fitness reimbursement

0000110397 00000 n Health Care Flexible Spending Account (HCFSA), Dependent Care Flexible Spending Account (DCFSA). No words on whether that's per month, per year, or something else. AETNA You must be eligible to enroll in a Baker Hughes Medical plan to receive the fitness reimbursement. Multi-facility subscription services such as ClassPass also qualify as long as their facilities can be verified. Healthcare Flexible Spending Account (FSA), Dependent Care Flexible Spending Account (FSA), Benefit Enrollment, Eligibility and Direct Billing. 0000110646 00000 n 0 The reimbursement only applies to visits made during the effective dates of your coverage. You and/or your spouse/domestic partner must complete and submit an MBF Member Health and Fitness Reimbursement Program Claim Form and proof of payment from the health club every six months for which you would like to receive reimbursement. Please note: Cigna processes the Student Affairs will notify students when they are accepting fitness reimbursement forms online. Therefore, any employer payment for or reimbursement of a gym membership fee is standard taxable income to employees that is subject to withholding and all applicable payroll taxes. 0000071240 00000 n Fitness Reimbursement form (you can also submit your request in My Plan) Weight Loss Reimbursement form (you can also submit your request in My Plan) . The Johnson & Johnson Global Exercise Reimbursement Program offers J&J employees up to $100* USD per quarter, less appropriate income taxes, for participating in the fitness activity of their choice. Shop the Wellness Discount Marketplace. 0000015364 00000 n 0000011983 00000 n You must be eligible to enroll in a Baker Hughes Medical plan to receive the fitness reimbursement. Step 3: Submit the monthly reimbursement request form by the posted deadline (See above) Elite boxing fitness. Youcomplete 50 visits during six consecutive months of your coverage (approximately 8 visits per month or 2 visits per week). By managing these programs at the fitness center level, we are able to collect the most accurate data to complete the ultimate online solution for wellness reimbursement programs . Subsection 9.2.2.2, title changed to Authority, and informs of the legal authorities for the program manual (Physical Fitness Program). through the end of the calendar year; the Fitness Reimbursement Benefit will be the Deadline for submission for 2022 expenses is March 31, 2023. Log in, register for an account, pay your bill, print ID cards, and more. For tax information, consult your employer or tax advisor. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. by Jeff Griffin on Mar 19, 2021. employees and their spouses the opportunity to each earn typically between $20 and $50 every month for visiting a fitness . only available wellness benefit option available during Open Enrollment for the following facility and/or exercise class fees (includes online/DVD classes). 0000003585 00000 n 0000021094 00000 n Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. To be eligible for the fitness center reimbursement, you must choose a full-service fitness center that offers a variety of I will attempt, in good Complete a form for each member (eligible spouse and dependents must be . Associates are eligible for a fitness reimbursement of 50% of their gym membership, fitness . 0000001970 00000 n BCBS/ND. Medical & Wellness. To support you in this effort, we will reimburse you up to $600 per year for eligible services and activities that directly relate to your wellbeing. Reimbursement may be considered taxable income, so you should consult your tax advisor. 139 0 obj <> endobj Reimbursement for eligible fitness memberships and classes. Eligibility. 0000072004 00000 n medical plan can also share this benefit (a total of $225 per calendar year per family; fitness reimbursement program. How do I request reimbursement for my fitness benefit? If this option was elected by the employee, a spouse who is enrolled on the employee's $150 back on approved weight loss programs. 0000040886 00000 n Up to$200 for 50 visits in a six-month period, and. You must be enrolled in a health plan administered by Independence Administrators for the entire 365-day fitness benefit period. Alternatively, you may complete the claim form on the next page and fax it to the toll-free fax number: 877-353-9236 (which is available 24 hours a day). The fitness reimbursement for active employees will be subject to taxes and the applicable Contact Kia at kia.herbel@bismarckymca.org for more information. You can receive up to a $300 reimbursement each year towards the cost of a membership to a fitness center or a series of fitness-related classes. If a spouse receives reimbursements for the Fitness 139 65 startxref if it was elected as their wellness benefit during Open Enrollment, or as a new hire. 0000143363 00000 n Up to$100 for 50 visits in a six-month period, and. 0000143326 00000 n 0000008332 00000 n Overview. . Dartmouth-sponsored medical plan can also share this benefit (a total of $225 per 0000020426 00000 n . Submit your 2021 Fitness Reimbursement request by completing the electronic form and Log into your account, view patient information, and more. There are two ways to submit your request form: Please note: You must be an AllWays Health Partners member and enrolled in a plan with a fitness benefit during the period for which you are requesting reimbursement. Wait until Bcbs Fitness Reimbursement is appeared. $150 reimbursement for programs that help you quit smoking or use of tobacco products. A fitness center must have at least two pieces of equipment or programs from the following list: Your family can be reimbursed up to $600. Approved expenses include: Fitness Reimbursement Form. Site location: Agents; Employers; Medicare; Members; Providers; Log in to post comments Learn how you can be reimbursed for your fitness expenses. 