Things to know. Gym memberships or fitness programs may be part of the extra coverage offered by Medicare Advantage Plans, other Medicare health plans, or Medicare Supplement Insurance (Medigap) plans. If you have one of these, call your plan to see if it covers gym memberships or fitness programs.Beginning April 1, 2023, the Active&Fit Direct standard program will raise the member fee from $25 to $28 (plus applicable tax). The $3 program increase helps us continue to offer this fantastic program with a robust network of gyms and still maintain competitive pricing for our members. If you’re enrolled, the new fee will automatically ... 4pdt switch You should contact your insurance directly. Because depending on your plan you may or may not have access to gym discounts. There’s no multi-club plan-if your plan offers it you’ll get a discount on your gym membership but you have to go to a participating gym. Some plans only offer gym membership reimbursements to senior citizens but there ... Fitness Benefits Sign up for a qualified health club or fitness facility, and you can receive up to $150 per year for all plans except HMO Blue SaverRx and HMO Blue PlusRx covers up to $250 per year to use toward your club membership fees, exercise classes, online class fees, or fitness equipment. For details, please see one of the following: titans of cnc Most Anthem plans offer fitness programs to help members like you achieve their goals and improve their quality of life. Please note: Certain services, programs, and offerings may vary, or may not be available, depending on your plan or state. Log in to explore your plan details. Gym ReimbursementDiscount Drug Program. Members can get lower prices on prescription drugs not covered by our pharmacy benefits. To learn more on how to fill your prescriptions using this program, view and download our Discount Drug Program Quick Reference Guide. Download the Guide. tone in writing sentences According to federal guidelines from the US Department of Health and Human Services, adults should do at least 150 minutes a week of moderately intense aerobic physical activity. That’s just 22 minutes a day of activity to maintain a good l...May 1, 2021 • Policy Updates / Reimbursement Policies. As a reminder, Anthem Blue Cross and Blue Shield (Anthem) does not allow separate reimbursement for claims that have been identified as a readmission for the same, similar or closely-related diagnoses or condition to the same facility or another facility that (i) operates under the same Facility Agreement, (ii) has the same tax ...Submit receipts for reimbursement right from your mobile device “My employer is helping me train for my first 10K run! I go to the gym daily and work with a trainer twice a week. I submit my receipts for my gym membership dues and my trainer’s services, and I get reimbursed for my fitness expenses. It couldn’t be easier!” whatpercent27s the largest u haul truckSubmit receipts for reimbursement right from your mobile device “My employer is helping me train for my first 10K run! I go to the gym daily and work with a trainer twice a week. I submit my receipts for my gym membership dues and my trainer’s services, and I get reimbursed for my fitness expenses. It couldn’t be easier!” Receive reimbursement for up to $100* per family on your membership at a fitness club or other fitness activities such as yoga and Zumba classes, personal trainers, sports teams, and more. The reimbursement is paid once per plan year to the plan enrollee upon proof of membership and payment. Use our fitness reimbursement form to request your ... granit evye fiyatlari If you get your health coverage through your employer, you may be eligible for rewards. Start by completing your personal health assessment to earn points. It only takes about 15 minutes. You can earn more points by completing other interactive activities, videos and quizzes on topics such as healthy snacking, fitness, managing stress and more. Reimbursement steps: 1. Pay your fitness center dues and keep the receipt(s). Receipts must be original and include the name of the fitness center, description of the membership purchased, date of payment, amount paid and the name of the person using the membership. If your fitness center dues are electronically debited GlobalFit is a b2b2c curated marketplace offering both proprietary and partner wellness solutions spanning nutrition, reimbursement, fitness and mindfulness. CHARGE provides insurance-funded and private pay evidence based telenutrition and on-site services delivered by Registered Dietitians. View the Notice Regarding Wellness Program for more information. How do I track my health screening credits? Anthem Members: Log in to your myPlans Connect ...bought new at a retail store or online). If you'd rather work out at a gym or health club, you have the option to receive up to $450 back each year for membership dues. You will need to complete the Anthem