What you need to know about the COVID-19 vaccine, your HAP coverage, and getting care during the pandemic.

Health status discussion reward form

Did you have a conversation with your doctor about your physical and mental health, exercise, fall risk and bladder control. Fill out this form to get your reward. Prefer to print your form and mail it in? Print or download a copy (PDF).

Note: If you have more than one eligible person in a household, please fill out a separate form for each person.

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Contact us

  • HAP Medicare Sales:

    (800) 868-9885 (TTY: 711)

  • HAP Senior Plus®

    (800) 801-1770 (TTY: 711)

  • HAP Senior Plus®(PPO)

    (888) 658-2536 (TTY: 711)

  • Alliance Medicare Supplement:

    (800) 873-7526 (TTY: 711)