Group Name Employer ID: CHO Plan Year: 01/01/2015-12/31/2015 Presented By: Name Title Instructions: Find and Replace Delete This Slide Before Presenting Getting Started: Enrollment presentations can be shown to employees to help explain how to use their Choice Strategies plan. • Before showing this presentation to employees, please customize it by finding and replacing the following: Group Name: Group Name Health Insurance Carrier: Carrier Plan Year: 01/01/2015-12/31/2015 Plan Start Date: 01/01/2015 FSA Maximum: $2,550 Flexible Spending Account FSA You can elect to contribute up to $2,550 pre-tax • Plan Year: 01/01/2015-12/31/2015 • Contributed through payroll deductions • “Use it or Lose it” • Eligible Expenses: • • • • • Medical Dental Vision Prescriptions Limited Over-the-Counter (OTC) products End of Plan Year Flexible Spending Account 2 ½ Month Grace Period • You have 2 ½ months after the FSA plan year ends to use any remaining funds for expenses that occurred within the current plan year or during the grace period • Plan Year: 01/01/2015-12/31/2015 • You may use your card for FSA eligible expenses during the grace period for any expenses incurred between the beginning of your plan year and the end of the grace period • Example: Plan year ends on 12/31/15. You have until 3/15/2016 to use remaining FSA funds for dates of service that occurred during the 2015 plan year and through the Grace Period. End of Plan Year Flexible Spending Account The FSA Carryover What is it? A provision for FSAs that allows up to $500 to carryover from year to year. Will the carryover amount effect the amount that can be elected pre-tax for the next plan year? No. So, if the carryover is $500 from a previous year, the available balance for the new year could be anything up to $3,050? Yes. Dependent Care Account DCA You can elect to contribute up to: • $2,500 if married, filing separate tax returns • $5,000 if single OR married, filing jointly • Plan Year: 01/01/2015-12/31/2015 • Contributed through payroll deductions – Pre-tax! • Pay as you go – You can only spend what you have contributed. • Eligible Expenses: – Custodial care of dependents while employee is at work 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 Based on 13.34% Federal Income Tax, 7% State Income Tax, and 7.65% Social Security Tax Rate With FSA/DCA Gross Monthly Salary Less: Health Care Expenses Dependent Care Taxable Income Less: Federal Income Tax State Income Tax Social Security Tax Spendable Income Monthly Savings Annual Savings $2,500.00 $200.00 $400.00 $1,900.00 $253.54 $132.84 $145.35 $1,368.27 $167.92 $2,015.04 Choice Strategies Card The Facts • MasterCard • Card activates upon first use • If balance available and any shared responsibility portions have been met • Employee and spouse automatically receive cards • Separate envelopes • Additional cards can be issued upon request • Swipe as CREDIT vs. Debit for convenience • If needed - PIN is accessible through Member Online Accounts under the My Card tab. Using the Card Medical Providers Do not pay on the date of service, wait until you receive the Explanation of Benefits from Carrier. Using the Card Prescriptions IIAS (Inventory Information Approval System) No Request for documentation on Rx charges if IIAS Approved Pharmacy is used. (List available on www.choice-strategies.com) Submitting a Claim Need Reimbursement? • Online – Faster Reimbursement! – – – – – Login to your Online Account Select “Submit a Claim” Fill our required fields Upload Supporting documentation Select “Submit” • Email, Fax, or Mail – Fill out a Claim Form available under the “For Members” and “Forms” page on www.choicestrategies.com – Attach supporting documentation Substantiation Requirements Documentation Requests Group Name is required by Federal Law to substantiate all claims. • This means that purchases made with your Choice Strategies Card need to be supported with documentation Receipt Notification Process: • Employees are sent requests via mail or email to provide documentation on card transactions. • Supporting documentation requested may include: – Explanation of Benefits (EOB) – Rx Receipts – Provider Bills Substantiation Service Free and Voluntary Allows Choice Strategies to view your Explanation of Benefits from the online account with Carrier Signing Up: 1) You must set up an online account with Carrier 2) Sign up for the Substantiation Service by provider your Carrier User ID and Password to Choice Strategies • Use the online HIPAA Release Form under the “For Members” section and forms page on www.choice-strategies.com To take advantage of our Substantiation Service, enroll online at: www.choice-strategies.com/substantiation-enrollment Member Online Accounts www.choice-strategies.com Helpful Features! • • • • • Check available balance Review transaction history Upload supporting documentation Verify the Choice Strategies Card status Update personal information • Email, home address, phone number • Submit claims online • Reimbursement method Video tutorial available Mobile App Access Your Information on the Go! Available For iOS and Android You Can: • • • • • Create an account Check available balance Review transaction history Submit claims Upload supporting documentation Video tutorial available We are Here to Help! Phone: 888-278-2555 (Option 2) Hours: Monday-Friday 8:00am – 8:00pm EST