Fitness Facility Reimbursement form attached to this flyer. Types of equipment eligible for reimbursement} Treadmills} Stationary cyclesDiscounts on gym memberships, fitness equipment, coaching, and more from Global Fit. ... including flexible deductibles and custom reimbursements. LinkWell forex trade insights telegram We provide a choice of high-quality health care coverage, whether you prefer Open Access Plan options or a high-deductible health plan with a Health Savings Account option.. Gympass is the largest global network of gyms, bootcamps and studios.Gympass empowers employees to lead healthier lifestyles by providing access to over 10,000 fitness facilities in the US with a single monthly membership.Sign up for a gym membership at F45 Training Anthem AZ and experience our innovative, results-driven workouts in a motivating, ego-free group setting.Fitness your way. Get access to thousands of fitness centers nationwide starting at $19 per month. With Fitness Your Way, brought to you by Blue Shield of California in partnership with Tivity Health, you can exercise when and where it’s convenient for you. You get: Access to gyms near home and work. No contract commitments.Step 1: Start your internet browser, and then go to the official anthem bluecross blueshield gym membership website. Step 2: Next, locate the “Login” button at the top-right corner. Click on it. Step 3: Next, enter your Username/Password in the appropriate fields. Step 4: After you have completed the login details correctly, click the ... art techniques ks2 Fitness Reimbursement Form For Anthem members in New … Health (6 days ago) WebAnthem Blue Cross and Blue Shield P.O. Box 533 North Haven, CT 06473–0533 5. …JEA'S FITNESS CENTER 515 WAITS RIVER RD BRADFORD VT 05033 (802) 222-5522 Note: HMO State employees married to other HMO state employees: Both employees are eligible for either the Health Club Beneft or Fitness Equipment Reimbursement. Please call Anthem Blue Cross and Blue Shield Customer Service at (800) 933-8415 to advise them. towing mirror 16 jul 2022 ... Hi all, I'm now part of Anthem Health through my school. I'm an avid gym goer and I was wondering if anyone knew of any reimbursement plans ...Posted: Anthem Gym Reimbursement Brochure. Get reimbursed for your fitness center membership dues. 1. Fill out the Gym Reimbursement form. 2. Include your fitness log. If you did not use. Save money with discounts at anthem.com. Save money with discounts at anthem.com Global Fit Get discounts on gym memberships, f tness deductibles andWellness · Anthem Health Reimbursement Arrangement, Bronze, Gold, and Silver · Anthem Blue Cross and Blue Shield and UnitedHealthcare Health Maintenance ... roanoke houses for rent With over 30 cardiovascular machines from elliptical bikes to treadmills to a full array of strength training machines and free weights, the Anthem Fitness ...As an Anthem member, you qualify for discounts on fitness and wellness products that promote better health through our SpecialOffers program.* Vision, Hearing, And Dental Save money on glasses, LASIK surgery, hearing aids, and dental aligners. Fitness And Health Enjoy discounts on gym memberships, weight loss, wearable health devices, physical ... Out-of-state members can only use the discount online. $29 gym memberships. Get access to more than 9,500 gyms nationally through Fitness Your Way. usps rural carrier vehicle reimbursement Anthem reimbursement policies are developed based on nationally accepted industry standards and coding principles. These policies may be superseded by mandates in provider or state contracts, or state, federal or CMS requirements.Insurance Reimbursement Rates for Psychotherapy [2022] …. Health. (1 days ago) WebVirginia – VA. $90-$105. Pennsylvania – PA. $90-$110. Texas – TX. $90-$110. Again, these are estimated rates for a typical 60 minute session for an entry-level mental health license. The city you practice in will have a …. https://therathink.com ...Receive reimbursement for up to $100* per family on your membership at a fitness club or other fitness activities such as yoga and Zumba classes, personal trainers, sports teams, and more. The reimbursement is paid once per plan year to the plan enrollee upon proof of membership and payment. Use our fitness reimbursement form to request your ...GlobalFit is a b2b2c curated marketplace offering both proprietary and partner wellness solutions spanning nutrition, reimbursement, fitness and mindfulness. CHARGE provides insurance-funded and private pay evidence based telenutrition and on-site services delivered by Registered Dietitians. old time rock and roll bob seger Anthem Discounts - Human Resources | Indiana UniversityGlobalFit is a b2b2c curated marketplace offering both proprietary and partner wellness solutions spanning nutrition, reimbursement, fitness and mindfulness. CHARGE provides insurance-funded and private pay evidence based telenutrition and on-site