CDPHP Gym Reimbursement: Just What the Doctor Ordered

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Dr. Disha Spath promotes the value of physical activity to all of her patients at Latham Internal Medicine of Community Care Physicians, P.C., in Latham, New York.

“It’s my big thing,” Spath said. “If my patients get to a healthy weight and exercise, they may get off their chronic meds and only need me for routine check-ups. I’m just fine with that.”

Spath, a primary care doctor, also practices what she preaches. In addition to working out at the free CDPHP Fitness Connect gym in her office building, she lifts heavy weights a few times per week at ABC Sports & Fitness in Latham.

Earlier this year, Spath, a CDPHP member, found even more incentive to work out, when she reviewed her benefits online and realized CDPHP would reimburse her family up to $600 per benefit year for going to the gym.

“I couldn’t believe it,” Spath said. “It’s the most generous fitness benefit I’ve seen.”

The benefit, new for 2019, provides CDPHP policyholders and their spouse a combined gym reimbursement up to $600 per benefit year for participation at an eligible fitness center.*

In addition to taking advantage of the benefit with her husband, Spath tells her patients who are CDPHP members about it.

“I had a young college student who wanted to lose weight,” Spath said. “She was worried about money. I told her about the benefit and she was very excited to get back in the gym.”

To qualify for the reimbursement, members must visit an eligible facility 50 times within six months – about twice per week. An eligible facility is one that houses exercise equipment for the purpose of physical activity. It’s not limited to gyms, either. Yoga, spinning, boxing classes and more all count.

Spath said the benefit might “seem too good to be true, but it’s perfect for anyone who’s on a fixed income or just wants to save money.”

There are countless benefits to exercise, including increased strength and energy, disease prevention, a boost in mood, and so much more.

“I work with my patients and recommend everything from strength training and aqua therapy to yoga and mindfulness activities,” said Spath, who hikes, runs, and does yoga in addition to heavy weight training. “Many medical conditions can be helped with the right exercise plan.”

*Subscriber is entitled to $200 every six months. Spouse is entitled to $100 every six months. Spouse must be a dependent enrolled under the subscriber’s coverage. Not all policies have dependent coverage. See plan contract for complete benefit information.

The gym reimbursement applies if CDPHP administers this benefit for your plan.

76 Responses to “CDPHP Gym Reimbursement: Just What the Doctor Ordered”

  1. Emilia Suarez Riggs

    How do I find eligible fitness center that participate in the gym savings?

    Reply
    • Hi, Emilia! Any facility that contains exercise equipment and/or fitness classes will qualify. Spas, for example, do not. I hope this helps!

      Reply
  2. Please clarify if the six month period for the minimum 50 visits is based on a calendar year (Jan to June; July to Dec), or on any six month period. For example for 2019, can I do 50 visits from March thru Aug. followed by another 50 visits from Sept. thru Dec., and qualify for two $200 reimbursements. Thanks,

    Reply
    • Hi, Cameron – You are correct, 50 visits during any six-month period during 2019 will qualify you for the fitness reimbursement.

      Reply
  3. Peter J Schwan

    My wife and I use an online website called Beachbody on Demand for our workouts and a healthy powdered shake called Shakeology that costs $115 a month. We have a fitness facility in our apartment complex that we use to do the workouts. Are we eligible for the CDPHP gym benefit?

    Reply
    • Hi Peter – At this time the fitness reimbursement only applies to membership dues/fees paid for exercise facilities, not online/virtual subscriptions. However, I will definitely pass along your feedback to our product innovation team for consideration for the future. Thanks for reaching out!

      Reply
      • Mary Parker

        I would also like to see this come into effect. My husband and I also use Beachbody and their Shakeology as it is a lot closer distance then any gym we can get too. Any facility that we go to is over 25 miles or so from home. I would like a facility 15 mins away rather then a 1/2 hr to an hr away. This is why we chose this program cause it saves on our gas. This is something I really do hope that becomes a part of our benefit program.

        Reply
  4. AmyEggleston

    Planet Fitness would be an eligible gym? assuming you pay out of pocket first?

    Reply
  5. karie deming

    If my 6mo. membership starts in September and runs through April 2020, is this eligible?

    Reply
  6. Barbara Lemley

    This is a great benefit! However, the complimentary CDPHP Gym DOESN”T qualify, even though and according to your direct quote captioned above, it is “Any facility that contains exercise equipment and/or fitness classes will qualify”. Very Frustrating! As I have made a firm commitment to my health since becoming a Widow to cancer 3 years ago and go a minimum of 4 and up to 7 days a week.

    Reply
    • Hi Barbara – So glad to hear that you’ve made a commitment to your health. As you mentioned, the CDPHP Fitness Connect gyms are already complimentary, so no need for reimbursement there! If your plans change and you do decide to join a different fitness facility, this reimbursement may be an option for you.

      Reply
  7. Noah Kucij

    Would visit to multiple different facilities count? For example, visits to multiple branches of the YMCA that add up to 50?

    Reply
  8. Keith Norman Eveleth

    Gym Reimbursement-Is there a form to have the gym fill out, what paperwork needs to be submitted for the reimbursement?

