MA Tufts Health Plan GIC Member Fitness Rebate Form 2018 free printable template

GIC MEMBER FITNESS REBATE FORM You must complete all fields. Please print clearly. Retain a copy of all receipts and documents for your records. Please be sure to sign the form* To qualify for the fitness club rebate you must complete four consecutive months of membership in Tufts Health Plan and at a qualified fitness center each year you apply. You will have 24 months from the date you incurred your fitness club fees to submit your request for the fitness rebate of up to 150. The rebate...

How to fill out

How to fill out MA Tufts Health Plan GIC Member Fitness

1. Obtain the MA Tufts Health Plan GIC Member Fitness form from the official website or your employer's HR department.
2. Fill in your personal information, including your name, address, and member ID.
3. Indicate your preferred fitness activity and facility, ensuring the selections are eligible under the plan.
4. Provide any necessary documentation, such as proof of membership at the fitness facility.
5. Review the form for accuracy and completeness.
6. Submit the completed form by mail, online, or as directed by your health plan instructions.
7. Keep a copy of the submitted form for your records.

Who needs MA Tufts Health Plan GIC Member Fitness?

1. Individuals who are members of the MA Tufts Health Plan under the GIC program and are looking to access fitness benefits.
2. Employees who wish to improve their health and fitness through subsidized gym memberships or fitness programs.
3. Members interested in taking advantage of wellness initiatives provided by the health plan.

Instructions and Help about

People Also Ask about

What type of plan is Tufts Navigator?

Navigator is a self-funded Plan, which means that the Group Insurance Commission (the “GIC” or “Commission”) is responsible for the cost of the Covered Services you receive.

What is the difference between Tufts Navigator and Spirit?

Tufts Health Plan Spirit offers the same benefits as the Navigator plan, with several important differences: A lower premium than Navigator • A network with fewer participating health care providers and hospitals.

How do I contact Tufts Navigator?

877-824-7123.

Is Tufts Health Plan Blue Cross Blue Shield?

Health plans for Faculty and Staff are provided by Blue Cross Blue Shield (BCBS).

What is the difference between Tufts Navigator and spirit?

Tufts Health Plan Spirit offers the same benefits as the Navigator plan, with several important differences: A lower premium than Navigator • A network with fewer participating health care providers and hospitals.

Is Tufts Health Plan HMO or PPO?

Tufts Health Plan currently offers two Advantage plans: Advantage HMO and Advantage PPO. The Advantage plans require members to pay an upfront deductible for most authorized services, which differentiate these plans from the standard HMO and PPO options.

What type of insurance is Tufts Health Plan?

Our offerings. From traditional HMO and PPO plans to national, tiered and limited network plans, Tufts Health Plan provides quality health care coverage across the spectrum of an individual's needs.

Is Tufts Navigator a PPO?

This is a POS Plan. You must select a Primary Care Provider (PCP) under this Plan. Each time you need to receive health care services, you may choose to obtain your health care either: From or authorized by your Tufts HP Primary Care Provider (PCP).

What is the deductible for Tufts Navigator?

Authorized annual deductible: Plan members must pay the authorized deductible of $500 per individual/$1,000 per family for applicable covered services in our network.

For pdfFiller’s FAQs

Where do I find ?

The premium version of pdfFiller gives you access to a huge library of fillable forms (more than 25 million fillable templates). You can download, fill out, print, and sign them all. State-specific and other forms will be easy to find in the library. Find the template you need and use advanced editing tools to make it your own.

How do I make changes in ?

With pdfFiller, it's easy to make changes. Open your in the editor, which is very easy to use and understand. When you go there, you'll be able to black out and change text, write and erase, add images, draw lines, arrows, and more. You can also add sticky notes and text boxes.

How do I complete on an iOS device?

Make sure you get and install the pdfFiller iOS app. Next, open the app and log in or set up an account to use all of the solution's editing tools. If you want to open your , you can upload it from your device or cloud storage, or you can type the document's URL into the box on the right. After you fill in all of the required fields in the document and eSign it, if that is required, you can save or share it with other people.

What is MA Tufts Health Plan GIC Member Fitness?

MA Tufts Health Plan GIC Member Fitness is a program designed to promote health and wellness among members of the Massachusetts Group Insurance Commission (GIC) who are enrolled in Tufts Health Plan.

Who is required to file MA Tufts Health Plan GIC Member Fitness?

All members enrolled in the Massachusetts Group Insurance Commission under Tufts Health Plan are required to file the MA Tufts Health Plan GIC Member Fitness.

How to fill out MA Tufts Health Plan GIC Member Fitness?

To fill out the MA Tufts Health Plan GIC Member Fitness, members should complete the required forms provided by Tufts Health Plan, ensuring all personal and health-related information is accurately recorded.

What is the purpose of MA Tufts Health Plan GIC Member Fitness?

The purpose of MA Tufts Health Plan GIC Member Fitness is to encourage a healthy lifestyle among members, track fitness activities, and potentially provide incentives for engaging in wellness programs.

What information must be reported on MA Tufts Health Plan GIC Member Fitness?

Members must report information such as personal health metrics, participation in fitness activities, and any health assessments or screenings as required by the program.