services delivered by Registered Dietitians.PRESS RELEASE. TCS' Fit4life Corporate Challenge to Promote Wellness in the Community. TCS' Annual 10K Timed Competitive Running Event for Corporates Will See Participation by 12,000 Employees from 300 Companies across 4 Cities. TCS to Contribute Rs. 500,000 to Charity Partners in Each of the Cities. MUMBAI, January 3, 2019: Tata Consultancy ... cvc words with pictures Fitness Reimbursement When you participate in a qualified fitness program, Blue Cross Blue Shield of Massachusetts will reimburse you up to $150 each calendar year for costs you pay for health club membership fees or for fitness classes taken at a qualified health club.You only pay $24.99 a month with no enrollment fee. Visit over 11,000 available fitness locations–anytime, anywhere. Join live classes led by wellness professionals, with new classes added weekly. Access additional wellness resources, like online therapy and nutrition tips. Get one-on-one virtual personal training. Fitness Anthem Gym Spa Sector 31, Best Gym in Gurgaon, view address, membership fees, book free trial, timings, amenities, equipments, virtual tour, ... when there is nothing left but love novel ashton and scarlet chapter 16 Weight Loss Program Reimbursement. When you participate in a qualified weight loss program, Blue Cross Blue Shield of Massachusetts will reimburse you up to $150 each calendar year for costs you pay to participate in qualified program (s). You can claim this weight loss program reimbursement for fees paid by any combination of members (such as ... Learn more by clicking each link. Healthways — Silver Sneakers. Participating Health Insurance Companies: Anthem Blue Cross Blue Shield · Tufts · Harvard ...Anthem Gym Reimbursement: Fill & Download for Free GET FORM Download the form How to Edit Your Anthem Gym Reimbursement Online Easily Than Ever Follow these … modern warfare 2 anti cheat Anthem Blue Cross Gym Membership Discounts - GymProTalk.com Posted: (11 days ago) WebDec 26, 2022 · Anthem Blue Cross and Blue Shield offers Medicare Advantage …This page outlines the basis for reimbursement if the service is covered by an Anthem member’s benefit plan. Keep in mind that determination of coverage under a member's plan does not necessarily ensure reimbursement. Industry practices are constantly changing, and Anthem reserves the right to review and revise these policies periodically. Discount Drug Program. Members can get lower prices on prescription drugs not covered by our pharmacy benefits. To learn more on how to fill your prescriptions using this program, view and download our Discount Drug Program Quick Reference Guide. Download the Guide. jobs that pay dollar15 an hour near me O. Follow these steps to get your Anthem Gym Reimbursement edited in no time: Select the Get Form button on this page. Box 533 North Haven, CT 06473-0533 4. Save Time With Live Chat. . Box 533 North Haven, CT 06473-0533, [email protected] Fitness Reimbursement Program,. HealthKeepers, Inc. .Print a copy of the Blue Care Network …• Fitness equipment or clothing Be sure to check with your doctor before starting any exercise program. Important information: • Fitness reimbursement can be granted for any single member or combination of members enrolled under the same Blue Cross health plan. Blue Cross will make a reimbursement decision within 30 days of receiving a used camper vans under dollar5000 Discount Drug Program. Members can get lower prices on prescription drugs not covered by our pharmacy benefits. To learn more on how to fill your prescriptions using this program, view and download our Discount Drug Program Quick Reference Guide. Download the Guide. hookah pen amazon GlobalFit is a b2b2c curated marketplace offering both proprietary and partner wellness solutions spanning nutrition, reimbursement, fitness and mindfulness. CHARGE provides insurance-funded and private pay evidence based telenutrition and on-site services delivered by Registered Dietitians.Please call Anthem Blue Cross and Blue Shield Customer Service at (800) ... GYM/FITNESS FACILITY REIMBURSEMENT- State of New Hampshire employees on the HMO ...Posted: Anthem Gym Reimbursement Brochure. Get reimbursed for your fitness center membership dues. 1. Fill out the Gym Reimbursement form. 2. Include your fitness log. If you did not use. Save money with discounts at anthem.com. Save money with discounts at anthem.com Global Fit Get discounts on gym memberships, f tness deductibles and small plastic bags It wont cover fitness program fees or gym memberships. This means you pay 100% of the costs associated with it if you plan to get a gym or fitness program membership. However, you may be able to get help with some of the costs if you have a specific Medicare Supplement policy. How Medicare May Cover Gym Memberships.Anthem reimbursement policies are developed based on nationally accepted industry standards and coding principles. These policies