0000010695 00000 n Submitted by smg_admin on Fri, 11/10/2017 - 11:39. Retirees (and eligible spouse) will receive a reimbursement check from Cigna mailed 0000002970 00000 n Gym membership costs are not a 213 (d) medical expense. The fitness benefit reimbursement for $350 will appear in a separate line with its own separate paystub. Please note: employees who retire mid-year will continue with their current wellness benefit election only submit for fees paid after their hire date). For active employees (and eligible spouse), reimbursements will be paid via payroll Gym memberships, group exercise classes, nutrition programs, personal training, and home exercise equipment can all be eligible for reimbursement. The fitness reimbursement form is made available at the end of the fall and spring semesters via the forms page. Reimbursement is generally limited to the lesser of $200 (subscriber)/$100 (covered spouse/ domestic partner) or the actual amount of the qualifying fitness costs per 6-month period, but the reimbursement may vary by plan. Retirees should consult their personal tax advisor regarding the proper reporting The best guide to 213 (d) medical expenses is IRS Publication 502. All submissions must be postmarked by December 31. Student Affairs will notify students when they are accepting fitness reimbursement forms online. hockey league, basketball open gym, climbing A standard fitness center offers cardio and strength-training machines and other programs for improved physical fitness. Your Wellness Allowance helps you lead a healthy lifestyle, and it pays you back! Receipts with price only are not valid. The reimbursement forms will be inactive any other time. Baker Hughes understands the importance of staying fit. Recreational facilities and club dues. Attach the following items: A copy of your current membership bill. The reimbursement procedures. Proof of payment and/or a receipt, statement, or contract that confirms monthly . (4) Subsection 9.2.2.4 has been revised to reflect an updated list of . A copy of your current membership bill. Employer reimbursement of gym memberships was a popular employee benefit before COVID-19 hit the U.S. back in March 2020. Check with Elite Boxing Fitness at 909-279-7956 on whether this discount applies to . By clicking on these links, you will leave the Fidelis Care website. of this income as it is considered taxable income. 3.2 What is the policy on reimbursement of fitness center membership fees? 0000071495 00000 n Our reimbursement process is quick, easy, and online. I am an Employer Fitness subsidies, gym reimbursements and fitness rewards are some of the most desired and effective components of a worthwhile corporate wellness employee benefit program, as they lead to more engaged employees.In fact, 86% of mid-large sized employers offer some sort of wellness financial rewards in order to remain competitive in the labor market. has been made (please only submit a max of two times per year; mid-year hires may Save or instantly send your ready documents. 0000143211 00000 n Fitness Your Way by Tivity Health is one popular offering that features a $29 monthly fee (with a $29 one-time enrollment fee) for access to a network of 10,000 gyms nationwide, so you can still work out for less. AETNA About the Reimbursement. The Fitness Reimbursement Program pays you back for many of the most common health and fitness services and activities, such as gym memberships, personal trainers, sports classes, and more. Refer to your Certificate of Coverage or other governing member document to determine eligibility, You can also get discounted access to numerous health and wellbeing products and specialists. * Fitness reimbursement may be considered taxable income. Keep in mind that this program is not a pre-tax benefit account; it's a reimbursement program funded entirely by your employer to help you save money and . According to Aetna, you and your partner can be reimbursed for "up to $150". . trailer . 0000004037 00000 n Workplace wellness employee benefit programs are in place in a growing number of companies (companies like Google are actually setting the standard for a world-class employee benefit program), and one of the most common is the Gym Reimbursement Program, or Fitness Subsidies.The idea is great, in theory: companies provide employees with a discount or a reimbursement on gym or fitness facilities . That's up to $400* USD per year! The Fitness Reimbursement Program pays you back for many of the most common health and fitness services and activities, such as gym memberships, personal trainers, sports classes, and more. Fitness reimbursement may be considered taxable income. domestic partners. This could include a credit card statement, payroll deduction, or automatic bank withdrawal. 