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Group NamePlan Year : 1/1/12-12/31/12
Find and Replace (Delete Slide before Presenting)
Getting Started: Enrollment presentations can be shown to employees to help explain how to use their Choice Strategies Plan in conjunction with their health insurance plan. Before showing this presentation to employees, please customize it by finding and replacing the following:
Group Name : Group Name HSA Contribution: $$ Plan Start Date : 1/1/11 FSA Maximum : $2500 FSA Plan Year: 1/1/11
Health Savings Account (HSA)
Minimum Health Plan Deductible – HSA Qualified Single : $1,200 Family $2,400
Tax Favored Tax free contributions (employer & employee) Tax free interest bearing Tax free withdrawals for eligible medical expenses
Eligible Expenses: All IRS Eligible Expenses Medical & Rx expenses Dental Expenses Vision Expenses Limited OTC
Rollover of unused funds
Portable
HSA Continued
Group Name will be contributing $$ into your HSA• Your own bank account in ACS/Mellon Bank
You can make additional contributions to the HSA via: Payroll contributions - pre-tax After tax contributions - “above the line” deduction on your
personal income taxes
The maximum you can contribute in 2012 (per IRS mandate): Single: $3,100 Family: $6,250 If you are over the age of 55, you can contribute an additional
$1,000
Limited Flexible Spending Account (FSA)
You can elect up to $2500
Plan Year: 1/1/12 – 12/31/12
Pre-tax money, contributed through payroll deductions
“Use it or Lose it”
Eligible expenses: Limited to:
Dental Expenses
Vision Expenses
Limited OTC
Once the minimum deductible has been met, submit a Net Deductible form with an EOB and Choice Strategies will change the FSA into a Wide Open FSA which allows for medical expenses as well.
Limited Flexible Spending Account (FSA)
Once the minimum deductible has been met, submit a Net Deductible form with an EOB and Choice Strategies will change the FSA into a Wide Open FSA which allows for medical expenses as well. This form is available at: http://choice-strategies.com/forms-1 and should be submitted with supporting documentation for your out-of-pocket charges.
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Employee Savings Example
Without FSA/DCA Gross Monthly Salary $2,500.00 Less: Federal Income Tax $333.61 State Income Tax $174.79 Social Security Tax $191.25 Net Income $1,800.35 Less: Health Care Expenses $200.00 Dependent Care $400.00 Spendable Income $1,200.35
With FSA/DCA Gross Monthly Salary $2,500.00 Less: Health Care Expenses $200.00 Dependent Care $400.00 Taxable Income $1,900.00 Less: Federal Income Tax $253.54 State Income Tax $132.84 Social Security Tax $145.35 Spendable Income $1,368.27 Monthly Savings $167.92 Annual Savings $2,015.04
Based on 13.34% Federal Income Tax, 7% State Income Tax, and 7.65% Social Security Tax Rate
About Your Choice Strategies Card
It is a MasterCard
Restricted to eligible
vendors / providers
Must be swiped as a
Credit Card
• Cards arrive in a plain white envelope
• Spouses automatically get a card
• Additional cards can be issued upon request to Member Services
Using Card for Medical Providers
Reminders :• Do Not Pay on the Date of Service, wait until you
receive the Explanation of Benefits (EOB) from your insurance company
• Always give your provider your Carrier ID card and ask your provider to submit to insurance
Using Card at Pharmacy
Reminders :• Check to make sure the pharmacy has your current
insurance information• Use as credit card
Substantiation
Group Name is required by Federal Law to substantiate all claims. In other words, the plan must prove that the purchases made with the Choice Strategies card were for eligible expenses.
Keep all receipts when the Choice Strategies card is used
• Receipt Notification Process• Employees are sent requests via mail or email to provide the
documentation for substantiation of transactions and claims• Documentation
*EOBs *Rx Receipts*Provider Bills• IIAS (Inventory Information Approval System)
• Merchants such as grocery stores, and pharmacies must be able to differentiate between health eligible and ineligible items at the point of purchase
• No Request for documentation if IIAS Approved Pharmacy (List available on website)
Substantiation Service
Voluntary Service that allows Choice Strategies to view Employees’ Explanation of Benefits from online accounts with their Carrier.
1. First, Employees must set-up online account with Carrier
2. Employee fills out HIPAA Release form with User ID and Password
3. When Employee uses Debit Card for a transaction, Choice Strategies logs in to Carrier Website and matches charge to EOB
HIPAA RELEASE FORM
Available on Websitewww.choice-strategies.com
End of Plan Year
Plan Year: 1/1/12-12/31/12
Run-out Period - You have 3 months after the plan year ends, to submit all outstanding claims for expenses that occurred during the plan year. Reimbursement for these expenses must be submitted manually through the claim process.
Example: If the plan year ends 12/31/11, you have until 3/31/12 to submit manual claims for dates of service that occurred during your 2011 plan year. Do not charge your Choice Strategies card. If card is charged in 1/12, the transaction will pull from current plan year, 2012, funding. The IRS does not allow previous plan year expenses to be paid with current year funding.
Contacting Member Services
Toll Free Phone : 1-(888)-278-2555 Mon-Thurs 8:00 am – 7:00 pm EST Friday 8:00 am – 5:00 pm EST
Email : [email protected]
Live Chat : www.choice-strategies.com Mon-Thurs 8:00 am – 4:45 pm EST Friday 9:00 am – 4:45 pm EST
Online Account
Check Account Balances
Submit Claims Online
Edit Direct Deposit Info
View Transaction History
Upload Documentation
Report Card Lost/Stolen
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How to Submit a Claim Manually
Online Login to Online Account Select “Request
Reimbursement” Fill out required fields Upload Documentation Select “Submit”
Email, Fax, or Mail Fill out a Claim Form (available on website or by
contacting Member Services) Attach Documentation
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Questions?