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Does health insurance cover personal training?

Does health insurance cover personal training?

Posted by Tyler Spraul, Certified Strength and Conditioning SpecialistĀ® (CSCSĀ®) on October 10, 2017 ā€” Updated on September 12, 2024

No, health insurance generally does not cover personal training. While there are rare exceptions, most insurance policies do not consider personal training a medical necessity.

Does health insurance cover personal training?

Personal training is viewed as a fitness service aimed at improving general health and wellness, which falls outside the scope of typical insurance coverage. However, certain circumstancesā€”such as when personal training is prescribed as part of a rehabilitation plan or to manage specific medical conditionsā€”might allow for partial coverage through a flexible spending account (FSA) or health savings account (HSA).

ScenarioInsurance Coverage Details
Medical NecessityPersonal training may be covered if prescribed by a healthcare provider for injury recovery or chronic condition management.
Company Wellness ProgramsSome employers offer wellness programs that include partial reimbursement for personal training sessions.
Gym Membership ReimbursementSome gyms may offer reimbursements for memberships, indirectly reducing personal training costs for clients.
Premium DeductionClients may pay out-of-pocket for personal training but could qualify for a premium deduction through specific insurance plans.
Personal Trainer InsuranceTrainers should consider general liability and professional liability insurance to protect against legal claims.

In most cases, personal training sessions are not covered by health insurance for general fitness purposes. However, these exceptions where insurance may cover personal training is if it is deemed medically necessary. This can happen when a healthcare provider prescribes personal training as part of a treatment plan for recovery, chronic condition management, or rehabilitation. This means that sometimes personal trainers can bill insurance companies. Additionally, corporate wellness programs and gym membership reimbursements offer alternative ways clients can partially cover or reduce their personal training costs.

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Trainers should also protect themselves with personal trainer insurance, such as general liability and professional liability coverage.

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Personal Training Medical Necessity and Health Insurance

In rare cases, insurance may cover personal training when it is prescribed as part of a medical treatment plan. For example, a client recovering from surgery, managing a chronic condition like diabetes, or undergoing physical rehabilitation might have personal training included as part of their healthcare regimen. However, this requires documentation from a healthcare provider, and the trainer may need to collaborate with medical professionals to ensure the training program aligns with the clientā€™s treatment goals.

Key Scenarios:

  • Injury recovery: Personal training integrated with physical therapy.
  • Chronic condition management: For conditions like obesity, heart disease, or diabetes.

Company Wellness Programs and Gym Membership Reimbursements

Some company wellness programs offer partial coverage for personal training as part of their health incentives. Employers who prioritize employee well-being may reimburse employees for fitness-related expenses, including personal training sessions. Additionally, some gyms provide membership reimbursements, which may help clients reduce the overall cost of their fitness journey, though this is typically limited to gym fees and not personal training specifically.

  • Wellness programs: Encourage physical activity by reimbursing fitness expenses.
  • Gym memberships: Some companies or insurance plans reimburse membership fees, potentially helping clients allocate savings toward personal training sessions.

Premium Deduction for Personal Training

In certain cases, clients may pay for personal training out of pocket but benefit from a premium deduction on their insurance. This usually applies when personal training is part of a medically necessary treatment plan. Clients should consult their insurance provider to see if their specific health insurance plan allows for this kind of deduction.

Personal Trainer Insurance

Even though personal trainers may work at gyms that provide coverage, it’s important for them to consider purchasing their own insurance policies to protect against potential risks. The two most important types of insurance for personal trainers are:

  1. General Liability Insurance: This covers third-party claims, such as bodily injury or property damage that may occur during a training session. Itā€™s crucial for trainers working in high-traffic gym environments where accidents may happen.
  2. Professional Liability Insurance: Also known as Errors & Omissions (E&O) insurance, this protects trainers from claims of negligence. For instance, if a client alleges that an injury resulted from improper instruction, this insurance helps cover legal and settlement costs.

Personal trainer insurance can range from a few hundred to a few thousand dollars annually, depending on the coverage required.

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When Personal Training Might Be Covered by Insurance

Although most insurance companies don’t cover personal training, some may provide partial reimbursement if it’s prescribed by a physician as part of a treatment plan for conditions like obesity, diabetes, or heart disease. In these cases, clients would need medical documentation that links personal training directly to their recovery or ongoing management of a medical issue.