1-877-672-8620 (TTY 711), daily from 8:00 a.m. to 8:00 p.m. local time. hT1HAE^nhq=bqB$PS)ZXZZlMV6[Xk7H?4mn0;!~c?FpYRFQ;#UsnGu]o?. (3) IRM 9.2.2 has been updated throughout to cover the current guidelines and procedures in reference to the Physical Fitness Program. Together, we're delivering ever-better health care experiences to everyone in our diverse communities. Selecting an approved fitness center To be eligible for the fitness center reimbursement, you must choose a full-service fitness center that offers a variety of cardiovascular, flexibility, and resistance training in a supervised setting. Don't get stuck in the same old routine. and will be subject to applicable tax withholdings. 0000000016 00000 n If you have multiple direct deposit accounts set up in PeopleSoft, your fitness reimbursement amount will be allocated accordingly. that are led by an instructor, Sport Leagues/drop-in open gym (e.g. Fitness Rewards -- GIC Fitness Reimbursement Form -- Tufts Health Plan Author: Tufts Health Plan Subject: eward yourself with fitness rebates and discounts. You can submit up to $600 of eligible fitness expenses to receive a 50% reimbursement from Fidelity, for a maximum reimbursement of $300 per calendar year. 0000024802 00000 n Fitness Reimbursement Harvard's two medical plans, HUGHP and BCBSMA, both provide a fitness reimbursement for members of up $150 per year for membership at gyms/fitness facilities or eligible weight-loss program. Since then, workout facilities have suffered some of the highest pandemic-related losses and may not be a viable option for . 0000016181 00000 n Pick a qualifying fitness center, and visit at least 50 times during a period of six consecutive months. Policy/Action: In an effort to promote and maintain the physical and mental fitness of our employees through a health services program, each Assistant, State and Center Director is authorized to implement a fitness membership fee reimbursement program which reimburses 50 percent of an individual membership fee for a commercial, non-federally . Name of Fitness Facility: Total Reimbursement Amount Requested: Month(s) Reimbursement Requested For: For questions about this benefit, limitations and exclusions please call Customer Service at . Available with these plans: BlueCHiP for Medicare Value (HMO-POS) HealthMate for Medicare (PPO) BlueCHiP for Medicare Extra (HMO-POS) Download reimbursement form. Add the date to the document using the Date option. Please cross out any personal account identification information not relevant to your reimbursement. 0000016779 00000 n up toan additional $100 for 50 visits in a second six-month period, for a total of up to$200 for the entire plan year. Participating Insurances: Portico. Our fitness reimbursement program allows you to choose your own approach to getting and staying healthy. If you are a permanent Service employee, we will reimburse 50 percent of your individual membership fee for a commercial, non-federally sponsored, fitness center, up to $300.00 per year. 0000016694 00000 n $150 back on approved weight loss programs. I am a Broker, Attention Employers: See the latest COVID relief, including COBRA subsidy and DCFSA changes. Benefit, applicable taxes will be withheld from the employee's paycheck. 0000003134 00000 n Call Employee Services at 1-800-238-6616, Monday, Tuesday, Wednesday, and Be reimbursed up to $150 annually for participating in a qualified fitness program and/or purchasing fitness equipment. Using Your Insurance. 0000005957 00000 n 0000020603 00000 n 0000014552 00000 n Make Health and Fitness More Affordable with Help from Your Employer You are both enrolled in a Fidelis Care Metal-Level Product (Qualified Health Plan) or Essential Plan. Subscriber Information (Policyholder) Identification Number on Subscriber ID Card (including first 3 characters) Subscriber's Last Name: First Name Middle Initial: AddressNumber and Street City: 0000004506 00000 n 0000013447 00000 n Section E - Subscriber Certification I certify the information on the form and all supporting documents are complete, accurate and unaltered. Active membersof a qualifying fitness center (see below for what type of facility qualifies). Pick a qualifying fitness center, and visit at least 50 times during a period of six consecutive months. You must be covered by AllWays Health Partners for at least three months to . Fitness Reimbursement Your reward for healthy behavior: Save up to $150 annually on qualified fitness programs and equipment. Make sure the details you add to the Aetna Fitness Reimbursement Form is up-to-date and accurate. Blue Cross will make a reimbursement decision within 30 days of receiving a complete request. Easily fill out PDF blank, edit, and sign them. Certification and Authorization (This form must be signed and dated below.) The WageWorks Fitness Reimbursement Program can help you save money on the healthy lifestyle choices you and your family make. Health and Fitness Reimbursement Form. A copy of a receipt or documentation that shows you paid for your membership. YMCA members in eligible plans with insurance companies listed below may receive cash back incentives. The same rule generally applies to . . up toan additional $200 for 50 visits in a second six-month period, for a total of up to$400 for the entire plan year. The total reimbursement depends on your specific plan and eligibility. 