* Save Username on this Browser - Do not check the Save Username option if you are using a public computer, for example in a Library. Go to the Chrome Web Store and add the signNow extension to your browser. Proof of premium payment (e.g., canceled check, bank statement, payment receipt). Select Reimbursement Center on the Funds and Reimbursements page.4. To get voice-activated account information, call us, verify your identity, and when prompted, say "options" to hear the automated service options. Read more about Reimbursement best practices: Manage Your Reimbursement Account, Understand Your Reimbursement Account, and Access Your HRA, Anytime, Anywhere. We recommend setting up direct deposit on the website or on the mobile app. You can do the translation and currency conversion yourself. Savings account number and routing number. Read Access Your Reimbursement Account on the Websiteto learn how. 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. Save time and postage by submitting reimbursement requests on the Via Benefits Accounts mobile app or website. 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. 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. Setting Your Notification Preferences Your notification settings allow you to choose how you receive Via Benefits communications about your reimbursement account (email or paper). Due to its cross-platform nature, signNow is compatible with any device and any OS. Cookies are small text files stored on your . You need to allow cookies to use this service. Via Benefits is a company that is experienced in helping retirees evaluate and enroll in Medicare supplemental insurance. You have two opportunities to set up direct deposit on the mobile app. Begin signing via benefits reimbursement by means of solution and join the millions of satisfied clients whove previously experienced the key benefits of in-mail signing. The Via Benefits Accounts mobile app gives you the power to manage your account (s) anywhere, anytime. : . After entering your username, click Sign In. Current UMC retirees and their spouses have selected over 1,000 different plans that meet their individual needs. You're also given the opportunity after you submit reimbursement requests. After you'veset updirect deposit for your reimbursement account, please allow up to three business days after a reimbursement request is approved to receive your funds. Use our eSignature tool and say goodbye to the old times with affordability, security and efficiency. What is Via Benefits? You cansign into your account at any time to review your reimbursement account activity. 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. 6. Your Reimbursement Guide provides more details on reimbursable expenses. Validation takes up to seven business days if entered through the mobile app or website. The whole procedure can last a few moments. This allows us to speak to them if you're unable to manage your account yourself. 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 account as authorized representatives. You also need to submit a new request if your premium changes during the year, even if you have the same plan. 7. Select Reimbursement Center on the Funds and Reimbursements page. Transportation or travel expenses might be reimbursable, depending on your former employers reimbursement guidelines. 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. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Select View accounts in the Funds & Reimbursements section.3. Find the extension in the Web Store and push, Click on the link to the document you want to design and select. Read Submit or Cancel a Reimbursement Request for instructions. You can request reimbursement by submitting a reimbursement request on the Via Benefits Accounts mobile app, the website, or a Reimbursement Request Form. 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 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. Note: You must sign up with Via Benefits if you haven't already. After that, your my via benefits funds forms is ready. Start eSigning my via benefits funds forms by means of solution and become one of the numerous satisfied customers whove previously experienced the benefits of in-mail signing. 1-800-326-5496 TTY: 1-800-545-8279. Select Add Bank Account. Select View accounts in the Funds & Reimbursements section. The signNow extension was developed to help busy people like you to reduce the stress of putting your signature on papers. A joint reimbursement account means you and your spouse share one account. Speak to an Expert Call for free one-on-one expert advice and support with selecting and enrolling in Medicare plans with confidence. Dental and Vision Plans Shop and Enroll Individual and Family Your Individual and Family Enrollment Call Preparing for Your Enrollment Call Individual Health Plan Enrollment Optional Benefits Basic About Optional Benefits Hospital Indemnity Dental Insurance Funding Manage Your Account Denied Reimbursement Claim Got Questions About Medicare? Follow the instructions below to complete Via benefits reimbursement form 2022 online quickly and easily: Sign in to your account. Specific documentation requirements are included on the back of the Reimbursement Request Form and when you submit requests on the website or on the mobile app. Note: Once you've set up direct deposit, both theSign Upand theSet Up Direct Depositmessages go away. Your former employer also determines if funds remaining in your account at the end of the yearroll over to