Wellness Program

Capital Health Plan (CHP) has created wellness programs to encourage members to adopt a healthier way of life and prevent the onset or worsening of an illness or disease. The ultimate goal is to make positive health practices the easiest choice. CHP’s Wellness Programs connect you to health classes supporting your commitment to a healthier lifestyle.

$150 Wellness Reimbursement

The Wellness Reimbursement Program reimburses you for payments you have made (up to a maximum of $150) during the calendar year toward health/ fitness centers or other qualified memberships for yourself or your covered dependents.

  • For Employer Group or Commercial members, CHP will reimburse only for the amount reflected on those receipts/statements up to $150 per family per contract.
  • For Medicare members, Capital Health Plan will reimburse only for the amount reflected on those receipts/statements up to $150 per member.
  • Federal employees, Federal Annuitants and their dependents are not eligible for this benefit.

Below is additional information on how the program works. Please check with your physician before starting your exercise program.

  • You must be a current CHP member; and
  • You must be a current member of the health and fitness program in the requested period; or
  • You must be enrolled in either Weight Watchers, TMH Diabetes Prevention Program, Noom, or Take Off Pounds Sensibly (TOPS) in the requested period.
    • For more information about the TOPS program, please call 1 (800) 932-8677 or visit www.TOPS.org.
  • Wellness reimbursement requests may only be filed once per calendar year and reimbursements for the previous year cannot be processed beyond December 31st of the current year. All wellness reimbursements will be made to the subscriber (the person who holds the CHP policy).
  • Facilities and/or programs that DO qualify for reimbursement include gyms and fitness centers (i.e. YouFit, Premier, Momentum, etc.), internet or app based fitness subscription programs (i.e. Beachbody On Demand, Apple Fitness+, Peloton, Daily Burn, My Fitness Pal, etc.), gymnastic centers, personal trainers, sports teams or leagues, Weight Watchers, Noom, Headspace or Calm subscriptions, TOPS, or the TMH Diabetes Prevention Program.
  • Facilities and/or programs that DO NOT qualify for wellness reimbursement include country or social clubs, spas, tennis facilities, uniforms/clothing, and exercise/fitness equipment.

To obtain your reimbursement, just send the following items to Capital Health Plan, Attn: Claims Department, P.O. Box 15349, Tallahassee, FL 32317-5349:

  1. A signed and dated Wellness Reimbursement Form
  2. All applicable receipts, credit card records, cancelled checks, and/or pay stubs that show payment to an approved health or fitness club

Questions?
Call Capital Health Plan Member Services.