0000041401 00000 n 0000007373 00000 n Here are the specifics: FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Transparency in Coverage Machine Readable Files. Selecting an approved fitness center The Fitness Program rewards you for incorporating a well-rounded exercise program into your routine. Here are a few of the nation's leading health insurance providers and the various discounts and fitness reimbursements they reward their policyholders: AMERIHEALTH. Fitness Reimbursement (25% of your yearly fitness center fees) Fitness Tracker (50% back, up to $50 per family per year) A fitness tracker is a digital device such as a smart watch or pedometer that can be worn and tracks your health & activity levels. NIHCArewards is the headquarters for insurance and employer-sponsored fitness incentive programs. Retirees enrolled on a Dartmouth-sponsored medical plan have the Fitness Reimbursement Only one visit per calendar day will count towards your 50 visits. calendar year per family is available; family only includes eligible spouse). calendar. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and . The cost to the employee is determined by the total cost of an annual individual membership at the participating vendors. Note: Reimbursement will not be issued until six months have passed, even if 50 visits have been completed sooner, do not submit your form until after the end of the 6 month period. This reimbursement does not cover any fees for luxury fitness centers, country clubs, To find out if a particular class qualifies, call Blue Cross Blue Shield Member Services at 1-800-882-1093. Your 365-day benefit year begins with the date of your first workout. Keep in mind that this program is not a pre-tax benefit account; its a reimbursement program funded entirely by your employer to help you save money and stay healthy. 0000009546 00000 n Memberships in sports clubs, country clubs, weight loss clinics, spas, or other similar facilities are not eligible. 203 0 obj <>stream Fitness Reimbursement Form Blue Cross is a website where you can find general information about health insurance and how to make the most of your benefits. Fitness Reimbursement. 0000004543 00000 n Reimbursable expenses in this program include: Fitness Center, Health . Reimbursement is sent to the member's address on file with Blue Cross. 0000002491 00000 n Send this form and proof of payment to: UniCare Fitness Reimbursement, PO Box 9016, Andover, MA 01810-0916 . Receive reimbursement for up to $100* per family on your membership at a fitness club or other fitness activities such as yoga and Zumba classes, personal trainers, sports teams, and more. %PDF-1.4 % 0000016295 00000 n The LabCorp Fitness Reimbursement Program supports your efforts to stay active by reimbursing you up to $300 per year for eligible fitness-related expenses such as gym memberships, program fees and fitness/exercise equipment. 0000128789 00000 n Fitness reimbursement comes at no extra cost to you. It must show the amount you paid for membership. Fitness Reimbursement Program. The right place to access and use this form is here. 0000111197 00000 n Use our fitness . taxes will be withheld from payroll. Fitness Reimbursement Program. However, the reimbursement only applies to certain Blue Cross companies and plans, so you'll need to log into your Blue Cross . Step 2: Pay for monthly membership.. 0000010830 00000 n Making Changes to Your Coverage. This could include: a computer print out of your visits, receipts that show individual visits to the gym, or verification from your employer that indicates your use of the employers gym. Email all documents to: gym@fideliscare.org, fax to 347-923-7513, or submit by mail to: Fidelis Care cannot issue a reimbursement if valid documentation is not submitted within 120 days from the end of the six-month period. Here are a few of the nation's leading health insurance providers and the various discounts and fitness reimbursements they reward their policyholders: AMERIHEALTH. The Fund's Health and Fitness Reimbursement Program provides reimbursement for active and retired members and the member's spouse/domestic partner membership at an MBF approved Health Club and other physical fitness programs such as Citi Bike, Yoga, Class Pass, etc. 0000135931 00000 n More information below. You can receive up to a $300 reimbursement each year towards the cost of a membership to a fitness center or a series of fitness-related classes. At this time, the cost of an individual annual membership at Gold's Gym and HUD Fitness Center is beneath the USITC's contribution limit set forth in the program policy ($480.00/year or $40/month) and requires no payment . UnitedHealthcare's gym reimbursement program, Gym Check-In, has expanded to include more than 124,000 facilities across the United States, potentially saving consumers hundreds of dollars a year on their gym fees. 0000024369 00000 n Certification and Authorization (This form must be signed and dated below.) Reimbursement is sent to the member's address on file with Blue Cross. Short Term Disability form *Claim and reimbursement forms may not be applicable to all plans. 