Wellness Wallet Benefit

CAN I GET REIMBURSED FOR AN ITEM THAT ISN'T INCLUDED IN THE LIST OF REIMBURSED ITEMS AND SERVICES UNDER WELLNESS WALLET?

No, at this time only items specified in the list of covered items under the wellness wallet qualify for reimbursement.

WHAT ARE THE ACCEPTABLE PROOFS OF PAYMENT?

The proof of payment must indicate what was bought, how much it cost, and how it was paid for. This can be in the form of an itemized register receipt, bank statement, credit card bill, stamped bill, paid statement, or a cancelled check. We do not accept invoices, order / pick up confirmations, or shipping statements with no proof of payment. It is okay for you to use a gift card or gift certificate as the payment method, as long as the receipt indicates the payment method. Reimbursement requests for 2024 Wellness Wallet benefits must be received by the plan no later than 120 days following date of purchase.

IF I ENROLL IN MY GENERATIONS ADVANTAGE PLAN MID-YEAR, DO I STILL RECEIVE THE ENTIRE WELLNESS WALLET BENEFIT AMOUNT?

Yes! You receive the entire Wellness Wallet amount that is offered under your Generations Advantage plan even if you join the plan mid-year. As a reminder, dates for received services or purchased items must be within the current plan year in order to be reimbursed under that year's Wellness Wallet benefit. (See next FAQ for details on gym memberships.)

CAN I BE REIMBURSED FOR SHIPPING AND/OR ASSEMBLY FEES?

Yes! Under your Wellness Wallet benefit, the costs of taxes, shipping, delivery and assembly can be reimbursed.

WHAT HAPPENS IF I PLACE AN ORDER, BUT MY PAYMENT ISN'T PROCESSED UNTIL A LATER DATE?

If you place an order for an item, but payment is not taken until a later date, the date you placed the order is considered the date of purchase so long as your receipt shows the date you placed the order. For example, if you place an order for an item on 12/31 but payment is not taken from your account until 1/1, your purchase date would be considered 12/31 provided that your receipt lists the 12/31 order date.

CAN A MEMBER USE CREDIT CARD POINTS OR A GIFT CARD TO PURCHASE AN ITEM?

A member can use credit card points or a gift card to purchase an item so long as the receipt shows the cash value of the item.

HOW DO I FIND OUT IF MY WELLNESS WALLET REQUEST HAS BEEN DENIED?

Members receive their notification of Wellness Wallet determination via their Explanation of Benefits. Denial reasons will be listed on the Explanation of Benefits. This means members will receive notification within 30 days after the claim is processed. 

WHERE CAN I PURCHASE FITNESS EQUIPMENT?

You can purchase equipment from any licensed retail establishment. We will not approve reimbursement for fitness equipment that has been purchased from a nonretail source (example: yard sale or Craigslist). The safety of our members is important and we want to ensure there is no risk of injury from noncertified equipment. If members are seeking to save on the costs or prefer to purchase second-hand equipment, there are a number of retailers—such as Play-it-Again Sports—that offer used equipment that has been checked for proper function and safety.

WHAT HAPPENS IF A MEMBER BUYS A FAMILY PLAN GYM MEMBERSHIP?

The membership cost will be split in half and half of the membership will be reimbursed.

WHAT HAPPENS FOR SPOUSES WHO WANT TO SPLIT THE COST OF GYM MEMBERSHIP OR EQUIPMENT BETWEEN TWO WELLNESS WALLET BALANCES?

Spouses have the ability to split family gym memberships or shared equipment. Members cannot split "single use" items or equipment. (For example, a bike can be shared, but an apple watch cannot. A treadmill can be shared, but pair of skis cannot.) When submitting to the wellness wallet, the purchase would be divided in half and applied to each members wellness wallet balance, unless otherwise indicated by dollar amounts written on the form. Advise members to complete one Wellness Wallet form and include BOTH of their information (both member names, both member ID#s, and both member DOBs).

WILL MY WELLNESS WALLET COVER A GYM MEMBERSHIP THAT SPANS INTO THE FOLLOWING YEAR?

No, Gym and golf membership fees are only reimbursable for the current year (up to the Wellness Wallet limit). Membership fees are not reimbursable for future dates of service.

WILL THE WELLNESS WALLET COVER SILVER SNEAKERS® REIMBURSEMENT?

No. However, we cover a number of items and services comparable to SilverSneakers. Classes, fees or memberships are eligible for reimbursement under your Generations Advantage Plan Wellness Wallet benefit. See your individual plan page for your yearly reimbursement amount. 

HOW DO I AVOID REIMBURSEMENT DENIALS / DELAYS?

Make sure your purchase is on the list of items/services eligible for reimbursement.