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Medical Reimbursement

Medical Reimbursement

The Health Care/Preventive Care Spending Account (the "Annual Account") allows you to be reimbursed up to $1,000/year for qualifying medical expenses. The Annual Account is available to all covered active and retired participants and their dependents.

 

For example, you could use the Annual Account to pay:

  • The 20% coinsurance for services covered at 80%

  • Amounts exceeding the allowable charge when you obtain care outside the Aetna network

  • Deductibles

  • Any covered dental care benefit that exceeds the scheduled amount

  • Any covered vision care benefit that exceeds the amounts paid under the Plan

  • Prescription drug copayments

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Eligibility Requirements

  • Initial Eligibility - You are eligible for coverage under the Plan on the first day of the Benefit Quarter after you've completed a total of 1,000 hours of work with one or more Contributing Employers during four consecutive Working Quarters.
     

  • Continuing Eligibility - To maintain your eligibility once you establish Initial Eligibility, you must work at least 300 hours during a Working Quarter.









     

Reserve Account
Hours you work in excess of 300 during a Working Quarter, up to 900, are credited to a Reserve Account in your name. This account helps you maintain eligibility. If you don't work 300 hours during a Working Quarter, hours that have been credited in your Reserve Account may be used to help you reach the 300-hour minimum, making you eligible for coverage during the next Benefit Quarter.

​If your hours worked and Reserve Account don't total 300 hours, those hours will be used to reduce your cost to purchase continued coverage, or they will be cancelled.

Your Healthcare Advocate

We have a dedicated Healthcare Advocate from Lacher who is ready to help you with:

  • Claims that you believe haven’t been properly paid

  • Questions regarding a bill sent by a doctor, dentist, lab or hospital

  • Further clarification on any insurance matters

  • Questions about your healthcare benefits

​​

Stephanie Cassel

Direct line: 267-498-0600

stephanie@lacherinsurance.com

Fax: 215-723-8604

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