  • FSA or HSA Accounts: Some clients may be able to use their FSA or HSA to pay for personal training if it’s deemed medically necessary by a doctor.
  • Employer Wellness Programs: Certain employers offer wellness incentives that may reimburse employees for fitness expenses, including personal training.

As a fitness professional, knowing these nuances can help you offer additional value to your clients by educating them on how they might get assistance with their training costs. You can also position your services within corporate wellness programs, which can indirectly connect with insurance incentives.

How Exercise.com Can Help Trainers Streamline Their Business

Whether or not insurance covers personal training, fitness professionals need a streamlined system to manage client payments, track progress, and scale their business. Exercise.com offers the best platform for personal trainers, gym owners, and online fitness coaches to manage their business effectively.

With Exercise.com, trainers can:

  • Track client progress and provide reports that may be useful for insurance reimbursement.
  • Automate billing, manage memberships, and offer branded apps for easy client engagement.
  • Offer remote training sessions, which could be an attractive option for clients using insurance-related wellness benefits.

Exercise.com is a comprehensive platform with the best fitness software for influencers, the best personal training software, and the best gym management software so no matter what type of fitness business you have, it simplifies the process and amplifies your earning potential while also helping you run fitness challenges, create online workout groups, do fitness livestreaming, do in-person and online training, and more, all through your own custom-branded fitness apps.

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For fitness professionals running their own businesses, whatā€™s often more important than a degree is leveraging the right tools to manage clients, track progress, and automate administrative tasks. This is where Exercise.com comes in as the best software platform for personal trainers and gym owners alike.

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#1 – Personal Training vs. Medical Rehabilitation

One of the main reasons health insurance doesnā€™t typically cover personal training is the distinction between fitness and medical care. Insurance policies are more likely to cover medical rehabilitation provided by a licensed physical therapist rather than personal trainers working on fitness goals.

  • Rehabilitation: Physical therapists treat injuries or medical conditions, and this service is often covered by insurance.
  • Fitness: Personal training focuses on improving general fitness, which is not considered a medical necessity.

Exercise.com can help trainers document client progress and create professional assessments that may support the case for fitness being a vital part of a client’s health plan, particularly for those managing chronic conditions.

#2 – Leveraging Employer Wellness Programs

For clients whose insurance doesnā€™t directly cover personal training, there may still be options available through employer wellness programs. Many companies offer fitness reimbursements or incentives for employees who engage in physical activity, including personal training sessions.

  • Incentive Programs: Some employers reimburse fitness expenses, and personal training could be covered under this umbrella.
  • Corporate Wellness: Trainers can position their services within corporate wellness programs to access a broader client base.

Using Exercise.com, trainers can manage corporate wellness programs with ease. The software allows you to handle group training sessions, track attendance, and provide tailored programs for corporate clients, making it easier to integrate with workplace wellness initiatives.

#3 – How to Document Personal Training for Insurance Purposes

If a client is able to use FSA, HSA, or wellness benefits for personal training, proper documentation is key. Providing clear, professional records of workouts, progress, and health outcomes may help in securing reimbursements or justifying training as part of a medical plan.

  • Client Reports: Exercise.com allows trainers to generate detailed progress reports, which can be useful if clients are submitting for insurance reimbursement.
  • Medical Integration: Trainers can collaborate with healthcare providers to create fitness plans that complement a clientā€™s medical treatment, increasing the likelihood of coverage.

While health insurance personal training coverage is not typical for general fitness purposes, there are specific circumstances where insurance may apply, such as medical necessity, wellness programs, or membership reimbursements. Personal trainers should also secure their own insurance cover personal trainer needs, such as general liability and professional liability, to safeguard their business. Learn more about how personal trainers can bill insurance companies. Whether or not your services are covered by insurance, managing client progress, billing, and scheduling through Exercise.com helps streamline operations and grow your fitness business efficiently.

Book a demo with Exercise.com today to see how our platform can help you manage your personal training business, whether or not insurance plays a role in your service offerings.

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How to Accept Insurance as a Personal Trainer

If youā€™re wondering whether personal training can be covered by insurance, the short answer is that itā€™s generally uncommon, but not impossible. Health insurance coverage for personal training is limited because most policies do not consider fitness services a medical necessity. However, there are ways personal trainers can work within the healthcare system and certain insurance structures to receive payments for their services.