may be superseded by mandates in provider or state contracts, or state, federal or CMS requirements.Reimbursement Policies We want to help physicians, facilities and other health care professionals submit claims accurately. This page outlines the basis for reimbursement if the service is covered by an Empire member’s benefit plan. Keep in mind that determination of coverage under a member's plan does not necessarily ensure reimbursement.At Concentra, we serve 44 states in 522+ clinics across the country. Concentra colleagues remain fueled by our driving purpose: to provide outstanding patient and employer experience by delivering ... council flats to rent in scarborough Things to know. Gym memberships or fitness programs may be part of the extra coverage offered by Medicare Advantage Plans, other Medicare health plans, or Medicare Supplement Insurance (Medigap) plans. If you have one of these, call your plan to see if it covers gym memberships or fitness programs.Anthem reimbursement policies are developed based on nationally accepted industry standards and coding principles. These policies may be superseded by mandates in provider or state contracts, or state, federal or CMS requirements. clamshell shutter parts Reimbursement Policies We want to help physicians, facilities and other health care professionals submit claims accurately. This page outlines the basis for reimbursement if the service is covered by an Anthem member's benefit plan. Keep in mind that determination of coverage under a member's plan does not necessarily ensure reimbursement.Our reimbursement process is quick, easy, and online. Good thing, because look what you can save on: Health club memberships. Online fitness memberships, subscriptions, … 1985 chevy truck wiring diagram 5af6abc2d9323.gif2 Follow the prompts to join the Fitness Program. Or you can call the Fitness Program toll-free at (888) 762-BLUE (2583), Monday through Friday, 7 a.m. - 7 p.m. CT. Membership can be cancelled at any time by calling the Fitness Program toll-free at (888) 762-BLUE (2583). Earn 2,500 Blue Points for joining the Fitness Program and up to 300 ...Reimbursement Policies We want to help physicians, facilities and other health care professionals submit claims accurately. This page outlines the basis for reimbursement …Dec 1, 2021 · Additionally, the Related Coding section of the policy is updated to clarify that for Q3014, the member must be physically present in the originating facility. For more information about this policy, visit the Reimbursement Policy page at anthem.com provider website. 1462-1221-PN-CNT. Featured In: December 2021 Anthem Provider News - Ohio. New York FAQs. Get the information you need for your health insurance in New York. Find answers to frequently asked questions about claims, benefits, doctors, emergency care, and more. Or, members can log in to start a Live Chat with us. xyz4Join any of our 11,900+ fitness centers and studios with no long-term contracts ... Add or switch gyms anytime, and cancel your membership when you need to.Beginning April 1, 2023, the Active&Fit Direct standard program will raise the member fee from $25 to $28 (plus applicable tax). The $3 program increase helps us continue to offer this fantastic program with a robust network of gyms and still maintain competitive pricing for our members.An Anthem Company. Make your exercise pay off (literally). Get reimbursed for your fitness center dues. Routine exercise can help you manage your weight, ... dell precision t3600 Fitness Reimbursement Form Anthem Blue Cross and Blue Shield will send reimbursement to the subscriber when approved... Learn more Strength Training Fitness Equiptment S3 19 Pw... exercise, record it on your Fitness Reimbursement Program. Log Card and ... Instructions... Learn more Get This Form Now!Employees enrolled in the HMO Plan are eligible to receive up to $450 each plan year for reimbursement of membership in a gym or fitness center OR up to $200 for reimbursement toward a piece of approved exercise equipment. NOTE This benefit is considered imputed income and is taxable. 2022 Fitness Facility or Home Fitness … vyryk UnitedHealthcare High Deductible Health Plan. In the 2023 Plan Year, earn points up to a total of 960 per household: You and your covered spouse can each earn up to 480 points and each of you can choose how to redeem them in the Sharecare Redemption Center for either: $150 Sharecare Reward Visa® Prepaid Card to use anywhere Visa is accepted ...Jan 22, 2020 · Whether your health insurance will cover or pay for a gym membership depends on your carrier (Blue Cross Blue Shield, Aetna, Oxford, Cigna, and more) and your individual plan. Most providers, however, will offer you a stipend or reimbursement for fitness costs (usually around $200 per year or so) plus other benefits and discounts. cloud busting Offered as part of your Anthem Blue Cross and Blue Shield benefits, ... The Fitness Reimbursement