Welcome to your new ConnectYourCare account
Welcome! We re pleased to offer you the most advanced and userfriendly account solution. Accounts that help you SAVE Health Savings Account (HSA) Limited Purpose Flexible Spending Account (LPFSA) Dependent Day Care FSA (DCRA) Easy access to funds and information Participant portal and mobile app Payment card Dedicated microsite - connectyourcare.com/qualcomm Customer service available 24x7 at 1-855-687-2128 New! Exclusive Qualcomm service email address service.qualcomm@connectyourcare.com 2
The HSA Advantage Use for you, your spouse and eligible tax dependents (even if not covered by your health plan). Distributions allowed at any time without restriction. Funds never expire. Distribution is tax-free* for qualified medical expenses. Your HSA is yours forever! *State taxes apply to contributions, investment and interest earnings in CA, NJ, & AL 3
Examples of Qualified Medical Expenses Acupuncture Alcoholism treatment Ambulance Automobile modifications for physically handicapped Birth control pills Braille books & magazines Chiropractic care Christian Science practitioner Contact lenses & related materials COBRA premiums Crutches Dental treatment Dentures Diagnostic services Drug addiction treatment Eye examination Eye glasses Fertility treatment Flu shot Guide dog or other animal aide Hearing aids Hospital services Immunization Insulin Laboratory fees Laser eye surgery Long-term care premiums or expenses Medical testing device Nursing services Organ transplant Orthodontia Physical exam Physical therapy Prescription drugs Psychiatric care Retiree medical insurance premiums Smoking cessation program Sunscreen & sun block (SPF15+, broad spectrum) Surgery Transportation for medical care Weight loss program necessary to treat obesity Wheelchair 4
Examples of Qualified OTC Expenses Some over-the-counter items are eligible for purchase with HSA funds. Eligible without a Prescription: Bandages Braces & supports Catheters Contact lens supplies & solutions Denture adhesives Diagnostic tests & monitors Family planning items First aid supplies Insulin & diabetic supplies Ostomy products Reading glasses Wheelchairs, walkers, canes Eligible with a Prescription*: Allergy & sinus medicine Antibiotics Cold sore remedies Cough, cold & flu Feminine anti-fungal/anti-itch Hemorrhoidal preps Laxatives Motion sickness Pain relievers Respiratory treatments Sleep aids & sedatives Stomach remedies Dual Purpose Items: These items can be used for a medical purpose or for general health and well being and are eligible only with a prescription, doctor s directive or letter of medical necessity: Dietary and weight loss supplements Fiber supplements Orthopedic shoes & inserts Snoring cessation aids Vitamins & herbal supplements * A prescription means a written or electronic order for a medicine or drug that meets the legal requirements of a prescription in the state in which the medical expense is incurred and that is issued by an individual who is legally authorized to issue a prescription in that state. 5
Examples of Not Qualified Expenses Cosmetic surgery Concierge service fees (billed for future services; no treatment actually provided) Exercise equipment Fitness programs Funeral expenses Hair transplants Household help Illegal operations and treatments Maternity clothes Most insurance premiums (COBRA, long term care and retiree medical premiums are allowed) Teeth whitening 6
Account Access Anywhere, Anytime Great website and using the card could not be easier. Overall I cannot find a single thing I would want to be changed about this HSA. Citi HSA participant 2016 ConnectYourCare. All Rights Reserved. 7
Three Ways to Pay Payment Card Easy way to pay, funds deducted directly from your account Dental and vision expenses are pulled from your LPFSA first, until depleted Receipts may be requested for LPFSA expenses Press credit to use with no PIN, or debit to use PIN (preset as last 4 digits; reset your PIN by calling 1-888-999-0121) Health Plan Claims UHC and Kaiser Claims sent from your health plan to CYC Pay your portion your provider or reimburse yourself Claims from Insurance Plan section portal Pay With Personal Funds & Request Reimbursement Eligible expenses paid using personal funds (all DCRA expenses) Enter request online or on mobile application Submit documentation for LPFSA and DCRA claims Snap picture with the mobile app Upload scanned images on portal 2016 ConnectYourCare. All Rights Reserved. 8
Dedicated Microsite: connectyourcare.com/qualcomm 2016 ConnectYourCare. All Rights Reserved. 9
Participant Portal 10
Check Your Balance 11
Enter a Reimbursement Request 12
Reimburse Myself Screen 13
Enter HSA Beneficiary Information 14
Order Additional Cards 15
HSA Investment Options 16
Contributions Outside Payroll 17
Adding Dependents 18
Roll Over Your Previous HSA Rollover Form connectyourcare.com/ qualcomm All HSA funds in one account, one payment card Eliminate any fees for previous HSA Easy to transfer process Complete transfer form and mail it to the address on the form. Transfers may take 4-6 weeks depending on your prior Trustee/Custodian s processing time. 19
Mobile Solutions Mobile App Available for Android, ios and Windows devices View account balance, alerts and transaction history Submit a new claim Make payments to your providers Tap to call Customer Service Upload claim documentation with your device s camera Mobile Browser Streamlined version of online account Mobile Alerts - Two-Way Texting Request and receive information via text message Sign up for this feature through your online account 20
Get the Most Out of Your Account Today 1. Go Mobile! 2. Order additional cards for your spouse and eligible dependents. 3. Set up Direct Deposit for faster reimbursements. 4. Set up your HSA Beneficiary information online. 5. Add your dependents. 21