Does Horizon NJ Health Cover Gym Membership?

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Hello guys…, I’m a Horizon NJ Health member and I’m curious if my plan covers gym memberships. I’m looking to incorporate fitness into my routine and would like to know if Horizon NJ Health provides any benefits or reimbursements for gym memberships. Any insights or experiences with this would be greatly appreciated!

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While Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) does not provide coverage for traditional gym memberships, they offer several programs that align with fitness goals:

Horizon NJ Health TotalCare (HMO D-SNP):

  • This program is designed for individuals eligible for both Medicaid and Medicare.
  • Eligible members may qualify for a $0 gym membership benefit.
  • To verify eligibility and get specific plan details, contact Horizon NJ Health directly at 1-888-328-5736 (TTY 711) or visit their website at https://www.horizonblue.com/.

Horizon Blue Cross Blue Shield NJ Healthy Discounts & Gym Membership Reimbursement:

  • Horizon BCBSNJ offers Healthy Discounts & Gym Membership Reimbursement, applicable to most Horizon BCBSNJ plans (excluding Horizon NJ Health plans).
  • This program provides discounts on gym memberships or fitness equipment from select retailers, although these expenses are not directly covered by insurance.
  • Note that the gym membership reimbursement program appears to have been discontinued.

Alternative Options:

  • HorizonbFit: Horizon BCBSNJ’s HorizonbFit program rewards members for engaging in healthy activities. While it does not cover gym memberships directly, participants can earn points for gym visits at participating facilities and redeem these points for rewards. Explore HorizonbFit at HorizonbFit - Horizon Blue Cross Blue Shield of New Jersey.
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You can check your eligibility and if your insurance offers it here:

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Horizon NJ Health generally does not cover gym memberships. Some plans might offer wellness programs or discounts on fitness-related services. Check your specific plan details or contact Horizon NJ Health for accurate information.

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Yes, they will reimburse you for the cost of your gym membership up to $200 per member each 12-month period.