Type of service (e.g., office visit, emergency room, chemotherapy). Download your copy, save it to the cloud, print it, or share it right from the editor. These alerts don't prevent you from using your account. 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You need to enable JavaScript to run this app. ACERA provides the funds for your HRA. Your reimbursement request must be submitted with third-party documents that include: We can't sign you in. The Via Benefits Accounts mobile app gives you the power to manage your account (s) anywhere, anytime. Using automatic reimbursement, your insurer will draft your premium payments directly from your bank account and submit your request for premium reimbursement to Via Benefits automatically. Reimbursement Information: Complete this section to indicate the Date Learn more: Submitting or Cancelling a Reimbursement. Also, our benefit advisors are trained regarding benefits and coverage for each of the different insurance plans we offer. 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. Forms received between January 1 and March 31 can take up to 45 calendar days to be processed and validated. Via Benefits sends you aReimbursement Guidewithin two weeks of your plan's effective date if you're eligible for a reimbursement account. This article applies to you if you have a Via Benefits reimbursementaccount(sometimes known as a Health Reimbursement Arrangement).*. Read Submit or Cancel a Reimbursement Request for instructions. Select Yes, Delete Account in the Delete Bank Account box. 1-866-322-2824 (TTY: 711) Mon-Fri 8am - 7pm Eastern The signNow extension was developed to help busy people like you to reduce the stress of putting your signature on papers. A message appears confirming your bank account has been deleted. It doesn't need to be a formal translation. A Recurring Premium Reimbursement request needs to be submitted once each calendar year to be reimbursed monthly, or you can submit for a one-time reimbursement of quarterly Medicare Part B payments. PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Sign into your Via Benefits account.2. Contact Us There's a We found some sections that are missing information alert on the Profile pagewhen you haven't signed up for text alerts. To get to your reimbursement account, follow these steps: Sign in to your Via Benefits account. If you're requesting funds be deposited into a checking account, a voided check is also required. Following fields. Create an account using your email or sign in via Google or Facebook. Typically, Via Benefits reaches out to retirees 6-9 months before turning 65. There are three variants; a typed, drawn or uploaded signature. Select Add Bank Account.6. Popular Searches. Your Reimbursement Guide provides more details on reimbursable expenses. Select our signature solution and leave behind the old days with affordability, efficiency and security. 1-6945-623-800 ( : 1-9728-545-800). The signNow extension provides you with a variety of features (merging PDFs, adding several signers, and so on) for a much better signing experience. Please attach all receipts that apply to requested reimbursements. Sign into Via Benefits and select the name of the family member whose information you wish to view. If you receive a loss of funding notification from Via Benefits, and the loss of funding wasn't intentional or you believe it has occurred in error, please contact us. Via Benefits is a company that is experienced in helping retirees evaluate and enroll in Medicare supplemental insurance. Get access to thousands of forms. : 1-800-326-5496 (TTY: 1-800-545-8279) The signNow application is equally as productive and powerful as the online app is. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. 2. On the Dashboard, select your name and then select Banking Information.5. 2023 airSlate Inc. All rights reserved. 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. Review the Public Employee Benefits Program Nondiscrimination Statementhere. It is designed to reimburse an employee for eligible medical expenses as defined under IRS Code 213 (d). Select Add Bank Account. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. 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. If you already have direct deposit, follow these steps to update your banking information on the website: 1. Direct deposit allows reimbursements to be deposited directly into your checking or savings account. Medical Expense Reimbursement. It employs 251-500 people and has $25M-$50M of revenue. 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. Check the Status of Your Reimbursement Request. To get voice-activated account information, call us, verify your identity, and when prompted, say "options" to hear the automated service options. Search for the document you need to eSign on your device and upload it. * Fingerprint or Touch ID Authentication. You may also submit a reimbursement request on the website, on the Via Benefits Accounts mobile app, or on a Reimbursement Request Form. Via Benefits has a few suggestions to improve your experience while using your reimbursement account, such as updating your notification 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 the area where you want to insert your signature and then draw it in the popup window. Get access to a HIPAA and GDPR compliant service for maximum simpleness. In many cases, this means your former employer established requirements to qualify for a reimbursement account, which you no longer meet. You can call Via Benefits and use voice commands to check your reimbursement account balance, get the status of recent expenses submitted for reimbursement, and request frequently used forms. 6. Not sure where to get started? Select the document you want to sign and click. Select Save. Validation takes up to seven business days if entered through the mobile app or website. Select the area you want to sign and click. A Recurring Premium Reimbursement request needs to be submitted once each calendar year to be reimbursed monthly, or you can submit for a one-time reimbursement of quarterly Medicare Part B payments. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. 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 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. : 1-800-326-5496 ( :1-800-545-8279). You can request reimbursement by submitting a reimbursement request on the Via Benefits Accounts mobile app, on the website, or by submitting a Reimbursement Request Form. Account Holder Information: The Account Holder is usually the retiree or the surviving spouse. Address Enter your street address, city, state and ZIP code Go to your reimbursement account to view your account information. Create your signature and click Ok. Our first priority is you. One-Time reimbursement requests for premium expenses should be used in limited situations when: You paid in advance for future premiums for a medical insurance annual premium. * There isn't a deadline for you to submit reimbursement requests for the prior year if your former employer allows unused funds to rollover to the next plan year or if new funds can be used to pay for previous year's expenses. Install the signNow application on your iOS device. Refer to IRS issues standard mileage rates for 2022 for more details. 5. Select View accounts in the Funds & Reimbursements section. Any payments made during this time are a paper check. If you want to share the via benefits reimbursement with other parties, you can easily send the file by electronic mail.