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Silver Sneakers and Medicare Supplement Plans 2027: Which Insurers Add a Fitness Benefit

Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated November 13, 2026

Key Takeaway

No Medicare Supplement plan letter includes Silver Sneakers by law: Original Medicare and the standardized Plan G, Plan N and other letters pay medical costs only. SilverSneakers is most common in Medicare Advantage, but some Medicare Supplement insurers attach it, or their own fitness program, as an extra, free with the policy at a few Blue plans and Medical Mutual, or as a paid package elsewhere, depending on the insurer and state.

2027 by the Numbers

$0

SilverSneakers for Medical Mutual Medicare Supplement members (Medical Mutual)

$34.50/mo

Highmark Whole Health Balance add-on that lists SilverSneakers (Highmark form ENR-314)

$300/yr

Premium share for Plan G Extra’s added benefits in 2026 (Blue Shield of California notice)

93%

Individual Medicare Advantage plans offering a fitness benefit in 2026 (KFF)

Search for a gym benefit with a Medicare Supplement and most answers stop at “only Medicare Advantage has it.” That’s the general rule, not the full picture. A handful of Medigap insurers do hand their policyholders a SilverSneakers card, and a few others sell the membership as part of a package or run a fitness program under their own name.

This guide sorts the insurers by how they deliver it, using the carriers’ own plan pages, brochures and filed notices checked in November 2026. It also prices each route over a year and explains why a fitness perk can change while the policy itself stays the same.

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Why No Plan Letter Comes With a Gym Membership

Silver Sneakers and Medicare Supplement: standardized plan letters pay Medicare cost sharing only, while some insurers attach SilverSneakers or another fitness program as a separate extra

Every Medicare Supplement policy is built from a federal template. A Plan G from one company must pay the same Part A and Part B cost sharing as a Plan G from any other, and none of the letters, A through N, has a fitness, dental or vision benefit written into it. Original Medicare doesn’t pay for a gym membership either, so a supplement has nothing to fill there.

What some insurers do is attach a fitness program beside the policy. Medical Mutual of Ohio puts it plainly: SilverSneakers is an additional member service apart from its Medicare Supplement insurance plan benefits. That wording matters, because a member service isn’t a guaranteed policy benefit.

Quick test: If the fitness program appears in the insurer’s member perks or extras page rather than in the outline of coverage for your plan letter, it’s an add-on service, and the insurer can change the vendor or the gym list.

Carrier-by-Carrier: Fitness Programs Paired With Medicare Supplement Policies

The table pulls together what each insurer’s own materials say, as of November 2026. Extras vary by state and change from year to year, so confirm with the insurer before you apply.

Insurer (where sold) Fitness program How you get it Source checked
Medical Mutual (Ohio) SilverSneakers Included with all its Medicare Supplement plans, no extra cost Medical Mutual extras page
Blue Cross and Blue Shield of Minnesota SilverSneakers Included with its Medicare Supplement plans, including Senior Gold Blue Cross MN SilverSneakers page
Premera Blue Cross (Washington) SilverSneakers No extra cost on individual Medicare Supplement plans since Aug. 1, 2025 Premera producer FAQ, July 2025
Blue Cross NC SilverSneakers Available to some Blue Medicare Supplement members Blue Cross NC fitness page
Blue Cross and Blue Shield of Illinois, Montana, Oklahoma SilverSneakers Only in the Medicare Supplement Plus plans, not the standard ones Each plan’s extra benefits page
Blue Shield of California SilverSneakers Built into Plan G Extra, with $300 a year of premium tied to its extras 2026 Plan G Extra brochure and notice
Highmark (PA, DE, WV) SilverSneakers Whole Health Balance add-on, $34.50 a month Highmark enrollment form, Medicare site
Anthem SilverSneakers Listed in Anthem Extras packages meant to complement the policy; price not published Anthem Extras page
Mutual of Omaha Mutually Well Program included; gym membership $29.99 a month Mutual of Omaha Mutually Well page
Humana SilverSneakers Its SilverSneakers pages name Medicare Advantage plans only Humana SilverSneakers pages

Notice the pattern: the free-with-the-policy offers come mostly from regional Blue plans and Medical Mutual, which sell in one or a few states. National carriers either skip the benefit or charge for it. The plan letters behind every row are the same ones described in our guide to Medicare Supplement plans.

