Once you access your reimbursement account, you can review your account balance and activity, submit reimbursement requests,and set up direct deposit. Dental and Vision Plans Shop and Enroll Individual and Family Your Individual and Family Enrollment Call Preparing for Your Enrollment Call Individual Health Plan Enrollment Optional Benefits Basic About Optional Benefits Hospital Indemnity Dental Insurance Funding Manage Your Account Denied Reimbursement Claim Got Questions About Medicare? Until then, we encourage you to call Via Benefits at 1-866-322-2824 (#711) to speak to one of our expert benefit advisors. You can be reimbursed for your standard Medicare Part B premium amount if its allowed by your former employer or benefits provider. TM Welcome to Via Benefits This way to benefits that fit your needs, with support and advocacy you can trust. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement). Open the email you received with the documents that need signing. Select Reimbursement Center on the Funds and Reimbursements page. If you're requesting funds be deposited into a checking account, a voided check is also required. Get access to thousands of forms. Automatic Premium Reimbursement enables you to be reimbursed for your premium payments without submitting a reimbursement request and receipts. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. Popular Searches. The reimbursement account may no longer receive funds to pay for your health care expenses. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. 2023 airSlate Inc. All rights reserved. Who may request reimbursement from your account is determined by your former employer. Via Benefits sends you aReimbursement Guidewithin two weeks of your plan's effective date if you're eligible for a reimbursement account. We can't sign you in. Origin or starting address (usually your home address), Provider's address (where medical care was incurred), Total distance traveled between locations, in miles, Expense recipient (who the expense was for), Requested amount (mileage rate x miles traveled). 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. The company is headquartered in South Jordan, Utah. 2. Payments by check are held until the amount is greater than $25; however, if you establish direct deposit, the minimum payment is $1. The signNow extension was developed to help busy people like you to reduce the stress of putting your signature on papers. Read Update your Reimbursement Notification Settings to learn more. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. Your Reimbursement Guide provides more details on reimbursable expenses. There are several events that can cause a loss of funding, for example: You stopped paying your premiums, and your health plan was canceled, You canceled your supplemental Medicare coverage and returned to Original Medicare Parts A and B, You enrolled in a health plan with an insurance carrier or independent agent, not Via Benefits, An error occurred with the reporting to Via Benefits, You went back to work and lost eligibility, Your employer changed the eligibility status for your reimbursement account. The sigNow extension was developed to help busy people like you to minimize the burden of signing documents. Setting up direct deposit doesn'tgive our employees access to your banking information. Not sure where to get started? The Funds & Reimbursements section might not appear on your Home page if: Funds haven't been loaded into your account, You aren't eligible for a reimbursement account, You're opting for a Premium Tax Credit rather than the HRA (health care). Via Benefits makes available Medicare supplemental plans from more than 90 health insurers (carriers) nationwide. : , . : 1-800-326-5496 ( :1-800-545-8279). Once you receive your Via Benefits Reimbursement Guide, take the following actions to prepare for when your reimbursement account becomes effective. Learn more: Submitting or Cancelling a Reimbursement. Following fields. Proof of premium payment (e.g., canceled check, bank statement, payment receipt). 1-866-322-2824 (TTY: 711) Mon-Fri 8am - 7pm Eastern Follow our step-by-step guide on how to do paperwork without the paper. Decide on what kind of signature to create. You need to enable JavaScript to run this app. Begin signing via benefits reimbursement by means of solution and join the millions of satisfied clients whove previously experienced the key benefits of in-mail signing. Ensure the security of your data and transactions Your reimbursement request must be submitted with third-party documents that include: Both options are more secure and faster than using a paper form. The primary participant is the account holder. Sign into your Via Benefits account.2. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. This statement cant say insurance pending or estimate., An itemized receipt or ledger from your pharmacy. 3. Get access to thousands of forms. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. Its faster and more secure than receiving a paper check. Create your signature and click Ok. Read the Setting Up Direct Deposit on the Mobile App section if you want to set up direct deposit using the mobile app. 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. Medication ordered from another country, such as Canada, and consumed within the US isn't an eligible expense. Go to your reimbursement account to view your account information. What solutions are included in the Via Benefits solution suite? 2. You can request reimbursement by submitting a reimbursement request on the Via Benefits Accounts mobile app, on the website, or by submitting a Reimbursement Request Form. The account is tax free, meaning you don't report it as income or pay taxes on it. With signNow, you are able to design as many papers per day as you need at a reasonable price. Provide the required information on the Add Bank Account page.7. You can also use a Reimbursement Request Form; however, it may take as much as 10 days longer for us to receive and process your request. To set up direct deposit on the mobile app, complete these steps: 1. 