The Ohio Public Employees Retirement System uses a reimbursement process administered by OneExchange to help participants in the OPERS Medicare Connector pay their expenses.
This week we’re releasing a series of four blogs and videos that will show participants how to conduct Connector transactions. Today’s blog addresses how to pay medical and prescription drug premiums for plans enrolled in through OneExchange. You can view an accompanying video series on our YouTube channel.
Paying your bill
- You pay the insurance premiums directly to your medical carrier and, if applicable, your prescription drug carrier.
- How the carrier receives your payment depends on how you choose to set it up based on the options your carrier provides, such as:
- Automatic bank account deduction
- Monthly mailings to the carrier using a coupon book
- Automatic credit card charge
Getting your money
Reimbursement can be automatic or manual.
- Automatic reimbursement: If your carrier permits automatic reimbursement, you can arrange for it during the OneExchange enrollment call. You also can set it up through your OneExchange online account, or ask OneExchange (844-287-9945) to do so after your enrollment call.
- Manual reimbursement: You can submit a manual claim form to OneExchange monthly or at longer intervals, if you wish.
Verifying your claim:
If you set up automatic reimbursements, you don’t need to provide documentation of your bills on a regular basis. If you’re submitting manual reimbursements, you will need documentation. It can include:
- A premium statement and a bank statement or canceled check showing the amount paid
- A payment coupon
Make sure your submitted documents include:
- The covered participant’s name
- The insurance provider name
- The date of service
- A description of coverage (for example, Medigap)
- Proof of payment
Next topic: Medicare Part B coverage