Need new Pickleball Gear?

Yes! It's true! You really can get reimbursed for that!

In 2024, the fitness reimbursement benefit provided by certain Medicare-approved Carriers allows members in certain plans the ability to get reimbursed for a select range of activity fees, fitness supplies, and activiity supplies. This exciting benefit is in addition to any SilverSneakers® fitness benefit available within these eligible plans!

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What is the Fitness Reimbursment Benefit?

With the fitness reimbursement benefit, members get an annual or quarterly allowance to be used for certain fitness-related expenses. The allowance amount and frequency varies by plan. The annual allowance ranges from $360-$1200 and the quarterly allowance ranges from $90-$300. See the plan’s Evidence of Coverage for the specific allowance amount and frequency. This is a direct member reimbursement (DMR) benefit, which means members will pay up front for qualified services, activities and equipment, and then will need to submit for reimbursement.

What can members be reimbursed for?

Fees for Activities, like:

Fitness supplies, such as:

•Membership fees for gyms or pools outside of the SilverSneakers® network

•Amenity fees associated with extra services at SilverSneakers locations, like a volleyball league

•Ski/lift passes, equipment rental and lessons

•Golf green and golf driving range fees

•Dance classes

•Tennis and Pickleball fees

•Kayaking

•Bowling

•Pilates and yoga

Fitness supplies, such as:

•Weights

•Medicine balls

•Kettle bells

•Exercise peddlers

•Jump ropes

•Yoga mats

•Foam rollers

•Exercise and resistance bands

•Swimming goggles

•Exercise bikes

•Rowers

Activity supplies, examples:

Fitness supplies, such as:

Activity supplies, examples:

•Golf clubs

•Bowling balls

•Select smart fitness technologydevices (like Fitbit, Apple andGoogle watches, and OTbeatBurn) and fees

•Skis and ski poles

•Pickleball Paddes

•Mountain bikes

•Walking sticks

•Helmets

•Knee pads

Frequently Asked Questions

Please reach us at tracydillard@medicarehelpcenter.org if you cannot find an answer to your question.

Does this fitness reimbursement benefit replace the SilverSneakers® fitness benefit?

No. The fitness reimbursement benefit is in addition to the SilverSneakers fitness benefit. This means members can continue to take advantage of everything their SilverSneakers benefit has to offer, including membership at local gyms, online classes and more. And then in addition, this fitness reimbursement benefit gives them an allowance to use on eligible fitness-related activities and supplies of their choice.

Who should members call if they have questions about reimbursement?

Members should call Aetna Member Services by dialing the number on their member ID card. This benefit is administered by a carrier, so members should not call Tivity/SilverSneakers.

Do unused allowance amounts rollover?

No, unused allowance amounts do not roll over to the next calendar quarter or plan year.

Is there a limit on the number of times a member can request reimbursement?

No. Members can request reimbursement as many times as needed.

Can members request reimbursement for multiple qualified fitness services/activities on a single reimbursement form?

Yes.

Can members request reimbursement for eligible expenses from a prior quarter or year?

The member can request reimbursement at any time during the plan year as long as the purchase date on the receipt is within the applicable benefit period. For plans with a quarterly allowance, if the member has unused funds from a prior quarter and a qualifying expense from that quarter, they can request reimbursement during a later quarter; the purchase date must align to the benefit period.

What happens if a member requests reimbursement for a service/activity that exceeds their plan’s allowance amount?

The member will only be reimbursed up to the plan’s allowance amount. For example, if a member’s plan has a $150 quarterly allowance, and they request reimbursement for a $175 purchase, they’ll only get reimbursed up to the plan’s $150 quarterly allowance amount. The remaining $25 would have to be paid out-of-pocket by the member. The member cannot submit the same receipt for reimbursement of the remaining $25 in the following quarter. The date of the purchase must align with the quarter for which the member is seeking reimbursement.

What types of purchases or services do not qualify for reimbursement?

This benefit cannot be used for reimbursement for items including:

•Social and country club membership fees or dues

•Gun/shooting ranges

•Athletic clothing

•Edible items and services

•Bicycle maintenance and repair

•Orthopedic shoes and/or inserts, knee/ankle braces

•Electronic music devices or subscriptions to digital music services

•Online and in-person weight management programs•Items, services, and supplies covered by Original Medicare, including but not limited to, physical therapy, chiropractic and acupuncture or massage therapy services

•Purchases made with resellers (e.g., Facebook Marketplace, eBay, Poshmark, garage, yard and estate sales.)

•Hunting supplies

•Licenses/certifications for hunting, fishing, firearms etc.

UPDATED 04/23/2024: Effective immediately, the fitness benefit can no longer be used for the following items:

Athletic shoes (all types)
Camping tents
Fishing rods
Hiking poles
National and state park fees

Updated 05/10/2024: Effective immediately, the fitness benefit can no longer be used for the following items:

Kayaks

Need new Pickleball Gear?

Yes! It's true! You really can get reimbursed for that!

Let's schedule a plan review to see if this plan option is right for you!

What is the Fitness Reimbursment Benefit?

Use this benefit to be reimbursed for eligible fitness-related services, activities, and supplies.

What can members be reimbursed for?

Fees for Activities, like:

Fitness supplies, such as:

Fitness supplies, such as:

Fitness supplies, such as:

Fitness supplies, such as:

Fitness supplies, such as:

Activity supplies, examples:

Fitness supplies, such as:

Activity supplies, examples:

Let's schedule a plan review to check if this plan is right for you...

Frequently Asked Questions

Is this the right plan for you?...

Need new Pickleball Gear?

Yes! It's true! You really can get reimbursed for that!

Let's schedule a plan review to see if this plan option is right for you!

What is the Fitness Reimbursment Benefit?

Use this benefit to be reimbursed for eligible fitness-related services, activities, and supplies.

What can members be reimbursed for?

Fees for Activities, like:

Fitness supplies, such as:

Fitness supplies, such as:

Fitness supplies, such as:

Fitness supplies, such as:

Fitness supplies, such as:

Activity supplies, examples:

Fitness supplies, such as:

Activity supplies, examples:

Let's schedule a plan review to check if this plan is right for you...

Frequently Asked Questions

Is this the right plan for you?...

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