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Insurance Lead Guide

How to Process Insurance Prospects in GymMaster

When someone wants to join Bionic Barbell using their insurance, their info comes into GymMaster as a lead. Your job is to verify their eligibility, call them, and get them signed up.

This guide walks you through every step. Follow it exactly, in order, every time.

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Quick Reference: Which Plan Does Their Carrier Use?

If the prospect doesn't know their fitness benefit program, look up their insurance carrier below to see which program(s) they might have. Then check the matching portal.

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This table is a starting point, not gospel. Many carriers offer more than one fitness program depending on the member's specific plan type (Medicare vs. employer vs. individual). If you don't find them on the first portal you check, try the other two. When in doubt, call the carrier's member services number on the prospect's insurance card.
Insurance Carrier Likely Fitness Program(s) Check On
Aetna SilverSneakers (Medicare) Tivity
Amerigroup (Wellpoint) SilverSneakers (Medicare) Tivity
Blue Cross Blue Shield of NM SilverSneakers (Medicare)
Aaptiv or Active&Fit (via Blue365 Deals)
Prime (if plan includes Well on Target) 		Tivity · ASH · Optum
CHRISTUS Health Plan Silver&Fit (Medicare — gym + home fitness kits) ASH Link
Devoted Health SilverSneakers (Medicare — available in Doña Ana County) Tivity
Humana SilverSneakers (Medicare) Tivity
Molina Healthcare Silver&Fit (Medicare)
OnePass (Medicaid) 		ASH Link · Optum
Presbyterian SilverSneakers (Medicare)
Employer plans: "Fitness Pass" ($29.50/mo, enroll via phs.org) 		Tivity
UnitedHealthcare Renew Active (Medicare)
One Pass (Marketplace & Medicaid) 		Optum
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Not on the list? Try all three portals (Optum, Tivity, ASH Link) and search by the prospect's name. If they show up on any of them, they're eligible through that program.
1
Check If They're Eligible

Before you call anyone, you need to verify that their insurance actually covers a gym membership. You do this by looking them up on one of three websites — which website you use depends on their insurance plan.

Website Plans It Covers
partneroptumfitness.com Aaptiv, One Pass, Renew Active
fitness.tivityhealth.com SilverSneakers, Prime
ashlink.com Active&Fit, Silver&Fit
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Don't know which plan they have? That's OK. Try all three sites. If they show up on one of them, they're eligible through that plan.

Go to the correct website above, and search for the prospect by name.

Open Optum ↗ Open Tivity ↗ Open ASH Link ↗
2
Call the Prospect

What did you find?

✅ You found them — they're eligible

Call them and let them know the good news: their insurance covers a membership at Bionic Barbell at no cost to them. Invite them to come in and sign up in person.

❓ You could NOT find them on any site

Call them anyway. Ask them which insurance plan they have and try searching again while on the phone. If you still can't verify them, let them know you'll follow up once you confirm with their provider. Do not sign them up until eligibility is confirmed.

3
Sign Them Up (Once Verified)

Once the prospect is verified eligible and they come in, it's time to sign them up. But how you do it depends on which plan they have. Read the section below that matches their plan.

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You MUST get their Wellness ID during sign-up! Every insurance member has a Wellness ID. You must enter it into GymMaster when you create their account. If you forget this step, you will receive a write-up. No exceptions.

If their plan is Aaptiv, One Pass, or Renew Active (Optum Plans)

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Extra step required for Optum plans! For these three plans — and ONLY these three — you must add the member to healthycontributions.com BEFORE you add them to GymMaster. If you skip this step, they will not be properly registered and we will not get paid.

Do these steps in this exact order:

Step A: Go to healthycontributions.com and add the new member there first.

Open Healthy Contributions ↗

Step B: After you've added them to Healthy Contributions, then go to GymMaster and complete their membership sign-up. Don't forget their Wellness ID.

Open GymMaster Sign-Up ↗

If their plan is SilverSneakers or Prime (Tivity Plans)

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Extra step required for Tivity plans! SilverSneakers and Prime members must be enrolled on the Tivity portal BEFORE you add them to GymMaster. If you skip this step, the member will not be properly registered and we will not get paid.

Do these steps in this exact order:

Step A: Go to fitness.tivityhealth.com and enroll the new member there first.

Open Tivity Portal ↗

Step B: After you've enrolled them on Tivity, then go to GymMaster and complete their membership sign-up. Don't forget their Wellness ID.

Open GymMaster Sign-Up ↗

If their plan is Active&Fit or Silver&Fit (ASH Plans)

For ASH plans, you do NOT need to enroll the member on any external portal. Just go straight to GymMaster and sign them up. Don't forget their Wellness ID.

Open GymMaster Sign-Up ↗
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Three Rules You Cannot Break

1. ALWAYS enter the member's Wellness ID into GymMaster. Forgetting = write-up.

2. For Optum plans (Aaptiv, One Pass, Renew Active), ALWAYS enroll on healthycontributions.com FIRST, then GymMaster.

3. For Tivity plans (SilverSneakers, Prime), ALWAYS enroll on fitness.tivityhealth.com FIRST, then GymMaster.

Quick Reference Links