Premium receipts on the way

Medicare retirees able to file early for 2018 recurring reimbursements

By Heather Drago, Ohio Public Employees Retirement System

Dec. 15, 2017 – Retirees who enrolled in a plan through the OPERS Medicare Connector need to access a health care premium receipt from OPERS that reflects the amount deducted from their pension benefit for health care. This receipt is needed to file for a recurring reimbursement of those deductions from their Health Reimbursement Arrangement accounts.

Last year we were unable to generate these receipts until early January. We’ve got good news: Based on your feedback, we worked throughout the year to change this process, and we’re happy to report this year’s premium receipts are automatically mailing this week to all Medicare retirees with an HRA.

During this time, OneExchange will mail personalized recurring reimbursement forms. Put the two mailings together, and file now for your reimbursements for 2018.

Also, participants enrolled in a medical plan through the Connector will receive their annual $300 deposit into their HRAs on Jan. 2.

Heather Drago

Heather Drago is a health care communications specialist with the Ohio Public Employees Retirement System. She breaks down health care topics into clear, concise, consumable messaging for our retirees. When she’s not blogging, Heather composes content for OPERS print publications, the OPERS website and internal employee communications.

Heather Drago

Health Care Communication Specialist

42 thoughts on “Premium receipts on the way

  • December 15, 2017 at 2:50 pm
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    So in January 2018 we will receive a extra 300.oo dollars.Beside the regular payment we receive amonth?

    Reply
    • December 15, 2017 at 2:58 pm
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      Yes. Participants enrolled in a medical plan through the Connector will receive their annual $300 deposit into their HRAs on Jan. 2.

      Reply
      • December 18, 2017 at 6:58 pm
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        Is this the last year for the January $300 deposit?

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        • December 19, 2017 at 10:31 am
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          Yes, you are correct. January 2018 is the last extra $300 deposit into your HRA account.

          Julie

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  • December 15, 2017 at 2:54 pm
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    Why do we have to do this every year?

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    • December 18, 2017 at 4:23 pm
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      Thank you for your question. Medicare-eligible plan participants who enrolled in a plan through the OPERS Medicare Connector are able to set up and receive recurring OPERS premium plan reimbursement for the vision, dental and OPERS Retiree Health Plan. While OPERS cannot submit for reimbursement on your behalf, we are able to provide documentation listing eligible premium amounts deducted from last year’s pension benefit to help with the recurring reimbursement process.

      Reply
  • December 15, 2017 at 3:22 pm
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    If I recall correctly for 2017 we did not have to file any paperwork for the dental and vision purchased thru OPERS, I am not sure I am understanding this update. Possibly I don’t understand because it does not pertain to me….but for 2018 are we required to submit paperwork showing that we want the charges for dental and vision reimbursed as it was in 2017?

    Reply
    • December 18, 2017 at 4:21 pm
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      If eligible, you should have received last year’s OPERS premium receipt seeking 2016 recurring reimbursement in January 2017. In regards to 2017 OPERS recurring plan premiums, we were able to adjust our systems to mail the Premium Receipt this month. The Heath Care Premium Receipt is specific to OPERS premiums (vision, dental, OPERS Retiree Health Plan) deducted from your pension benefit. When coupled with the recently mailed personalized OneExchange Recurring Reimbursement form, Medicare-eligible plan participants who selected a plan through the OPERS Medicare Connector are able to seek recurring reimbursement for these eligible expenses.

      Reply
  • December 15, 2017 at 3:48 pm
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    I am confused . Last year and year before the people who chose auto pay did not need to do anything it was auto deduct or is this something else? Are You talking about the insurance premium for medicare. Usually I am pretty good at understanding butnot this time and its probably simple but its not sinking in for me

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    • December 18, 2017 at 4:20 pm
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      The Heath Care Premium Receipt is specific to OPERS premiums (vision, dental, OPERS Retiree Health Plan) deducted from your pension benefit and is separate from the medical plan selected through the OPERS Medicare Connector.

      When coupled with the recently mailed personalized OneExchange Recurring Reimbursement form, Medicare-eligible participants who selected a plan through the OPERS Medicare Connector are able to seek recurring reimbursement for these eligible expenses.

      Heather, OPERS

      Reply
  • December 15, 2017 at 4:02 pm
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    Since any insurance signed up through One Exchange is automatically reimbursed monthly, I’m assuming by “premium receipts” you are talking about our recurring dental and vision that is deducted from our monthly benefit?

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    • December 18, 2017 at 4:19 pm
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      Thanks for asking! To provide some background, the OPERS Health Care Premium Receipt was sent to Medicare retirees with an HRA and is part of the documentation needed to set up 2018 recurring reimbursement. You are correct that the deductions listed on the OPERS Health Care Premium Receipt are considered eligible expenses that can be reimbursed from the HRA, specifically OPERS vision/dental and OPERS Retiree Health Plan premiums.