the next year. Note: You must create an account if you haven't already. Create an account using your email or sign in via Google or Facebook. Search for the document you need to electronically sign on your device and upload it. TM Welcome to Via Benefits This way to benefits that fit your needs, with support and advocacy you can trust. Some former employers require that direct deposit is set up before you can be reimbursed for your expenses. In many cases, this means your former employer established requirements to qualify for a reimbursement account, which you no longer meet. 2023 airSlate Inc. All rights reserved. Note: For help locating your banking information, select the?next toAccount Number. For out-of-pocket expenses, such as prescriptions and doctor's office copays, we need third-party documentation that includes all of the following: Amount incurred or charged (not amount paid). If you need an item or service Original Medicare doesn't cover, you're responsible for the full cost unless you have additional insurance that offers appropriate coverage. Forms received between January 1 and March 31 can take up to 45 calendar days to be processed and validated. Employer Name Enter your employer name If you already have direct deposit, follow these steps to update your banking information on the website: 1. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. Via Benefits is the leading private retiree medical marketplace in the country. Draw your signature or initials, place it in the corresponding field and save the changes. The alertpersists until you sign up for text alerts, but it doesn'tprevent you from using your account. Via Benefits reimburses you for the premium, up to the available balance in your reimbursement account, according to your chosen reimbursement method. We are currently building a new site with accessibility in mind. Read Access Your Reimbursement Account on the Website to learn how. The signNow extension provides you with a variety of features (merging PDFs, adding several signers, and so on) for a much better signing experience. In the Actions section of the Profile page, select Edit.6. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. For dependant care please attach receipts or have a Tax ID Sign into your Via Benefits account.2. signNow makes eSigning easier and more convenient since it offers users numerous additional features like Add Fields, Merge Documents, Invite to Sign, and many others. Select the area you want to sign and click. are paid to you out of a Health Reimbursement Account (HRA) at Via Benefits. The annual policy statement or billing statement, sent to you by your insurance carrier, usually provides the required information. 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. 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). Learn more: Submitting or Cancelling a Reimbursement. To set up direct deposit, follow these steps: 1. 2023 airSlate Inc. All rights reserved. Provide all of the requested information and selectAdd Bank Account. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Include documents from your bank with routing and account numbers. Expenses you incur in a foreign country may be eligible for reimbursement, as long as the care is medically necessary. Original Medicare, Parts A and B, pays for most of your health care expenses, but it doesn't pay for everything. The signNow application is just as productive and powerful as the online app is. Forms without a barcode aren't processed. Provide the required information on the Add Bank Account page.7. 1-866-322-2824 (TTY: 711) Mon-Fri 8am - 7pm Eastern The whole procedure can take a few moments. The form is available by calling us and using our automated voice system or by speaking with a Via Benefits representative. Your reimbursement request must be submitted with third-party documents that include: If you sign up for direct deposit, all reimbursements from a joint account go into the same bank account (selected by you). View Via Benefits (formerly Towers Watsons OneExchange) HRA Presentation (PDF), View Via Benefits (formerly Towers Watsons OneExchange) FAQs (PDF). ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Account Holder Information: The Account Holder is usually the retiree or the surviving spouse. Sign In Help. Thesummary plan description provided by your former employer mayprovide moreinformation abouttheaccount. What solutions are included in the Via Benefits solution suite? Llame al 1-800-326-5496 (TTY: 1-800-545-8279) You can be reimbursed for your monthly plan premiums in one of two ways, Recurring Premium Reimbursement or One-Time reimbursement. This article applies to you if you have a Via Benefits reimbursementaccount(sometimes known as a Health Reimbursement Arrangement).*. You need to enable JavaScript to run this app. Use signNow to electronically sign and send out My via benefits reimbursement form for collecting e-signatures. Typically, you can't submit reimbursements on your spouses account when you have a separate account. We want to be sure the process of securing high-quality health benefits through the State of Nevada is as easy as possible. Associate Director of Strategy @ Willis Towers Watson > Benefits, Delivery, & Administration > Individual Marketplace, Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. * Use your Via Benefits website login and password. Create your eSignature, and apply it to the page. Select Add Bank Account on the Profile page and provide the required information.2. Via Benefits is not an insurance company; it is a resource that gives you access to a state-of-the-art Medicare exchange (sometimes referred to as a marketplace) containing a wide Note: Don't submit a Part B Premium reimbursement request if you're currently using Automatic Premium Reimbursement. For most people, direct deposits are displayed in your bank account as Via Benefits.. 