Member Reimbursements FAQs

To encourage our members to take advantage of health education classes and programs, Care Choices reimburses members who participate in approved programs. We offer reimbursements for weight management, childbirth education, and stress management programs. Guidelines for reimbursement are as follows:

Q: Who is eligible for reimbursement for attending health education programs?
A: Active Care Choices HMO members are eligible for enrollment for the health education programs. Members must be active with Care Choices HMO for the duration of the course and when requesting reimbursement. For childbirth classes, the pregnant woman must be a member of Care Choices HMO.

Q: What classes/programs qualify for reimbursement? At what locations?
A: See our list of approved programs for which members can receive reimbursement. This list will be updated regularly, so check back often.

Q: How does the reimbursement system work?
A: Members must pay the class fee in full themselves. The Plan will then reimburse members at the percentage specified for the approved programs.

Q: Are there a minimum number of sessions I must attend in order to get reimbursed?
A: The member must attend 80% of the scheduled classes and meet any requirements of the class instructor.

Q: What do I need to submit to Care Choices?
A: Upon completion of the class, members will receive a Care Choices HMO reimbursement request form from the instructor. In order to receive reimbursement, the member must submit the completed form to Care Choices. You do not need to submit your receipt.

Q: How do I register for the classes?
A: To register for any of the programs that are provided, the member must contact the provider/class directly.

Q: How long will it take for me to get my reimbursement check?
A: Allow 4 weeks for processing.

Q: Are Preferred Choices PPO and Care Choices PPO members eligible for reimbursement?
A: Not at this time.

Q: How will I be reimbursed?
A: You will receive a check made out to the contract holder and mailed to the address on file with the health plan.