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Health Benefits

Select Benefits Extension of deadline to file for HFSA Expenses

Employees participating in the Select Benefits plan who are eligible for group health coverage are eligible to participate in the Health Flexible Spending Account (HFSA). A HFSA may be used to reimburse expenses not covered by a health insurance plan, including deductibles, coinsurance, and copayments. Currently, claims for services incurred during the benefit year will be accepted any time during that year and only up to 60 days after the end of the benefit year (June 30th).

The Health Benefits Evaluation Committee met on February 8, 2011 and voted unanimously to recommend extending the HFSA submission time period. The recommendation was to extend the application period from 60 to 90 days after the the end of the benefit year to allow additional time for claims processing and, when necessary, the claims appeal process. The Commissioner of Administration approved the recommendation on April 1, 2011.

The recommendation for the change in extending the HFSA claim submission deadline will be effective at the beginning of the next benefit year, July 1, 2011.

Your Health Benefits Evaluation Committees
email from
Dennis Geary , April 5, 2011

Select Benefits change to Physicals effective July 1, 2011

The AlaskaCare Employee (Select Benefits) health plan currently covers one routine physical exam per year for covered members per page 45 of the Select Benefits Insurance Information Booklet, as follows:
 

The plan covers one routine physical examination for each covered person per benefit year. This includes physician's services and X-rays, laboratory services and diagnostic tests prescribed by the physician which are received within 30 days of the date of the physical exam. This benefit does not cover exams connected with illness or accident,

required for employment, or to obtain insurance.
 

The benefit is currently subject to deductible and paid the applicable coinsurance based on the plan selected by the member. The Health Benefits Evaluation Committee met on February 8, 2011 and voted unanimously to recommend removing the 30 day requirement to complete routine services associated with routine visit. It is the experience of the AlaskaCare members that it is becoming increasingly difficult to schedule some of these additional services (i.e. lab tests, mammograms, colonoscopies, etc.) within 30 days of the physical examination due to the availability of providers or facilities. The recommendation was to allow routine services, which would normally be associated with the physical examination, to be received at any time during the benefit year, with a maximum of one service of each type per benefit year. The Commissioner of Administration approved the recommended change on April 1, 2011.

This change will be effective on the first day of the new benefit year, July 1, 2011, to allow time for booklet and claim payment modifications and member notification during the upcoming Open Enrollment. 

 

Your Health Benefits Evaluation Committees
email from
Dennis Geary , April 5, 2011  
 

  
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