Tivity Health - Silver Sneakers/Prime Insurance Guide

Sean Obregon -

This guide will cover eligibility verification, basic program summary, membership details, and how to sign up the member in Fitware. For further information contact Danielle Svobodny. dsvobodny@liftbrands.com

Please note the Prime program is similar to Silver Sneakers program, with the exception that it targeted towards non-seniors.


 

Eligibility Verification

Before signing up the member it is recommended you verify the member's eligibility by accessing the Healthways Fitness Provider Portal. You can access the site by going to the Snap Fitness Owners portal then under Supplies and Services click Healthways Fitness Portal. Use the members 16 digit ID to check for eligibility, if they do not have their ID you can use the members first and last name along with there date of birth.

Note: If you use the eligibility icon you must enter their full name as it appears on their health insurance card to generate accurate information.

Program Summary

Silver Sneakers is the nation’s leading exercise program designed exclusively for older adults, offering physical activity, health education and social events for people who are Medicare-eligible and Group Retiree members. Provided by Healthways, this program helps reduce health care costs by reducing the physical and mental effects of ageing and reducing the number of hospital visits for older adults.

Prime is a similar benefit to Silver Sneakers for the non-senior population. All new U.S. Snap Fitness clubs will be included in the Prime program, allowing eligible individuals to take advantage of our clubs while generating revenue for you on a pay-per-visit basis.

Membership Details

Silver Sneakers

  • Silver Sneakers members should be given a Single-Reciprocal membership at no cost.
  • Snap Fitness wavies the dues, enrollment fee, and access card fee.
  • Tivity Health agrees to pay $2.85 per visit with an 8 visit monthly cap of $22.80.
  • Whether married or single and living in the same home, each Silver Sneakers member must be enrolled separately as a single membership. The program does not pay for family memberships. 

Prime Program

  • Prime members should be given a Single-Reciprocal membership at no cost.
  • Snap Fitness wavies the dues, enrollment fee, and access card fee.
  • Tivity Health agrees to pay $2.75 per visit with a 12-visit monthly cap of $33.00.
  • Whether married or single and living in the same home, each Prime member must be enrolled separately as a single membership. The program does not pay for family memberships.

Fitware Sign Up Instructions

You have to enter anyone who is under an insurance group that pays for their entire membership as a Single-Reciprocal member with dues of $34.95 and form of payment Statement

Please see image below as to how to properly enter the member's insurance information into Fitware. Note, it is important to fill in all the fields listed below (including the group field) so that your member is billed properly.

 

Silver Sneakers

save image

 

Prime Program

save image

 

 

Have more questions? Submit a request

0 Comments

Article is closed for comments.
Powered by Zendesk