view towers watson's one exchange hra presentation
TRANSCRIPT
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Welcome PEBP
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© 2016 Willis Towers Watson. All rights reserved.
October 6, 2016
Helping You Understand Your Health
Reimbursement Arrangement (HRA)
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OneExchange
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Who We Are – Willis Towers Watson
Health Reimbursement Arrangement (HRA)
Reimbursement Requests
Managing Your HRA
Questions and Answer
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© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 4
Who We Are – Willis Towers Watson
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OneExchange Medicare Insurance Marketplace
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Towers Watson
over
100 years experience
First & Largest
private Medicare Exchange
Personalized options with plans from a nationwide network of carriers
More Choice, More Flexibility
– Better Value
Licensed benefit advisor
provides guidance &
ongoing advocacy
Over 1.5-million retirees served across
540+ employers
Our
11th annual enrollment season
Founded in 2004
No fees
for our
service
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OneExchange Service Centers
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Operating hours:
Monday – Friday, 5:00 a.m. until 6:00 p.m. Pacific Time
100% Domestic Workforce No Outsourcing!
Salt Lake City,
UT
Dallas, TX
Phoenix, AZ
Call OneExchange at
1-888-598-7545 Always TOLL FREE!
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Plans and Insurers
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Wide selection of plans from leading national / regional insurers
Medicare
Advantage
Medicare Supplement
(Medigap)
Prescription Drug
(Part D)
Dental and Vision Plans Available
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The OneExchange process
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Consultative
Process
Simplified
Selection
Effortless
Enrollment
Ongoing
Advocacy
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You must remain enrolled through OneExchange
to keep your PEBP HRA benefits!
• Received some mail that is confusing?
• Is your coverage being discontinued?
• Moving?
• Be sure to call One Exchange for all
your plan and HRA related questions
CALL TOLL FREE
1-888-598-7545
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Personal Guidance
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Navigation
Enrollment
Prescription
changes
Affordability concerns
Reimbursement issues
Late enrollment
HRA
Annual plan review
The plans you select continue on year
to year. No need to re-enroll in the fall
unless you want to make a plan change.
An Ongoing Advocate
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Benefit Advisors
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Licensed / Certified / Appointed
OneExchange University™
Average age 43
Objective & unbiased
100% domestic workforce
Benefit advisors are available:
Monday – Friday, 5:00 AM. until 6:00 PM Pacific Time
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© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 12
Health Reimbursement Arrangement (HRA)
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How Your HRA Works
HRA Administered by
OneExchange Allocates benefit
dollars to each
retiree’s HRA
account Retirees work with
OneExchange to
enroll in individual
medical coverage
Retirees are
reimbursed for
eligible health
plan expenses
or premiums
using HRA
benefit dollars
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Health Reimbursement Arrangement
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Your HRA funding will
be available upon
Enrollment and monthly
thereafter.
Unused funds DO roll
over.*
*Subject to 365-day rolling
reimbursement request
submission deadline
If you are eligible, PEBP will make a
monthly contribution
to a Health Reimbursement Account (HRA)
You may use HRA funding to reimburse
yourself for eligible medical, prescription
drug, dental, vision, and Part B premiums, as well
as eligible out-of-pocket healthcare expenses
Tax-free account used to reimburse you
for eligible health care expenses — you pay first
and then get reimbursed
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Qualify for your Health Reimbursement Arrangement
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Enroll in a medical plan through OneExchange before your enrollment
period ends to have access to your HRA.
Must remain enrolled through OneExchange each year to continue to
have access to your HRA or permanently forfeit the rights to your HRA.
We recommend you schedule a call to enroll.
You can also go online to investigate your options.
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Health Reimbursement Arrangement
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You may be reimbursed up to the amount
available in your HRA!
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Reimbursement Options
Enroll in a participating plan
Ask to select option
Pay premiums as required
Available for plan premiums only
Automatic
Reimbursement
Recurring Reimbursement Request
Fill out form
• Attach required documentation once
• Available for premiums / Medicare Part B premium
Recurring
Reimbursement
Reimbursement Request
Fill out form
• Attach required documentation
• Submit via Mail, Fax or Web
• Available for all expense types
Manual
Reimbursement 3
2
1
Subject to 365-day rolling reimbursement request submission deadline
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How Auto-Reimbursement Works
Step 2
Step 3
Step 4
Step 1
Participant pays plan
premium to insurance
company
OneExchange
reimburses
participant
OneExchange
verifies receipt of
payment and
eligibility
Insurance company
forwards receipt of
payment to
OneExchange
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How to file a Manual Reimbursement Request
Step 2
Step 3
Step 4
Step 1 Participant pays plan
premium or co-pays
OneExchange
reimburses
participant
OneExchange
verifies receipt of
payment and
eligibility
Participant fills out
Reimbursement
Request, attaches
required information
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Recurring Premium Reimbursement
Apply once for the entire year
- Expires 12/31 each year-
* Must re-submit annually
• Monthly Plan Premiums
• Part B Premiums
Remember: Sign and Date
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Reimbursement Request
Easy One Page Form & any supporting documentation
Don’t Forget to Sign and Date
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Direct Deposit Authorization
The Fastest, Most Secure Way to Receive your Reimbursement
Direct Deposit Set Up
• Phone
• Fax
• Online
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Forms and Publications
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Nevada PEBP Website:
https://pebp.state.nv.us/
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© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 24
Managing Your (HRA)
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Managing Your HRA
1. Telephone
Call the toll-free OneExchange designated number
1-888-598-7545 (TTY 711)
• Hours: Mon-Fri 5:00 a.m. - 6:00 p.m. Pacific Time
• Questions regarding your Auto Reimbursement
payment? Select Option 2.
• Questions about your funding? Select Option 3.
2. Online
Submit request online
https://medicare.oneexchange.com/PEBP
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Managing Your HRA - Online
Go to https://medicare.oneexchange.com/PEBP
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Onsite HRA Assistance
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Remaining weeks in 2016 for Onsite HRA
Assistance:
October 10th – 14th
November 14th – 18th
December 12th – 16th
Available Balance Inquiries
Recurring Claims including Medicare Part B
Premiums
One-time reimbursement requests
How to read the Explanation of Payment
(EOP)
Claim denials
Auto-reimbursement process
A OneExchange HRA Team Specialist will be available one week per
month at the Nevada PEBP office in Carson City to assist participants
with questions about the HRA.
Call 1-866-266-1395 to set up
an individual appointment about
your HRA at the Nevada PEBP
office.
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Questions and Answers
? !
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Call Now, We Are Ready!
1-888-598-7545
Medicare.oneexchange.com/PEBP
Thank you!