Program reimburses a portion of your (and your spouse's, ...Step 1: Start your internet browser, and then go to the official anthem bluecross blueshield gym membership website. Step 2: Next, locate the “Login” button at the top-right corner. Click on it. Step 3: Next, enter your Username/Password in the appropriate fields. Step 4: After you have completed the login details correctly, click the ...Fitness Facility Member Veriication Form Fill in your full name below, and then have your itness facility complete the rest of the form. Submit this form with your ExerciseRewards® Reimbursement Request Form/Log and proof of payment to: ExerciseRewards, P.O. Box 509117, San Diego, CA 92150-9117 star roof car JEA'S FITNESS CENTER 515 WAITS RIVER RD BRADFORD VT 05033 (802) 222-5522 Note: HMO State employees married to other HMO state employees: Both employees are eligible for either the Health Club Beneft or Fitness Equipment Reimbursement. Please call Anthem Blue Cross and Blue Shield Customer Service at (800) 933-8415 to advise them.The Fitness Program offers flexible options to get in shape and stay active. Choose from a network of gyms offering tier-pricing that fits your budget and lifestyle. This program also includes pay-as-you-go classes through a mobile app for high intensity or yoga workouts. Add family members and save even more by bundling under one account.GlobalFit is a b2b2c curated marketplace offering both proprietary and partner wellness solutions spanning nutrition, reimbursement, fitness and mindfulness. CHARGE provides insurance-funded and private pay evidence based telenutrition and on-site services delivered by Registered Dietitians. [email protected] Special discounts for allergy medicines, Weight Watchers membership, Jenny Craig membership, vitamins, fitness club memberships, ... what to text a narcissist ex The Fitness Program offers flexible options to get in shape and stay active. Choose from a network of gyms offering tier-pricing that fits your budget and lifestyle. This program also includes pay-as-you-go classes through a mobile app for high intensity or yoga workouts. Add family members and save even more by bundling under one account.All fitness reimbursement requests must be submitted by March 31 of the following year. Subscriber Information (Policyholder) Identification Number on Subscriber ID Card (including first 3 characters) Subscriber's Last Name: First Name Middle Initial: Address—Number and Street City:Employees enrolled in the HMO Plan are eligible to receive up to $450 each plan year for reimbursement of membership in a gym or fitness center OR up to $200 for reimbursement toward a piece of approved exercise equipment. NOTE This benefit is considered imputed income and is taxable. 2022 Fitness Facility or Home Fitness Equipment Reimbursement. toyosha tractor parts Anthem Discounts - Human Resources | Indiana UniversityReimbursement Policies Our goal is to assist physicians, facilities and other health care providers with accurate claim submissions. The Anthem Blue Cross and Blue Shield (Anthem) policies outline the basis for reimbursement of covered services under a member's Anthem plan.Sydney Health makes it easy to find doctors near you, get important information about benefits and claims, track your progress toward health goals and more. You can even get your member ID card right from Sydney. Download the Sydney Health app today in the Google Play or Apple App Store!PRESS RELEASE. TCS' Fit4life Corporate Challenge to Promote Wellness in the Community. TCS' Annual 10K Timed Competitive Running Event for Corporates Will See Participation by 12,000 Employees from 300 Companies across 4 Cities. TCS to Contribute Rs. 500,000 to Charity Partners in Each of the Cities. MUMBAI, January 3, 2019: Tata Consultancy ... lbz egr delete kit with y bridge Reimbursement Policies We want to help physicians, facilities and other health care professionals submit claims accurately. This page outlines the basis for reimbursement if the service is covered by an Empire member’s benefit plan. Keep in mind that determination of coverage under a member's plan does not necessarily ensure reimbursement.Anthem Gym Reimbursement Form - 2022 - Usfitnessfinder.com. Posted: (5 days ago) Blue Cross Blue Shield Gym Reimbursement: Complete Guide. Posted: (7 days ago) Sep 06, 2019 · (If you have Anthem Blue Cross, you'll need to work out at your fitness center at least 48 times, or just under. lowepercent27s com UnitedHealthcare High Deductible Health Plan. In the 2023 Plan Year, earn points up to a total of 960 per household: You and your covered spouse can each earn up to 480 points and each of you can choose how to redeem them in the Sharecare Redemption Center for either: $150 Sharecare Reward Visa® Prepaid Card to use anywhere Visa is accepted ...Every aspect of One Pass is designed to empower you to live your best life by fitting your unique needs and interests. So, whether