NIHCA Program Partner Updates for 2022

 

UCare Medicare program

As of 1/1/2022, UCare Medicare plans will be changing from SilverSneakers to the One Pass* program with an increase in reimbursement from $20 to up to $30 p/month.

As a club, you will have two choices:

  1. Great News! Start submitting your UCare Medicare members on the NIHCArewards portal! This means you could start charging these eligible UCare Medicare for membership dues.  Plus, UCare will increase their senior-only reimbursement from $20 p/mo to a $30 p/mo for UCare Medicare members; no minimum requirement of workouts is required by the senior – just a paid membership at a participating NIHCA health club.
  2. If you already belong to Renew Active, then contact the One Pass Network but realize you will need to waive your membership fee for this program.

The advantage of this change for any NIHCA club, is that you may now finally submit all your eligible UCare members in NIHCArewards.  AND better yet, you can start charging your  UCare senior members a membership fee while the member will be rewarded up to $30 p/mo vs only $20 p/mo.

Please note: UCare Individual Family Plan (IFP), UCare MinnesotaCare and UCare MA programs are un-changed and are still eligible for the fitness reimbursement program through NIHCA at 12 workouts = up to $20 p/mo reimbursement.  However be reminded, that these people need to workout 12 days p/mo in order to receive an up to $20 reimbursement p/mo.

*One Pass is a program affiliated with Renew Active; please contact them with more detailed questions.

 

Medica Senior program

As of 1/1/2022, Medica seniors will not offer Silver Sneakers and will be offering the One Pass* program. This change is only for Medica Senior/Medicare members.  The other FitChoice programs are alive and well with no changes in 2022. If members have questions, they can reach out to the Medica Call Center to answer any questions they may have.

*One Pass is a program affiliated with Renew Active; please contact them with more detailed questions.

 

HealthPartners Senior program

As of 1/1/2022, Health Partners is changing from Silver&Fit to the SilverSneakers program for their seniors.  If members have questions, they can reach out to the HealthPartner’s Customer Service Department to answer any questions they may have. Please note: This change is only for HealthPartners Senior/Medicare members. The other Frequent Fitness programs are alive and well with no changes in 2022.

 

PrimeWest Reimbursement Program

Two changes for 2022:  1. PrimeWest Health will be adding new eligible groups to the existing program to include: MSHO and Prime Health Comp care types as of 1/1/2022.  2. PrimeWest Health is lowering the required number of workouts for all their eligible members!  The number of monthly workout counts decreased from 12 visits to zero (0).  That means, eligible PrimeWest Health members will receive up to $20 p/mo reimbursement for no minimum number of workouts per month; however, members must have a paid membership at the participating health club.

Published 10/4/2021; updated 12.30.2021

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Guidelines for Live Virtual Classes

Starting 11/1/2020: The virtual fitness classes that are specified below, are required to be a club-offered program and/or class, paid for by the member OR included with the paid membership. *

What kind of on-line fitness class is eligible?

A: 1) Any live instructor-led class OR Zoom class 2) Any virtual online class where the instructor is live, takes attendance and can see the participants working out.  The participants will be required to have the camera on throughout the entire class.

The club has to show accountability for member attendance…how will they do this?

A: The instructor must take attendance at the beginning and at the end of class. The instructor will be responsible for reporting these live workouts to the club manager, so they are accounted for correctly.

What will the club be required to provide for approval?

A: The insurance/employer partners are accepting live virtual-Instructor led classes or Zoom classes, where the instructor can see the participants working out.  It will be the responsibility of the instructor/club to take honest attendance and add the virtual workout to any in-club workout for the month.  NIHCA will need to gain access to a live class, if requested by the insurance/employer partner for validation.

What virtual classes are not eligible for the fitness reimbursement programs?

A:  An online App (I.E. Facebook or other), or any pre-recorded class in which there is not a live instructor and attendance is not taken by the instructor for validation, nor is it the member’s club-offered program. Participants must participate in a club-offered program where the instructor can see the participants working out.

Virtual, live workouts will be allowed, starting 11/1/2020.

 

*Guidelines are subject to change, when and if an insurance/employer partner has exceptions or changes.

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