Weight-Loss Reimbursement Y our reward for healthy behavior: Receive up to $150 annually when you participate in a qualified weight-loss program. 1 Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Contact Member Service by calling the phone number on your member ID card. Questions? Qualified for Weight-Loss Reimbursement Participation fees for: Hospital-based programs and Weight Watchers in-person Weight Watchers online and other non-hospital programs (in-person or online) that combine healthy eating, exercise, and coaching sessions with certified health professionals such as nutritionists, registered dietitians, or exercise physiologists. Not Qualified for Weight-Loss Reimbursement One-time initiation or termination fees Food, supplements, books, scales, or exercise equipment Individual nutrition counseling sessions, doctor/nurse visits, lab tests, or other services that are covered benefits under your medical plan Get Reimbursed in Three Easy Steps 1 Choose Start by picking a qualified weight-loss program. 2 Complete Once you pay for the program, fill out the attached form, or sign in to MyBlue to submit online at member.bluecrossma.com/login . 3 Mail Send the completed form to the address listed. Be sure to check with your doctor before starting any weight-loss program. 1. To verify this reimbursement is offered for your plan, or for more information, sign in to MyBlue at bluecrossma.com/myblue or call the Member Service number on your ID card. Most plans offer the reimbursement shown, but refer to your plan information for specific details.

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