nearsightedness). 

Detects eye diseases

Many diseases of the eyes don’t have symptoms but can lead to vision loss if untreated. Your eye doctor can identify early warning signs and help treat conditions such as glaucoma and diabetic retinopathy. 

Identifies other health concerns 

Issues spotted in the eye are often the first signs of medical conditions throughout the body. Some of these conditions include high blood pressure, high cholesterol and diabetes.

Makes learning easier for kids

Good vision is helpful to the learning process. An eye exam can detect any concern that may be getting in the way of your child’s school performance. 

Keeps you safer 

Whether you’re driving a car, operating a forklift or using other machinery, you need to see what you’re doing. Being able to see clearly helps keep you and others out of harm’s way.  

Feeling more motivated? Schedule your exams today. And if you use tobacco or nicotine, read on. 

Quitting nicotine is good for your teeth and eyes, too

If you smoke or vape, you are at a higher risk for gum disease and tooth loss. The risk of developing dry eye syndrome and cataracts also goes up. Try the Costco Tobacco & Nicotine Cessation Program for support to help you quit nicotine products for good. To get started, log in to Costcobenefits.com then click this link

Check out the resources below to keep your teeth and eyes healthy. 

1Health. Regular dental visits linked to increased survival rates for head, neck cancer patients.
2NIH National Library of Medicine. Oral care in pregnancy.

Sources:
Penn Medicine. The link between gum disease and heart disease.
American Academy of Ophthalmology. 20 surprising health problems an eye exam can catch.
Oral Health Foundation. Smoking and oral health.
Tompkins Dental. How vaping affects your teeth.
American Academy of Ophthalmology. How do smoking and vaping damage the eyes?

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Beating the costs of braces

A beautiful smile is priceless. But the money you spend to keep smiles beautiful can add up when you or a family member needs braces. The average cost of traditional metal braces is in the $5,000 – $6,000 range.1 Adults and some teens may be able to use clear aligners, plastic trays that snap onto teeth and gently push them into alignment. Since they’re nearly invisible, aligners are less obvious than metal braces but also can be expensive, from $2,000 – $5,000 on average. 

And then there’s the emotional cost, especially for kids and teens. The fear of looking different can be stressful for young people and may lead some of them to resist treatment.   

Your Costco benefits can help. Read on to learn about the resources available to help bring a new smile to your (or your kid’s) face.

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Braces and kids’ mental health

Wearing braces can be tough on kids and teens. They may be bullied or teased about their appearance or avoid social situations because they’re self-conscious about the way they look. Fortunately, the boost in self-esteem and confidence they feel when they see their new smile emerging can often overtake any negative feelings.  

If your child could use someone to talk to, Resource for Living offers emotional well-being support to parents and children. Teens age 13+ can also access Talkspace for video chat or text  therapy. 

Three ways to budget for braces

Check out these benefit programs to help finance orthodontia treatment. 

Use your dental plan benefits

Orthodontia benefits through your Costco dental plan help make braces more affordable. You and each of your enrolled family members can access orthodontic services up to the lifetime maximum benefit of your dental plan. Visit Costcobenefits.com to find your plan’s orthodontia benefit information.

Plan ahead with a reimbursement account

You can use a Health Care Reimbursement Account (HCRA)* from Inspira FinancialTM to set aside pre-tax dollars for orthodontia or other eligible health care expenses. You can enroll in an HCRA during Annual Enrollment, coming in November. Only a small portion of your HCRA balance can roll over to the next plan year, so you’ll want to think about when you plan to use your HCRA funds.

Improve your budgeting skills

SmartDollar, a free financial well-being program for all employees, offers tools, advice and coaching to help you save for what’s important to you. Create your free SmartDollar account here. Then, follow these three steps:

Step 1: Find Your Why 

What’s your reason for getting braces? Are you looking to correct your kid’s overbite? Straighten crooked teeth? Or just feel more confident in your smile? Every goal needs a why—something that’ll keep you motivated. Try to keep your why front and center.  

Step 2: Know Your Numbers 

Making a budget is a lot easier when you know what numbers you’re working with. Look at your most recent bank statements. Note how much you’re bringing in every month and what’s going out. Prioritize these essentials: food, utilities, shelter, transportation. This gives you a clear view of what money is left over to put toward your goal. 

Step 3: Write It Down 

It’s super important to write down your budget. You can use pen and paper or download SmartDollar’s free EveryDollar budgeting app. A plan, on paper and on purpose, is a great tool to set you up for success. 

Need help getting started? Set up a coaching session with a financial expert at SmartDollar today.

Your new smile, or one for your kids, is within reach with the help of your Costco benefits. Use the resources below to help you make it happen.

1Consumer Affairs. Cost of braces in 2024.
2 Forbes Health. How much does Invisalign cost in 2024?
*Not available in Puerto Rico.

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Are you feeling election stress?

Current events can be a source of stress and anxiety for many people. These feelings can impact both your emotional and physical health. One example? Grinding your teeth. This common symptom of stress can cause tension headaches and damage your teeth and jaw.   

Finding healthy ways to cope during these times is extremely important. These ideas from RethinkCare might inspire you. Keep them in mind when interacting with the news or with people you disagree with to help you manage your emotions and support your well-being. 

