What's New

American Health Care Act ("AHCA") Information
On May 4th, the House of Representatives passed the American Health Care Act ("AHCA"), a GOP replacement bill for the Affordable Care Act, otherwise known as Obamacare. However, it will not be made law until it has been approved by the Senate. In all likelihood, the Senate will have to create its own version of the bill, which will then go back to the House for reconsideration. It will then go back to the Senate, where the two versions will need to be reconciled before going to the President. The process is far from over.

Therefore, as of now, no actual repeal of the Affordable Care Act, has taken place because only the House, and not the Senate, has approved it. In the case that the bill is eventually approved, there will still be an implementation period before it can take effect, meaning the process would not be immediate. In summary, no changes have been made as of yet. You will be notified by the Flex Plan in the event there are changes to the operation of the Flex Plan with respect to the Affordable Care Act ("ACA").

Anyone who is considering or is already covered by an Exchange or Individual Policy should review this information first.

           www.flexplan.com/aca-compare

If you are covered by Exchange or Individual Policy you cannot use employer contributions for the payment of those premiums. In addition, if you or your dependents are not covered by a group insurance contract, the employer monies cannot be used for reimbursement of out-of-pocket medical expenses (unless you have "Grandfathered" monies in your account). Your group insurance may be any group policy, it does not have to be a Flex Plan group policy. For more information please review our Frequently Asked Questions on this topic at www.flexplan.com/aca

IMPORTANT: If you plan to email or fax more than one claim, you must send each claim (with supporting documentation) as a separate email or fax transmission. Emails which contain password protected documents or links cannot be processed by the email imaging system.

If more than one claim is included in your email or fax transmission, it will delay the processing by 7-14 days.

If you have any questions about what should be submitted, please call our Member Services Department, we will be happy to assist you.

Verify the receipt of all documents on-line
You can see what documents (email, fax, US Mail) we have received from you (as soon as we can) after logging-in by clicking on "Documents Received". During high volume periods (March), please allow 1-5 days for your document to be recorded.

Claims Reimbursement Status Option
Once you have logged in to your account, in the "Claims Reimbursement" section, there is a new option titled, "Claims Reimbursement Status." This option will allow you to view the Evidence of Processed Claim (EOPC) for all claims previously submitted and provide an up to the minute status on the processing of your claims. If the claim has been paid, the check number and date will be displayed. If the claim has not been paid, the system will show the projected payout date. We hope you find this new feature helpful.

Looking for Claim Forms or Health Information Authorization Forms?
You must log in to view forms or click here.

Need to make a Self Payment?
You may make a payment after you log-in by clicking on "Self Payment Information". You can also make a payment through our Automated Member Services System, Option 2.

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.