Which Medicare Supplement plans include SilverSneakers? The answer depends primarily on the insurance company and the specific Medicare Supplement product it offers in your state.
SilverSneakers is not automatically included with Medicare Supplement Plan G, Plan N or another standardized plan letter. One company’s Plan N may include SilverSneakers, while another company’s Plan N may not provide any fitness membership.
This distinction can be important. A Medicare Supplement policy with SilverSneakers may cost slightly more, but the additional premium could still represent a substantial savings for someone currently paying for a separate gym membership.
Is SilverSneakers Included With Medicare Supplement Plans?
SilverSneakers is included with certain Medicare Supplement policies, but it is not a standard Medicare Supplement benefit.
Medicare Supplement plans are standardized by letter. For example, every Plan G must provide the medical benefits required under Plan G, regardless of the insurance company offering it.
Fitness programs are different. They are additional services offered by the insurance company and are not part of the standardized Medicare Supplement coverage.
Whether a policy includes SilverSneakers can depend on:
- The Medicare Supplement company
- The particular product offered by that company
- The state where you live
- The policy’s effective date
- Whether an additional wellness package is required
- Changes made by the insurance company
The benefit should always be confirmed before submitting an application.
Which Medicare Supplement Companies Offer SilverSneakers?
Several Medicare insurance companies offer SilverSneakers with at least some Medicare Supplement policies. However, availability varies considerably by state and product.
Companies that may offer SilverSneakers with certain Medicare Supplement policies include:
- Humana
- Highmark
- Medicare Advantage Plans
This is not a complete nationwide list, and it does not mean every Medicare Supplement policy from these companies includes SilverSneakers.
The exact policy available in your ZIP code must be reviewed before enrollment.
Does Humana Medicare Supplement Include SilverSneakers?
Certain standard Humana Medicare Supplement policies may include SilverSneakers.
However, Humana now offers more than one Medicare Supplement product in Pennsylvania, and the fitness benefit is not included with every version.
For example, Humana’s standard Medicare Supplement product may include SilverSneakers, while the lower-priced Humana Achieve product generally does not.
When comparing the same plan letter, such as Plan N, the standardized medical benefits remain the same. The important differences may include:
- The monthly premium
- SilverSneakers eligibility
- Household discounts
- Other additional services
- The Humana company issuing the policy
This means someone comparing Humana policies should not assume the least expensive Humana premium includes the same additional benefits.
Does Humana Achieve Include SilverSneakers?
Humana Achieve generally does not include SilverSneakers.
Humana Achieve is still a regular Medicare Supplement policy. It works with Original Medicare and provides the standardized benefits of the selected Medicare Supplement plan letter.
The primary attraction of Humana Achieve may be its lower monthly premium.
However, someone who chooses Humana Achieve and wants a gym membership may need to purchase that membership separately.
That separate expense should be included when determining which Humana policy offers the better overall value.
Does Highmark Medicare Supplement Include SilverSneakers?
Highmark makes SilverSneakers available to eligible Medigap Blue members through its Whole Health Balance program.
Whole Health Balance is an optional package that can include additional dental, vision, hearing and fitness benefits for an additional monthly charge.
SilverSneakers is therefore not necessarily included automatically in the basic Highmark Medicare Supplement premium.
Someone considering Highmark should compare:
- The Medigap Blue premium
- The additional Whole Health Balance premium
- The included dental, vision, hearing and fitness benefits
- The value of the benefits they are likely to use
For someone who wants several of these additional services, the package may provide worthwhile value. Someone interested only in a gym membership should compare the total cost carefully.
Do All Blue Cross Blue Shield Medicare Supplement Plans Include SilverSneakers?
No. Blue Cross Blue Shield companies operate differently in different states, and their additional Medicare Supplement benefits are not uniform nationwide.
Certain Anthem Medicare Supplement policies advertise SilverSneakers as an additional benefit.
However, other Blue Cross Blue Shield companies may offer a different fitness program or may not include a fitness program with their Medicare Supplement policies.
In southeastern Pennsylvania, Independence Blue Cross currently promotes One Pass as its Medicare fitness program rather than SilverSneakers.
Always verify the exact program included with the policy available in your area.
Does UnitedHealthcare Medicare Supplement Include SilverSneakers?
UnitedHealthcare does not generally use SilverSneakers as its primary Medicare fitness program.
UnitedHealthcare offers a program called Renew Active with many of its eligible Medicare plans.
Renew Active and SilverSneakers are separate fitness programs. They may both provide access to participating gyms and other wellness resources, but the available locations and program features can differ.
Someone who wants to continue using a particular gym should verify whether that location participates in the specific fitness program offered by the insurance company.
Does Aetna Medicare Supplement Include SilverSneakers?
Aetna promotes SilverSneakers with many of its Medicare Advantage plans, but the benefit should not automatically be assumed to be included with an Aetna Medicare Supplement policy.
Medicare Advantage and Medicare Supplement are different types of coverage.
An advertisement stating that an insurance company offers SilverSneakers with its Medicare plans may be referring only to Medicare Advantage plans.
The exact Aetna Medicare Supplement policy and state must be checked before relying on the fitness benefit.
Does Plan G Include SilverSneakers?
Medicare Supplement Plan G does not automatically include SilverSneakers.
Plan G provides standardized medical benefits that help cover most of the costs left behind by Original Medicare, other than the annual Medicare Part B deductible.
SilverSneakers is an additional service that may be offered by the insurance company issuing the Plan G policy.
Therefore:
- One company’s Plan G may include SilverSneakers.
- Another company’s Plan G may offer a different fitness program.
- Another Plan G may include no fitness membership.
