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Wellness Wallet Benefit

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Wellness Wallet—fuel your active lifestyle.

Enjoy an annual allowance designed to boost your health and wellbeing. Use your Wellness Wallet for gym memberships, yoga classes, golf or ski passes, outdoor gear for biking, fishing, and more—empowering you to live an active, vibrant life.



Understanding Your Coverage

Allowance amounts by plan

Your Wellness Wallet allowance amount depends on which Generations Advantage plan you are currently enrolled in, as well as your county of residence. 

NOTE: Eyewear coverage is now a separate benefit and is no longer covered under Wellness Wallet. To learn more, visit our Vision Benefits page.

Click on the button with your plan's name to view the maximum allowance amounts by county under your plan.

 Prime (HMO-POS)

2025 Plan Year

Wellness Wallet Allowance

Maine: Aroostook, Franklin, Hancock, Knox, Penobscot, and Washington Counties

New Hampshire: Cheshire, Hillsborough, Merrimack, Rockingham, Strafford, and Sullivan Counties

  • $425 maximum allowance amount



Maine:
Cumberland, Lincoln, Oxford, Piscataquis, Somerset, Waldo, and York Counties

New Hampshire: Belknap, Carroll, Coos, and Grafton Counties

  • $600 maximum allowance amount



Maine:
Androscoggin, Kennebec, and Sagadahoc Counties

  • $800 maximum allowance amount
2026 Plan Year

Wellness Wallet Allowance

All Counties

  • $300 maximum allowance amount 
 Select (LPPO)

2025 Plan Year

Wellness Wallet Allowance

All Counties

  • $750 maximum allowance amount
2026 Plan Year


Select Plan H1365-001

Maine Counties:
Androscoggin, Cumberland, Kennebec, Sagadahoc, York


Wellness Wallet Allowance

All Counties

  • $300 maximum allowance amount


Select Plan H1365-005
Maine Counties:
Aroostook, Franklin, Hancock, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Somerset, Waldo, Washington


Wellness Wallet Allowance

All Counties

  • $150 maximum allowance amount (fitness/gym only)
 Essential (HMO-POS)

2025 Plan Year


The Essential plan is not available for the 2025 plan year.

2026 Plan Year

Wellness Wallet Allowance

All Counties

  • $150 maximum allowance amount (fitness/gym only)
 Alliance (HMO)

2025 Plan Year

Wellness Wallet Allowance

All Counties

  • $425 maximum allowance amount
2026 Plan Year

Wellness Wallet Allowance

All Counties

  • $425 maximum allowance amount
 Access (LPPO)

2025 Plan Year

Wellness Wallet Allowance

New Hampshire: Belknap, Carroll, Coos, and Grafton Counties

  • $425 maximum allowance amount



New Hampshire:
Cheshire, Hillsborough, Merrimack, Rockingham, Strafford, and Sullivan Counties

  • $600 maximum allowance amount

2026 Plan Year


The Access plan is not available for the 2026 plan year.

 Value Plus (HMO-POS)

2025 Plan Year

Wellness Wallet Allowance

All Counties

  • $750 maximum allowance amount
2026 Plan Year
 

The Value Plus plan is not available for the 2026 plan year.

Using Your Benefits

Getting started

Each year, you’ll receive an amount to spend on a variety of items and services. Your Wellness Wallet can also be used for the assembly, repair, replacement, delivery, shipping, and tax of any covered Wellness Wallet purchase.



Using your Wellness Wallet allowance 

Learn what you can buy and how you can shop:

Review your plan information.

Find your plan's benefit amount and coverage information on this page or in your Evidence of Coverage documents.

Find out what you can buy.

Only items specified in the Wellness Wallet list of covered items/services qualify for purchase up to your plan's annual allowance amount. Always check this list before shopping for the most up-to-date information.

View a list of eligible items and services available in the “Frequently asked questions” section below or download a pdf of the list here:

2025 Wellness Wallet Eligible Items and Services List [PDF]

2026 Wellness Wallet Eligible Items and Services List [PDF]

Purchase your eligible items using one of two ways.

There are two ways you can make a purchase:

  • Reimbursement: Use your own funds and submit for reimbursement online or by mail. Learn More
  • Prepaid Mastercard®: Use the Martin's Point Prepaid Mastercard® to purchase items directly at participating retailers without having to use cash up-front and request reimbursement. Learn More

Save your receipt and proof of purchase.

Save your itemized receipt and proof of payment to include with any reimbursement requests or in case we need to verify a prepaid card purchase.

Eligible Items and Retailers

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What You Can Buy | Qualifying Items

Explore covered items by category.

