2018 Generations Advantage Wellness Benefit

All Generations Advantage plans offer reimbursement for fitness services & equipment and acupuncture & naturopathic services!

For the Focus DC plan only, qualified nutrition/dietary and weight management programs are also covered.

Click here to download the 2018 Wellness Wallet Reimbursement form. 

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 2018 - July 2019 will be paid in full under the 2018 Wellness Wallet balance (up to the 2018 Wellness Wallet limit).
  • If your 2018 Wellness Wallet balance doesn't cover the entire amount, then you will be reimbursed up to the amount of your 2018 Wellness Wallet balance. If you are still a member of a plan with the Wellness Wallet benefit in 2019, you may resubmit the remaining amount at that time.

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.)

Nutrition & Dietary Benefit (Focus DC only)

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

Weight Management Programs (Focus DC Only)

  • 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
  • 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 

Click here to download the 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 do I get reimbursed for covered services under the Wellness Wallet benefit?
A: Send a completed Wellness Wallet Reimbursement form, itemized receipt, and proof of payment to the following address:
Martin’s Point Generations Advantage
Claims Department
PO Box 11410
Portland, ME 04104-9863

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, 2019.
Note: The date of service or purchase must be in 2018.

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 at a nonretail establishment (example: yard sale or Craigslist). The safety of our members is important and we want to ensure there is no risk of injury with 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? (Focus DC only) 
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? (Focus DC only)  
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.

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).

Have Questions? Call Us!