The annual policy statement or billing statement, sent to you by your insurance carrier, includes this information. 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). The company is headquartered in South Jordan, Utah. Safe and secure: * Simple user login and registration. Forms without a barcode aren't processed. The annual policy statement or billing statement, sent to you by your insurance carrier, usually provides the required information. Employer Name Enter your employer name Select View accounts under Funds & Reimbursements. The signNow extension provides you with a variety of features (merging PDFs, adding several signers, and so on) for a much better signing experience. 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. Your proof of mileage must be kept in a mileage log or similar document. Sign into your Via Benefits account.2. Sign into Via Benefits and select the name of the family member whose information you https://help.viabenefits.com/help1/access-your-reimbursement-account-on-the-website-1 This allows us to speak to them if you're unable to manage your information. Go to the Chrome Web Store and add the signNow extension to your browser. For example, if you submit a March statement, January and February won't be approved. Select View accounts in the Funds & Reimbursements section. They're the fastest and most secure ways to have your reimbursements processed. We want to be sure the process of securing high-quality health benefits through the State of Nevada is as easy as possible. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. It may take up to 20 business days to receive and validate your Direct Deposit Authorization Form. Open the email you received with the documents that need signing. Note: You must create an account if you haven't already. Select the area you want to sign and click. We are currently building a new site with accessibility in mind. Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. 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 You may also submit a reimbursement request on the website, on theVia Benefits Accounts mobile app, or on a Reimbursement Request Form. Select Reimbursement Center on the Funds and Reimbursements page.4. If your plan doesn'tparticipate in Automatic Premium Reimbursement, consider activating Recurring Premium Reimbursement, which requires you to submit only one reimbursement request each calendar yearunless your premium changes. Cost Savings Get Form How to create an eSignature for the via benefits reimbursement form 2021 What solutions are included in the Via Benefits solution suite? Sign into Via Benefits and select the name of the family member whose information you wish to view. For example, your former employer may require you be enrolled in a medical plan or prescription drug plan through Via Benefits Insurance Services. When a loss of funding occurs, it means Via Benefits has received notification you may not be meeting your former employers requirements, which causes the funding amount to change. In the Actions section of the Profile page, select Edit.6. 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. The balance reflects the current available funds for both of you together. Selecting email reduces the amount of paper you receive. If you set up direct deposit on the website or on the Via Benefits Accounts mobile app, a voided check isn't required. Select Save. After its signed its up to you on how to export your via benefits reimbursement: download it to your mobile device, upload it to the cloud or send it to another party via email. 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. A Recurring Premium Reimbursement request needs to be submitted once each calendar year to be reimbursed monthly, or you can submit for a one-time reimbursement of quarterly Medicare Part B payments. With signNow, you are able to design as many papers per day as you need at a reasonable price. There are 3 types of reimbursement options: automatic premium reimbursements, recurring pre- If you haven't already done so, create an account on the Via Benefits Accounts mobile appor on our website, set up direct deposit, and set your notification preferences. Validation takes up to seven business days if entered through the mobile app or website. Create your eSignature, and apply it to the page. Employee E-mail Address: This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. Health Reimbursement Arrangement (HRA) An HRA is an account funded by OPERS that provides tax-free reimbursement for qualified medical expenses such as monthly post-tax insurance premiums, deductibles, co-insurance, and copays incurred by eligible benefit recipients and their dependents. You cansign into your account at any time to review your reimbursement account activity. Once youve finished signing your via benefits reimbursement, choose what you want to do next save it or share the doc with other people. If you and your spouse have separate reimbursement accounts, you both need to set up direct deposit. All you have to do is download it or send it via email. Automatic Premium Reimbursement is an added service offered by Via Benefits for most Medicare health plans, including Medicare Part B. Choose My Signature. The whole procedure can last a few moments. For the previous years Part B premium, the IRS Form 1099 can be used as documentation for the year shown on the form. Nevada Division of Public & Behavioral Health, Basic Life Insurance, the MAP & Travel Assistance, View Via Benefits (formerly Towers Watsons OneExchange) FAQs, Qualified out-of-pocket health care expenses for medical, dental, and pharmacy expenses. You may see alerts reminding youto setup direct deposit or text alerts. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement)*. TM Select the area where you want to insert your eSignature and then draw it in the popup window. Open the email you received with the documents that need signing. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. 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Select Yes, Delete Account in the Delete Bank Account box. 