Senior coverage verification request

Senior please complete the coverage verification form below. Once the coverage is verified a member from our team will contact you as soon as possible. RenewActive participants you will need to provide your A#. Silver Sneakers you will need to provide your 2300#. If you do not have this information, please contact your agent before completing the form below. We can not verify coverage without this information.

Silver Sneakers


Silver Sneakers /Tivity Health Plans


Renew Active Program

Renew Active™ can help you stay fit, stay focused and stay you. Plus, you can get membership at RSF at no additional cost. Learn more at