Healthy Advantage Wellness Program - FAQ

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Questions? Contact Customer Service at (855) 645-8448

Frequently Asked Questions

What is this program about?

The Memorial Hermann Healthy Advantage Wellness Program (HAWP) 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.

How does the Memorial Hermann Healthy Advantage Wellness program work?

In order to earn a reward, all you have to do is complete a service listed as a Healthy Advantage Wellness Program activity.

Am I required to do these activities?

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.

Are there costs for me to do these activities?

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

Do I have to complete all of the activities to get my reward card?

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

If I completed my annual physical or an annual wellness visit with my previous plan late last year, do I still have to get one from this plan?

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.

Are you going to check that people actually received the services before you send the gift card?

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

Can the card be redeemed for cash?

No, the gift card cannot be redeemed for cash.

How long will it take to get my gift card once I complete a service, and what can I purchase?

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 for processing and mailing of your gift card.

How long do I have to complete the service(s) listed on the Healthy Advantage Wellness Program?

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.

Why should I do this program? Would the money be better used to provide more benefits?

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.

If I disagree with the decision of the health plan regarding the number or type of items I completed, can I appeal?

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

How do I find a Primary Care Physician (PCP)?

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.

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