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MyPOMCO.com New Online Features for FSA Online Set-Up Instructions

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MyPOMCO.com – New Online Features for FSA

Online Set-Up Instructions

It’s now even easier to manage your flexible spending account (FSA) with these new online features:

Direct deposit of reimbursements into your designated bank account

Instead of waiting for a paper reimbursement check to arrive in the mail, you can choose to receive direct reimbursement deposits into a designated bank account. To set-up this feature once logged in to your online account at MyPOMCO.com:

• Click on My FSA/HRA/HSA

• Under the “My Accounts” tab, click on “Reimbursement Settings.”

• You will see a screen that says “Bank Information” noted with the default reimbursement method of “Check.”

• Click on “Edit.”

• Under the “Reimbursement Method” field, select “Direct Deposit” from the drop down menu.

• Type your bank information. You will need to include: o Bank name

o Checking account number

o ABA routing number for the selected checking account o Bank account type

o Click “Save”

• If you would prefer to receive reimbursement by check for any specific claim(s), please navigate to your claim detail, select the claim for which you are requesting a check reimbursement, and select “receive payment via check.”

• Reimbursements are made at the beginning of every month for all claims processed by POMCO during the month prior.

• Please note that once direct deposit is selected, it will be the default method of reimbursement moving forward.

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Direct payments to designated providers

Instead of paying providers out of pocket and seeking reimbursement, use your FSA funds to pay your provider directly. To request a direct provider reimbursement once logged in to your online account at MyPOMCO.com, click on “My FSA/HRA/HSA,” and then complete the following steps:

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• When you receive an invoice from a physician or a facility for a qualified medical expense, click on “Reimbursement Request” under the “My Accounts” tab.

Under the Reimbursement Request Screen, click “Add New” to enter the claim detail.

• Enter the requested information including:

o Service date(s): The date or range of dates in which services were incurred. o Claim amount: The total amount outstanding to your provider that you are

requesting to be paid from your FSA fund.

o Pay Provider: Select “Yes” for the Pay Provider option.

o Claimant name: This field defaults to the account holder’s name.

o Provider name: Select from the drop down for the provider the claim should be sent to. If the provider is not listed, click the “Add a new provider record” link to enter the provider’s name and address of where the payment should be mailed.

o Account number: Refer to the account number listed on the invoice received from your provider.

o Service Category Code: Select the appropriate code from the drop down box. Service category code options include:

Dental coinsurance Dental fees

Medical coinsurance Medical co-pays Medical deductibles Medical fees

Insurance premiums

Prescription medication coinsurance, copays, or fees Vision coinsurance

Vision fees

o Send Payments: This option allows you to select the frequency with which you want to send payment to the provider. For example, you can use this feature to schedule recurring COBRA premium payments, or payments associated with orthodontia payment plans. Supporting documentation, such as an invoice, must be submitted to schedule recurring payments. Checks for recurring payments will be issued to providers once per month at the

beginning of every month.

 Select the total number of payments to be sent, or when payments should cease.

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o Receipt file: Click “Browse” to load the digital invoice and supporting documentation to the claim. Click “Add File” to complete the upload.

Please note that under IRS rules, credit card receipts or canceled checks are not adequate documentation. Proper documentation includes:

• Explanation of benefits statements from your benefits administrator or insurance carrier.

• A receipt from your provider associated with the services provided which includes all of the following information:

o Provider, medical practice, or facility name o Provider, medical practice, or facility address o Patient’s name

o Date of service o Type of service o Invoiced amount

o Note: Add an optional message to provide further detail or instructions relative to payment.

• Select “OK” to submit your request, or “Cancel” to terminate the request.

• Payment will be debited from your account during the next payment cycle.

• If the expense is partially covered by insurance or other coverage, include in your submission a copy of the explanation of benefits (EOB) verifying what portion of the cost has already been paid by the other coverage.

• A check for payment will be mailed directly to your provider once per month, at the beginning of the month, and the necessary funds will be debited from your account.

Please note that a $15.00 fee may apply to any debit failures. Reasons for debit failures include incorrect account number, incorrect routing number, and closed account. The fee will be billed to the account holder directly and cannot be paid using FSA funds.

Payments to designated providers can also be scheduled from the MyPOMCO Account mobile app. Follow the same on-screen instructions to complete the set-up from your mobile

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Schedule automatic recurring payments for COBRA or other eligible premiums For recurring fixed monthly payments you can schedule an automatic monthly payment directly from your FSA. You can select which providers are paid (instructions on the previous pages), the monthly payment amount, and the frequency and duration of payments. This feature is a convenient way to pay for such known monthly expenses as:

• COBRA payments and other eligible premiums

• Recurring payments associated with orthodontia

In order to set-up this feature, supporting documentation, such as an invoice or orthodontia contract, must be submitted. Checks for recurring payments will be issued to providers once per month at the beginning of every month.

To set-up this feature, select the payment frequency, first payment delivery date, and total number of payments to be sent, or when payments should cease under the “Add/Edit” screen when submitting the electronic claim.

Please note that a $15.00 fee may apply to any debit failures. Reasons for debit failures include incorrect account number, incorrect routing number, and closed account. The fee will be billed to the account holder directly and cannot be paid using FSA funds.

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Automatic substantiation for benefit plan copays

If POMCO is the administrator of your employer’s health, dental, and/or vision benefit plan, you will not be asked to substantiate medical, dental, or vision plan copays paid with your POMCO Benefits MasterCard® debit card. If POMCO is not the administrator of your

employer’s health, dental, or vision benefit plan, you can set-up automatic substantiation of benefit plan copays via MyPOMCO.com. With this feature, copay debit card swipes auto-substantiate according to your benefit plan. You can set-up this feature by logging in to MyPOMCO.com, clicking on “My FSA/HRA/HSA” and following the steps below:

• If your benefit plan member identification card(s) reflects your copays, please mail or email a copy of the front and back of the card(s) to POMCO at:

o 2425 James Street, Suite A, Syracuse, NY 13206 o MyAccounts@POMCO.com

• If copay amounts are not noted on your member identification card (s), or if additional copays exist in your benefit plan(s) aside from those listed on your

member identification card(s), please send a copy of your benefit plan summary plan description(s) to POMCO at:

o 2425 James Street, Suite A, Syracuse, NY 13206 o MyAccounts@POMCO.com

Your benefit plan summary plan description document(s) can be obtained from your benefit administrator(s) or insurance carrier(s). If your copays change at any point, please notify POMCO and provide an updated member ID card and benefit plan document reflecting the new copay information.

If you have any questions or need any assistance in setting up these new features, contact POMCO’s consumer-driven health plan (CDHP) team by calling

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