Be Fit and Defined Dental Benefit Denial Letters

Some members are receiving denial letters for reimbursements above Be Fit’s allowed amount of $30 per month or their $200 or more defined dental benefit.

If members send us receipts for reimbursement that exceed these allowed amounts without a form or noting the allowed amount they expect to receive, they will receive a check for the allowed amount and a denial letter for the difference.

If members acknowledge that they’re aware of these allowed amounts, they will not receive a denial letter. For Be Fit reimbursement, they can do this by:

• Submitting their receipt for gym membership or fitness classes with the Be Fit reimbursement form

or

• Noting “For $30 only” on their receipt for gym membership or fitness classes

For defined dental benefit reimbursement, they can do this by:

• Noting on the receipt that it’s for the amount of their plan’s defined benefit only

In some cases, they will receive a denial letter before the reimbursement check because denial letters are sent out immediately after the reimbursement is processed, but checks for reimbursements are only sent once a week. They will also receive Explanations of Benefits (EOBs) showing the details of what was paid and denied.

We encourage members to use the Be Fit reimbursement form to make the Be Fit reimbursement process easier. They can find it on HealthAllianceMedicare.org.