Gym Reimbursement

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Get Fit, Get Reimbursed

Eligible members can be reimbursed up to $400 per plan year for going to the gym or attending a digital fitness class, and their spouse or domestic partner can earn up to $200 - a total of $600 per contract!

This benefit does not apply to all plans. See your plan contract or call member services at the number on your ID card to confirm your eligibility. Your plan year is the 12-month period following the date your plan begins or renews. Check you plan contract, call member services, or contact your employer’s health benefits administrator to determine the start date of your plan year.

Who is eligible for this benefit?

  • Subscribers and covered spouses or domestic partners of fully insured commercial plans are eligible for this benefit.

  • Eligibility varies for members of self-insured plans.

This benefit is not available to members on the following plans:

  • Medicaid

  • Medicare

  • Individual Marketplace Standard Plan

  • Federal Government Employees

Dependents other than the covered spouse or domestic partner are also not eligible for this benefit.

Still not sure if you’re eligible? Call CDPHP at the number on your ID card.

I do have this benefit. Now, how do I qualify and submit for reimbursement?

  • Visit the gym or attend a digital fitness class at least 50 times to qualify for reimbursement of up to $200 for subscriber, or up to $100 for spouse/domestic partner

  • Complete the Gym Reimbursement Form

  • Submit your completed Gym Reimbursement Form and Proof of Payment to:

CDPHP
P.O. Box 66602
Albany, NY 12206

How often can I submit for reimbursement?

  • Eligible members can submit for reimbursement up to two times per plan year to get reimbursed up to $400 for subscriber, or $200 for spouse/domestic partner

  • Eligible members should submit for reimbursement within one year of the end of their plan year

What qualifies as a gym?

  • A gym or exercise center that houses traditional exercise equipment and is open to the general public

  • Virtual or online fitness program subscriptions that include digital fitness classes (Peloton, Beachbody, etc.)

  • Specialty fitness studios (i.e. yoga, barre, Pilates, indoor cycling, Metabolic Meltdown etc.)

What expenses qualify for reimbursement?

  • Annual membership fees paid for qualifying gyms

  • Monthly or annual subscription fees paid for virtual or online fitness classes and at home workouts

  • Fees paid for individual classes or a package of classes at specialty fitness studios

Membership fees for sports clubs, country clubs, weight loss clinics, spas, or other similar facilities do not qualify for reimbursement. Fees for mobile tracking apps or fitness equipment are not eligible for reimbursement.

What are acceptable proofs of payment?

  • Copy of a bill from facility or program showing fee(s) paid or a credit card statement.  Member name, facility or program name, amount paid, and date(s) of payment must be included

Tips for submitting an acceptable form:

  • Check your eligibility and ensure all paperwork is completed prior to submitting for reimbursement!

  • Make sure the subscriber signs all reimbursement forms

  • Submit separate forms and documentation for subscriber and spouse

  • Submit for reimbursement up to two times per plan year

  • We're here for you! Call us with questions!