Heath Reimbursement Account (HRA)

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Presentation transcript:

Heath Reimbursement Account (HRA) DP-1076-110515 Heath Reimbursement Account (HRA) Welcome to TASC and your Health Reimbursement Account. This presentation will go over everything you need to know to effectively manage your HRA plan. Total Administrative Services Corporation https://eprofile.osu.edu

WHAT IS AN HRA? Health Reimbursement Account (HRA) Funded by Ohio State Reimburses you for eligible out-of-pocket health care expenses You can earn HRA credits through the Your Plan for Health (YP4H) Incentive Plan Participating in an HRA is a great way to stretch your budget. You can use the credits to pay for eligible health care costs, such as deductibles, coinsurance and copayments. These are costs you pay under your medical, prescription drug, dental and vision plans for yourself and your enrolled dependents.   Faculty and staff enrolled in an Ohio State medical plan and their enrolled spouse or same-sex domestic partner are eligible to earn HRA credits by completing the levels in the Your Plan for Health (YP4H) Incentive Program. HRA credits are earned with the completion of each YP4H Incentive Level. Earned credits will automatically be added to your HRA. Total Administrative Services Corporation https://eprofile.osu.edu

GETTING STARTED To learn more about the HRA, visit go.osu.edu/hra The following slides will provide step-by-step detail on how to access and use your HRA. To learn more about the HRA, visit go.osu.edu/hra. The following slides will provide step-by-step detail on how to access and use your HRA. Total Administrative Services Corporation https://eprofile.osu.edu

LOGIN eprofile.osu.edu Once your account is set up, you can conveniently log in from any computer to manage your account. Simply go to eprofile.osu.edu and enter your Ohio State username and password. Click on My FSA/HRA under Benefits to be directed to your TASC account. Total Administrative Services Corporation https://eprofile.osu.edu

BALANCE ACCOUNT SUMMARY Click on the Accounts tab to view a summary of your Account Activity, if you are enrolled in multiple accounts they will be listed separately. You can view details on eligible amounts, submitted claims, and available balances. The eligible amount for the HRA are the wellness credits that have been earned through the YP4H Incentive Program. The eligible amount for FSA is based on your annual election amount. Available Balances: HRA are the credits minus claims that have been paid against the account. Health Care FSA are the annual election minus the claims that have been paid against the account. Dependent Care FSA are the contributions to date minus claims paid. Total Administrative Services Corporation https://eprofile.osu.edu

CLAIMS AND PAYMENTS From the Accounts tab, select Claims to view the status of clams submitted or Payments to view payment history. Total Administrative Services Corporation https://eprofile.osu.edu

REIMBURSEMENT REQUESTS Three ways to be reimbursed: Health Care Debit Card Online Claim Entry Paper Claim Form If you also participate in a health care FSA, those funds must be exhausted prior to using HRA credits. Once you have eligible health care expenses to be reimbursed from your HRA, there are three ways for you to do this: If you are paying for an eligible health care expense at the point of service, you can use your Health Care Debit Card, which will take the funds directly from your account. Be sure to keep your receipt in case you are asked to provide documentation of the eligible expense. You can enter an eligible health care expense in the online system and upload the documentation to verify the amount to be reimbursed. You can download a paper Reimbursement Claim Form from the web site and submit it with the appropriate documentation to verify the reimbursement request by fax or mail. If you also have a health care flexible spending account through Ohio State, you will first need to use all of the funds in your FSA before accessing any HRA funds to be reimbursed. FSA funds should be used first because the IRS has a “use it or lose it requirement” for the funds that you contribute to an FSA. Any unused HRA funds will roll over after the end of the plan year, as long as you continue to be enrolled in an Ohio State medical plan. A chart comparing an HRA and FSA is online at go.osu.edu/hra. Total Administrative Services Corporation https://eprofile.osu.edu

HEALTH CARE DEBIT CARD Your plan includes the Health Care Debit Card, which will be mailed to your home address after your first HRA credit is earned. It will arrive in a plain white envelope with a TASC return address. Use the Health Care Debit Card to pay for eligible expenses at the point of purchase. The card pays for eligible expenses directly from your HRA account, eliminating the need to submit a request for reimbursement. Keep a copy of your receipt in case you are asked to document the eligible expense. Total Administrative Services Corporation https://eprofile.osu.edu

ONLINE REQUESTS To submit a manual claim, select File A Claim from the Home page. Then select the Medical account to pay from and Payee, and click Next. Click Upload Valid Documentation to attach documentation of your eligible health care expense. Please remember, claims submitted without substantiation are not processed until substantiation is received. Next enter the Start Date of Service and End Date of Service. Enter the eligible reimbursement amount. This is not the total amount of the claim billed. Next enter the Provider. Choose the service Category and Type from the dropdown lists. Select the Recipient who incurred the eligible expense. You may submit multiple claims by selecting Add Another. Each claim line item must be individually entered. Multiple claims submitted as one claim will be denied. When finished, select Submit. A confirmation screen will display with the submitted claim information. Total Administrative Services Corporation https://eprofile.osu.edu

SUBSTANTIATION REQUIRED FOR ONLINE AND PAPER CLAIMS If being reimbursed for Medical: Include an Explanation of Benefits (EOB) - An EOB is usually provided to you after the claim is processed it breaks down what your plan covered, and if you owe anything such as deductibles, coinsurance, or copayments. If being reimbursed for Prescription Drugs: Include a detailed pharmacy receipt – The detailed receipt is usually included with your prescription and shows the date, name of patient, prescription information, and your out-of-pocket cost. If being reimbursed for Dental or Vision: Include a detailed receipt from dental or vision provider - Receipt should show date of service, name of patient, services rendered, and your out-of-pocket cost. Substantiation is documentation required to reimburse you for an eligible health care expense. You must upload or attach a copy of your substantiation to each paper or online claim. By using the Health Care Debit Card transactions will automatically be substantiated, and in most cases will not require any additional action on your behalf but you should keep a copy of your receipt. Total Administrative Services Corporation https://eprofile.osu.edu

PROFILE INFORMATION You are encouraged to setup Direct Deposit for quick and easy access to your funds. To begin, log in to your account and select Tools & Support and select Change Payment Method in the “How Do I” section. Enter the required bank account information and click Submit. Once completed, your next reimbursement will be deposited directly into your bank account. You may add or change direct deposit information any time. Total Administrative Services Corporation https://eprofile.osu.edu

Tools and Support You can find additional information including documents & forms, specific plan details (SPD) and frequently asked questions by selecting Tools & Support. Total Administrative Services Corporation https://eprofile.osu.edu

WHAT’S NEXT? Watch for your TASC email notification Make sure your email is set up to receive messages from TASC All TASC emails end in @tasconline.com Login to your account through Employee Self Service Verify the balance you have available for reimbursement Sign up for direct deposit Submit eligible claims Participate in more activities available for YP4H and earn additional HRA credits Here are three quick reminders: Watch for your TASC email notification and your Health Care Debit Card once you have earned your first HRA credit. Setup direct deposit for quick and easy access to your funds. Earn additional HRA credits by continuing to complete activities available through YP4H. Total Administrative Services Corporation https://eprofile.osu.edu

CONTACT US Manage your account in the way that’s most convenient for you Log in to your account through Employee Self Service or One Source Check Account Balances Sign up for Direct Deposit Request for reimbursements Questions or Concerns Call 1 855-FLEX-OSU (353-9678) If you have questions regarding your TASC HRA Plan, we are always happy to help. We appreciate your time and hope you found this presentation helpful and informative! Total Administrative Services Corporation https://eprofile.osu.edu