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4 tips to help you destress

number 1

Develop curiosity and build strength 

Think about how a person’s culture and experience shape their views. What can you learn from them even if you disagree? Relationships can be built on more than just political views. By being curious and open, you can understand other people’s perspectives and build stronger connections despite differences.

number 2

Cultivate empathy 

Build empathy by remembering times when you changed your own beliefs. Acknowledge that your views are a part of you but don’t define you. When you learn to both understand different perspectives and maintain your own, you can respect the diversity of thought and experience in others. 

number 3

Manage difficult conversations 

Difficult conversations are to be expected during election season. To have more productive and respectful discussions, work to develop a deeper understanding of yourself. That way, you can communicate with more ease, trust and confidence. 

number 4

Step back if you feel overwhelmed

Non-stop news and social media can be taxing. If you’re feeling fatigued, take a day or a few days to disconnect. Try setting specific times to engage in news and dedicate the rest to self-care. You can also practice mindfulness or meditation to clear away mental clutter and help you focus on what truly matters.

You can get through election season and beyond. The resources below can help.

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Mood-boosting ideas for World Mental Health Day

Sometimes, it’s hard to smile, especially if you’re feeling sick, tired or blue. But research shows that the physical act of smiling — and the release of feel-good chemicals it generates — can do your body good. It can lift your mood, lower stress, strengthen your immune system and possibly help you live longer.  

In honor of World Mental Health Day on October 10, we invite you to put a smile on your face (even if it’s hard) and take charge of your emotional fitness. For starters, try a technique to help you let go of anxious thoughts, described in the short video below from AbleTo*.  

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Check out the resource below to build up your emotional well-being and feel more happiness, peace and empowerment. 

*Not available in Puerto Rico.

Sources:
NBCnews.com. Smiling can trick your brain into happiness — and boost your health.
AbleTo. Shape up your self-care routine.

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It’s time for Safety Week,
beginning September 9

Things can happen at a Costco warehouse. Fruit spills on the floor, creating a slipping hazard. A loose load drops off a forklift. Cars back up within inches of an employee collecting carts in the parking lot. Cardboard cuts split open a finger.  

Luckily, many of these hazards can be avoided if you know how to reduce workplace risks. That’s exactly what Safety Week is about. Hosted by the Costco Safety Department, Safety Week is a time to become familiar with safety practices at Costco to prevent injury, illness and the stress that goes along with them. You’ll also receive tips and information from Employee Benefits to safely navigate the world outside of work.

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During Safety Week, you’ll learn how to:

  • Prevent slips, trips, falls and near misses 
  • Prepare for emergencies 
  • Be aware of your surroundings at all times 
  • Reduce stress and improve your emotional wellness 
  • Achieve food and fire safety 
  • Get your free annual flu shot

Join in for safety activities, tips and giveaways from some of our Costco benefits partners. And remember, safety is everyone’s job.

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Why chronic pain causes fatigue and depression

Are you suffering from chronic pain? Do you feel too tired to get things done? Is not being as efficient as you like getting you down? 

Chronic pain can be a stubborn and complex condition to treat, since it can create problems beyond the obvious physical discomfort. Your Costco benefits offer a variety of programs to help you manage chronic pain (and the stress that can come with it) and get back to living your life.

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What is chronic pain?

According to the National Institutes of Health, 25.3 million U.S. adults live with chronic pain (pain that lasts three months or longer).1 This persistent pain can result from an injury, illness, infection or medical condition such as arthritis or migraine headaches. It can range from an annoyance to a source of severe suffering.

Chronic pain and fatigue

When chronic pain persists, the discomfort can make it difficult to get restorative sleep. Pain can trigger feelings of sadness and despair, which can make getting a good night’s sleep even harder. At the same time, a lack of quality sleep can decrease your pain tolerance and intensify your experience of pain.

Chronic pain and depression

Chronic pain can make it difficult to exercise, socialize, work and enjoy even the simplest things in life. Thoughts about the pain and reduced physical activity can lead to feelings of sadness and loss.  

The stress of putting all your efforts into managing your pain while still trying to keep up with life’s demands can be stressful and deepen feelings of depression. It’s a common predicament — between one-third and three-quarters of people with chronic pain experience moderate to severe depression.

4 ways to manage the mental health effects of chronic pain

No matter the location, source or intensity of the pain, if left untreated, it’s likely to affect your ability to live a healthy, happy life. Here are some approaches you can take to reduce the fatigue and depression from chronic pain.

number 1

Get counseling.

Therapy can help you identify and change the negative thoughts and feelings that can make pain worse. Start with a program tailored to your specific needs through AbleTo*.  These no-cost eight-week programs provide one-on-one therapy, coaching and digital exercises to help you deal with the anger, frustration, depression and anxiety that can come with chronic pain. 

number 2

Participate in physical therapy.

A physical therapist will work with you to identify areas of weakness or stiffness that may be adding to the pain and treat those areas with targeted exercises. Take advantage of free virtual physical therapy through Omada for Joint & Muscle Health and work one-on-one with a licensed physical therapist in the comfort of your home to get the help you need. 

number 3

Try meditation.

Studies show that meditation can lessen pain and stress by retraining the brain to better deal with pain. Keep it simple to start out — just allow yourself to focus on the present moment, letting go of any judgement. For help, turn to Resources for Living and their library of videos and podcasts that can get you started with a meditation practice.

number 4

Cut back on unhealthy substances.

Alcohol can make sleep problems worse and increase depressive symptoms. Smoking restricts blood flow, which prevents healing. If you have chronic pain, drink less or no alcohol. Work with the Costco Tobacco Cessation Program to help you quit nicotine products for good.

These strategies can help ease your pain, promote relaxation and improve your outlook. Check out the resources below to get started. 

1National Institutes of Health. NIH analysis shows Americans are in pain.
*Not available in Puerto Rico. 

Sources:
AbleTo. Why chronic pain causes fatigue and depression.
Mayo Clinic Health System. Pathways through persistent pain: tips for managing chronic pain.
Healthline. Meditating for chronic pain management.