Here are some options to explore for becoming a personal trainer covered by insurance:

1. Partner with Healthcare Providers

One potential avenue for getting personal training covered by insurance is to collaborate with healthcare providers, such as doctors or physical therapists, who can refer patients to your services. In some cases, personal training may be recommended as part of a patientā€™s treatment plan for conditions like obesity, diabetes, or heart disease. While health insurance personal training isnā€™t widely available, getting a referral from a healthcare provider may allow your clients to use their FSA (Flexible Spending Account) or HSA (Health Savings Account) to pay for training sessions.

  • FSA and HSA: Some clients may be able to pay for personal training with insurance if itā€™s prescribed by a doctor as part of a recovery or management plan.
  • Physician Collaboration: Partnering with healthcare providers can add credibility to your services and open up more opportunities for personal trainers covered by insurance.

2. Become a Licensed Healthcare Professional

Another path is to obtain a dual certification or license as a healthcare professional, such as a licensed physical therapist or certified medical exercise specialist. This can allow you to offer services that bridge the gap between fitness and rehabilitation, making your services more likely to be covered by health insurance. This approach can make personal trainers covered by health insurance more feasible, especially if you provide rehabilitation services that insurance companies view as necessary for recovery.

3. Offer Corporate Wellness Programs

Many employers provide wellness programs that include fitness benefits, which may cover part or all of a personal trainerā€™s services. This is a route that can help answer questions like will health insurance pay for personal trainer? Employers who offer health incentives or reimbursements may cover a portion of the cost for personal training as part of their overall wellness plan. While this isnā€™t traditional personal trainer health insurance, it allows clients to get partial financial assistance for their fitness journey.

  • Corporate Wellness: Working with corporate clients is a great way to provide personal training covered by insurance through wellness programs, especially in larger organizations.

Read More: How to Write a Corporate Wellness Proposal

4. Bill Insurance for Medically Necessary Services

Although itā€™s rare, some personal trainers in specialized fields may be able to bill insurance for specific services if they meet the criteria for ā€œmedically necessaryā€ care. For example, if a client is recovering from surgery or has been prescribed exercise for a chronic condition, there may be an opportunity to bill insurance, though this usually requires strong medical documentation.

  • Documentation: To get insurance cover personal trainer services, youā€™ll need to provide detailed reports and collaborate with a physician or healthcare provider to establish medical necessity.

Read More: Can personal trainers bill insurance?

5. Work with Alternative Payment Methods (FSA/HSA)

While insurance cover personal trainer services is not common, many clients can use FSA or HSA funds for personal training if a physician deems it necessary. These accounts allow clients to use pre-tax dollars to pay for health-related expenses, including fitness if it is medically justified.

  • FSA/HSA Eligibility: As a trainer, you can market your services to clients who may be able to use their HSA or FSA for payment. Ensure you provide receipts and documentation that align with these programs.

Key Options for Personal Trainers to Accept Insurance:

  • Work with healthcare providers for referrals and medical documentation.
  • Obtain certifications or dual licenses that qualify your services as medically necessary.
  • Offer corporate wellness programs that include fitness reimbursements.
  • Bill insurance for rehabilitation or medically necessary services.
  • Encourage clients to use FSA/HSA accounts to pay for your services.

While most personal training covered by insurance scenarios are limited, personal trainers can explore collaborations with healthcare providers, corporate wellness programs, and alternative payment options like FSA or HSA to make their services more accessible. Leveraging tools like Exercise.com to manage documentation, client progress, and payments is essential for trainers looking to operate within these frameworks.

Book a demo with Exercise.com today to see how our software can help you manage your personal training business, offer detailed reports for medical documentation, and grow your services, whether insurance covers personal training or not.

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Can personal trainers bill insurance companies?

Typically, personal trainers cannot bill insurance companies directly. However, if a personal trainer works with clients under a medical professional’s guidance or within a wellness program that qualifies for insurance coverage, there may be exceptions. Exercise.com helps trainers focus on offering professional services that may qualify for reimbursement under specific health plans.

Read More: Can personal trainers bill insurance companies?