      While separate, I’d like to provide some clarity for readers in that not all medical plans selected through the Connector had the ability to for automatic reimbursement; if this was the case, a manual option was offered.

      Thank you again for reaching out!

      Heather, OPERS

      Reply
  • December 15, 2017 at 4:19 pm
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    Do I still have to do all this if I have not made any changes to my healthcare coverage for 2018?

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    • December 18, 2017 at 4:18 pm
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      Yes. Premiums change from year to year and you need to renew each year.

      Reply
  • December 15, 2017 at 6:49 pm
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    I recently tried to file a recurring medicare Part B premium claim for next year. PayFlex would not allow me to submit the claim online. I called OneExchange and they told me that the funding for next year was not set up yet. They advised me to wait and try later in the month.

    Reply
    • December 18, 2017 at 4:15 pm
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      Mr. Bell,

      It sounds like it was too soon. When you receive the Health Care Premium Receipt letter (mailing this week), follow the instructions for Medicare Part B reimbursement. If you have more questions or concerns after that, give OneExchange another call, visit medicare.oneexchange.com/opers or contact OPERS and we will do our best to assist.

      Julie, OPERS

      Reply
  • December 15, 2017 at 6:59 pm
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    I have never received the recurring form – did get a form for medicare and the other reimbursement form requested the recurring one advised it would be sent still not here – when will they be sent out

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    • December 18, 2017 at 4:12 pm
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      The personalized Recurring Reimbursement Form will arrive through the mail from OneExchange this month. If you have not already received it, the form should be available through your online OneExchange account for download.

      Reply
      • February 13, 2018 at 4:58 pm
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        I still have not received the recurring forms I have requested them two times now and told they will send them out – can not print forms out on my computer so could you please send them

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        • February 14, 2018 at 2:32 pm
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          Ms. Wilmer,

          OPERS does not have the ability to print personalized reimbursement forms. Please call OneExchange to verify that they have your correct address on file and request another copy.

          Julie, OPERS

          Reply
  • December 15, 2017 at 7:04 pm
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    Will my spouse who is not eligible any longer for HRA, but continues to have insurance through the connector get a receipt from the connector so I can set up his reinbursment from my HRA?

    Thank you!

    Reply
    • December 18, 2017 at 4:11 pm
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      A letter will accompany your Health Care Premium Receipt and will explain in further detail. Please know that the Health Care Premium Receipt from OPERS is specific to OPERS premiums (vision, dental, OPERS Retiree Health Plan) deducted from your pension benefit and is separate from the medical plan selected through the OPERS Medicare Connector.

      If you log in to your OneExchange online account, you should be able to download your personalized Standard Reimbursement Form, Medicare Part B Reimbursement Form and Recurring Reimbursement Form. When coupled with the recently mailed personalized OneExchange Recurring Reimbursement form, Medicare-eligible participants who selected a plan through the OPERS Medicare Connector are able to seek recurring reimbursement for these eligible expenses. For specific questions related to your HRA, please call OneExchange, 1-844-287-9945.

      Reply
  • December 15, 2017 at 10:09 pm
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    I thought the Insurance company filed the payment with the Connector. The reimbursement I filed was for Dental Insurance out of payroll OPERS.

    Reply
    • December 18, 2017 at 4:07 pm
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      A letter will accompany your Health Care Premium Receipt and will explain in further detail. Please know that the Health Care Premium Receipt from OPERS is specific to OPERS premiums (vision, dental, OPERS Retiree Health Plan) deducted from your pension benefit and is separate from the medical plan selected through the OPERS Medicare Connector.

      Reply
  • December 16, 2017 at 12:57 am
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    I have never received these in the past. How do I get the ones for previous years. My medical insurance is automatic, but not vision and dental.

    Reply
    • December 18, 2017 at 4:05 pm
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      The Health Care Premium Receipt, from OPERS, is specific to OPERS premiums (vision, dental, OPERS Retiree Health Plan) deducted from your pension benefit and is separate from the medical plan selected through the OPERS Medicare Connector. Give us a call at 1-800-222-7377 or email the OPERS customer service team through your secure, online account regarding account specific questions and we will be sure to help you.

      Heather, OPERS

      Reply
    • December 18, 2017 at 6:49 pm
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      The receipts for previous years are available in the documents section of you OPERS on line account. Just download them. I have submitted them every year.

      Reply
  • December 16, 2017 at 4:11 pm
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    thank you for the info. Can you also file the reoccurring reimbursement from our Medicare, Part B if we have a doc from social security?

