FitWorks Medicare Frequently Asked Questions

I completed my Enhanced Annual Wellness Visit (EAV). Why aren’t my points appearing on the FitWorks site?
Points will be reflected on your account once we receive the claim from your doctor. This can take up to 3 months from the time of your appointment.

Do I need to submit any paperwork for this program?
No – you do not need to submit any paperwork for this program. You will automatically earn points for the challenges you complete once you enroll or once we receive the claim from your provider. The only paperwork required is to complete your invoice to enroll in Direct Debit Bill Pay.

Who do I call if I have questions about the program?
If you have questions about the FitWorks Medicare program, please call Member Services at (716) 250-4401 or 1-800-665-1502 (TTY users: 1-800-432-1110): October 1 – February 14, Monday – Sunday, 8 a.m. – 8 p.m.; or February 15 – September 30, Monday – Friday, 8 a.m. – 8 p.m.

I reached my 100 points. When will I receive my gift card? How will I get my card?
Once you complete enough challenges to earn 100 points, we will automatically mail your gift card to you. Gift cards are mailed on a quarterly basis. Depending on when you’ve reached your 100-point goal, you may receive your card during the months of April, July, October or January.

How can I earn more points?
The more challenges you complete, the more points you’ll earn. For example, you will earn an additional 10 points for every preventive service you complete (as directed by your health care provider). However, you will not receive an additional gift card for any points you accumulate over the qualifying 100 points.

Do I need to track my progress online?
No – you do not need to track your progress online and there is no paperwork for you to fill out. The FitWorks Medicare website is meant to provide a way for you to view your progress, but you do not need to take any action on the site. Your points are automatically accumulated based on claims and/or your enrollment in Go Paperless and Direct Debit Bill Pay.

What is the timeframe to earn points?
You have from January 1, 2017, through December 31, 2017, to earn points.

If I go for a routine well visit but my physician does not perform the Enhanced Annual Wellness Visit (EAV), will I still receive FitWorks points?
No – you are only awarded points if your physician performs the EAV. When scheduling your appointment, be sure to tell your physician’s office that this is specifically for the EAV.

If my physician does not perform the Enhanced Annual Wellness Visit (EAV), is there an alternative provider I can go to?
You may have options to see another provider for the EAV. Please call Member Services at (716) 250-4401 or 1-800-665-1502 (TTY users: 1-800-432-1110): October 1 – February 14, Monday – Sunday, 8 a.m. – 8 p.m.; or February 15 – September 30, Monday – Friday, 8 a.m. – 8 p.m.

Which preventive services are eligible for points?
Please refer to Independent Health’s list of covered preventive services.

How long will it take to earn points for my vision exam?
Points will be awarded when a claim is received from the provider, which may take up to 90 days from the date of service.

How long will it take to earn points for my dental exam?
Points will be awarded when a claim is received from the provider, which may take up to 90 days from the date of service.

Please Note: Benefits vary by plan and some plans may not include coverage for this benefit.

How long will it take to earn points for my gym membership?
Points will be awarded when a claim is received from the fitness center, which may take up to 90 days from the date of when you sign-up for the membership.

I registered for Go Paperless and Direct Debit Bill Pay. When will I receive FitWorks points?
Points will be awarded within 30 days of enrolling in Go Paperless and Direct Debit Bill Pay.

If you’ve already signed up for Direct Debit Bill Pay and/or Go Paperless, you will automatically receive 10 points for each. You do not need to enroll in these services again. Please note: Direct Debit Bill Pay is not available for members in a Group Medicare plan, whose employer pays for their coverage.

What can I purchase with my TOPS gift card?
The gift card can be used on fresh fruits and vegetables, and other in-store grocery purchases (excluding tobacco products and gasoline) at any TOPS Friendly Market.

Does my TOPS gift card expire?
Yes – gift cards expire 12 months from the date of issue. Please note that there is an expiration date listed on the card.

I received a gift card, but my spouse did not. Why?
In order to be eligible for a gift card, you must be a current Independent Health Medicare Advantage member and have earned 100 points. Points are awarded to individuals only, not to spouses or other family members.

If I reach another 100 points, can I get another gift card?
No, you will only receive one gift card.

Disclaimers

Excludes Independent Health’s Medicare Family Choice HMO-SNP.

*Benefits vary by plan. Benefits, rewards and incentives may change on January 1 of each year.

Independent Health is a Medicare Advantage organization with a Medicare contract offering HMO, HMO-SNP, HMO-POS and PPO plans. Enrollment in Independent Health depends on contract renewal. Excludes Independent Health’s Medicare Family Choice HMO-SNP.

Y0042_C5900 Pending
Last Updated 10/1/2017