Disclaimers:

You must be enrolled in a Healthfirst Medicare Advantage Plan at the time of completing your screening and during the processing period. Please allow up to 14 weeks to process your request, and remember to make a copy of the completed Rewards form for your records. Rewards forms for 2021 must be submitted by March 1, 2022. The reward card and virtual card cannot be used at ATMs, at gas pumps, for cash access, for gambling or for tobacco, alcohol, or firearms purchases.

Coverage is provided by Healthfirst Health Plan, Inc.

The products and services described above are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the Healthfirstans are offered by affiliates of Healthfirst, Inc.

Healthfirst Medicare Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-305-0408 (TTY/TDD 1-888-867-4132). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-866-305-0408 (TTY/TDD 1-888-542-3821).

This card is issued by MetaBank®, Member FDIC, pursuant to license by Mastercard International Incorporated. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. Participating merchants do change; visit website for current listing. For patent information, visit blackhawknetwork.com/patent.