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  • Masshealth Reimbursement Form

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MassHealth Fitness Reimbursement Form bmchp.org 8885660010 When to Submit this Form: After youve been a member of a health or fitness club and BMC HealthNet Plans MassHealth plan at the same time.

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ing to federal guidelines, a gym membership isn't a benefit that must be provided by Medicaid, and in most states, it's not included.

Call the MassHealth Customer Service Center: Main: (800) 841-2900. TTY: (800) 497-4648.

MassHealth Standard Inpatient hospital services. Outpatient services: hospitals, clinics, doctors, dentists, family planning, vision care. Medical services: lab tests, X rays, therapies, pharmacy services, eyeglasses, hearing aids, medical equipment and supplies. Adult day health and adult foster care.

Fitness Reimbursement After being an enrolled member for three months, and participating with a qualifying health club for three months of the calendar year you can get up to $200 back.

Send by certified mail, return-receipt requested, or deliver in person, a written notice of your cancellation. Clearly state that you are canceling the contract, as is your right under M.G.L., c. 93, section 81.

If you get SSP payments AND other benefits from DTA, you must contact the DTA Assistance Line at (877) 382-2363 for a benefit verification letter. If you are authorized for access to someone's SSP case, you can contact the SSP Assistance Line for a benefit verification letter.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232