The medical benefits can be the same while the additional services are different.
Does Plan N Include SilverSneakers?
Medicare Supplement Plan N does not automatically include SilverSneakers either.
A Plan N policy may include SilverSneakers when offered through an eligible company and product. Another Plan N policy may have a lower premium but no fitness benefit.
This is particularly relevant when comparing Humana’s standard Medicare Supplement Plan N with Humana Achieve Plan N.
The standardized Plan N medical benefits may be the same, but the premium and additional fitness benefits may differ.
Could a Plan With SilverSneakers Save You Money?
A Medicare Supplement policy that includes SilverSneakers could save money for someone who regularly pays for a gym membership.
In a recent Pennsylvania comparison, a standard Humana Medicare Supplement policy that included SilverSneakers was approximately $30 more per month than the comparable Humana Achieve policy without SilverSneakers.
Many gym and fitness memberships now cost approximately $50 to $70 per month.
Consider the potential difference:
- Lower-priced Medicare Supplement without SilverSneakers
- Separate gym membership costing $50 to $70 per month
- Medicare Supplement with SilverSneakers costing approximately $30 more in this particular comparison
For someone who would otherwise pay $60 per month for a participating gym, paying an additional $30 for the Medicare Supplement policy could potentially reduce total monthly expenses by approximately $30.
The higher insurance premium may therefore produce the lower total cost.
The Lowest Premium Is Not Always the Best Value
Many people immediately select the Medicare Supplement policy with the lowest monthly premium.
That approach makes sense when the policies have no meaningful differences beyond price. However, it can overlook the value of additional services that the individual would otherwise purchase separately.
The better comparison may be:
- Medicare Supplement premium
- Gym membership cost
- Dental, vision or hearing package costs
- Household discounts
- Other included services
Someone who never intends to use a fitness center should not pay extra solely for SilverSneakers.
Someone already paying $50 to $70 per month for a participating gym should consider the potential savings before automatically choosing the lowest Medicare Supplement premium.
Can You Use SilverSneakers at Any Gym?
No. SilverSneakers can only be used at participating fitness locations.
The program provides access to a large nationwide network, but not every gym participates.
Before selecting a Medicare Supplement policy because it includes SilverSneakers, verify that:
- Your preferred gym participates
- The specific location accepts SilverSneakers
- The membership includes the facilities or classes you want
- The benefit is included with the exact insurance policy you are considering
A fitness benefit has little financial value if the gym you want to use does not participate.
Can SilverSneakers Benefits Change?
Yes. SilverSneakers is an additional service rather than a standardized Medicare Supplement insurance benefit.
Insurance companies may change, replace or discontinue additional programs. A company could also change its fitness vendor in the future.
The standardized medical benefits of Plan G or Plan N remain governed by the policy’s plan letter, but additional services such as SilverSneakers are not guaranteed in the same way.
This is why the medical coverage, financial strength, premium history and overall suitability of the insurance company should remain the primary considerations.
SilverSneakers can be valuable, but it should not be the only reason for selecting a Medicare Supplement company.
How Can I Find Out Whether My Plan Includes SilverSneakers?
You can determine whether a Medicare Supplement policy includes SilverSneakers by:
- Reviewing the company’s current policy materials
- Checking your insurance company’s member portal
- Calling the insurance company
- Using the SilverSneakers eligibility tool
- Asking an independent Medicare broker
- Confirming participation with your preferred gym
Do not rely solely on general advertising for the insurance company. The benefit may be included with one product but excluded from another product offered by the same company.
Can an Independent Medicare Broker Compare Fitness Benefits?
Yes. An independent Medicare broker can compare the Medicare Supplement premium and additional benefits offered by different companies.
A complete comparison can include:
- The same Medicare Supplement plan letter
- Monthly premiums
- SilverSneakers eligibility
- Alternative fitness programs
- Household discounts
- Separate wellness-package charges
- Participating gyms near your home
- The cost of your current fitness membership
The least expensive Medicare Supplement premium is not necessarily the least expensive overall option.
A broker can help determine whether paying slightly more for a policy with SilverSneakers could reduce your total monthly expenses.
Frequently Asked Questions
Which Medicare Supplement plans include SilverSneakers?
Certain Medicare Supplement policies offered by companies such as Humana, Highmark and some Anthem or Blue Cross Blue Shield companies may provide SilverSneakers. Availability varies by state, company and product.
Is SilverSneakers included with every Plan G?
No. SilverSneakers is not a standardized Plan G benefit. It depends on the company issuing the policy.
Is SilverSneakers included with Medicare Supplement Plan N?
It may be included with certain Plan N policies, but it is not automatically included with every Plan N.
Does Humana Achieve include SilverSneakers?
Humana Achieve generally does not include SilverSneakers. Certain standard Humana Medicare Supplement policies may include it.
Does Highmark Medigap Blue include SilverSneakers?
Eligible Highmark Medigap Blue members may obtain SilverSneakers through the optional Whole Health Balance program for an additional monthly cost.
Does UnitedHealthcare offer SilverSneakers?
UnitedHealthcare generally uses Renew Active rather than SilverSneakers as its Medicare fitness program.
Is it worth paying more for a plan with SilverSneakers?
It may be worth paying more when the premium difference is less than the cost of a gym membership you would otherwise purchase. Someone who does not use a gym may be better served by the lower-priced policy.
Does Original Medicare include SilverSneakers?
No. Original Medicare does not include SilverSneakers. Access is available through certain private Medicare Advantage or Medicare Supplement plans.
Can I join SilverSneakers on my own?
SilverSneakers eligibility is generally provided through a participating Medicare plan rather than purchased as a regular individual gym membership.
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