Page 43 - Takoma Park Benefits Guide 2022

Paying for Care is Easy... This step-by-step guide explains how to use your
account. Let’s start at the doctor’s office.

Step 1 Step 2 Step 3
Go to the Doctor, Dentist, Eye Doctor, Pay Additional Charges (if any) Complete the Payment Process
Pharmacist or other Health Care Provider.
9 Your insurance plan will process the claim. 9 Payment Card: If you paid using your
9 Show your insurance ID card. You may receive a bill for your portion owed. payment card, you may have to submit
documentation. We’ll try to automatically
9 Pay copays and other charges with your 9 Paying with your payment card is always verify that your payment card charges were
payment card or with personal funds. Your fastest and easiest. If necessary, you eligible, but if we cannot, we’ll ask you for
choice of payment impacts Step 3, so can always pay with personal funds. Your documentation.
keep reading. payment choice impacts Step 3.
9 Personal Funds: If you paid with
9 Ask your doctor for an itemized receipt as 9 Keep all necessary documentation. personal funds, you will have to request
documentation* – be sure it contains these reimbursement online or via the mobile
five pieces of information: app, and submit your documentation.
HOT TIP (See How to Submit a Reimbursement
1. Patient name
Request section.)
2. Date of service An Explanation of Benefits (EOB) provided by
3. Doctor’s name your insurance carrier usually contains all the
How Your 4. Description of the service required information. How Your
5. Amount charged
Account Account
*Health Savings Accounts (HSAs) will not require
Works documentation, but you should always retain your Works
documentation in case it is needed at tax time.
We’ll automatically check as many payment card charges as we can, but at times, you may have to submit documentation.
How does ConnectYourCare Why would a doctor/dentist/eye doctor What if I don’t submit documentation?
automatically check eligibility? charge need documentation? Your payment card will be temporarily suspended if
*Health Savings Accounts (HSAs) will not require
We use a number of methods, like automated It may seem obvious that a charge at a legitimate health documentation is not received. We’ll turn it back on
documentation, but you should always retain your
information from the merchant or your health plan provider would be approved, but we must check the once documentation is received and processed. You
documentation in case it is needed at tax time.
and exact matches to your plan’s copay amounts or item’s eligibility (not teeth whitening, for example) and may have to reimburse your plan for the expense.
previously approved claims, to automatically approve that it was during your plan year.
as many charges as possible.