Can a doctor prescribe a personal trainer?

Yes, a doctor can prescribe personal training as part of a patientā€™s wellness plan, particularly for individuals needing physical activity for weight loss, rehabilitation, or chronic disease management. While this prescription does not guarantee insurance coverage, it can lead to referrals and may support HSA/FSA eligibility. Exercise.com provides tools to manage these referrals and deliver professional training services.

Does Medicaid cover personal training?

No, Medicaid does not typically cover personal training. Medicaid focuses on essential medical services, and personal training is generally considered a wellness or fitness service, not a medical necessity. Exercise.com allows personal trainers to manage clients and offer services that support overall health, even without insurance coverage.

Does Medicare cover personal training?

Medicare does not usually cover personal training. However, Medicare Advantage plans may offer wellness programs or gym memberships, such as SilverSneakers, that include access to fitness facilities. While personal training is not directly covered, Exercise.com helps trainers work with older adults by offering tailored services that align with wellness program goals.

Does health insurance cover personal training for seniors?

Most health insurance plans, including those for seniors, do not cover personal training. Some Medicare Advantage plans offer wellness benefits, like access to gyms, but personal training is usually not included. Exercise.com enables trainers to work with seniors and create customized programs that support their health, regardless of insurance coverage.

Does Aetna cover personal training?

Aetna generally does not cover personal training. However, certain wellness programs or health plans might offer fitness benefits, such as discounted gym memberships or wellness reimbursements. Personal training typically falls outside of covered services, but Exercise.com can help trainers offer services that align with wellness programs.

Does Blue Cross Blue Shield cover personal training?

Blue Cross Blue Shield typically does not cover personal training. However, some BCBS plans offer wellness benefits, such as gym memberships or discounts on fitness services. Personal training is considered an out-of-pocket expense in most cases. Exercise.com provides personal trainers with tools to offer services that complement wellness programs offered by insurance plans.

Does United Healthcare cover personal training?

United Healthcare generally does not cover personal training. However, some UHC plans offer wellness programs or fitness memberships, which may include access to gyms but not personal training sessions. Exercise.com supports trainers in offering complementary wellness services that may appeal to clients with insurance-based fitness memberships.

Does Humana cover personal training?

Humana does not typically cover personal training, though some plans may offer wellness programs or discounted gym memberships. Personal training is generally considered a fitness service, not a medical necessity. Exercise.com helps trainers manage clients and provide high-quality services that can align with broader health and wellness goals.

Does Cigna cover personal training?

Cigna does not usually cover personal training. However, they may offer wellness discounts or gym memberships through certain plans. Personal trainers can work with clients seeking fitness support, and Exercise.com enables trainers to provide a seamless experience, even without direct insurance coverage.

Does Wellcare cover personal training?

Wellcare does not typically cover personal training services. However, certain plans may include wellness benefits, such as gym memberships or health programs. Personal trainers can still offer valuable services to Wellcare members, and Exercise.com provides tools to manage these services effectively.

Can you get a personal trainer through insurance?

In most cases, insurance does not cover personal training. However, some wellness programs tied to insurance plans may offer fitness benefits, such as gym memberships or classes. Personal training is often considered an out-of-pocket expense, but Exercise.com helps trainers manage clients and offer competitive services that complement wellness programs.

Can personal trainers accept insurance?

Personal trainers cannot typically accept insurance directly, as personal training is not considered a medical necessity by most insurance providers. However, trainers can encourage clients to use HSA or FSA funds if the service qualifies under their health plan. Exercise.com helps trainers streamline client payments and integrate flexible payment options.

How can a personal trainer get referrals from doctors?

Personal trainers can build relationships with healthcare professionals by offering specialized services like post-rehabilitation, weight management, or chronic disease management. Having certifications in these areas can help trainers receive referrals. Exercise.com helps trainers manage these relationships by organizing client data, referrals, and progress tracking in one place.

Is personal training HSA eligible?

Yes, in some cases, personal training may be HSA eligible if it is prescribed by a doctor for a medical condition, such as obesity, diabetes, or rehabilitation after surgery. Always check with the insurance provider for specific eligibility. Exercise.com enables personal trainers to create tailored plans that align with medical needs, making it easier for clients to use HSA funds.

Is a personal trainer a deductible medical expense?

