The Cigna gym reimbursement program lets eligible members reclaim up to $200 per family each calendar year for qualified fitness facility memberships and exercise classes. Dartmouth College and Cigna administer this benefit for members under the Cigna Medical Plan. To qualify, participants must engage in fitness activities at least twice per week, meeting this requirement for 10 of the 20 tracked weeks. Submissions must include the completed form, a fitness log card endorsed by a gym instructor, and dated payment receipts or bank statements. Claims must be filed within 90 days after the end of the calendar year. Eligible venues include full-service gyms, yoga studios, martial arts centers, and other accredited fitness facilities.
| Question | Answer |
|---|---|
| Form Name | Cigna Gym Reimbursement Form |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 142 |
| Avg. time to fill out | 29 min 13 sec |
| Other names | cigna fitness program, cigna gym reimbursement 2021, does cigna cover gym memberships, cigna gym reimbursement form |