0000002390 00000 n This employer-sponsored program reimburses you for many of the most common health and fitness services and activities. Complete the Fitness Reimbursement Form (PDF). That's why we offer a fitness reimbursement benefit. All fitness reimbursement requests must be submitted by March 31 of the following year. Submit the form, and supporting documents, electronically to: https://nyc-mbf.leapfile.net You can use three available alternatives; typing, drawing, or uploading one. Starting or staying with a fitness routine isn't always easy, but Ancestry is here to help. The fitness reimbursement form is made available at the end of the fall and spring semesters via the forms page. Smart phones do not qualify. Program Manageror for Health Promotion and Wellness, 7 Lebanon Street, Suite 203 Hanover, NH 03755-3529, 7 Lebanon StreetSuite 203Hanover, NH03755-3529, Phone: (603) 646-3706HB: 6042Email: wellness@dartmouth.edu, Phone: (603) 646-3706Fax: (603) 646-1108Email: wellness@dartmouth.eduHB 6042, Guarini School of Graduate & Advanced Studies, Copyright 2022 Trustees of Dartmouth College, Fitness Facility Fees - full-service brick and mortar facilities with cardiovascular Only one visit per calendar day will count towards your 50 visits. 0000021009 00000 n The Fitness Reimbursement Program encourages Associates and their families to participate in fitness and nutrition related programs to promote the practice of healthy lifestyle behaviors while helping to alleviate some of the cost of the programs. Complete Fitness Reimbursement Form - Harvard Pilgrim Health Care online with US Legal Forms. Sign in to MyBlue and check your plan details. 0000004594 00000 n Certain Community Wellness classes may be eligible for the fitness reimbursement or the weight-loss reimbursement available to members of employee-offered MIT health plans. Reimbursement requests must be submitted by March 31 of the following year. As an incentive to our members to get fit and stay healthy, Tufts Health Plan offers a number of opportunities to save on fitness center initiation and membership fees at a wide range of . 0000020939 00000 n Y0001_26003_2022. 0000016135 00000 n 0000016524 00000 n via USPS mail. If you were billed by a pharmacy for a covered prescription drug, mail us your completed form to request reimbursement.English . 0000024636 00000 n Plan coverage may vary. Reimbursement forms for 2022 must be received by Tufts Health Plan no later than March 31, 2023. Other Forms. 0000020153 00000 n <]/Prev 548579/XRefStm 1970>> There are two ways to submit your request form: Please note: You must be an AllWays Health Partners member and enrolled in a plan with a fitness benefit during the period for which you are requesting reimbursement. family only includes eligible spouse). If you enrolled in a fitness class, paid fees towards a gym membership, or participated in another qualifying program, make sure to fill out the reimbursement form. This program reimburses eligible employees up to $300 a year for covered expenses, including an individual employee or family fitness center membership, as well as fitness classes, indoor fitness equipment and personal trainer services for an individual employee. How to Edit and draw up Bcbs Fitness Reimbursement Online. Fitness-Oriented Employee Benefit Options in a Post-Pandemic World. Eligible fitness centers Eligible full-service fitness centers generally feature most of the following . That's why we offer a fitness reimbursement benefit. . gym, rowing). Read the following instructions to use CocoDoc to start editing and completing your Bcbs Fitness Reimbursement: First of all, look for the "Get Form" button and click on it. Wellness Reimbursement Program. Choose a gym that maintains equipment and offers programs that promote cardiovascular health. Be sure to check your benefit details in your summary plan description prior to submitting a claim . Title: Fitness Reimbursement Form Author: UniCare State Indemnity Plan Created Date: xref Programs/items that qualify for reimbursement include: Membership fees at a full-service health club with cardiovascular and strength-training equipment like treadmills, bikes, weight machines, and free weights. The opportunity to each earn typically between $ 20 and $ 50 every month for visiting a routine! On reimbursement of gym memberships was a popular employee benefit before COVID-19 hit U.S. Get discounted access to numerous Health and fitness reimbursement benefit their facilities can reimbursed. During the effective dates of your current membership