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Fitness Rewards -- GIC Fitness Reimbursement Form 2026

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  1. Click ‘Get Form’ to open the Fitness Rewards -- GIC Fitness Reimbursement Form in our platform.
  2. Begin by filling in your name clearly in capital letters in the designated fields for Last, First, and Middle Initial.
  3. Enter your Tufts Health Plan ID number in the specified field to ensure proper identification.
  4. Select and indicate which form of proof of payment you are including. Options include an itemized receipt, copies of receipts, a credit card statement, or a letter from the fitness club confirming payment.
  5. Ensure you attach a statement from your fitness club confirming your membership for four consecutive months as required.
  6. Sign the form where indicated to attest that all information provided is accurate and complete.
  7. Submit the completed form along with all documentation to Tufts Health Plan at the address provided on the form. Remember not to staple any materials together.

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Related links

Fitness Reimbursement Form Instructions

We have answers! Please enclose copies of the following: Copy of your health/fitness membership agreement. Completed Fitness Reimbursement Form. ReceiptsRead more

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State Employee Benefits Coverage Chart - 2010

receive a $25 discount off the monthly individual premium. Fitness Rewards for GIC Members (2010),

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