Do I ever have to pay a fitness center directly to participate in the Active&Fit Direct program? (Cigna)

You pay a monthly $28 fee plus applicable taxes and an enrollment fee directly to the Active&Fit Direct program and do not pay a fitness center directly. However, you are responsible for paying any fees associated with upgrading your fitness center standard membership directly to the fitness center. Any non-standard fitness center services that typically require an additional fee are not included.