Presentation Transcript

1. Group Name Plan Year : 1/1/12-12/31/12
2. Find and Replace (Delete Slide before Presenting) Getting Started: Enrollment presentations can be shown to employees to help explain how to use their Choice Strategies Plan in conjunction with their health insurance 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 : 1/1/12-12/31/12 Plan Start Date : 1/1/11 HRA Single Deductible : $$$ HRA Family Deductible : $$$$ Carrier Single Deductible : $$$$$ Carrier Single Deductible : $$$$$$ FSA Maximum : $2500
3. Carrier Health Plan Carrier Health Plan Deductible: Single : $$$$$ Family : $$$$$$ Effective 1/1/12, Choice Strategies will be administering: Health Reimbursement Arrangement (HRA) Flexible Spending Account (FSA) Dependent Care Account (DCA)
4. Health Reimbursement Arrangement (HRA) Group Name’sHRA plan Plan Year: 1/1/12 – 12/31/12 The HRA reimburses up to: Single: $$$ Family: $$$$ This money can be used for any expenses that apply to your Carrier Deductible: Office Visits Hospital Prescriptions Outpatient, etc
5. Flexible Spending Account (FSA) You can elect up to $2500 Plan Year: 1/1/12 – 12/31/12 Pre-tax money, contributed through payroll deductions “Use it or Lose it” Eligible expenses: Medical & Rx expenses Dental Expenses Vision Expenses Limited OTC
6. Dependent Care Account (DCA) You can elect up to $5000 Plan Year: 1/1/12 – 12/31/12 Pre-tax money, contributed through payroll deductions Pay as you go, can only spend what you have contributed “Use it or Lose it” Eligible Expenses : Custodial Care of dependents while employee is at work
7. Employee Savings Example Based on 13.34% Federal Income Tax, 7% State Income Tax, and 7.65% Social Security Tax Rate
8. About Your Choice Strategies Card It is a MasterCard Restricted to eligible vendors / providers Must be swiped as a Credit Card Cards arrive in a plain white envelope Spouses automatically get a card Additional cards can be issued upon request to Member Services
9. Using Card for Medical Providers Reminders : Do Not Pay on the Date of Service, wait until you receive the Explanation of Benefits (EOB) from your insurance company Always give your provider your Carrier ID card and ask your provider to submit to insurance
10. Using Card at Pharmacy Reminders : Check to make sure the pharmacy has your current insurance information Use as credit card
11. Substantiation Group Name is required by Federal Law to substantiate all claims. In other words, the plan must prove that the purchases made with the Choice Strategies card were for eligible expenses. Keep all receipts when the Choice Strategies card is used Receipt Notification Process Employees are sent requests via mail or email to provide the documentation for substantiation of transactions and claims Documentation *EOBs *Rx Receipts *Provider Bills IIAS (Inventory Information Approval System) Merchants such as grocery stores, and pharmacies must be able to differentiate between health eligible and ineligible items at the point of purchase No Request for documentation if IIAS Approved Pharmacy (List available on website)
12. Substantiation Service HIPAA RELEASE FORM Voluntary Service that allows Choice Strategies to view Employees’ Explanation of Benefits from online accounts with their Carrier. First, Employees must set-up online account with Carrier Employee fills out HIPAA Release form with User ID and Password When Employee uses Debit Card for a transaction, Choice Strategies logs in to Carrier Website and matches charge to EOB Available on Website www.choice-strategies.com
13. End of Plan Year Plan Year: 1/1/12-12/31/12 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. Reimbursement for these expenses must be submitted manually through the claim process. Example: If the plan year ends 12/31/11, you have until 3/31/12 to submit manual claims for dates of service that occurred during your 2011 plan year. Do not charge your Choice Strategies card. If card is charged in 1/12, the transaction will pull from current plan year, 2012, funding. The IRS does not allow previous plan year expenses to be paid with current year funding.
14. Contacting Member Services Toll Free Phone : 1-(888)-278-2555 Mon-Thurs 8:00 am – 7:00 pm EST Friday 8:00 am – 5:00 pm EST Email : memberservices@choice-strategies.com Live Chat : www.choice-strategies.com Mon-Thurs 8:00 am – 4:45 pm EST Friday 9:00 am – 4:45 pm EST
15. Check out the Website www.choice-strategies.com
16. Online Account Check Account Balances Submit Claims Online Edit Direct Deposit Info View Transaction History Upload Documentation Report Card Lost/Stolen
17. How to Submit a Claim Manually Online Login to Online Account Select “Request Reimbursement” Fill out required fields Upload Documentation Select “Submit” Email, Fax, or Mail Fill out a Claim Form (available on website or by contacting Member Services) Attach Documentation
18. Questions?