On the HRA Overview page, select Scheduled Payments to navigate to the Activity Details page. Use the Via Benefits Accounts mobile app, the website, or a Reimbursement Request Form to submit reimbursement requests. Submitting your requests on the mobile app or on the website is the fastest and most secure way to have your reimbursements processed. If you received a notice of premium change from your insurance carrier and need to update your premium amount, you'll need to cancel your current request and submit a new request for the updated premium amount. If you have questions about filing your return, consult a tax professional. To submit a reimbursement request on the website, complete the following steps: 1. OPERS provides eligible benefit recipients with a Health Reimbursement Arrangement (HRA). Please note: If you see the wrong profile information, verify you're signed into your own profile, not your spouse's. Verifying Your Account Enter the following information in the order it's requested: Note: Subsequent questions are grayed out until the previous answer is provided. To check statuses on the mobile app, select Activity on the menu. PDF 3M Retiree Health Reimbursement Arrangement (HRA) Plan Non-Medicare Payments can only be canceled for future recurring premium payments and can't be canceled once they've been processed. Via Benefits Medicare, Medicare Advantage and Medigap Please note: The HRA tab is customized for your former employer and may have a different name (for example, ARA, RRA). Once you receive your Via Benefits Reimbursement Guide, you can prepare for when your reimbursement account becomes effective. The account is tax free, meaning you don't report it as income or pay taxes on it. Your former employer indicates specific criteria . Note: The premium's status may display as "Partially Paid" or "Processing Payment.". Select the desired plan year (below the Via Benefits logo).7. The overpayment is still outstanding. For example, if you submit a request for a $10 eligible expense, we apply that $10 to your overpayment, rather than send it to you. Reimbursement account access, available on the website or mobile app, and on reimbursement request forms, is in the account holder's name. Sign into your Via Benefits account.2. The Plan is a self-funded through . Use the Via Benefits Accounts mobile app, the website, or a Reimbursement Request Form to submit reimbursement requests. . They also offer a Prescription Profiler that uses your current and projected medication expenses to determine which plans will have the lowest estimated annual out-of-pocket cost. Select Photos to choose an image from your phones photo library3. Note: Your former employer or benefits provider may provide premium reimbursement only. To be reimbursed for qualified medical expenses, you must submit a request for reimbursement including supporting documentation to Via Benefits for them to approve and issue a reimbursement. You can contact benefit advisors at (855) 663-4228, Monday through Friday from 8:00 a.m. until 8:00 p.m. central standard time. The requests must also be on the same document (e.g., receipt, hospital statement, pharmacy ledger). Select Cancel Payment(s) under Payment Breakdown. Submitting your requests on the mobile app or on the website is the fastest and most secure way to have your reimbursements processed. Select HRA, and then select the Activity tab. You aren't allowed to file for out-of-pocket expenses until your account goes into effect. Therefore, the statuses defined below refer to an individual expense. When a loss of funding occurs, it means Via Benefits has received notification you may not be meeting your former employers requirements, which causes the funding amount to change. Between $17,774 - $51,520 for individuals Between $24,039 - $69,680 for a family of two receive a PTC and/or CSR instead of the OPERS HRA. (Review the Payment Breakdown or Activity Timeline to learn more about the overpayment.). We can't sign you in - Via Benefits Please contact Via Benefits if you have any questions. A single retiree will receive HRA credits of $200 per month and a retiree plus spouse will receive HRA credits of $300 per month from the agency you retired. Note: Premiums don't require a specific date of service because they're based on a full month. An "open HRA" means that benefit recipients can receive monthly deposits into their HRA and use the funds to be reimbursed for qualifying expenses even if they don't use the OPERS Connector to enroll in a medical plan. If an expense isn't approved, its given one of these statuses: Not approved - Expense requires additional documents for review or approval. You need to allow cookies to use this service. Learn about HRAs (health reimbursement accounts) and how they can help you pay out-of-pocket medical expenses, what kinds there are, the benefits and how to enroll. 8. Your date of service must be after the date your reimbursement account began. On theDashboard, selectPremium ReimbursementorOut-of-PocketReimbursement. Payments aren't sent until your banking information is validated. Select the status button (for example, Payment Sent, Denied) to view Activity Details. If you're Medicare eligible, you may have the option of using Automatic Premium Reimbursement, rather than submitting a reimbursement request. An overpayment is caused by an ineligible reimbursement occurring from your reimbursement account. Select Sign In. You believe the form you received has an error. Select Cancel Payment(s) under Payment Breakdown. Payments can only be canceled for future recurring premium payments and can't be canceled once they've been processed. Partially Paid The expense was approved, and a portion of it was used for offset. You can check the statuses of your reimbursement requests on the Via Benefits Accounts mobile app or on the website. Note: You must sign up with Via Benefits if you haven't already. To request reimbursement by mail, follow these steps: 1. 4. This expense will be paid once we receive additional expenses equal to or greater than $25. Read Reimbursement Request Deadlines to learn more. Select Submit on the Review & Submit page to proceed.9. Communications. They can help you find the correct online portal. Once we receive your reimbursement form, allow five business days for it to be processed. Via Benefits 2. On the website or mobile app: up to five business days, Preferred submission method. Select Cancel Payments in the Payment Breakdown section to cancel all future payments. The form is typically available around the end of January. Because the funds are in a reimbursement account managed by a third party (e.g., Via Benefits) and used only for qualified medical expenses, you don't have to pay any additional taxes on your annual return. Youreceive the form from the administrator of your HSA or MSA. Select Get Reimbursed. 