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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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