FUZE - Insurance Information
INSURANCE COVERAGE & REIMBURSEMENTFEDERAL TAX ID # 26-2084138
Insurance reimbursement and payment "relief" may be available through your employer's FLEX 125B or HSA plan or other wellness supportive care services encouraging physical activity, nutrition, and general health education for your family. Financial reimbursement for health care and dependent care is typically available for services including, but not limited to CAMPS, AFTER-SCHOOL CARE, PERSONAL TRAINER, PREVENTIVE CARE FOR WEIGHT MANAGEMENT OR ANOTHER CONDITION, MEMBERSHIPS, OR WHEN ONE PARENT WORKS DAY AND THE OTHER WORKS OTHER HOURS, IN ADDITION TO OTHER PROVIDED FOR at FUZE FIT FOR A KID!.
According to IRS Ruling 202-19, WEIGHT LOSS PROGRAM COSTS MAY BE TAX DEDUCTIBLE. You may wish to contact your tax advisor for information on your eligibility for medical deductions for participating in a weight loss program with a physician's referral letter.
Additionally, many corporations and other business-entities provide for health club reimbursement for employee dependents on an annual basis – we are pleased to provide documentation on your behalf. Please consult with your employer's wellness or human resources representative to find out if you qualify for discounted, matching, or pre-tax benefits
FUZE is the only youth-oriented fitness and exercise center contracted with AMERICAN SPECIALTY HEALTH NETWORKS' 87 health insurance plans nationwide. As such, you are qualified to receive discounts should ASN affiliate programs be available through your employer, and include self-funded insurers as well as Kaiser Permanente, Aetna, CIGNA, Wellpoint, Blue Cross/Blue Shield, and many others.
Please also see our CORPORATE WELLNESS PROGRAMS for even greater discounts and collaborative opportunities to reduce your or your employer's health care bottom line with FUZE.
CODES & GUIDELINES
You may have health insurance coverage that includes REIMBURSEMENT FOR PARTICIPATING IN A WEIGHT LOSS PROGRAM. After receiving a physician's referral that establishes you as obese or having obesity-related medical conditions that may include heart disease, high cholesterol, high blood pressure, type 2 diabetes, or sleep apnea and a doctor's recommendation that you lose weight, you may want to contact your insurance company directly to review if your plan may reimburse part of your camp tuition.
According to the American Academy of Pediatrics, typical diagnostic codes include Evaluation and Management by a licensed physician or referring physician such as Health & Behavior (Re)Assessment (CPT Codes 96150, 96151) as well as Health & Behavior Interventions (CPT Codes 96153, 96154, and 96155) for individuals and groups; these are all HCPS SPARKS codes.
Furthermore, Education and Counseling services under the following codes are also reimburseable: HCPCS BLAZERS codes S9445 (non-physician individual), S9446 (non-physician group), S9449 (weight management classes non-physician), S9451 (exercise classes, non-physician), S9452 (nutrition classes, non-physician), and S9454 (stress management classes, non-physician).
Basic ICD-9 classification codes might include: 278.00 (Obesity, unspecified), 278.02 (Overweight), as well as V-codes V65.41 (Exercise counseling), V69.0 (Lack of physical exercise), or BMI V-codes (85.51, .52, .53, .54), among others.
Numerous National Guidelines are also available in support of documentation which may be required for reimbursement including those from the American Academy of Pediatrics, the U.S. Department of Health & Human Services, the Agency for Healthcare Research & Quality and the American Academy of Family Physicians, among others.