Medical Forms
Prescription Forms
Vision Forms
Dental Forms
Long Term Care
Leave of Absence
Life Event Guides
Health Reimbursement Forms
For a list of eligible expenses visit the Medical page.
To qualify for the Fitness Reimbursement, please be aware of the following requirements:
- Employment Requirement:
You must be employed for at least four (4) months prior to submitting a fitness reimbursement request. - One Submission per Year:
Only one claim submission is allowed each calendar year. - Annual Submission Deadline:
Claims must be submitted by March 31 of the following year for the prior year’s eligible fitness expenses.
For example:
To receive reimbursement for 2025 fitness expenses, your claim must be submitted no later than March 31, 2026.
US Team Members:
- BCBS Fitness and Weight Loss Reimbursement Instructions
- BCBS Mind and Body Reimbursement Form
- US Non-BCBSMA Fitness Benefits Form
International Team Members:
