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
- 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.