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Four Ways an Insurer Attaches Fitness to a Policy

Four ways Medicare Supplement insurers offer fitness: included with every plan at Medical Mutual, only in Plus or Extra plans at some Blue plans, as a paid add-on at Highmark, or an insurer's own program at Mutual of Omaha
✔
Included with every plan letter. Medical Mutual and Premera’s Washington individual plans state there’s no extra cost, and Blue Cross MN lists its Medicare Supplement plans, including Senior Gold, as eligible.
✔
Only in an enhanced version. The Blue plans in Illinois, Montana and Oklahoma reserve SilverSneakers for their Plus plans, which also add dental and vision. Blue Shield of California does the same with Plan G Extra. The added cost is folded into a higher premium; the Illinois numbers are broken out on our BCBS Plan G Plus cost page.
✔
A paid add-on. Highmark’s Whole Health Balance sits on top of the Medigap Blue policy for a monthly charge. Anthem’s Extras packages, which list SilverSneakers, are offered alongside its policies without a published price.
✔
The insurer’s own program. Mutual of Omaha’s Mutually Well isn’t SilverSneakers. The program comes with the policy, and its gym membership, at more than 10,000 participating locations, costs $29.99 a month.

The route tells you who actually pays. An included benefit is spread across every policyholder’s premium; an add-on is paid only by those who sign up.

Worked Example: A Year of Fitness Through Four Insurers

Yearly cost of a fitness benefit with a Medicare Supplement: $0 at Medical Mutual, $300 for Plan G Extra's added benefits, $359.88 for the Mutually Well gym membership and $414 for Highmark Whole Health Balance

Take one person who wants a gym benefit for 12 months alongside a Medicare Supplement. Using each insurer’s published figures, the fitness piece alone costs:

Route Monthly For 12 months What else it buys
Medical Mutual, any plan $0 $0 Fitness only
Blue Shield of CA Plan G Extra — $300 of premium Vision, hearing aids, chiropractic, OTC allowance
Mutual of Omaha gym membership $29.99 $359.88 Gym access only
Highmark Whole Health Balance $34.50 $414 Dental, vision and hearing

The $0 row isn’t automatically the bargain. What decides it is the premium for the plan letter itself: an insurer whose Plan G costs $30 more a month than a competitor’s has charged $360 for that free gym card over a year. Price the same letter at several companies first, then weigh the fitness extra.

Use your own quote: Medigap premiums depend on age, ZIP code, tobacco use and the insurer’s pricing method, so the comparison only works with real quotes for the same plan letter.

Ask a licensed agent which insurers include SilverSneakers near you

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Why the Perk Can Change While the Policy Stays Put

A Medicare Supplement is guaranteed renewable: the insurer can’t cancel it or cut its benefits as long as premiums are paid. Fitness extras carry no such promise, and recent history shows them moving:

1
Gym lists shrink. Blue Cross and Blue Shield of Minnesota stopped SilverSneakers access at YMCA of the North and Life Time locations from January 1, 2026, affecting about 26,000 of its Medicare members, according to Becker’s Payer Issues.
2
Vendors switch. Premera named SilverSneakers as the administrator of its Washington Medicare Supplement fitness program starting August 1, 2025.
3
Offers age. Anthem announced SilverSneakers at no extra cost for Colorado Medicare Supplement Plans A, F and N starting in 2017; Anthem’s current materials list the program inside its Extras packages instead.
4
Discounts are not insurance. Medical Mutual notes its member discounts can be terminated at any time.

