Via Benefits reaching out to retirees
Here’s what to expect during calls addressing health care coverage
By Michael Pramik, Ohio Public Employees Retirement System
Nov. 7, 2024 – It’s open enrollment season, and OPERS wants to make sure eligible retirees get all the help they need when applying for health care coverage in 2025.
In consultation with OPERS, Via Benefits, our health care vendor, has developed an outreach campaign to get in touch with retirees to alert them to information they need to make the right health care choices. The campaign is multifaceted and will be conducted via letters, email and, in some cases, direct calls from Via Benefits.
We understand that many of our members are concerned about fraud during the open enrollment period, especially over the phone. When a representative from Via Benefits calls an OPERS member, the representative will:
- Identify themselves as calling from Via Benefits Insurance Services
- State that the call is being recorded
- Ask for the benefit recipient by his or her full name or have the benefit recipient state the full name for verification. It isn’t sufficient to only state the benefit recipient’s last name.
- Verify two of the following three pieces of information:
- Phone number
- Date of birth
- ZIP code
The outreach calls specific to this open enrollment period will explain that OPERS members eligible for Medicare must enroll in individual Medicare medical coverage through Via Benefits to qualify for an OPERS HRA contribution. The Via Benefits representative also will be available to help retirees evaluate their coverage options.
Outside of the open enrollment season, subsequent direct calls will be made to gauge whether members would like to shop for other options in light of their Medigap premium increase. Via Benefits also will reach out to members as they near retirement or age into Medicare.
If you are suspicious about the authenticity of a caller purporting to be from Via Benefits, hang up and call Via Benefits at 1-833-939-1215 (for Pre-Medicare benefit recipients) or 1-844-287-9945 (for Medicare benefit recipients).
Michael Pramik
Michael Pramik is communication strategist for the Ohio Public Employees Retirement System and editor of the PERSpective blog. As an experienced business journalist, he clarifies complex pension policies and helps members make smart choices to secure their retirement.
I called Via Benefits and was put on hold. I was told it would be 31 minutes. Several hours later I was disconnected. Next time I requested a call back. I called in the morning. About 5:30 in the afternoon my phone rings. I was not able to answer. The voice mail asked me to call the next day. I gave up and have elected to continue my current coverage. Not good service.
VIA benefits is a joke. I called today to discuss my Medicare part D options I was told the wait would be 2 hours so I requested a call back. They called back in about an hour which was fine but then I was told I had to talk with another person to discuss the part D policies which I was fine with but then was told I had to be put on hold and the wait would be between 2 hours to 2 1/2 hours. I requested a call back but was told that wasn’t an option I had to wait on the phone then requested to set up an appointment for them to call me to discuss the policies and was told no appointments were available. This is totally uncalled for! This system is not elderly friendly at all! OPERS you are failing your members. Patrick Flynn
I called via benefits. Waited for 3 hours and 40 minutes. Agent gave conflicting information about the same question. I was so exasperated trying to get service that I finally gave up. I would rather take my chances on the open market. OPERS should implement a system to provide the HRA reimbursement without being held hostage by a group like via benefits.