Get Aetna Fitness Reimbursement Form

Filing the Aetna Fitness Reimbursement Form online is a straightforward process that allows users to claim their fitness program benefits efficiently. This guide provides a detailed step-by-step approach to ensure all necessary information is accurately completed.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete Part 1 of the form. Enter your participant name (first, middle, last), date of birth in MM/DD/YYYY format, member ID number, and participant address (street, city, state, ZIP code). If applicable, fill in the spouse’s name(s), gender, date of birth, and relationship to insured.
3. Move to Part 2 of the form. Fill in the fitness program address (street, city, state, ZIP code) and the date(s) the fitness center was attended. You may attach gym utilization reports to verify attendance.
4. Provide participant certification by acknowledging that the expenses were incurred by you or an eligible dependent, confirming full attendance for the term of the class as offered, and that attendance can be verified by the listed provider.
5. Sign and date the form to complete your submission. Review all entered information for accuracy before finalizing.
6. Save changes, download, print, or share the completed form as needed before submitting it to Aetna's address provided at the top of the form.

Complete your Aetna Fitness Reimbursement Form online today to access your health benefits.