Personal training is not typically considered a deductible medical expense unless it’s prescribed by a healthcare professional for a specific medical condition. If qualified, HSA or FSA funds may be used. Exercise.com can help trainers manage medically-directed services, supporting client health goals within insurance and tax guidelines.

Can a personal trainer be a business expense?

Yes, if you’re a business owner and use personal training as a business-related expense, such as improving your health to perform your job, you may be able to deduct it. It’s important to consult a tax professional. Exercise.com supports personal trainers in managing their businesses, including expenses and accounting tools.

Does health insurance cover fitness gyms?

Some health insurance plans offer wellness benefits, such as discounted or reimbursed gym memberships, but they typically do not cover personal training or gym expenses fully. Programs like SilverSneakers or other wellness incentives might apply. Exercise.com helps trainers offer services that complement these wellness programs.

Why is personal training not covered by insurance?

Personal training is generally not covered by insurance because it is considered a fitness service rather than a medical necessity. Insurance plans typically cover treatments for illnesses or injuries, and personal training is viewed as preventive or elective care. However, Exercise.com helps trainers offer medically-relevant services that can align with clients’ overall health goals.

What is the difference between a health trainer and a personal trainer?

A health trainer typically focuses on overall wellness, including nutrition, lifestyle changes, and fitness, while a personal trainer specializes in exercise and fitness programs. Both may offer similar services, but health trainers often address a broader range of wellness issues. Exercise.com provides tools to manage client programs, whether focused on fitness or overall health.

How to get a letter of medical necessity for a personal trainer?

To get a letter of medical necessity for personal training, you must consult a healthcare provider who will assess whether personal training is medically beneficial for your condition. The letter should outline the specific medical reasons for training. Exercise.com can help trainers work with clients who need medically-directed fitness programs.

Can a gym membership be a medical expense?

A gym membership is not usually considered a medical expense unless itā€™s part of a prescribed wellness program for a specific medical condition. Even in such cases, it’s typically up to the insurance provider to decide eligibility. Exercise.com supports personal trainers in offering additional services that align with health and fitness goals.

Can a gym membership be paid for with an HSA?

In most cases, gym memberships are not HSA-eligible unless a healthcare provider prescribes it for a medical condition, such as obesity or rehabilitation. Always check with your HSA provider for specific eligibility criteria. Exercise.com helps trainers offer services that may align with HSA or FSA health goals for clients.

Is personal training covered by FSA?

Personal training can be FSA-eligible if it’s prescribed by a healthcare provider for a specific medical condition, like obesity or rehabilitation. Check with your FSA provider for eligibility. Exercise.com allows trainers to manage services that may be covered by FSA funds, helping clients improve their health.

Why should all personal trainers carry liability insurance?

Personal trainers should carry liability insurance to protect themselves from potential lawsuits in case of client injury or negligence claims. Even with the best practices, accidents can happen, and insurance provides financial and legal protection. Exercise.com helps trainers run their business professionally, while liability insurance ensures peace of mind.

What is the best personal trainer insurance?

The best personal trainer insurance depends on your needs, but popular providers include NASM, ACE, and HISCOX. These companies offer policies that cover general liability, professional liability, and more. Itā€™s essential for protecting your business from risks. Exercise.com helps trainers streamline their services while ensuring they stay protected.

Read More: Best Personal Trainer Insurance

What is the best personal trainer software?

Exercise.com is the best personal trainer software because it offers an all-in-one solution for managing clients, delivering workouts, processing payments, and tracking progress. Itā€™s designed specifically for fitness professionals to grow and scale their businesses efficiently, making it the top choice for personal trainers.

Jimmy Myers Relentless Sports Performance
If you want to offer an elite service for the end user you need to get with the times and use elite level software that is intuitive, visually appealing, and effective. That is exactly what Exercise.com delivers to its clients.
Jimmy Myers
Owner/Trainer, Relentless Sports Performance

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Tyler Spraul is the director of UX and the head trainer for Exercise.com. He has his Bachelor of Science degree in pre-medicine and is an NSCA-Certified Strength and Conditioning SpecialistĀ® (CSCSĀ®). He is a former All-American soccer player and still coaches soccer today. In his free time, he enjoys reading, learning, and living the dad life.
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