So pick a policy for its medical coverage and price, and treat the gym benefit as a bonus that may look different next year. How Medigap differs from Original Medicare on the medical side is covered in Medicare vs Medigap.

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Medicare Advantage: Where SilverSneakers Is Most Common

KFF found that 93% of individual Medicare Advantage plans offered a fitness benefit in 2026, usually at no added premium. That’s why so many sources say SilverSneakers comes with Advantage.

Advantage plan gym benefit

✔Often included at no extra cost
✔Tied to a provider network
✔Can change every plan year

Medicare Supplement with a fitness extra

✔Free at a few regional insurers, paid elsewhere
✔Any doctor in the U.S. that takes Medicare
✔Medical benefits fixed by plan letter

Trading the freedom of a supplement for a gym card rarely makes sense on its own. Switching back to Medigap later can mean health questions in most states. The full trade-off is in Medigap vs Medicare Advantage.

Checking a Fitness Benefit Before You Apply

1
Ask for it in writing. Request the insurer’s current extras or member services sheet for your state, not a national brochure.
2
Look up your gym. The SilverSneakers website has a location finder and an eligibility check; for Mutually Well, ask Mutual of Omaha which gyms near you participate.
3
Price the plan letter without the extra. Compare the same letter at three or more companies so you can see what the fitness perk really costs you.
4
Ask whether it’s a separate charge. Add-ons like Whole Health Balance bill on top of the Medigap premium.
5
Time the application. During your six-month Medicare Supplement open enrollment window, an insurer can’t use your health to turn you down.

Plan Letter First, Gym Card Second

Plan G is the broadest letter most new enrollees can buy, and it’s the base for both Plan G Plus and Plan G Extra. Start with the coverage you need from Medicare Supplement Plan G or a lower-premium letter, then check which insurers in your state add fitness at no charge.

If none does, a stand-alone gym or community-center membership may cost less than moving to a pricier insurer for its extra. For a regional example of a paid package, see our review of Highmark Medigap plans; for a national insurer’s own program, see Mutual of Omaha Medicare Supplement.

SilverSneakers With a Medicare Supplement: Your Questions

➤ Do any Medicare Supplement plans come with Silver Sneakers?

Some do, through the insurer rather than the plan letter. As of November 2026, Medical Mutual in Ohio and Premera’s Washington individual plans list SilverSneakers at no extra cost, Blue Cross MN lists its Medicare Supplement plans as eligible, and several Blue plans include it only in Plus or Extra versions.

➤ Is SilverSneakers part of Medigap Plan G?

Not as a standardized benefit. Plan G pays Medicare cost sharing only. An insurer may pair SilverSneakers with its Plan G, as in Blue Shield of California’s Plan G Extra.

➤ Does Original Medicare pay for SilverSneakers?

No. Parts A and B don’t cover gym memberships, so the benefit comes through Medicare Advantage, a supplement insurer’s extras, or an employer retiree plan.

➤ How much does Highmark’s Whole Health Balance cost?

Highmark’s enrollment form lists $34.50 a month on top of the Medigap Blue premium. The add-on bundles dental, vision, hearing and SilverSneakers.

➤ Is Mutual of Omaha’s Mutually Well the same as SilverSneakers?

No. It’s Mutual of Omaha’s own wellness program. The program comes with its Medicare Supplement policies, and the optional gym membership costs $29.99 a month at more than 10,000 locations.

➤ Can an insurer drop the fitness benefit after I enroll?

Yes. Fitness programs are member services outside the policy, so the vendor, gym list or offer can change, while the Medicare Supplement coverage stays guaranteed renewable.

➤ Should I switch insurers to get SilverSneakers?

Only if the new insurer’s premium for the same plan letter is competitive. Outside open enrollment or a guaranteed issue right, you’ll usually answer health questions to switch.

➤ How can I check whether I’m eligible for SilverSneakers?

Use the eligibility check on the SilverSneakers website, or call the member services number on your insurance card and ask whether your exact policy includes it.

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