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Fitness Program - you and your covered family members can be reimbursed up to $400 (in total) for membership and class fees paid to an in-person health club with a variety of cardiovascular and strength-training equipment; an in-person fitness studio that provides instructor-led group classes for cardiovascular and strength-training programs; or a virtual/online membership, subscription, program, or class that provides cardiovascular and strength-training using a digital platform. You can request this reimbursement each calendar year; requests must be submitted by March 31 of the following year. You cannot be reimbursed for initiation fees, or fees for personal training sessions, country clubs, social clubs (like ski, tennis, hiking), sports teams, spas, instructional dance, pool-only facilities, gymnastics, martial arts schools, and fitness equipment or clothing. This reimbursement is a Wellness Participation Program separate from your health plan.

This health plan covers vision care services furnished or arranged by a covered provider. These covered services include:

Vision supplies and related covered services. Refer to the policy for a complete description of covered services.

Note: The member's in-network copayment does not apply for maternity services, kidney disease education services and Medicare-covered physician and specialist services performed in the member's home. Also, the member's cost share does not apply for the Medicare Diabetes Prevention Program, Medicare-covered diabetes monitoring and self-management training, glaucoma eye exam screenings, medical nutrition therapy and smoking cessation counseling.

Fitness Program - you and your covered family members can be reimbursed up to $300 (in total) for membership and class fees paid to an in-person health club with a variety of cardiovascular and strength-training equipment; an in-person fitness studio that provides instructor-led group classes for cardiovascular and strength-training programs; or a virtual/online membership, subscription, program, or class that provides cardiovascular and strength-training using a digital platform. You can request this reimbursement each calendar year; requests must be submitted by March 31 of the following year. You cannot be reimbursed for initiation fees, or fees for personal training sessions, country clubs, social clubs (like ski, tennis, hiking), sports teams, spas, instructional dance, pool-only facilities, gymnastics, martial arts schools, and fitness equipment or clothing. This reimbursement is a Wellness Participation Program separate from your health plan.

Fitness Program - you and your covered family members can be reimbursed up to $425 (in total) for membership and class fees paid to an in-person health club with a variety of cardiovascular and strength-training equipment; an in-person fitness studio that provides instructor-led group classes for cardiovascular and strength-training programs; or a virtual/online membership, subscription, program, or class that provides cardiovascular and strength-training using a digital platform. You can request this reimbursement each calendar year; requests must be submitted by March 31 of the following year. You cannot be reimbursed for initiation fees, or fees for personal training sessions, country clubs, social clubs (like ski, tennis, hiking), sports teams, spas, instructional dance, pool-only facilities, gymnastics, martial arts schools, and fitness equipment or clothing. This reimbursement is a Wellness Participation Program separate from your health plan.

Acupuncture services furnished by any covered provider licensed to furnish acupuncture services (whether or not medically necessary). A referral or prior approval is not required.

Fitness Program - you and your covered family members can be reimbursed up to $300 (in total) for membership and class fees paid to an in-person health club with a variety of cardiovascular and strength-training equipment; an in-person fitness studio that provides instructor-led group classes for cardiovascular and strength-training programs; or a virtual/online membership, subscription, program, or class that provides cardiovascular and strength-training using a digital platform and certain home exercise equipment. You can request this reimbursement each calendar year; requests must be submitted by March 31 of the following year. You cannot be reimbursed for initiation fees, or fees for personal training sessions, country clubs, social clubs (like ski, tennis, hiking), sports teams, spas, instructional dance, pool-only facilities, gymnastics, martial arts schools and fitness clothing. This reimbursement is a Wellness Participation Program separate from your health plan.

Fitness Program - you and your covered family members can be reimbursed up to $200 (in total) for membership and class fees paid to a health club (or instructor-led group classes at a fitness studio or a virtual/online membership, subscription, program, or class) with a variety of cardiovascular and strength-training equipment and programs; or purchased new wearable fitness trackers; or home exercise equipment purchased new (treadmills, stationary bikes, stepping machines, revolving chairs and elliptical machines). You can request this reimbursement each calendar year; requests must be submitted by March 31 of the following year. You cannot be reimbursed for initiation fees, or fees for personal training sessions, country clubs, social clubs (like ski, tennis, hiking), sports teams, spas, instructional dance, pool-only facilities, gymnastics, martial arts schools, and fitness equipment or clothing. This reimbursement is a Wellness Participation Program separate from your health plan.

Some examples of covered durable medical equipment include (but are not limited to): knee and back braces; foot-worn medical devices which restore alignment and improve walking patterns to help relieve pain associated with osteoarthritis and other musculoskeletal conditions; orthopedic and corrective shoes that are part of a leg brace; hospital beds; wheelchairs; crutches; walkers; glucometers that are medically necessary due to the patient's type of diabetic condition; visual magnifying aids and voice-synthesizers for a legally blind member who has insulin dependent, insulin using, gestational or non-insulin dependent diabetes; insulin injection pens; and exercycles, ergometers and pulse monitors when they are furnished as part of an approved cardiac rehabilitation program.