1. Any payments made during this time are a paper check. A practical dashboard provides a quick summary of all your account information, making it easy to review expenses . Individuals can't add funds to their accounts. To get to your reimbursement account on the website, follow these steps: 1. Account Holder Information: The Account Holder is usually the retiree or the surviving spouse. You have two opportunities to set up direct deposit on the mobile app. Eligible retirees enrolled in a medical plan throughVia Benefits (formerly Towers Watsons OneExchange), and retirees enrolled in TRICARE for Life and Medicare Parts A and B, receive a monthly Years of Service contribution to a Health Reimbursement Arrangement (HRA). Create your eSignature, and apply it to the page. are paid to you out of a Health Reimbursement Account (HRA) at Via Benefits. Select the area where you want to insert your eSignature and then draw it in the popup window. Individuals can't add funds to their accounts. The annual policy statement or billing statement, sent to you by your insurance carrier, usually provides the required information. Speak to an Expert Call for free one-on-one expert advice and support with selecting and enrolling in Medicare plans with confidence. via benefits reimbursement account my via benefits via benefits phone number opers via benefits login Create this form in 5 minutes! . This applies even if you're using the same bank account. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement)*. They're the fastest and most secure ways to get your reimbursements processed. You must be enrolled in a Medicare Advantage or a Medicare Supplement Insurance (Medigap) plan through Via Benefits Insurance Services to qualify for Part B Automatic Premium Reimbursement. With signNow, you can eSign as many papers in a day as you need at a reasonable price. Forms without a barcode aren't processed. If you need to set up direct deposit, you can do soon the Via Benefits Accounts mobile app or on the website. Select the trash can icon on the Banking Information page. Note: You must create an account if you haven't already. For COBRA, you can submit your COBRA Premium Statement showing insurance details and covered participants. Any approved reimbursements for either you or your spouse are taken from your joint funds until they're exhausted. Request a copy of this letter by contacting the Social Security Administration (SSA) at 1-800-772-1213 (TTY: 1-800-325-0778) or going to ssa.gov. Download your copy, save it to the cloud, print it, or share it right from the editor. Thesummary plan description provided by your former employer mayprovide moreinformation abouttheaccount. Open the email you received with the documents that need signing. Accepted mileage documents include a printout from an online map service, such as Google Maps, a handwritten document, or an Excel or Word printout. Select View accounts in the Funds & Reimbursements section.3. via benefits get the most out of medicare resubmit retiree reimbursement reimbursed Youve informational deducted Certification premiums enrollment ky medicare qualifying If you believe that this page should be taken down, please follow our DMCA take down process here. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. Select Reimbursement Center on the Funds and Reimbursements page. The signNow extension provides you with a variety of features (merging PDFs, adding several signers, and so on) for a much better signing experience. Select View accounts under Funds & Reimbursements.3. Please contact Via Benefits if you have any questions. Vice President, Client Accounts, Exchange Solutions @extendhealth.com If you and your spouse have separate reimbursement accounts, you both need to set up direct deposit. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Documentation Requirements Expenses Incurred in a Foreign Country Transportation Expenses There are three variants; a typed, drawn or uploaded signature. 4. For the previous years Part B premium, the IRS Form 1099 can be used as documentation for the year shown on the form. Your former employer indicates specific criteria you must meet to qualify for your fundingand determines what expenses are eligible for reimbursement from these funds. Sign up with your credentials or register a free account to try the service prior to choosing the subscription. Select the area you want to sign and click. All of the Exchange Solutions lines of business will now be marketed under the Via Benefits brand. Your former employer also determines if funds remaining in your account at the end of the yearroll over to the next year. Guided Assistance, Top Searches: Dental | Helping a Family Member | Sign In | Direct Deposit, Your Individual and Family Enrollment Call. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. Via Benefits is the leading private retiree medical marketplace in the country. For example, if you submit a March statement, January and February won't be approved. You can also submit a reimbursement request if you provided payment information for aninitial payment with your application. We believe the name Via Benefits is a door opener and sets the stage much more effectively for clients to appreciate the full scope of our offerings and the value of our approach. Cookies are small text files stored on your . Use our eSignature tool and say goodbye to the old times with affordability, security and efficiency. Via Benefits administers the HRA for my former employer Northrop Grumman and other corporations. We need the first month's bill for which you want to be reimbursed. Select Reimbursement Center on the Funds and Reimbursements page. Sign into Via Benefits and select the name of the family member whose information you wish to view. Your direct deposit takes effect once your banking information is validated. The balance reflects the current available funds for both of you together. The whole procedure can take a few moments. signNow makes signing easier and more convenient since it provides users with numerous extra features like Merge Documents, Invite to Sign, Add Fields, and so on. Install the signNow application on your iOS device. On the Dashboard, select your name and then select Banking Information.5. Get access to a HIPAA and GDPR compliant service for maximum simpleness. Use professional pre-built templates to fill in and sign documents online faster. Sign into Via Benefits and select the name of the family member whose information you wish to view. If you have any sway with your benefits people, have them RUN AWAY from VIa Benefits as fast and far as they can. 5. And due to its cross-platform nature, signNow works well on any device, desktop computer or mobile phone, regardless of the OS. Go to the Chrome Web Store and add the signNow extension to your browser. Access Your Reimbursement Account on the Website Health Health (5 days ago) WebTo get to your reimbursement account on the website, follow these steps: 1. Fermilab provides a subsidy of $175/month, per person, funded to a Health Reimbursement Account (HRA). TM Get Form How to create an eSignature for the via benefits reimbursement form 2021 Provide your banking information, including your bank account number and routing number. We are currently building a new site with accessibility in mind. 