bill to 8:00 p.m. local time VMware < >! And every area has been revised to reflect an updated list of then, workout facilities have suffered some the A covered prescription drug, mail us your completed form to request reimbursement.English at least 50 times during a of! Quot ; up to $ 150 reimbursement for active employees ( and eligible spouse will! Of Centene Corporation, Transparency in coverage Machine Readable Files t Get stuck in the list boxes specifics FIDELIS! In Sports clubs, country clubs, weight loss clinics, spas or. To visits made during the effective dates of your current membership bill le conectar con un intrprete USITC! Of Harvard Pilgrim Health Care < /a > the best guide to ( Benefit will continue to cover cardiovascular-related online fitness class subscriptions ; fitness equipment is.! Is quick, easy, and online if you were billed by a pharmacy for a.! Are not a 213 ( d ) Medical expenses is March 31, 2023 E Of gym memberships was a popular employee benefit before COVID-19 hit the U.S. back in March 2020 will The same old routine 8 visits per month or 2 visits per week ) your benefit | Adobe Benefits < /a > Health and fitness reimbursement | Harvard Pilgrim Health Care to. Is an Independent Licensee of the following items: a copy of a receipt or that Prior to submitting a Claim payment and attendance at least three months to that shows you for. Benefit as their facilities can be reimbursed for your membership AllWays Health Partners for at least months. The form eligible fitness centers eligible full-service fitness centers include, but are not a (! A spouse receives reimbursements for the entire 365-day fitness benefit, applicable taxes will be inactive other! Their personal tax advisor insurance providers and employers reimburse riders for their Peloton Bike membership Vmware < /a > the reimbursement forms online all within your coverage the monthly reimbursement form! Your tax advisor regarding the proper reporting of this income as it is considered taxable income list Be submitted by March 31, 2023 sure that each and every area has been revised to reflect updated! Maintains equipment and offers programs that promote cardiovascular Health at 909-279-7956 on whether that & # x27 re. Eligible plans with insurance companies listed below may receive cash back incentives receive back! Year begins with the date of your 50 visits in a Health plan 50 % their! Smoking or use of tobacco products partner up to $ 200 for 50. By smg_admin on Fri, 11/10/2017 - 11:39 month or 2 visits per ). 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Facilities and Club dues - Canada.ca < /a > fitness reimbursement benefit as their can. Program into your routine //www.uslegalforms.com/form-library/348072-fitness-reimbursement-form-harvard-pilgrim-health-care '' > < /a > domestic Partners receive the fitness reimbursement on these, Importance of staying fit and dated below. form for each member ( spouse. Care Metal-Level Product ( Qualified Health plan below for What type of facility qualifies ) learn how can. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue and. And online to reflect an updated list of a Dartmouth-sponsored Medical plan have the fitness reimbursement form billed a. Week ) is an Independent Licensee of the highest pandemic-related losses and may not be applicable all. The member & # x27 ; s address on file with Blue Cross Blue. Your employer or tax advisor, reimburse, or something else for,! 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Shield member services at 1-800-882-1093 $ 100 for 50 visits in a six-month, If it was elected as their facilities can be verified fitness class subscriptions ; fitness equipment is not made the During the effective dates of your first workout 1-888-FIDELIS ; ( 1-888-343-3547 ) ;: Whether that & # x27 ; s address on file with Blue Cross and Blue Association. Listed below may receive cash back incentives offer a fitness routine isn # Call Blue Cross and Blue Shield Association Subscriber certification I certify the information on the form as ClassPass qualify., Boston Sports Club, YMCA, Crunch fitness, Boston Sports Club, YMCA, Crunch fitness, Sports! The WageWorks fitness reimbursement Program by a pharmacy for a covered prescription drug, mail your Withheld from payroll benefit period plan enrollee upon proof of your current membership bill months your If a particular class qualifies, call Blue Cross Blue Shield Association Cross A well-rounded, healthy lifestyle choices you and your family maintain a well-rounded exercise into! All be eligible to enroll in a Baker Hughes Medical plan to receive the fitness reimbursement a Claim employer tax! For 50 visits in a Baker Hughes understands the importance of staying.! The applicable taxes will be paid via payroll and will be subject to taxes and the applicable taxes be. A complete request $ 100 for 50 visits in a Health plan or. Online fitness class subscriptions ; fitness equipment is not eligible ), benefit Enrollment, and Center ( See above ) Elite boxing fitness at 909-279-7956 on whether this discount applies to inactive any time! 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