Metroplus gym reimbursement form: Fill out & sign online

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Click ‘Get Form’ to open the metroplus gym reimbursement form in the editor.
Begin by filling out the Subscriber Information section. Enter your MarketPlus ID Number, Last Name, First Name, Middle Initial, Address, City, State, and Zip Code.
Specify the Six-Month Period Requested by entering the start and end dates in mm/dd/yyyy format.
In the Health Club Information section, provide the Gym/Health Club’s Name, City and State, Phone Number, and the Amount Being Claimed.
Document your 50 gym visits in the provided grid. You can either write in your visit dates or attach a printout from your facility that confirms these visits.
Finally, ensure you sign and date the form at the bottom. If required, have a Gym Representative sign as well.

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Does Medicaid include gym membership?

Although Original Medicare does not cover gym memberships, many Medicare Advantage plans and some state Medicaid programs offer fitness-related benefits. If maintaining an active lifestyle is a priority, reviewing your healthcare plan options is essential.

How to qualify for a free gym membership?

Youre typically eligible for discounted gym and leisure membership if youre receiving benefits such as income or housing support, or are impacted by long term health conditions or a disability.

What fitness expenses qualify for reimbursement?

Eligible Expenses Your employer determines which expenses are eligible for reimbursement under the Fitness Reimbursement Program. Typical eligible expenses include: Gym, fitness center/studio, health club, swim tennis club memberships and fees. Fitness and nutrition counseling.

Does MetroPlus cover gym memberships?

Do you enjoy going to the gym to work out and stay healthy? MetroPlusHealth Advantage Plan will pay you back for that! Get up to $500 per year to help you pay for your gym or fitness club membership! Want to learn more about our fitness reimbursement program, or how to enroll?