Healthy Advantage Wellness Program - FAQ

The Memorial Hermann Healthy Advantage Wellness Program is designed to help maximize your Medicare Advantage plan benefits while improving your overall health and well-being. It is a program that rewards you for completing certain health-related activities. These activities may include an annual physical or an annual wellness visit with your Primary Care Provider (PCP), as well as age-appropriate preventive screenings and tests.

Once a member completes their annual Health Risk Assessment, they are automatically eligible to participate in the program. Upon completion of certain health-related activities and a claim is filed, we will run monthly reports to identify which members have completed which activities. We will then mail a MasterCard gift card with the specific allotted value for that particular health-related activity. The gift card can be used for any purchases, whether online or at brick and mortar locations. The card is not reusable and can be disposed of after the valued amount has been entirely spent.

Please allow up to 60-90 days from the date the claim was received for processing and mailing of your gift card.

No. Although we encourage that you complete all necessary preventive and screening services, it is a voluntary program to reward you for completing covered preventive screenings and wellness services you are entitled to receive.

There is no member cost to participate in the Memorial Hermann Healthy Advantage Wellness Program.

No, you do not need to sign-up to participate in the program, however to qualify for the program you must first have completed your annual Health Risk Assessment. Upon completion of your annual Health Risk Assessment you will receive you first reward card and be eligible for any future rewards for completing certain health-related activities.

No, to qualify for participation in the Healthy Advantage Wellness Program, you must first complete your annual Health Risk Assessment.

To request a copy of the Health Risk Assessment be mailed to you, please call customer services at (855) 645-8448. For assistance in completing the Health Risk Assessment with a member of our case management department, please call (713) 913-3447 and leave a message for a call back. You may also email the case management department at MHPPCaseManagement@Apex4health.com to request assistance.

No. If you are eligible for the service and receive it during the plan year, you will be rewarded for completing that specific service.

Yes, in order to earn a reward for the annual wellness visit, the service must take place under this plan benefit year. Contact your PCP to schedule your annual routine/wellness visit this year.

Yes, the plan will perform independent claims verification of completed activities.

No, the gift card cannot be redeemed for cash.

We will run reports to identify which members have completed the activities listed on the Healthy Advantage Wellness Program, and then mail the gift card to you. Please allow up to 60 days from the date the claim was received for processing and mailing of your gift card.

You have until December 31st of each plan year to earn your reward. Services completed in November and December may be rewarded in the early months of the following year.

The screenings and checkups listed on the Healthy Advantage Wellness Program are all covered by the plan to keep you healthy and detect health issues early, when treatment is most effective.

No. The Healthy Advantage Wellness Program and reward cards are not plan benefits. There are no appeal rights.

Click here to find an available PCP covered in your plan, or call our Customer Service team at (855) 645-8448 (TTY 711). Customer Service will be available 7 days a week from 8 a.m. to 8 p.m. CT during Oct. 1 – March 31 and Monday – Friday from 8 a.m. to 8 p.m. CT during April 1 – Sept. 30.