Exercise is Medicine services can be provided as both land-based and water-based programming options. Depending on an individual’s employer benefits plans and/or healthcare provider, either all or part of these medically directed services can potentially be reimbursable. Virginia Premier is an example of an insurance carriers that recognize the credibility of EIM-type programming services. Medical Fitness Providers are fitness professionals who have a comprehensive knowledge of special populations and can do the following: strength training and physical conditioning, proprioceptive and balance training, joint mobility and stability training, neuromuscular re-education, muscular endurance training and stimulate improvements in cardiovascular function. In addition, they are trained to work with patients with chronic diseases where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular disease, pulmonary disease, and metabolic disorders. While credentials are indeed important, the ability to translate this knowledge into client-specific program design and training progression processes is the real professional test. A test that companies like HEALTH-E-FIT can assure doctors and the public that providers are highly qualified and exceed expectations. As more individuals who actively participate in the US healthcare system join gyms seeking solutions, the more we need to position EIM programs and facilities to address their medical needs in additional to their fitness needs. Ask your CFO if Exercise as Medicine and is it right for you.