Does Medicare Cover YMCA Membership?

Does Medicare Cover YMCA Membership? Famous all around the world as a non-profit health and fitness organization, the YMCA has been promoting well-being through its programs and activities for many decades. Today, the YMCA still provides a wide range of fitness programs, personal training services, sports and aquatics facilities, social activities, and community events for people of all ages. 

Medicare Benefits Solutions

Aug 26, 2021

 4 minutes read

While YMCA memberships aren’t offered through Medicare insurance, there are other gym memberships and fitness programs that may be available through a Medicare Advantage plan. 

Gym and fitness program memberships are becoming more popular with seniors these days because they realize the value physical and mental fitness can bring to overall health and well-being. Actively taking part in fitness and wellness programs helps participants by:

  • Reducing the risks for chronic illnesses
  • Building strength in bones and muscles
  • Boosting mobility to avoid falls and raise quality of life in everyday activities
  • Reducing the risk of depression
  • Helping with weight management
  • Increasing life expectancy

Here’s a look at how you can get coverage for fitness program memberships4 through Medicare.

Does your Medicare coverage include gym and fitness program membership?

Original Medicare

If you have coverage through Original Medicare Part A (hospital insurance) and Part B (medical insurance) alone, unfortunately, you don’t have benefits for a gym or fitness club membership. Original Medicare beneficiaries are responsible for 100 percent of the cost of all non-covered services such as gym memberships and fitness programs.

Medicare Supplement plans

On the other hand, if you have Original Medicare plus a Medicare Supplement (Medigap) plan, you may have coverage for these benefits. 

While the actual standardized Medicare Supplement plans DO NOT include gym or fitness club memberships, some of the major Medigap insurance companies, in some states, include SilverSneakers or other club memberships as extra benefits bundled with their Medigap plans. 

These companies choose to include these attractive, additional benefits because they realize that enrollees find them valuable. Medicare Supplement plan providers aren’t obligated to include them, so many companies don’t. If you are looking for supplemental insurance and are interested in the extra benefits, you should ask the provider if they are available. 

Medicare Advantage (Medicare Part C) plans

Medicare Advantage, also known as Medicare Part C, is an alternative form of Medicare insurance. Part C plans are sold by private insurance companies that work with Medicare. These providers are required by U.S. federal law to provide at least the same benefits that Original Medicare Part A and Part B provide. 

Most Medicare Advantage plans also include prescription drug coverage and extra benefits to enhance interest in plan enrollment. Depending on the insurer and which plan you choose, you may have access to routine vision, hearing, and/or dental care; transportation to medical appointments; over-the-counter medicine and supply allowances; and more.  

These days more and more Medicare Advantage plan providers are also adding memberships for fitness programs like SilverSneakers, Silver & Fit Exercise and Healthy Aging, and SeniorPHIT to their list of extra benefits. 

There are also many Part C plans that give enrollees allowances for fitness program reimbursements. This is great for locations that don’t have organized programs like SilverSneakers but have great health and exercise programs available for seniors.]

How much does a gym membership cost without Medicare insurance?

If you don’t have coverage for a fitness program like SilverSneakers, you can still join a gym for a monthly or annual fee. Prices vary according to location, facilities, program amenities, etc. 

In the U.S. you can sign up for a good gym and fitness program that costs between $31.00 and $44.42 a month. Most programs give you access to the following equipment and activities:

  • Weight machines
  • Treadmills
  • Ellipticals
  • Walking tracks
  • Group exercise classes
  • Online access to exercise and workout videos
  • Some have pool access

If you are considering Medicare Advantage for your Medicare coverage and you would like to have access to a fitness program, make sure you discuss all available options with your licensed insurance agent before committing to a plan. 

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