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 processed, the Plan will run reports to identify which members have completed which activities. The Plan will then load the reward dollars to your Flexible Spending Card (WEX) for the specific allotted value for that particular health-related activity. The reward dollars can be used for purchases, whether online or at brick-and-mortar locations. Reward dollars cannot be used to purchase alcohol, tobacco or firearms.

Please allow up to 60-90 days from the date the claim was received for processing and for reward dollars to be loaded to your Flexible Spending Card (WEX).

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.

No. 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 your first reward dollars will be loaded to your Flexible Spending Card (WEX) and you will be eligible for future reward dollars upon completion of certain wellness activities.

No, to qualify for participation in the Memorial Hermann 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) 913-3477 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 wellness activity.

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 wellness activities.

No, the reward dollars cannot be redeemed for cash.

The Plan will run reports to identify which members have completed the wellness activities, as listed on the Memorial Hermann Healthy Advantage Wellness Program. Please allow up to 60-90 days from the date the claim was received for processing for reward dollars to be loaded to your Flexible Spending Card (WEX).

You have until December 31st of each plan year to earn your reward dollars.

Yes. We offer both email and text messaging.

If you are short funds to any OTC expense, the transaction will pull the remaining spend from your Reward dollars.

If you are short funds to any Grocery expense, the transaction will pull the remaining spend from your Reward dollars.

If you are short funds to any Hearing expense, the transaction will pull the remaining spend from your Reward dollars.

If you are short funds to any Vision expenses, the transaction will pull the remaining spend from your Reward dollars.

No. The Memorial Hermann Healthy Advantage Wellness Program is not a plan benefit and 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.