ThriveFlex

ThriveFlex is available on PriorityMedicare Thrive and PriorityMedicare Thrive Plus

The ThriveFlex benefit includes your over-the-counter (OTC) and wellness benefit. These allowances are kept separate and will have their own dollar allowance.

Your OTC benefit gives you a quarterly allowance to spend on health and wellness products like aspirin, cold medicine, bathroom safety devices and modifications, as allowed by Medicare.

Your wellness benefit gives you a one-time annual allowance to use toward fitness facilities, fitness equipment and nutrition support services.

If you’re new to Priority Health Medicare, you'll receive your Thrive flex card in the mail pre-loaded with funds and ready to use on the day your plan begins. If you’re a renewing member, keep your OTC card from 2025, you'll use this same card in 2026.

Using your OTC allowance

Get started with your online member account at priorityhealth.com/shopOTC. 

In your online member account, you'll be able to check your available balance, shop online, find participating stores, search eligible products, view your transaction history and more. The video below will show you how to set up and navigate your member account.

There are three ways you can shop for OTC items with your ThriveFlex benefit:

1. Order online: View and purchase products online anytime at priorityhealth.com/shopOTC or through the OTC mobile app.
2. Shop in-store: Shop at Costco (PIN required at checkout), Meijer, Kroger, CVS, Walgreens, Walmart and other participating store locations near you. You can search for retailers near you at any time by going to priorityhealth.com/shopOTC and using the "Find a Store" tool.
3. Call for delivery: Call 833.415.4380 (TTY 711). From Oct. 1-Mar. 31, we're available seven days a week from 8 a.m.-8 p.m. ET. From Apr. 1-Sep. 30, we're available Mon.-Fri. from 8 a.m.-8 p.m. and Sat. 8 a.m.-noon ET. Have your selected product names, OTC card number, and shipping information available.

This allowance will be reloaded at the end of each quarter. Be sure to use your OTC allowance each quarter, your unused funds do not roll over.

In the event that you had to pay out-of-pocket to purchase an OTC or wellness item, reimbursement is available to you. Log in to your priority health account at PriorityHealth.com/shopOTC or through the Priority Health OTC app, then go to "Make A Reimbursement" to complete the form.

To be eligible for reimbursement, the item purchased must be an eligible OTC item obtained from a participating retailer and you must have available OTC funds. All reimbursements must be submitted within 90 days of purchase date and include a picture of the receipt.

Participating retailers

• Meijer
• Walmart
• Walgreens
• Dollar General
• CVS
• Kroger
• Alberton's
• Costco

Some retailers have multiple brands under their umbrella.

Albertson’s Companies include:
Albertsons, Safeway, Vons, Jewel-Osco, Shaw's, Acme, Tom Thumb, Randalls, United Supermarkets, Pavilions, Star Market, Haggen, Carr’s, Kings Food Markets, Balducci's Food Lovers Market.

Kroger Companies include:
Kroger, Baker’s, City Market, Dillons, Food 4 Less, Foods Co, Fred Meyer, Fry’s, Gerbes, Jay C Food Store, King Soopers, Mariano’s, Metro Market, Pay-Less Super Markets, Pick’n Save, QFC, Ralph’s, Ruler, Smith’s Food and Drug

Using your wellness allowance

• To use your wellness allowance toward fitness facilities, simply go into a location and use your card as you would any other Mastercard.

• Examples of facilities your allowance can be used at include:

  • You may use your allowance towards additional fitness fees at One Pass facilities (e.g. extended hours, upgraded memberships, pool access, key fobs for facilities and extra classes).
  • Fitness classes and membership fees at non-One Pass locations including both boutique studios and traditional gyms, individual memberships only
  • Fitness activity fees at recreation and community centers
  • Martial Arts (Tai Chai, Karate, Kung Fu, Judo, Taekwondo, Qigong)
  • Swim session fees
  • Public golf courses
• Eligible fitness equipment includes items such as: dumbbells, peddlers, resistance bands, treadmills, ellipticals, stationary bikes, yoga mats, jump ropes, exercise balls, and foam rollers. These items can be purchased at the retailers near you. Just use your card as you would any other MasterCard.
• To use your wellness allowance toward nutrition support, you can use your ThriveFlex card to purchase memberships at Calm, Headspace, myFitness Pal, Noom and Weight Watchers to help you maintain and improve your overall well-being. You can pay for these memberships with your ThriveFlex card the same way you would with any other Mastercard.

Excluded wellness items include: 

• Memberships at shooting ranges and archery.
• League fees (i.e. bowling).
• Saunas, hot tubs and steam rooms.
• Sporting good merchandise including golf clubs, tennis rackets, basketballs, baseballs, etc.
• Athletic clothing and shoes
• Fitness equipment rentals
• Second-hand items or items purchased from resellers (Facebook marketplace, Ebay or garage/yard sales).

To see a full list of exclusions please refer to your Evidence of Coverage. 

For more program detail or to place an order, visit priorityhealth.com/shopOTC, the Priority Health OTC mobile app, or call 833.415.4380 (TTY 711). From Oct. 1-Mar. 31, we’re available seven days a week from 8 a.m–8 p.m. ET. From Apr. 1-Sept. 30, we’re available Mon.–Fri. from 8 a.m.– 8 p.m. and Sat. 8 a.m.–noon ET.