Presentation is loading. Please wait.

Presentation is loading. Please wait.

Presented By: Your Name Here Your Title Here. Instructions: Find and Replace Delete This Slide Before Presenting Getting Started: Enrollment presentations.

Similar presentations


Presentation on theme: "Presented By: Your Name Here Your Title Here. Instructions: Find and Replace Delete This Slide Before Presenting Getting Started: Enrollment presentations."— Presentation transcript:

1 Presented By: Your Name Here Your Title Here

2 Instructions: Find and Replace Delete This Slide Before Presenting Getting Started: Enrollment presentations can be shown to employees to help explain how to use their Choice Strategies plan. Before showing this presentation to employees, please customize it by finding and replacing the following: Group Name: Group Name Health Insurance Carrier: Carrier Plan Year: 01/01/ /31/2013 Plan Start Date: 01/01/2013 HRA Single Funding: $ HRA Family Funding: $$ Carrier Single Deductible: $$$ Carrier Family Deductible: $$$$ FSA Maximum: $2,500

3 Your Health Plan Carrier Deductible: Single: $$$ Family: $$$$ Effective 01/01/2013, Choice Strategies will be administering: Health Reimbursement Arrangement (HRA) Flexible Spending Account (FSA) Dependent Care Account (DCA)

4 Health Reimbursement Arrangement HRA Plan Year: 01/01/ /31/2013 The HRA reimburses up to: –Single: $ –Family: $$ Eligible Expenses that apply to your Carrier deductible: –Office Visits –Hospital –Prescriptions –Outpatient Group Names HRA Plan:

5 End of Plan Year Health Reimbursement Arrangement 3 Month Run-Out Period You have 3 months after the plan year ends to submit all outstanding claims for expenses that occurred during the plan year Plan Year: 01/01/ /31/2013 Reimbursement for these expenses must be submitted manually through the claim process during the Run-Out Period –Do NOT charge your Choice Strategies Card for dates of service the occurred during a previous plan year. Example: Plan year ends on 12/31/13. You have until 3/31/2014 to submit manual claims for dates of service that occurred during the 2013 calendar plan year.

6 Flexible Spending Account FSA Plan Year: 01/01/ /31/2013 Contributed through payroll deductions Use it or Lose it Eligible Expenses: –Medical –Dental –Vision –Prescriptions –Limited Over-the-Counter (OTC) products You can elect to contribute up to $2,500 pre-tax

7 End of Plan Year Flexible Spending Account 2 ½ Month Grace Period You have 2 ½ months after the FSA plan year ends to use any remaining funds for expenses that occurred within the current plan year or during the grace period Plan Year: 01/01/ /31/2013 You may use your card for FSA eligible expenses during the grace period for any expenses incurred between the beginning of your plan year and the end of the grace period Example: Plan year ends on 12/31/13. You have until 3/15/2014 to use remaining FSA funds for dates of service that occurred during the 2013 plan year and through the Grace Period.

8 Dependent Care Account DCA Plan Year: 01/01/ /31/2013 Contributed through payroll deductions –Pre-tax! Pay as you go – You can only spend what you have contributed. Eligible Expenses: –Custodial care of dependents while employee is at work You can elect to contribute up to: $2,500 if married, filing separate tax returns $5,000 if single OR married, filing jointly

9 Employee Savings Example Based on 13.34% Federal Income Tax, 7% State Income Tax, and 7.65% Social Security Tax Rate

10 Choice Strategies Card The Facts MasterCard Card activates upon first use If balance available and any shared responsibility portions have been met Employee and spouse automatically receive cards Separate envelopes Additional cards can be issued upon request Swipe as CREDIT vs. Debit for convenience If needed - PIN is accessible through Member Online Accounts under the My Card tab.

11 Using the Card Medical Providers Do not pay on the date of service, wait until you receive the Explanation of Benefits from Carrier.

12 Using the Card Prescriptions IIAS (Inventory Information Approval System) No Request for documentation on Rx charges if IIAS Approved Pharmacy is used. (List available on

13 Submitting a Claim Need Reimbursement? Online – Faster Reimbursement! –Login to your Online Account –Select Submit a Claim –Fill our required fields –Upload Supporting documentation –Select Submit , Fax, or Mail –Fill out a Claim Form available under the For Members and Forms page on –Attach supporting documentation

14 Substantiation Requirements Documentation Requests Group Name is required by Federal Law to substantiate all claims. This means that purchases made with your Choice Strategies Card need to be supported with documentation Receipt Notification Process: Employees are sent requests via mail or to provide documentation on card transactions. Supporting documentation requested may include: –Explanation of Benefits (EOB) –Rx Receipts –Provider Bills

15 Substantiation Service Free and Voluntary Allows Choice Strategies to view your Explanation of Benefits from the online account with Carrier Signing Up: 1)You must set up an online account with Carrier 2)Sign up for the Substantiation Service by provider your Carrier User ID and Password to Choice Strategies Use the online HIPAA Release Form under the For Members section and forms page on To take advantage of our Substantiation Service, enroll online at:

16 Member Online Accounts Check Account Balances View Transaction History Upload Supporting Documentation Report Cards Lost/Stolen –Request reissue too! Submit Claims Online –Faster Reimbursement Edit Personal Information –Phone Number – Address –Direct Deposit –Mailing Address

17 Mobile App Access Your Information on the Go! Available For: –iOS Apple –Android You Can: –View account balances –View recent transactions –Submit claims –Upload supporting documentation

18 Contact Us! Member Services is Here to Help You! Phone: (Option 2) Monday-Thursday 8:00 am – 7:00 pm (EST) Friday 8:00 am – 5:00 pm (EST)


Download ppt "Presented By: Your Name Here Your Title Here. Instructions: Find and Replace Delete This Slide Before Presenting Getting Started: Enrollment presentations."

Similar presentations


Ads by Google