5. You don't have enough money in your reimbursement account for the expense. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. Select Add to upload more photos. The initial display in the Activity Details for Amount Scheduled changes to Payments Canceled. Most expenses follow the standard path. contact the Willis Towers Watson's Via Benefits at the following: Phone: (888) 427-4164, Mon. Its less secure, and may take up to 10 days longer than submitting your request on the website or on the mobile app. The Activity Details section displays scheduled payments that were canceled. A reimbursement account is set up by your former employer or benefits provider with a specific contribution of funds that can be used to reimburse you for qualified health care expenses. You are eligible for coverage through Via Benefits if you are a retiree with Medicare Parts A and B. You can submit a paper Reimbursement Request Form; however, we don't recommend it. Read Access Your Reimbursement Account on the Website to learn how. The request wont beprocesseduntil the first of month; however, you can submit the request. Enter the following information in the order it's requested: Note: Subsequent questions are grayed out until the previous answer is provided. You also save time and postage. The balance reflects the current available funds for both of you together. 9. Original Medicare, Parts A and B, pays for most of your health care expenses, but it doesn't pay for everything. You see these statuses, primarily, when an ineligible expenses was paid from your account. Health Reimbursement Arrangements (HRAs) | Optum The message associated with the status tells you more about why your payment is "On hold." Just follow these steps. The program offers an opportunity for cost savings to participants and plan sponsors, as well as potentially greater sustainability of retiree medical benefits. Once you access your reimbursement account, you can review your account balance and activity, submit reimbursement requests,and set up direct deposit. Your reimbursement requests follow this process when you submit them to Via Benefits: To submit a reimbursement request on the Via Benefits Accounts mobile app, complete these steps: 1. Select View Accounts in the Funds and Reimbursements section. Cancel Payment is voided at your request or because the check was returned to Via Benefits. Form 1095-B, Health Coverageis sent by health insurance carriers to the individuals they cover. Your request immediately displays in your account, Reimbursement Request Form: up to 15 business days (includes mailing time), Direct deposit: two to three business days. The deadline for insurers, other coverage providers, and certain employers to provideForm 1095-Cis usually January 31 of the current year for the previous tax year. If you've chosen people to manage your affairs or help you in the event you become incapacitated or pass away, add them to your Via Benefits account as authorized representatives. Access Your HRA Anytime Manage Your Account Denied Reimbursement Claim Got Questions About Reimbursement? To be reimbursed for qualified medical expenses, you must submit a request for reimbursement including supporting documentation to Via Benefits for them to approve and issue a reimbursement. Individual taxpayers shouldn't wait for these forms and file their returns as they normally would. THE PURPOSE OF THE PLAN The Plan offers each Participant the opportunity to receive reimbursement through an HRA Account for Qualifying Medical Expenses incurred by the Participant, the Participant's Spouse, and the Participant's Dependent(s). The form may be available in your healthcare.gov account as soon as mid-January and as late as February. For example, your former employer may require you be enrolled in a medical plan or prescription drug plan through Via Benefits Insurance Services. Employers can choose whether to allow the funds to be used for all qualified medical expenses approved by the IRS or a subset of eligible qualified expenses. (link opens in new tab) Reimbursements for qualified medical expenses are not taxable income and are not reported on any tax form. Instead, call us and use the automated voice system to request a new form. About HRAs. The information provided below may help you find what you need. You can then view the statuses on the Activity page. You can also submit a reimbursement request if you providedpaymentinformation for aninitial payment with your application. Specific documentation requirements are included on the back of the Reimbursement Request Form and when you submit requests on the website or on the mobile app. This article applies to you if you have a Via Benefits reimbursementaccount (sometimes known as a Health Reimbursement Arrangement).*. Complete the Reimbursement Request Form to request reimbursement for copays and premium expenses.3. Note: If you have an outstanding overpayment amount that is less than $1, it can only be resolved via offset (seeOffset the Amount Owed,above). This allows us to speak to them if you're unable to manage your account yourself. Please consult a tax professional if you have questions about the tax forms you need. Note: The HRA tab is customized for your former employer or benefits provider and may have a different name (for example, ARA, HRA). If youre unsure whether you need to fill out this form when filing your taxes, contact a tax professional. Your employer contributes a certain amount to the HRA. Your Spending Arrangement (YSA) Program Summary These reimbursement benefits are available to you if offered by your former employer or benefits provider. Select Reimbursement Center on the Funds and Reimbursements page.5. You also save time and postage. Occurrence (One-Time Premium or Recurring Premium) for premium reimbursements only. ReadRecurring Premium Reimbursementfor more information. The guide will include instructions for managing your account, how to submit expenses for reimbursement, how to set up automatic premium reimbursement, and a list of eligible expenses. PDF Via Benefits Reimbursement Guide <<Plan Name>> <<Health Reimbursement PDF Frequently Asked Questions for Via Benefits Via Benefits has a few suggestions to improve your experience while using your reimbursement account, such as updating your notification settings on the website for email and text, automating your premium reimbursement (if it's offered by your plan), and setting up direct deposit.
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