Blue cross blue shield fitness reimbursement form 2019. Section 5 – Submit your form For reimbursement, submit the Wellness Reimbursement form (on the opposite side), along with proof of payment, to the address shown below. This guide will show you how to claim your fitness reimbursement, what’s covered, and how to get started, with real examples and the latest updates for 2025. Please allow up to 30 days to complete your reimbursement request from the date we receive your claim. Note: Reimbursement requests for 2020 programs must be submitted after your 2020 health benefits become effective. Blue Cross Blue Shield of Massachusetts will make a reimbursement decision within 30 calendar days of receiving a completed request form. Horizon Managed Care Claims Horizon Blue Cross Blue Shield of New Jersey PO Box 820 Newark, New Jersey 07101-0820 A fitness studio with instructor-led group classes such as yoga, Pilates, Zumba® ́, kickboxing, indoor cycling/spinning, and other exercise programs. Complete this form and mail it to: Blue Cross Blue Shield of Massachusetts, Local Claims Department, PO Box 986030, Boston, MA 02298 ber on your ID card. All reimbursement requests must be submitted by March 31 Complete this form and mail it to: Blue Cross Blue Shield of Massachusetts, Local Claims Department, PO Box 986030, Boston, MA 02298. All fitness reimbursement requests must be submitted by March 31 of the following year. Reimbursement is sent to the member's address on file with Blue Cross. Flex Card Reimbursement Form If you have purchased an approved product and are looking for reimbursement based on your plan allowance, submit this form along with a copy of your receipt. Gym Reimbursement If you’re regularly working out to stay healthy, Horizon Blue Cross Blue Shield can help you save on your out-of-pocket expenses. Reimbursement will be paid to the active Lifespan employee/subscriber. Reimbursement requests must be received by Blue Cross & Blue Shield of Rhode Island no later than March 31 of the following year. Starting in 2019 —A fitness studio with instructor-led group classes such as yoga, Pilates, Zumba®', kickboxing, indoor cycling/spinning, and other exercise programs. Fitness reimbursement can be granted for any single member or combination of members enrolled under the same Blue Cross health plan up to a total maximum of $150. We will reimburse you up to $200 per member per 12-month period toward the cost of your gym membership. Note: Reimbursement requests for the new 2019 programs must be submitted after your 2019 health benefits become effective. All reimbursement requests must be submit Complete this form and mail it to: Blue Cross Blue Shield of Massachusetts, Local Claims Department, PO Box 986030, Boston, MA 02298 Important Information: 2. Reimbursement requests must be submitted by March 31 of the following year. Reimbursement may be considered taxable income, so consult your tax advisor. Note: Reimbursement requests for the new 2019 programs must be submitted after your 2019 health benefits become efective. To download the form you need, follow the links below. That’s awesome because group workouts are an amazing, fun, and motivating way to stay fit. Keep copies of proof of payment in case we request it from you. We encourage mber Service number on your ID card. Blue Cross Blue Shield of Massachusetts will make a reimbursement decision within 30 calendar days of receiving a completed request form. (For a lot of people, they’re far more effective than joining a gym. A fitness studio with instructor-led group classes such as yoga, Pilates, Zumba® ́, kickboxing, indoor cycling/ spinning, and other exercise programs Blue Cross Blue Shield of Massachusetts will make a reimbursement decision within 30 calendar days of receiving a completed request form. Once verified, your funds will be deducted from your card and a check will be mailed to you. Box 15349 Tallahassee, FL 32317-5349 Starting in 2019—A fitness studio with instructor-led group classes such as yoga, Pilates, Zumba, kickboxing, indoor cycling/spinning, and other exercise programs. I authorize the release of any information about my qualified fitness program to Blue Cross Blue Shield of Massachusetts. For reimbursement, submit the Wellness Reimbursement form (on the opposite side), along with proof of payment, to the address shown below. Administrative Forms Member enrollment forms, claim forms, new business submission checklist, and more. Fitness reimbursement can be granted for any single member or combination of members enrolled under the same Blue Cross Blue Shield of Massachusetts health plan. (For example, if you participate in a fitness activity in 2020, you should submit your form by Starting in 2019 —A fitness studio with instructor-led group classes such as yoga, Pilates, Zumba®', kickboxing, indoor cycling/spinning, and other exercise programs. Blue Cross Blue Shield of Massachusetts complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity. ) Basically, you can be reimbursed for any group fitness class you pay for (like Cyclebar This fitness reimbursement applies one time per family, per calendar year. Sep 6, 2019 · Blue Cross Blue Shield fitness classes reimbursement explained In 2019, BCBS began reimbursing members for taking group fitness classes. Blue Cross Blue Shield of Massachusetts can help you have money through gym discounts and wellness reimbursements, ranging from weight loss programs to nutrition counseling. Can't view PDF documents? Download Adobe Acrobat®’ Reader. Blue Cross will make a reimbursement decision within 30 days of receiving a complete request. Complete this form and mail it to: Blue Cross Blue Shield of Massachusetts, Local Claims Department, PO Box 986030, Boston, MA 02298 Claim Forms - Blue Cross and Blue Shield's Federal … Posted: (5 days ago) WebIf you use a provider outside of the network, you will need to complete and file a claim form for reimbursement. O. Forms Here you'll find the forms most requested by members. Starting in 2019—A fitness studio with instructor-led group classes such as yoga, Pilates, Zumba® ́, kickboxing, indoor cycling/spinning, and other exercise programs. Complete Once you pay for the program, fill out the attached form. 8:00am - 5:00pm, Monday - Friday Raymond Sanders Member Services Specialist Mail completed form to: Capital Health Plan Claims Department P. I understand that Blue Cross Blue Shield of Massachusetts may require proof of payment for a reimbursement decision. Most BCBS plans include steps like enrolling in an eligible gym, keeping receipts, and submitting a simple claim online or by mail. zq0tqh b7r1 gluk oq01aqq ov t6o 4i79ut 5zumer 3ys31k 0ip5wed