    Reply
    • December 18, 2017 at 4:04 pm
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      A letter will accompany your Health Care Premium Receipt and will explain in further detail. If you have more questions after reading it, please call us at 1-800-222-7377 and a Member Services representative can help you you. If you’d prefer not to wait on the phone, use our Virtual Hold system to schedule a time for us to call you back. You also can use your online account to send us a secure message, and an OPERS Member Services representative will get back to you

      Heather, OPERS

      Reply
    • December 18, 2017 at 6:56 pm
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      Yes. You can use your social security award letter, if you get social security and pay your Part B premium out of your social security. If you pay quarterly for Part B, you can submit the statement that social security sends you with a copy of your check/payment. I use the first method for myself and the second for my wife.

      Reply
  • December 18, 2017 at 10:56 am
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    Ref One Exchange mailing personalized recurring reimbursement forms. I contacted One Exchange on Friday, 12/15/17 and was advised they did not know when these forms would be available to mail out and to use the old forms until they got the personalized forms printed.

    Reply
  • December 20, 2017 at 7:07 am
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    I do not start medicare until Feb 1, 2018. Will I still receive the $300 HRA?

    Reply
    • January 4, 2018 at 4:42 pm
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      Yes, you will receive the $300 lump sum regardless of when you enroll.

      Reply
  • January 3, 2018 at 2:31 pm
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    Hi, I have not yet received the personnalize recurring form to file for the reacurring dental and vision premium.,nor have i received the Health Care Premium receipt for vision and dental. Will i get that soon?

    Reply
    • January 4, 2018 at 3:45 pm
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      You should have received a new, personalized recurring reimbursement form from OneExchange last month. Please contact OneExchange if you did not receive this form in the mail.

      Julie, OPERS

      Reply
  • January 3, 2018 at 6:38 pm
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    I never received my PERSONALIZED recurring reimbursement forms from One Exchange.

    When going on the one Exchange website, I can only access a PERSONALIZED recurring reimbursement form for my monthly Medicare premium. No such forms for dental or vision. :-(. I ended up having to submit 4 forms on-line for my husband and my premiums.

    OPERS was so on top of things by getting my dental and vision receipt to me in mid-December. Too bad One Exchange appears to be unorganized.

    Reply
    • January 4, 2018 at 3:41 pm
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      Marlene,

      Thank you for reaching out to us with this question. Since the new, personalized recurring reimbursement forms come from OneExchange, you’ll need to contact them to add your middle initial. You may want to ask them for confirmation as to when this change will take place to ensure it’s completed.

      Julie, OPERS

      Reply
  • January 5, 2018 at 8:53 am
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    A “Recurring Premium Reimbursement Request” form does not exist in the mailout or the OneExchange website. I am going to do the following:

    Copy the personal “Recurring Medicare Part B Reimbursement Request” form.

    White-out the words Medicare Part B where ever they exist.

    Make a fresh copy of the edited copy.

    In the title write the word “Premium” next to Recurring.

    Fill in the blanks as per What I Need To Do:.

    Make a final copy, add the Health Care Premium Receipt. Send it to OneExchange.

    RPM

    Reply
    • January 5, 2018 at 1:30 pm
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      Customizing your own form will cause issues during processing and may result in your claim being denied. Your personalized Recurring Premium Reimbursement Form can be found in your online OneExchange account. You can also call OneExchange and request that one be mailed to you if you would prefer that method instead.

      Julie, OPERS

      Reply
    • January 5, 2018 at 7:42 pm
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      A recurring premium reimbursement form does not exist on line either. I just looked. I could not tell if One Exchange expected you to use the standard form for recurring expenses. The standard form does not have a column for end date as the Part B form does. I use the online service and filing for a recurring expense is easy there.

      Reply
      • January 10, 2018 at 3:25 pm
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        Mr. Bell,

        Your personalized Recurring Premium Reimbursement form can be found in your online OneExchange account. You can also call OneExchange and request that one be mailed to you if you would prefer that method instead.

        Julie, OPERS

        Reply
        • February 14, 2018 at 4:40 pm
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          Here it what is available on line:
          Standard Reimbursement Request
          Your former employer provides funding through an account to help reimburse you for eligible health care expenses. A standard reimbursement request will reimburse you for those eligible health care expenses. You will pay for your health care expenses, retain your receipts and supporting documentation, submit your reimbursement request form, and will be reimbursed for eligible expenses from those funds.

          View Form
          Recurring Medicare Part B Reimbursement Request
          The recurring Medicare Part B reimbursement is for those who want to be automatically reimbursed monthly for their premiums deducted from their Social Security benefit check. Submit one Recurring Medicare Part B Reimbursement Request Form to set up recurring reimbursement for the rest of the year. There will be no need to file a reimbursement request for Medicare Part B until the beginning of the following year.

          Reply

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