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. via benefits reimbursement account my via benefits via benefits phone number opers via benefits login Create this form in 5 minutes! Our first priority is you. Eligible retirees enrolled in a medical plan throughVia Benefits (formerly Towers Watsons OneExchange), and retirees enrolled in TRICARE for Life and Medicare Parts A and B, receive a monthly Years of Service contribution to a Health Reimbursement Arrangement (HRA). This takes you to your reimbursement account. If you choose not to take advantage of automatic reimbursement, or if your insurance carrier does not offer automatic reimbursement, you may send your With signNow, you can eSign as many papers in a day as you need at a reasonable price. We recommend you get one of the following documents to provide the information above: An Explanation of Benefits (EOB) from your insurance carrier, An itemized statement from your provider. 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. You can also submit a reimbursement request if you provided payment information for aninitial payment with your application. Read Submit or Cancel a Reimbursement Request for instructions. 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. 1-800-326-5496 (TTY: 1-800-545-8279) . Employee E-mail Address: 3. Get access to a HIPAA and GDPR compliant service for maximum simpleness. 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. Select Save. Note: If you receive your Reimbursement Guide and can't see your funding information on the mobile app or website, please contact us. 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. 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. You can set it up whenever you'd like from the Dashboard. If youre happy with your plan, keep your plan. For the previous years Part B premium, the IRS Form 1099 can be used as documentation for the year shown on the form. Sign into Via Benefits and select the name of the family member whose information you wish to view. Individuals can't add funds to their accounts. When Part B premiums are an eligible expense, the standard Part B premium is reimbursed monthly, dependent on your enrollment in a Medicare medical plan with Via Benefits. Note: If you have multiple reimbursement accounts, you must choose Reimbursement Center for the specific account you want to view. With intuitive navigation and a modern look and feel, the mobile app is the smart choice to get the most out of your account. Search for the document you need to eSign on your device and upload it. Select Reimbursement Center on the Funds and Reimbursements page. To take advantage of direct deposit, you must provide Via Benefits with the following information for your checking account or savings account: Checking account number and routing number (as found at the bottom of your checks) and a voided check. Only your former employer can contribute funds to this account. You can be reimbursed for an out-of-pocket medical expense as long as it's an eligible expense (such as an office visit or prescription copay, dental treatment, hearing aids, etc. 3. Solution Benefits Accounts WTW's Benefits Accounts empower employees and retirees to determine how to use their benefit dollars through flexible, tax-advantaged medical spending and savings accounts, including health savings accounts (HSAs), flexible savings accounts (FSAs) and health reimbursement arrangements (HRAs). This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement)*. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. 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. Install the signNow application on your iOS device. 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. We encourage you to speak with a tax professional if you have additional tax-specific questions regarding your reimbursement account. * Fingerprint or Touch ID Authentication. Associate Director of Strategy @ Willis Towers Watson > Benefits, Delivery, & Administration > Individual Marketplace, Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Popular Searches. Please contact Via Benefits if you have any questions. Get access to thousands of forms. 2. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Automatic Premium Reimbursement enables you to be reimbursed for your premium payments without submitting a reimbursement request and receipts. signNow makes signing easier and more convenient since it provides users with numerous extra features like Merge Documents, Invite to Sign, Add Fields, and so on. Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. Select Delete Account or select the trash can icon.7. Both options are more secure and faster than using a paper form. 