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Tufts navigator insurance 2026

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The GIC Member Fitness Rebate Form outlines the process for Tufts Health Plan members to apply for a fitness club rebate of up to $150. To qualify, members must complete four consecutive months of membership at a qualified fitness center and submit proof of payment within 24 months. The form requires personal information, proof of payment, and a signature, and must be submitted to Tufts Health Plan.

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Click ‘Get Form’ to open the Tufts Navigator Insurance form in the editor.
Begin by entering your name in capital letters in the designated fields for 'Member’s Name'. Ensure you include your last name, first name, and middle initial.
Next, input your Tufts Health Plan ID number in the provided field.
Select the appropriate proof of payment from the options listed. Indicate which form of proof you are including, such as an itemized receipt or credit card statement.
Attach a statement from your fitness club confirming that you have maintained membership for four consecutive months.
Sign the form where indicated to attest that all information is accurate and complete.
Finally, submit the completed form along with all documentation to Tufts Health Plan at the specified address. Remember not to staple any materials.

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