    Reply
  9. Helen Comstock

    Be aware that those who are enrolled in a federal gov’t plan do not receive this benefit. The advertisement is very misleading.

    Reply
  10. Kathy Lineaweaver

    Can you tell me where I can find out more information regarding this?
    Thank you!

    Reply
  11. Eileen

    I have a membership to vent fitness and a cdphp representative told me my plan thru Verizon doesn’t offer this to me, is this true?

    Reply
    • Hi Eileen – Most CDPHP plans offer the fitness reimbursement, but not all. You are welcome to contact member services at the number on the front of your CDPHP ID card if you’d like more information specific to your plan.

      Reply
  12. Sue Black

    If you get your gym membership through Silver Sneakers….can the $600 be reimbursed for trainers you pay for to help establish a routine for you to help with a particular medical concern??

    Reply
    • Hi Sue – At this time, the gym reimbursement is available to commercial lines of business only. The CDPHP Senior Fit program, which includes Silver Sneakers, is the fitness benefit available to Medicare Advantage members. You are welcome to contact member services at the number on the front of your CDPHP ID card if you’d like more information specific to your plan.

      Reply
    • Hi Hal – A gym in another state would certainly qualify for members eligible for the reimbursement! You are welcome to contact member services at the number on the front of your CDPHP ID card if you’d like more information specific to your plan. You can also visit http://www.cdphp.com/gymreimbursement to learn more.

      Reply
  13. Julie Manley

    Hi
    How do I know if my husband and I are eligible for this reimbursement with his policy?
    He works for NYS and I am also Covered on his insurance

    Reply
    • Hi Julie – You can call the number on your CDPHP member ID card and a representative will be able to determine if your plan includes the fitness reimbursement benefit.

      Reply
  14. philip machlowski

    I belong to planet fitness and pay a monthly fee’. how do I work out my reimbursment. Also how do I prove that I visited 5o times in the last 6 months?

    Reply
  15. Vincenzo. L Alfano

    how old do you have to be? Can I sign up for myself and a kid?

    Reply
  16. Kathleen kelly

    I live in the mountains. I am 69 years old. The roads leading off the mountains in bad weather can be treacherous. I joined a gym at the Kaatskill Hotel for 475 dollars for the year. This is in Hunter NY. There are no other gyms on the mountaintop. Would I be eligible for reimbursement. Thank you.

    Reply
  17. Allen Boxbaum

    how do we demonstrate the attendance, I work out of town and go to a gym there.

    Reply
  18. William Campbell

    Are you eligible for the gym reimbursement if you are going to any of the CDPHP Connect gyms or does it only apply to those eligible facilities that you pay out of pocket for?

    Reply
  19. Kimberlie DeSilva

    If I am the dependent on my husband’s policy, but he is not a member of a gym, I am. Do I still qualify for the $200.00 reimbursement?

    Reply
    • Hi Kimberlie – As the dependent on your spouse’s policy, if the fitness reimbursement benefit is part of your plan, you are entitled to up to $200 per year.

      Reply
  20. Melissa Vooris

    Could you please look into reimbursement for online gyms for those who workout at home? I only spend $100 a year on my fitness program and workout right from the comfort of my own home and am in the best shape I’ve ever been. It would be nice to also be able to participate in this program. Thank you.

    Reply
  21. Nancy Simonds

    I belong to Best Fitness in Albany. Sometimes I go to their classes with instructors and sometimes I work out on my own. Can I just get a record of the times I’ve scanned in at the front desk – or do I have to write up the log and get someone’s signature every time I come in to the gym?

    Reply
  22. Hi, Can you go to 2 different gyms if you don’t exceed your 50 per 6 month period or are you limited to 1 gym?

    Reply
  23. Maria Ligon

    What about the senior citizen plan Medicare does this have any wellness and fitness programs?

    Reply
  24. i have been going to a gym in my town for the past 6 years…i recently found out about this benefit, submitted the form and documentation and was denied…what would be the reason for this?

    Reply
    • Hi Jane – This benefit went into effect for 2019, so you will need to submit proof of payment and visits for 2019, only. If you have more questions, please contact member services at the number on your ID card.

      Reply
  25. Darlene

    Can this benefit be used for Pulmonary gyms, fir e.g. Sunnyview Rehabilitation? They have all the gym equipment, needed.

    Reply
    • Hi Darlene – A pulmonary gym, like the one at Sunnyview, would certainly qualify! You are welcome to contact member services at the number on the front of your CDPHP ID card if you’d like more information specific to your plan. You can also visit http://www.cdphp.com/gymreimbursement to learn more.

      Reply
  26. Amanda

    How do we know if our plan reimburses us? and are we able to get a print out at the gym of when we checked in, instead of having them initial each line on the form?

    Reply
  27. alyssa davis

    I go to a gym 5 times a week and I have been going since October 2018, in January I started logging my visits at the gym and filling out the reimbursement forms. My gym is credit card or cash paid for the month but there is no formal system or receipt. What would be my options to show proof of payment?

    Reply
    • Hi Alyssa – Credit card statements are considered valid proof of payment, as long as the statement includes your name, the gym’s name, the amount, and dates of payment. I hope this helps!

      Reply

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