Wellness Wallet

2020 Generations Advantage Wellness Benefit

All Generations Advantage plans offer reimbursement for fitness services & equipment, eyewear, naturopathic services, acupuncture, nutritional/dietary education, and weight management programs!

Fitness Services and Equipment

  • Includes fees for fitness club membership, personal trainer, fitness classes, and nonrecreational at-home fitness equipment used to promote health (for example treadmills, stationary bikes, and weights).
  • We will reimburse in full (up to the Wellness Wallet limit) if your fitness membership extends into the next calendar year. For example, an annual membership purchased for July 2020 - July 2021 will be paid in full under the 2020 Wellness Wallet balance (up to the 2020 Wellness Wallet limit).
  • If your 2020 Wellness Wallet balance doesn't cover the entire amount, then you will be reimbursed up to the amount of your 2020 Wellness Wallet balance. If you are still a member of a plan with the Wellness Wallet benefit in 2021, you may resubmit the remaining amount at that time.

Eyewear

  • Includes eyeglass lenses, frames, and contact lenses.
    NOTE: Value plan members have an eyewear benefit separate from the Wellness Wallet benefit.

Acupuncture and Naturopathic Services

  • Includes seeing a licensed Naturopathic Doctor providing immunizations, some counseling, manipulative therapy, and dietary therapy. (Homeopathy and hypnotherapy do not qualify.)

Good Measures

Provides dietary services through a registered dietitian and access to tools which help you make positive changes in your eating and exercise behavior. Based on inputs from you and your registered dietitian, the Good Measures tools continuously generate meal and snack suggestions that address your unique nutritional needs.

  • You can communicate with your registered dietitian by phone, email, text, or video.
  • Members with a confirmed diagnosis of prediabetes or diabetes may be eligible for a program through Good Measures at no cost.
    NOTE: Generations Advantage Value plan members are eligible for a program with Good Measures at no cost.

Nutrition & Dietary Benefit 

  • Includes general nutritional education through classes and/or individual counseling.1

Weight Management Programs 

  • Includes programs designed to promote healthy behaviors that help an individual lose weight and keep it off. They must be health driven and aim to improve health outcomes. The program should provide structured lessons on a weekly basis tailored to your personal goals. It should support self-monitoring of eating and physical activity as well as offer regular feedback from a counselor on goals, progress, and results. Qualified programs may be offered in person or online (fully or partly).

Reimbursement Details

  • Prime - up to $400/year
  • Flex - up to $200/year
  • Value Plus - up to $300/year
  • Select - up to $200/year
  • Value - up to $350/year
  • Focus DC - up to $450/year

Reimbursement Forms and More Information 

2020 Wellness Wallet Reimbursement Form

Wellness Wallet Reimbursement Form

Simply fill out the Wellness Wallet Reimbursement form and mail to:

    Martin’s Point Generations Advantage
    Claims Department
    PO Box 11410
    Portland, ME 04104-9863

If you are not sure whether your expense is eligible for reimbursement, please call Martin's Point Generations Advantage Member Services at 1-866-544-7504.

Frequently Asked Questions

Q: How long will it take for me to receive my reimbursement check?
A: If additional information is not needed, you should receive payment within 4 to 6 weeks.

Q: When is the deadline to submit my reimbursement?
A: To be eligible for payment, you must submit your claim by March 31, 2021. Note: The date of service or purchase must be in 2020.

Q: Where can I purchase fitness equipment?
A: 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 (Portland)—that offer used equipment that has been checked for proper function and safety.

Q: Is my sports club membership (tennis, golf, squash, etc.) eligible for reimbursement?
A: No, sports club memberships are not eligible for reimbursement. While sports clubs do keep members physically active and engaged in their communities, we are unable to reimburse for them as they fall under the recreation category per Medicare guidelines.

Q: Will the Wellness Wallet cover Silver Sneakers® reimbursement?
A: The Wellness Wallet is a fitness reimbursement program offered by Generations Advantage.
Silver Sneakers is a national fitness network program offered by businesses and health plans and is not available to individuals through Generations Advantage plans.

Q: Will any nutritional/dietary program be eligible for reimbursement? 
A: Any individual or group education and counseling is eligible for reimbursement, as long as the services are provided by licensed or certified practitioners furnishing services within the scope of their license or certificate.

Q: Will the Wellness Wallet cover NutriSystem® or other meal programs? 
A: Per Medicare guidelines, only weight management programs that include weekly structured lessons with regular feedback and monitoring tailored to individual goals qualify. We cannot cover any food for reimbursement.

Q: If I enroll in my Generations Advantage plan mid-year, do I still receive the entire Wellness Wallet benefit amount?? 
A: 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.)

Q: Will my 2020 Wellness Wallet cover a gym membership than spans into 2021? 
A: If you pay for a gym membership that spans months in 2020 and 2021 (for example, a full year membership from July 2020 through June 2021), you will be reimbursed for the entire amount of the membership, up to your 2020 Wellness Wallet dollar limit. If you are still a member of a plan with the Wellness Wallet benefit in 2021, you may resubmit the remaining amount at that time.

1 To qualify for reimbursement, services must be provided by practitioners who are practicing in the state in which they are licensed or certified, and are furnishing services within the scope of practice as defined by their licensing or certifying state (i.e., physician, nurse, registered dietitian, or nutritionist).

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