rollover account usernames & passwords...phone: 1-800-291-5837 fax: 765-608-6691 step 4: after...
TRANSCRIPT
Muncie Community
Schools 2015 - 2016 Health Insurance, Important Dates, Claim Filing and More…
Online Tools
Unified Group Services provides online access to your
benefit plan information 24/7. The ActiveHealth
Personal Health Record (PHR) provides a way for you
to store your own personal health information in one
secure location through UnifiedGrp.com
MACTAVISH SCHOOL BENEFITS, INC. “We Fix Health Plans” SM
Rollover Account Usernames & Passwords
Write down your username and password for easy reference later
YourInsuranceCarrier www.UnifiedGrp.com Download electronic forms
Compare costs of various medical providers
Track medical claims
Monitor your account balances
File claims online
Username:____________________________________ Password:_____________________________________
AllunusedfundsfromyourHRASavingsAccount
(GreenBox)gotoyourRolloverAccountatthe
endofeachplanyear.YoucanspendyourRollover
dollarsonallincurredeligiblemedicalexpenses
(IRS213(d)includingbutnotlimitedto:braces,
eyeglasses,Lasik,oralsurgery,andmore.
HRA Savings Account
Rollover Account
www.WeFixHealthPlans.comReview Educational Videos
Username:MuncieSchools Password:munciebene its
MACTAVISH SCHOOL BENEFITS, INC.
“We Fix Health Plans” SM
Step 2: Out-of-Pocket
Single Plan
EE +1 & Family Plan
Step 1: HRA
Step 3: Muncie 105
Account
Important Dates
December 31st
Lastdaytosubmitmedicalclaimsforthecalendaryear.ClaimssubmittedafterDecember31willbeappliedtotheHRAAccountand/ordeductibleprovisionsinthenewcalendaryear.
AllunusedHRAaccountdollarsfromthecurrentyearbecomeRolloverdollarsaccessedbytheplanparticipantforunreimbursedexpenseseligibleunderIRSrules®ulations.
January 1st
HRAAccountrenews 105Accountrenews Medicaldeductiblestartsover
Contact Us Mactavish School Benefits, Inc. 7825 Washington Ave S, Suite 500 Bloomington, MN 55439 Phone: (952) 942-6838 Fax: (952) 942-6843 fax [email protected]
www.wefixhealthplans.com
How to File a Medical Claim
How it works... StepOne:The irst$1,000/$2,000(singleplan/EE+1orfamilyplan)ofeligibleexpensesarepaidfromyour2015HRAAccount.MarktheappropriateboxontheExplanationofBene its(EOB)document.(EE+1&FamilyisequaltohavingtwoSingleplans.)StepTwo:Thenext$1,000/$2,000isyourout‐of‐pocketexpense.IFYOUHAVEHRA/ROLLOVERDOLLARS,youcanaccessthatmoneytocoversomeorallofyourout‐of‐pocketexpenses,dependingonyourrolloverbalance.StepThree:Thenext$3,000/$6,000ofexpensesarepaidat100%outofthe105account.ThisispartofyourdeductiblebutDOESNOTcomeoutofyourpocket.HOWEVER,youwillstillreceiveanEOBandmustmarktheboxforthe105account.StepFour:Medicalexpensesabove$5,000/$10,000arenolongerpartofthedeductibleandyouwillnotberequiredtomarkanycategoryfortheprovidertobepaid.
1. FilloutatheupperrighthandboxonyourEOB2. Mail,faxoremailcompletedformtoUnited
GroupServicesQuestions?ContactLindy,yourdedicatedUni iedClaimsAccountManagerat1‐800‐291‐5837
Electronic 1. Gotowww.Uni iedGrp.com2. Click“LogintoUni iedGroupServices”3. Click“HRAClaimForm”4. InformationisAuto‐Populated5. Click“Submit”
Mail or Fax
Unified Group Services, Inc. PO Box 10
Pendleton, IN 46064 Phone: 1-800-291-5837
Fax: 765-608-6691
Step 4: After Deductible
Insurance Plan
Pays 100% of claims
**Assumes In-Network
$1,000
Unlimited
$3,000
$1,000
Unlimited
$6,000
$2,000
Personal Health Reimbursement Arrangement Illustration
100% Coverage for Routine Physical, Routine Eye Exam, Cancer Screening, Pap Smear, Mammogram, Prenatal, Well
Baby Care and Immunizations.
Rx: $5 Generic 25% Preferred Brand
35% Non-Preferred Brand Single Coverage: $1,350 Rx Maximum Family Coverage: $2,700 Rx Maximum
$2,000