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. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. 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. Search for "benefit verification letter." Because the funds are in a reimbursement account managed by a third party (e.g., Via Benefits) and used only for qualified medical expenses, you don't have to pay any additional taxes on your annual return. The employer may allow: The account holder and any eligible dependents. Expenses you incur in a foreign country may be eligible for reimbursement, as long as the care is medically necessary. Account Holder Date of Birth Enter your date of birth using format MM/DD/YYYY Ensure the security of your data and transactions This allows us to speak to them if you're unable to manage your account yourself. Open the doc and select the page that needs to be signed. Any payments made during this time area paper check. Cookies are small text files stored on your . Eligible retirees may use the HRA money for reimbursement of the following: 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 atwww.irs.gov. Forms received between January 1 and March 31 can take up to 45 calendar days to be processed and validated. Validation takes up to seven business days if entered through the mobile app or website. Who may request reimbursement from your account is determined by your former employer. The whole procedure can take a few moments. Any approved reimbursements for either you or your spouse are taken from your joint funds until they're exhausted. Please contact Via Benefits if you have any questions. 3. Your expenses can include subway,bus, taxi, train, or plane fares,rideshareservices (e.g., Uber,Lyft), ambulance services, parking ortollfees, mileage, and transportation expenses for individuals who must go with the person receiving treatment, like a parent,nurse, or caregiver. 6. Select Add Bank Account. Reimbursement account access, available on the website or mobile app, and on reimbursement request forms, is in the account holder's name. Select View accounts under Funds & Reimbursements.3. If you want to share the via benefits reimbursement with other parties, you can easily send the file by electronic mail. Start completing the fillable fields and carefully type in required information. Section II. You have two opportunities to set up direct deposit on the mobile app. * Save Username on this Browser - Do not check the Save Username option if you are using a public computer, for example in a Library. View HRA contributions. Open Enrollment is from November 1 to December 15, 2023, for January 1, 2024, effective date. Go to the Funds and Reimbursements page on the website to find out if Automatic Premium Reimbursement is available for your Medicare Part B premiums. Due to its cross-platform nature, signNow is compatible with any device and any OS. Note: If you have multiple reimbursement accounts, you must choose Reimbursement Center for the specific account you want to view. Additional Employee Benefits May Include the following: Company Paid Retirement Benefit, Employee Stock Purchase Plan, Paid Holidays, Flexible Spending Accounts (FSAs), Health Savings Account (HSA), Time Off and Flexible Days, Group Legal Plan, Group Home Auto Insurance, Pet Insurance, Employee Discounts, Adoption Reimbursement, Tuition Reimbursement and Student Loans, Well-Being Programs, etc Your Social Security Benefit Award Letter (or Benefit Verification Letter or budget letter) includes all of the required information as supporting documents. Show details How it works Upload the via benefits reimbursement form Edit & sign via benefits reimbursement from anywhere Save your changes and share my via benefits forms Rate the via reimbursement online 4.8 Satisfied 121 votes Only your former employer can contribute funds to this account. On the Dashboard, select your name and then select Banking Information.5. Select the area where you want to insert your signature and then draw it in the popup window. After that, your via benefits reimbursement is ready. Follow the instructions below to complete Via benefits reimbursement form 2022 online quickly and easily: Sign in to your account. Add the PDF you want to work with using your camera or cloud storage by clicking on the. Direct deposit is faster than getting a check in the mail, provides convenient reimbursement when you're away from home, and is more secure than mailed checks. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Via Benefits has a few suggestions to improve your experience while using your reimbursement account, such as updating your notification settings on the website for email and text, automating your premium reimbursement (if it's offered by your plan), and setting up direct deposit. Also,your transportation expenses (except for mileage and parking meters) must have receipts or statements that include the expense amount, dates, provider, and address to and from. This takes you to your reimbursement account. It employs 251-500 people and has $25M-$50M of revenue. Select Reimbursement Center on the Funds and Reimbursements page. Your direct deposit takes effect once your banking information is validated. Having separate reimbursement accounts means you and your spouse each receive a funding contribution and your funds are put into separate accounts. With intuitive navigation and a modern look and feel, the mobile app is the smart choice to get the most out of your account. Use professional pre-built templates to fill in and sign documents online faster. Select View accounts under Funds and Reimbursements. Create an account using your email or sign in via Google or Facebook. Via Benefits has a few suggestions to improve your experience while using your reimbursement account, such as updating yournotification settings on the website for email and text, automating your premium reimbursement (if it's offered by your plan), and setting up direct deposit. We know how stressing filling in documents can be. Monthly HRA contributions are based on the retirees worked years of service credits and date of retirement. If you sign up for direct deposit, all reimbursements from a joint account go into the same bank account (selected by you). Read Choose Your Medicare Coverage, Medicare Part A Overview or Medicare Part B Overview. And due to its cross-platform nature, signNow works well on any device, desktop computer or mobile phone, regardless of the OS. You're also given the opportunity after you submit reimbursement requests. 