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

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

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