Wellness Claims

Wellness Claims from Traditional Healthcare Providers

If your wellness claim is from a traditional healthcare provider (e.g. a doctor or hospital), it should be submitted as a professional or hospital claim.

For professional wellness claims, click here.

For hospital wellness claims, click here.

Wellness Claims from Non-Traditional Healthcare Providers

Some examples of wellness claims from non-traditional healthcare providers are:

• Receipt for a flu shot received at a drug store

• Invoice for a smoking cessation program

• Receipt for nicotine patch/gum

• Invoice from a weight-loss program

• Receipt for a hearing aid purchased at a drug store

Wellness Claims Submission Guidelines

Each wellness claim filed with the Health Plan should include the following information:

• Participant's Name

• Participants Health Plan ID Number (as it appears on the Health Plan ID Card)

• Provider's Name

• Provider's Address

• Provider's Federal Tax ID Number (if applicable)

• Patient's Name

• Patient's Date of Birth

• Amount Paid (if any)

Please mail your wellness claims from non-traditional healthcare providers to:

DGA-Producer Health Plan
P.O. Box 48127
Los Angeles, CA 90048

Important: the above address should be used for claims only.  All other Plans' correspondence should be mailed directly to the Plan Office.

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