Chrysler Benefits Express and YSA
BE and YSA - Partnership Your HRA/RHCA claim submissions are administered by Your Spending Account (YSA) which is managed by Benefit Express Benefit Express maintains the actual eligibility and enrollment information This info is sent to YSA to fund the HRA which allows for claims processing Market/Division/Tier 3 (Optional) Practice Group/Tier 4 (Optional) Proprietary & Confidential (Optional) Date (Optional) 1
Top 5 HRA Questions 1.What is an eligible expense? 2.How do I file a claim? 3.How do I update my information? 4.How do I sign up for auto-reimbursement and/or direct deposit? 5.What is my available balance? Market/Division/Tier 3 (Optional) Practice Group/Tier 4 (Optional) Proprietary & Confidential (Optional) Date (Optional) 2
Chrysler Retiree Accounts with YSA HRA and RHCA Eligible Expenses Premiums for Medicare Parts A and B, Medicare Advantage plans and Medigap plans Premiums for other health care coverage such as Dental, Vision or Hearing Deductibles, coinsurance, copayments and supplies Note: Expenses incurred solely for cosmetic reasons such as liposuction, hair transplants, and face lifts are not covered. Market/Division/Tier 3 (Optional) Practice Group/Tier 4 (Optional) Proprietary & Confidential (Optional) Date (Optional) 3
HRA and RHCA Prescription Drugs/OTCs RHCA HRA Rx Yes No OTC meds Yes with doctor s prescription No OTC supplies Yes Yes Market/Division/Tier 3 (Optional) Practice Group/Tier 4 (Optional) Proprietary & Confidential (Optional) Date (Optional) 4
Claim Submission- How to Submit a Claim Must submit a claim form with proper documentation Claim forms are available online or by calling YSA. Complete all sections of the form Attach or Upload copies of your receipts or proof of expense (keep the originals) Be sure to sign and date where indicated Fax or mail your completed form and documentation to Your Spending Account NOTE: Upload does not need to be printed and signed but fax or mail does Market/Division/Tier 3 (Optional) Practice Group/Tier 4 (Optional) Proprietary & Confidential (Optional) Date (Optional) 5
Benefit Express- Always a Resource Log on to the Your Benefits Resources Website at http://resources.hewitt.com/chrysler with your user name and password Or call 1-888-409-3300 Representatives are available from 8 a.m. to 4 p.m., Eastern Time, Monday through Friday o HRA Questions o Update your home address o Update your personal email address o Direct Deposit Banking Information o Beneficiary information Market/Division/Tier 3 (Optional) Practice Group/Tier 4 (Optional) Proprietary & Confidential (Optional) Date (Optional) 6
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Top 5 Claim Mistakes 1.Missing supporting documentation 2.Claim submitted outside of coverage period or after funds exhausted 3.Documentation missing patient name, date, amount, or description 4.Claim form not signed or dated 5.Ineligible expenses Market/Division/Tier 3 (Optional) Practice Group/Tier 4 (Optional) Proprietary & Confidential (Optional) Date (Optional) 10
Invalid vs Valid Receipts
RHCA Funds IMPORTANT INFORMATION RHCA Funds housed at Merrill Lynch YSA requests RHCA funds from ML to cover claim payments Be sure there are sufficient funds in your Institutional Money Market Fund to pay the claim. If there is not enough in the Institutional Money Market Fund, the needed amount will be pulled from all of your mutual fund holdings on a prorated basis by Merrill Lynch. To choose specific mutual funds to be used for claims, you may liquidate those funds and move them to the Institutional Money Market Fund (must be done at them same time as you send in the claim). If you see a claim denial notice due to not enough funds available, it may be that the funds are not in the Institutional Money Market Fund. Contact ML assistance. Note: It could take several days to process.
Communication Enhancements YSA Communications Claim email rewrites Reviewing and enhancing claim processed emails with additional details Adding a table with claim details (plan name, date of service, amount, status) to avoid situations in which an employee would need to access the website Timeframe: Q1 2013
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