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. The best way to create an signature for a PDF document in the online mode, The best way to create an signature for a PDF document in Chrome, The best way to generate an signature for putting it on PDFs in Gmail, The best way to generate an electronic signature straight from your mobile device, The way to generate an signature for a PDF document on iOS devices, The best way to generate an electronic signature for a PDF document on Android devices, If you believe that this page should be taken down, please follow our DMCA take down process, You have been successfully registeredinsignNow. With intuitive navigation and a modern look and feel, the mobile app is the smart choice to get the most out of your account. 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. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. A joint reimbursement account means you and your spouse share one account. Save time and postage by submitting reimbursement requests on the Via Benefits Accounts mobile app or website. Cost Savings Multiple documents can be submitted to provide the required information if it isn't located on the policy or billing statement. Direct deposit is a convenient feature that allows Via Benefits to deposit your reimbursements into a checking or savings account, rather than mail you a paper check. You are eligible to participate in the Retiree Reimbursement Account (RRA) if you meet one of the following conditions: You were a participant in the RRA in the last calendar year, you maintained continuous coverage under an individual medical and/or prescription drug insurance policy purchased through Via Benefits; or (TTY: 1-800-545-8279) 1-800-326-5496 . If you manage your Social Security online, you can provide the information from the website, instead of waiting for the letter. With over 15 years of experience working with 700+ companies and over two million retirees enrolled, Via Benefits provides expert personalized support to help retirees understand and enroll in Non-Medicare health insurance and Medicare supplemental insurance options. If youre happy with your plan, keep your plan. : 1-800-326-5496 (TTY: 1-800-545-8279) If your employer allows it, Recurring Premium Reimbursement can be established for eligible premiums, paid to any insurance carrier. 300004-160815-FRMPSH-OneExchange Reimbursement Form PO Guide to Requesting Reimbursement To request reimbursement for your health care premiums use this form. To get to your reimbursement account, follow these steps: Sign in to your Via Benefits account. CH : Nu bn ni Ting Vit, c cc dch v h tr ngn ng min ph dnh cho bn. You may also submit a reimbursement request on the website, on the Via Benefits Accounts mobile app, or on a Reimbursement Request Form. You can download the signed [Form] to your device or share it with other parties involved with a link or by email, as a result. We recommend you get one of the following documents to provide the information above: An Explanation of Benefits (EOB) from your insurance carrier, An itemized statement from your provider. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. You can call Via Benefits and use voice commands to check your reimbursement account balance, get the status of recent expenses submitted for reimbursement, and request frequently used forms. Type of service (e.g., office visit, emergency room, chemotherapy). TM Welcome to Via Benefits This way to benefits that fit your needs, with support and advocacy you can trust. Browse the board meeting section to view details, download documents and find remote site information. 3. Note: If you receive your Reimbursement Guide and can't see your funding information on the mobile app or website, please contact us. Follow the step-by-step instructions below to design your my viabenefits com funds direct deposit form: Select the document you want to sign and click Upload. Open Enrollment is from November 1 to December 15, 2023, for January 1, 2024, effective date. 4. The signNow extension gives you a selection of features (merging PDFs, including multiple signers, and many others) for a much better signing experience. You can request reimbursement by submitting a reimbursement request on the Via Benefits Accounts mobile app, the website, or a Reimbursement Request Form. If so, you dont need to submit documentation, and you automatically receive your monthly reimbursement payments. HRA funds may be used to reimburse health care expenses (including medical, dental, vision, and Medicare Part B premiums) for both the retiree and their eligible tax dependents as defined by IRS Publication 502 available at www.irs.gov. You only need to request reimbursement once per year for each health plan premium you'd like reimbursed unless your premium changes. Gi s 1-800-326-5496 (TTY: 1-800-545-8279) The form is available by calling us and using our automated voice system or by speaking with a Via Benefits representative. Direct deposit allows reimbursements to be deposited directly into your checking or savings account. Select View accounts under Funds and Reimbursements. You can request reimbursement by submitting a reimbursement request on the Via Benefits Accounts mobile app, the website, or a Reimbursement Request Form. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. Read Submit or Cancel a Reimbursement Request for instructions. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Note: If your former employer has a direct deposit requirement, the trash can icon isn't available to you.