PayFlex Quick Tip Guide - Paying your medical insurance premiums
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- Bernadette Welch
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1 PayFlex Quick Tip Guide - Paying your medical insurance premiums Did you know you can pay your medical insurance premiums directly from your PayFlex Retiree Reimbursement Account (RRA)? It s true! You can use Pay Them to do it. Before using Pay Them, you ll want to note that: The Pay Them feature is only available online. You can use it to pay your monthly premium amount only. This means you can t use it to pay your premiums in one lump sum. For example, you can t use Pay Them to pay for your quarterly or annual premium amount. If you have your insurance premium deducted directly from your bank account, you should not use Pay Them. We can t process partial payments from your RRA. So be sure you have enough funds in your RRA to pay your monthly premium amount. Some insurance carriers may require certain information on a check to process it. You may want to check with your insurance carrier to see if any specific information must be on the check from PayFlex. How to use Pay Them 1. Log in to 2. Click on the PayFlex icon to get to the PayFlex member website 3. Under Quick Links, click on File a Spending Account Claim Page 1 of 8
2 4. Select Pay Them 5. Click the + symbol to add your insurance carrier as a new payee. Complete all the required fields and click Save. Then click Next. Page 2 of 8
3 6. Enter your contact phone number. In the Patient Name field, enter your covered participant s name (for example, your name or the name of your spouse). Click Next. Page 3 of 8
4 7. Enter your claim details From the Expense Type drop down box, select Premium From the Premium Expense Type drop down box, select your premium expense type (for example, dental or medical) Choose your payment frequency: Select one-time paymen to pay your monthly premium just once Select monthly paymen to set up a repeating monthly payment. If you choose monthly payment, we ll mail your monthly premium each month. And you can tell us which day of the month to mail it. If you selected One-Time Payment, you ll need to: Enter your covered participant s name (for example, your name or the name of your spouse). Then enter your policy number and the beginning coverage date for your premium. In the Premium Amount field, be sure you only enter your monthly premium amount. If you enter an amount greater than your monthly premium, we ll have to deny your request. Click Next. Page 4 of 8
5 If you selected Monthly Payment, you ll need to: Enter your covered participant s name and policy number Select your first payment s coverage Month and Year Enter your monthly premium amount. If you enter an amount greater than your monthly premium, we ll have to deny your request. Enter your requested first payment mail date. We ll mail each payment to your insurance carrier on this day of the month, unless it falls on a holiday or weekend. Select the number of monthly payments remaining for the year Click Next Page 5 of 8
6 8. Confirm what you entered is correct You can enter your address to get notices about your payments and claims If you need to make any changes, click Previous. If not, click Next. Page 6 of 8
7 9. Choose how you want to submit your documents to us. You can upload a PDF document from your computer. Or, fax it to us. Your documents must include: Covered participant s name Premium type Coverage period Payment amount If you re uploading, be sure to save all of your documents to your computer as PDF files. Your Pay Them session will timeout after 30 minutes of inactivity and the data you entered will be lost. If you re faxing documents, send them right away. This will help prevent a delay in processing your request. Page 7 of 8
8 10. Once you submit your request, we ll review it. If approved, we ll send payment to your insurance carrier on the date you specified. Be sure to note, it can take us up to 10 business days from the date we receive your documents to mail the payment. Questions? If you have any questions, you can call us at (TTY: 711). We re here to help Monday - Friday, 8 a.m. - 8 p.m. ET, and Saturday, 10 a.m. - 3 p.m. ET. This material is for informational purposes only and is not an offer of coverage. It contains only a partial, general description of plan benefits or programs and does not constitute a contract. It does not contain legal or tax advice. You should contact your legal counsel if you have any questions or if you need additional information. In case of a conflict between your plan documents and the information in this material, the plan documents will govern. Eligible expenses may vary from employer to employer. Please refer to your employer s Summary Plan Description ( SPD ) for more information about your covered benefits. Information is believed to be accurate as of the production date; however, it is subject to change. PayFlex cannot and shall not provide any payment or service in violation of any United States (US) economic or trade sanctions.for more information about PayFlex, go to payflex.com PayFlex Systems USA, Inc (4/16) Page 8 of 8
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