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 at www.irs.gov. Create an account using your email or sign in via Google or Facebook. Not sure where to get started? . You want to be reimbursed for premiums paid under COBRA. Read Authorize Others to Access Your Account for more information. If you and your spouse have separate reimbursement accounts, you both need to set up direct deposit. Your Reimbursement Guide provides more details on reimbursable expenses. Follow the step-by-step instructions below to design your my viabenefits com funds direct deposit form: Select the document you want to sign and click Upload. Fermilab provides a subsidy of $175/month, per person, funded to a Health Reimbursement Account (HRA). The sigNow extension was developed to help busy people like you to minimize the burden of signing documents. We understand the death of your spouse, family member, or friend is a hard thing to manage, and it may be difficult to know what steps to take. Read Update your Reimbursement Notification Settings to learn more. Look through the document several times and make sure that all fields are completed with the correct information. Reimbursement account access, available on the website or mobile app, and on reimbursement request forms, is in the account holder's name. You may also set up direct deposit or update your banking information by returning a completed Direct Deposit Authorization Form. Select View accounts in the Funds & Reimbursements section.3. This applies even if you're using the same bank account. All of the contributed funds for both you and your spouse, if applicable, go into this shared account. Only your former employer can contribute funds to this account. The balance reflects the current available funds for both of you together. Until then, we encourage you to call Via Benefits at 1-866-322-2824 (#711) to speak to one of our expert benefit advisors. There's a We found some sections that are missing information alert on the Profile pagewhen you haven't signed up for text alerts. Address Enter your street address, city, state and ZIP code Your direct deposit takes effect once your banking information is validated. 5. Read Reimbursement Request Deadlines Explained to learn more. Account Holder Full Name Enter your last name, first name and middle initial 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. 2. 9. There are other ways to submit a reimbursement request if Automatic Premium Reimbursement isn't available to you. Decide on what kind of signature to create. Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. It employs 251-500 people and has $25M-$50M of revenue. The way to generate an e-signature for your PDF file in the online mode, The way to generate an e-signature for your PDF file in Chrome, How to make an e-signature for putting it on PDFs in Gmail, The best way to generate an electronic signature right from your smartphone, The way to create an electronic signature for a PDF file on iOS devices, The best way to generate an electronic signature for a PDF on Android, If you believe that this page should be taken down, please follow our DMCA take down process, You have been successfully registeredinsignNow. STEP 2: Under Insurance Premium Expenses, complete the following fields. You can be reimbursed for your standard Medicare Part B premium amount if its allowed by your former employer or benefits provider. They have non-existent customer service for any problem that is not amenable to an automated (or read off a script) response. Sign into your Via Benefits account. On the Dashboard, select your name and then select Banking Information.5. We apologize that our site is not fully accessible to customers using screen readers at this time. Select View accounts under Funds & Reimbursements. Select View accounts in the Funds & Reimbursements section. Asavings deposit slip may not have all the necessary information. Select View accounts under Funds and Reimbursements. Upload a form. via benefits get the most out of medicare resubmit retiree reimbursement reimbursed Youve informational deducted Certification premiums enrollment ky medicare qualifying If you believe that this page should be taken down, please follow our DMCA take down process here. 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. Open the doc and select the page that needs to be signed. If you have any sway with your benefits people, have them RUN AWAY from VIa Benefits as fast and far as they can. A printout from the SSA may also have the required information, including your name. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. If your former employer hasn't set restrictions on what's reimbursable, read Eligible Medical Expenses Explained to verify what expenses may be eligible. Section II. We believe the name Via Benefits is a door opener and sets the stage much more effectively for clients to appreciate the full scope of our offerings and the value of our approach. A practical dashboard provides a quick summary of all your account information, making it easy to review expenses . Former employers, voluntary employees' beneficiary association (VEBA) trusts and state benefit connectors often choose to provide a reimbursement account to their retirees because it's a tax-free account. You can request reimbursement by submitting a reimbursement request on the Via Benefits Accounts mobile app, on thewebsite, or by submitting a Reimbursement Request Form. The primary participant is the account holder. If you aren't collecting Social Security, submit the Medicare Premium Bill for Part B for the calendar year. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. Open the email you received with the documents that need signing. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. : , . Use a via benefits reimbursement request form template to make your document workflow more streamlined. You may also submit a reimbursement request on the website, on the Via Benefits Accounts mobile app, or on a Reimbursement Request Form.