Below you will find a complete list of items that are covered by your Wellness Wallet benefit:

2025 Qualifying Items & Services [PDF]

2026 Qualifying Items & Services [PDF]
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How You Can Shop | Mastercard® Option

Skip reimbursement—use your prepaid Mastercard®

Get all the details on how to use the card and a list of participating retailers:

Learn More

For a simplified overview, see the 2025 Quick Guide to Wellness Wallet Eligible Items [PDF] 

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How to Get Reimbursed

Reimbursement options when using your Wellness Wallet allowance

Submit your reimbursement requests online or by mail using the forms below. The online option lets you set up direct deposit for added convenience. 

Use this guide when using your own funds for reimbursement purchases: Online Reimbursement Guide [PDF]


Online Reimbursement

To submit a reimbursement request online, visit:

Online Reimbursement

For prompt processing of your Online Reimbursements, please set up your direct deposit today—a one-time step that simplifies all future transactions. Direct Deposit Guide [PDF] 

Mail-In Reimbursement

To submit for reimbursement via mail, download, complete, and mail in the following form:


Frequently Asked Questions

Where can I find the list of eligible Wellness Wallet items?

Eligible items by plan can be found here:

Will my Wellness wallet cover a gym or golf 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 dates of service that extend into the next year.

Will Wellness Wallet cover SilverSneakers® reimbursement?

No. However, depending on your plan, we cover many classes, fees, or memberships for reimbursement under your Generations Advantage plan's Wellness Wallet benefit. See your individual plan page for your yearly reimbursement amount and eligible items/services.

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, etc.). Safety is important and we want to ensure there is no risk of injury from noncertified equipment. If you seek to save on the costs or prefer to purchase second-hand equipment, there are several retailers—such as Play-It-Again Sports—that offer used equipment that has been checked for proper function and safety.

What happens if spouses who are both Generations Advantage members want to split the cost of a gym membership or equipment between the two Wellness Wallet balances?

Spouses can 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.)

Each spouse must complete their own Wellness Wallet Reimbursement Request form, including the member’s information (name, member ID number, and date of birth), and half the amount requested for reimbursement. When submitting a Wellness Wallet Reimbursement Request form, the purchase would be divided in half and applied to each member's Wellness Wallet balance, unless otherwise indicated by dollar amounts written on the form.

Split reimbursement requests must be done with the Wellness Wallet Reimbursement Request Form for the year of purchase , and submitted by mail. Split reimbursement requests cannot be submitted online.

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 as 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 I use credit card points or a gift card to purchase an item?
You can use credit card points or a gift card to purchase an item as long as the receipt shows the cash value of the item.
What do you accept as proof 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, bill stamped “paid”, or paid statement. Cancelled checks, credit card bills, and bank statements can also be used, but they must show detail relating to the item purchased. 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.
Can I get reimbursed for an item that isn't on the list of reimbursable items and services under Wellness Wallet?

No. At this time only items specified in the Wellness Wallet list of covered items qualify for reimbursement. Eligible items change from year to year, so be sure you are referencing the list for the year of the purchase.

Can I be reimbursed for shipping and/or assembly fees?

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

How do I find out if my Wellness Wallet reimbursement request has been declined?

Members receive their notification of Wellness Wallet reimbursement determination on their Explanation of Benefits documents within 30 days after the reimbursement claim is processed. Declined reasons will be listed on the Explanation of Benefits.

What is the yearly deadline for submitting reimbursement requests?

Wellness Wallet reimbursement requests must be received by the plan no later than 120 days following the date of purchase.

How do I avoid reimbursement declines or delays?

Here are some tips to ensure the smoothest reimbursement experience:

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


For mailed-in requests:

- Use the year-specific PDF form only and complete all sections. Use the form for the year in which the purchase was made.

- Mail form and copy of receipt/proof of payment to:

Martin’s Point Generations Advantage
Claims Department
P.O. Box 3003
Fargo, ND 58108


For mailed-in and online requests:

- Itemized receipts and proof of payment documents (copies only) must be enclosed with mailed requests or uploaded with online requests. They must show what was purchased, how much it cost, how you paid for it, and the date it was purchased.

 

2026 Mail-In Reimbursement Form [PDF] - Coming Soon

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

Yes! Even if you join the plan mid-year, you are eligible to receive up to your Generations Advantage plan's entire Wellness Wallet amount for that particular plan year. Dates of purchase for services or items must be within the dates you are actually enrolled in the current plan year in order to be reimbursed under that year's Wellness Wallet benefit (for example: if you enrolled in a Generations Advantage plan on September 1, items/services you purchased prior to September 1 are not eligible).

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Need help? We're here for you.

Whether you’re exploring plan options or already a Generations Advantage member, our team is ready to help.

Prospective Members: Call us at 1-800-961-4572 (TTY: 711)
Current Members: Call Member Services at 1-866-544-7504 (TTY: 711)