it's in-studio yoga Mondays, live-streamed strength class Wednesdays, or cardio in the gym Fridays, you can have an experience that's all your own. Program benefits are dependent upon your plan eligibility ...In partnership with Active & Fit Direct, we offer gym membership discounts to more than 10,000+ fitness centers, with the flexibility to change any time. Adoption Assistance Chipotle will reimburse 80% of eligible expenses related to the adoption of your child, up to a max of $7,500 per child.To date, United Healthcare, Humana, Anthem Blue Cross and Blue Shield, Aetna, ... SilverSneakers is a gym membership and fitness membership organization ...3. Complete the Fitness Reimbursement Form. Instructions are on the back of the form. 4. Mail your completed Fitness Reimbursement Form, Fitness Reimbursement Program Log Card and original receipt(s) to: Claims Department Anthem Blue Cross and Blue Shield P.O. Box 533 North Haven, CT 06473-0533 [email protected] Fitness Reimbursement Program high quality midi files The Gym Reimbursement program is a healthi improvement and education program and is not insurance. ASH Fitness is a separate company that administers the Gym Reimbursement program on behalf of Anthem Blue Cross and Blue Shield.Save on electronics, restaurant certificates, gym memberships, ... member assistance program that's included with your life/disability coverage from Anthem.With over 30 cardiovascular machines from elliptical bikes to treadmills to a full array of strength training machines and free weights, the Anthem Fitness ...Things to know. Gym memberships or fitness programs may be part of the extra coverage offered by Medicare Advantage Plans, other Medicare health plans, or Medicare Supplement Insurance (Medigap) plans. If you have one of these, call your plan to see if it covers gym memberships or fitness programs. sirt hareketleri isimleri Would virtual fitness classes count towards the Gym Membership Reimbursement Program? As of April 1st, 2020, the Gym Membership Reimbursement Program was suspended until June 30th, 2020. Due to COVID-19 closures, some gyms may have offered virtual classes in the last weeks of March. These visits may be counted towards gym reimbursement if the ...Send this form and proof of payment to: UniCare Fitness Reimbursement, PO Box 9016, Andover, MA 01810-0916 . You can also fax your paperwork to 978-474-5162 or email it to [email protected] Title: Fitness Reimbursement Form Author: UniCare State Indemnity Plan Created Date:The Anthem Blue Cross and Blue Shield (Anthem) policies outline the basis for reimbursement of covered services under a member’s Anthem plan. Keep in mind that a determination of coverage does not necessarily ensure reimbursement. These policies may be superseded by state, federal or Centers for Medicare and Medicaid Services (CMS) requirements. axcdpz Discount Drug Program. Members can get lower prices on prescription drugs not covered by our pharmacy benefits. To learn more on how to fill your prescriptions using this program, view and download our Discount Drug Program Quick Reference Guide. Download the Guide. foreskin restoration devices We provide a choice of high-quality health care coverage, whether you prefer Open Access Plan options or a high-deductible health plan with a Health Savings Account option.. Gympass is the largest global network of gyms, bootcamps and studios.Gympass empowers employees to lead healthier lifestyles by providing access to over 10,000 fitness facilities in the US with a single monthly membership.Anthem, Inc. is now Elevance Health. Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits ... steel flat bar bunnings Getting active. just got easier™. Access 17,200+ fitness centers and studios, 8,100+ on-demand workout videos, home fitness kits, free daily workouts, lifestyle coaching, and more—available through your health plan or employer.*. WATCH VIDEO CHECK ELIGIBILITY. Step 1: Start your internet browser, and then go to the official anthem bluecross blueshield gym membership website. Step 2: Next, locate the “Login” button at the top-right corner. Click on it. Step 3: Next, enter your Username/Password in the appropriate fields. Step 4: After you have completed the login details correctly, click the ...JEA'S FITNESS CENTER 515 WAITS RIVER RD BRADFORD VT 05033 (802) 222-5522 Note: HMO State employees married to other HMO state employees: Both employees are eligible for either the Health Club Beneft or Fitness Equipment Reimbursement. Please call Anthem Blue Cross and Blue Shield Customer Service at (800) 933-8415 to advise them.Fitness center name 16 Fitness center address Signatures 17 We authorize the release to Anthem Blue Cross and Blue Shield of any information necessary to process this request for fitness reimbursement. We agree to the information written above, and verify that the member met the requirements of the program. Member signature X bitum fiyatlari