What's New

Important Reimbursement Claim Information
Please read before submitting your next claim.
Summary of Material Modification to Plan - Reimbursement Claims
Effective immediately, proof of actual payment for claims is no longer required and should not be submitted. The Flex Plan is only required to verify that members have incurred covered expenses. Evidence of Expense must be submitted for all claims. For medical services an Explanation of Benefits (EOB) is the only document that should be submitted. If an EOB is not available, a written statement from the provider containing the information described on the claim form may be submitted.

All claim forms have been redesigned to include detailed instructions on how to file your claim as well as what documentation must be submitted to satisfy the Evidence of Expense requirements. If you have any claim forms with a revision date before June, 2011, please discard them.

Any prior unpaid claims which were not submitted with proof of payment that include the necessary claims substantiation may be reprocessed at the member's request.

Verify the receipt of a fax, document or e-mail on-line
Faxes are generally recorded within 30 minutes of receipt during our business hours. You can see what documents we have received from you after logging-in by clicking on "Documents Received". Mail, depending on our volume, may take 1 to 2 days to display after receipt.

Fax or Email transmission of combined documents
If a claim is faxed or emailed, each fax or email transmission should contain only 1 claim form and the supporting documentation for that claim. Although these instructions are provided on our claim forms and in quarterly statements we continue to receive multiple claims mixed together. You will see these items identified as "Combined Documents". These documents will be returned to you to resubmit. Each claim we return to you will contain a claim number. If the claim is returned with our claim number on it, it will be honored as of the original received date but will be processed in the next available payout. If the items returned do not contain our claim number, it will be processed as a new claim. 2010 claims will not be paid without a claim number.

Changes to Reimbursement of Over-the-Counter Items
The Affordable Care Act, enacted in March, established a new uniform standard that takes effect 01/01/2011. Under the Act, the cost of an over-the-counter medicine or drug cannot be reimbursed from your Flex Plan account unless a prescription is obtained. The change does not affect insulin, even if purchased without a prescription, or other health care expenses such as medical devices, eye glasses, contact lenses, co-pays and deductibles. The new standard applies only to purchases made on or after 01/01/2011, so claims for medicines or drugs purchased without a prescription in 2010 can still be reimbursed through 03/31/2011. Please refer to the "Medical Reimbursement Guide" on the Member page for more information.

Important Plan Changes effective 01/01/2011
We strongly encourage you to review the following items which were included in your 2010 3rd Quarter Statement:
Summary of Material Modifications to Plan

Email Validation Procedure
If you have not enrolled on-line, the first time you log in you will be asked to provide your email address. You will then be sent a validation e-mail. When you receive the e-mail, click on the link, and you will be prompted to enter your PIN. Once you enter your PIN you will be logged in. This process must be completed one time prior to accessing your personal account information. Once you have validated your account, you may login as usual.