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. Sign In Help. Select the area you want to sign and click. 1-800-326-5496 (TTY: 1-800-545-8279) . 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. We encourage you to speak with a tax professional if you have additional tax-specific questions regarding your reimbursement account. Accepted mileage documents include a printout from an online map service, such as Google Maps, a handwritten document, or an Excel or Word printout. 3. All you have to do is download it or send it via email. Visit irs.gov to confirm whom you may claim as a dependent. Typically, Via Benefits reaches out to retirees 6-9 months before turning 65. There are other ways to submit a reimbursement request if Automatic Premium Reimbursement isn't available to you. All Medicare-eligible retirees and dependents select an individual plan with help from a licensed benefit advisor at Via Benefits. Here are some of the features of the Via Benefits Accounts mobile app. 6. Connect to a strong connection to the internet and start executing forms with a fully legitimate electronic signature within a few minutes. The form is available by calling us and using our automated voice system or by speaking with a Via Benefits representative. Address Enter your street address, city, state and ZIP code It is designed to reimburse an employee for eligible medical expenses as defined under IRS Code 213 (d). are paid to you out of a Health Reimbursement Account (HRA) at Via Benefits. Vice President, Client Accounts, Exchange Solutions @extendhealth.com Read the Setting Up or Canceling Direct Deposit on the Website section if you want to set up direct deposit on the website. Read more about Reimbursement best practices: Manage Your Reimbursement Account, Understand Your Reimbursement Account, and Access Your HRA, Anytime, Anywhere. Select Save. Transportationexpenses are eligible for reimbursement when they're essential to medical care. Save time and postage by submitting reimbursement requests on the Via Benefits Accounts mobile app or website. Guided Assistance, Top Searches: Dental | Helping a Family Member | Sign In | Direct Deposit, Your Individual and Family Enrollment Call. If you receive a loss of funding notification from Via Benefits, and the loss of funding wasn't intentional or you believe it has occurred in error, please contact us. (TTY: 1-800-545-8279) 1-800-326-5496 . How to Navigate Your Via Benefits Dashboard 3,150 views Jan 5, 2021 13 Dislike Share Save OhioPERS1 1.56K subscribers This video is a short tutorial of how to navigate the Via Benefits. Get connected to a strong web connection and begin executing forms with a fully legitimate signature within a few minutes. Sign up with your credentials or register a free account to try the service prior to choosing the subscription. Go digital and save time with signNow, the best solution for electronic signatures. A practical dashboard provides a quick summary of all your account information, making it easy to review expenses . You want to be reimbursed for premiums paid under COBRA. You need to submit a new Recurring Premium Reimbursement request each time your plan renews, which is typically 12 months after the plan went into effect. A printout from the SSA may also have the required information, including your name. You may also set up direct deposit or update your banking information by returning a completed Direct Deposit Authorization Form. Your direct deposit takes effect once your banking information is validated. We recommend setting up direct deposit on the website or on the mobile app. An health reimbursement arrangement (HRA), sometimes called a health reimbursement account, is a type of health care account, not an insurance plan, which is funded entirely by your employer; employees cannot contribute to an HRA. Via Benefits - Account Management. 5. If the supporting documentation is in a foreign language, the five required elements (provider name, participant name, date of service, type or description of service or product, and document showing the participants financial responsibility) must be translated in to English. Provide the required information on the Add Bank Account page. Learn About the Basics of Individual and Family Coverage. Note: If your former employer has a direct deposit requirement, the trash can icon isn't available to you. Transportation or travel expenses might be reimbursable, depending on your former employers reimbursement guidelines. You can do the translation and currency conversion yourself. 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. 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. Read Update your Reimbursement Notification Settings to learn more. Note: Once you've set up direct deposit, both theSign Upand theSet Up Direct Depositmessages go away. Use a via benefits reimbursement request form template to make your document workflow more streamlined. To get to your reimbursement account, follow these steps: Sign in to your Via Benefits account. Read Submit or Cancel a Reimbursement Request for instructions. All communications regarding your reimbursement account are addressed in the name of the account holder. Download your copy, save it to the cloud, print it, or share it right from the editor. Check the Status of Your Reimbursement Request. Proof of premium payment (e.g., canceled check, bank statement, payment receipt). Search or browse the FAQ section and see if we have the answer. A message appears confirming your bank account has been deleted. After we process your request, we begin sending you regular premium reimbursements at the beginning of each month for the remainder of the calendar year. It doesn't need to be a formal translation. Select Yes, Delete Account. What is Via Benefits? 