View Towers Watson's One Exchange HRA Presentation

Welcome PEBP

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© 2016 Willis Towers Watson. All rights reserved.

October 6, 2016

Helping You Understand Your Health

Reimbursement Arrangement (HRA)

OneExchange

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 3

Who We Are – Willis Towers Watson

Health Reimbursement Arrangement (HRA)

Reimbursement Requests

Managing Your HRA

Questions and Answer


Who We Are – Willis Towers Watson

OneExchange Medicare Insurance Marketplace


Towers Watson

over

100 years experience

First & Largest

private Medicare Exchange

Personalized options with plans from a nationwide network of carriers

More Choice, More Flexibility

– Better Value

Licensed benefit advisor

provides guidance &

ongoing advocacy

Over 1.5-million retirees served across

540+ employers

Our

11th annual enrollment season

Founded in 2004

No fees

for our

service

OneExchange Service Centers


Operating hours:

Monday – Friday, 5:00 a.m. until 6:00 p.m. Pacific Time

100% Domestic Workforce No Outsourcing!

Salt Lake City,

UT

Dallas, TX

Phoenix, AZ

Call OneExchange at

1-888-598-7545 Always TOLL FREE!

Plans and Insurers


Wide selection of plans from leading national / regional insurers

Medicare

Advantage

Medicare Supplement

(Medigap)

Prescription Drug

(Part D)

Dental and Vision Plans Available

The OneExchange process


Consultative

Process

Simplified

Selection

Effortless

Enrollment

Ongoing

Advocacy

You must remain enrolled through OneExchange

to keep your PEBP HRA benefits!

• Received some mail that is confusing?

• Is your coverage being discontinued?

• Moving?

• Be sure to call One Exchange for all

your plan and HRA related questions

CALL TOLL FREE

1-888-598-7545

Personal Guidance


Navigation

Enrollment

Prescription

changes

Affordability concerns

Reimbursement issues

Late enrollment

HRA

Annual plan review

The plans you select continue on year

to year. No need to re-enroll in the fall

unless you want to make a plan change.

An Ongoing Advocate

Benefit Advisors


Licensed / Certified / Appointed

OneExchange University™

Average age 43

Objective & unbiased

100% domestic workforce

Benefit advisors are available:

Monday – Friday, 5:00 AM. until 6:00 PM Pacific Time


Health Reimbursement Arrangement (HRA)

How Your HRA Works

HRA Administered by

OneExchange Allocates benefit

dollars to each

retiree’s HRA

account Retirees work with

OneExchange to

enroll in individual

medical coverage

Retirees are

reimbursed for

eligible health

plan expenses

or premiums

using HRA

benefit dollars

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Health Reimbursement Arrangement


Your HRA funding will

be available upon

Enrollment and monthly

thereafter.

Unused funds DO roll

over.*

*Subject to 365-day rolling

reimbursement request

submission deadline

If you are eligible, PEBP will make a

monthly contribution

to a Health Reimbursement Account (HRA)

You may use HRA funding to reimburse

yourself for eligible medical, prescription

drug, dental, vision, and Part B premiums, as well

as eligible out-of-pocket healthcare expenses

Tax-free account used to reimburse you

for eligible health care expenses — you pay first

and then get reimbursed

Qualify for your Health Reimbursement Arrangement


Enroll in a medical plan through OneExchange before your enrollment

period ends to have access to your HRA.

Must remain enrolled through OneExchange each year to continue to

have access to your HRA or permanently forfeit the rights to your HRA.

We recommend you schedule a call to enroll.

You can also go online to investigate your options.

Health Reimbursement Arrangement


You may be reimbursed up to the amount

available in your HRA!

Reimbursement Options

Enroll in a participating plan

Ask to select option

Pay premiums as required

Available for plan premiums only

Automatic

Reimbursement

Recurring Reimbursement Request

Fill out form

• Attach required documentation once

• Available for premiums / Medicare Part B premium

Recurring

Reimbursement

Reimbursement Request

Fill out form

• Attach required documentation

• Submit via Mail, Fax or Web

• Available for all expense types

Manual

Reimbursement 3

2

1

Subject to 365-day rolling reimbursement request submission deadline


How Auto-Reimbursement Works

Step 2

Step 3

Step 4

Step 1

Participant pays plan

premium to insurance

company

OneExchange

reimburses

participant

OneExchange

verifies receipt of

payment and

eligibility

Insurance company

forwards receipt of

payment to

OneExchange

How to file a Manual Reimbursement Request

Step 2

Step 3

Step 4

Step 1 Participant pays plan

premium or co-pays

OneExchange

reimburses

participant

OneExchange

verifies receipt of

payment and

eligibility

Participant fills out

Reimbursement

Request, attaches

required information

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Recurring Premium Reimbursement

Apply once for the entire year

- Expires 12/31 each year-

* Must re-submit annually

• Monthly Plan Premiums

• Part B Premiums

Remember: Sign and Date

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Reimbursement Request

Easy One Page Form & any supporting documentation

Don’t Forget to Sign and Date

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Direct Deposit Authorization

The Fastest, Most Secure Way to Receive your Reimbursement

Direct Deposit Set Up

• Phone

• Fax

• Online

Forms and Publications


Nevada PEBP Website:

https://pebp.state.nv.us/


Managing Your (HRA)

Managing Your HRA

1. Telephone

Call the toll-free OneExchange designated number

1-888-598-7545 (TTY 711)

• Hours: Mon-Fri 5:00 a.m. - 6:00 p.m. Pacific Time

• Questions regarding your Auto Reimbursement

payment? Select Option 2.

• Questions about your funding? Select Option 3.

2. Online

Submit request online

https://medicare.oneexchange.com/PEBP

Managing Your HRA - Online

Go to https://medicare.oneexchange.com/PEBP

Onsite HRA Assistance


Remaining weeks in 2016 for Onsite HRA

Assistance:

October 10th – 14th

November 14th – 18th

December 12th – 16th

Available Balance Inquiries

Recurring Claims including Medicare Part B

Premiums

One-time reimbursement requests

How to read the Explanation of Payment

(EOP)

Claim denials

Auto-reimbursement process

A OneExchange HRA Team Specialist will be available one week per

month at the Nevada PEBP office in Carson City to assist participants

with questions about the HRA.

Call 1-866-266-1395 to set up

an individual appointment about

your HRA at the Nevada PEBP

office.


Questions and Answers

? !


Call Now, We Are Ready!

1-888-598-7545

Medicare.oneexchange.com/PEBP

Thank you!

View Towers Watson's One Exchange HRA Presentation

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