WFM Member Benefits Explained
As a team member of the Whole Health Plan, you have access to resources that can help you understand your ID card, access the current Member Reference Guide, and a summary of how to use your healthcare funding accounts.
Understanding Your ID Card
To support Whole Foods Market’s commitment to the environment, we are moving to digital Health Plan ID cards in 2024! There will be individual ID cards for each covered member. You will have access to your ID card and your dependent children under age 18. Your spouse and children over the age of 18 will need to create their own account to access their digital ID card.
Preferred Network
The Preferred Network is managed by Employers Health Network. The Preferred Network is a curated network of recognized local providers, clinics, and hospitals that have partnered with Whole Foods Market. These services are offered at a significantly lower deductible and out-of-pocket maximum when compared to the Expanded Network.
Expanded Network
The Expanded Network is managed by Aetna Signature Administrators. The Expanded Network is a national network of providers, clinics, and hospitals through Aetna Signature Administrators to receive care at a significantly higher deductible and out-of-pocket maximum when compared to the Preferred Network.
To find an in-network provider and view cost estimates for services log in to your Member Portal here and utilize the ClearCost search tool.
Regardless of which network you're accessing, all claims will be administered by WebTPA. Please submit all claims to WebTPA using the instructions on the back of your ID card.
Prescription Benefits Manager
Prime Therapeutics manages the Whole Health Plan’s prescription benefits. Team members enrolled in the Whole Health Plan automatically receive in-network prescription drug coverage through Prime Therapeutics.
Call 1-877-278-5206 to speak with a customer service representative.
Health Resource Coordinator (HRC)
The Whole Health Plan provides a coordinated, guided, and supportive approach to simplifying and streamlining your healthcare experience.
- Free access to concierge-level service – Personal HRC helps you navigate and get the most out of your Whole Health Plan benefits
- Coordinated Care – HRC is your point person across all care touchpoints – from your PCP and more
- Save time, get questions answered, and easily resolve issues – HRCs provide reliable and responsive assistance throughout your healthcare journey (schedule appointments, billing questions, care / health plan coordination)
- Phone: 844-380-4554
How To Read Your ID Card
Your Funding Account Overview