4. Use professional pre-built templates to fill in and sign documents online faster. If they were to issue a check to you each month instead, it would be taxable income. If you're requesting funds be deposited into a checking account, a voided check is also required. Open the doc and select the page that needs to be signed. and signature of the Dependant Care Provider. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. 2. Thesummary plan description provided by your former employer mayprovide moreinformation abouttheaccount. You can also submit a reimbursement request if you provided payment information for aninitial payment with your application. Read Authorize Others to Access Your Account for more information. Your reimbursement request must be submitted with third-party documents that include: To get voice-activated account information, call us, verify your identity, and when prompted, say "options" to hear the automated service options. 1. Documentation Requirements Expenses Incurred in a Foreign Country Transportation Expenses Llame al 1-800-326-5496 (TTY: 1-800-545-8279) The individual serviced is the person for whom the expense was incurred. If you've chosen people to manage your affairs or help you in the event you become incapacitated or pass away, add them to your Via Benefits profile as authorized representatives. The signNow application is just as productive and powerful as the online app is. For example, Form 1099 dated 2021 can only be used to get reimbursed for 2021 Part B premiums. If any previous months were included in your request, you're reimbursed for those months in a lump sum. Use its powerful functionality with a simple-to-use intuitive interface to fill out My viabenefits forms online, e-sign them, and quickly share them without jumping tabs. 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. 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. Learn how to create an account. Sign into Via Benefits. Select Delete Account or select the trash can icon.7. As always, Via Benefits protects your account information. The signNow extension was developed to help busy people like you to reduce the stress of putting your signature on papers. The Via Benefits Accounts mobile app gives you the power to manage your account (s) anywhere, anytime. If youre happy with your plan, keep your plan. For most people, direct deposits are displayed in your bank account as Via Benefits.. Provide all of the requested information and selectAdd Bank Account. Reimbursement account access, available on the website or mobile app, and on reimbursement request forms, is in the account holder's name. Note: If you receive your Reimbursement Guide and can't see your funding information on the mobile app or website, please contact us. Some former employers require that direct deposit is set up before you can be reimbursed for your expenses. Via Benefits sends you aReimbursement Guidewithin two weeks of your plan's effective date if you're eligible for a reimbursement account. 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). Speak to an Expert Call for free one-on-one expert advice and support with selecting and enrolling in Medicare plans with confidence. 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. To getto your reimbursement account on the website,follow these steps: 1. * There isn't a deadline for you to submit reimbursement requests for the prior year if your former employer allows unused funds to rollover to the next plan year or if new funds can be used to pay for previous year's expenses. If so, you dont need to submit documentation, and you automatically receive your monthly reimbursement payments. Note: Don't submit a Part B Premium reimbursement request if you're currently using Automatic Premium Reimbursement. The amount of the expense must be converted from the foreign currency to US dollars. Browse the board meeting section to view details, download documents and find remote site information. STEP 2: Under Insurance Premium Expenses, complete the following fields. 3. Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. To understand your options read Authorize Others to Access Your Information, Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved, Authorize Others to Access Your Information, We have created a simple guide to help you during this difficult time. Phone: If you submit a bill from midyear, only the earliest statement month forward will be approved. Once youve finished putting your signature on your my via benefits funds forms, decide what you wish to do next - save it or share the file with other parties involved. Begin automating your signature workflows right now. To set up direct deposit, follow these steps: 1. Account Holder Full Name Enter your last name, first name and middle initial The reimbursement account may no longer receive funds to pay for your health care expenses. Select View accounts in the Funds & Reimbursements section. In many cases, this means your former employer established requirements to qualify for a reimbursement account, which you no longer meet. : . Automatic Premium Reimbursement enables you to be reimbursed for your premium payments without submitting a reimbursement request and receipts. This statement cant say insurance pending or estimate., An itemized receipt or ledger from your pharmacy. Provide the required information on the Add Bank Account page.7. 1-800-326-5496 TTY: 1-800-545-8279. Your Reimbursement Guide provides more details on reimbursable expenses. Draw your signature or initials, place it in the corresponding field and save the changes. Via Benefits makes available Medicare supplemental plans from more than 90 health insurers (carriers) nationwide. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Need help? 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.