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Getting reimbursed is easy using YSA’s online resources. How to Access Your Account. our HRA on your benefits website. All the information you need to successfully manage your account can . Here you can: • Get your account balance. • View eligible expenses. • Submit claims and documentation.
The YSA Benefit Program provides the following benefits: • Access to an individual Medicare plan, which you must enroll in through the Exchange established by the Post-Employment TPA; and • Funding from the YSA, which functions like a reimbursement account.
HEALTH CARE CLAIM INSTRUCTIONS. To have your claim approved, you must complete and sign the enclosed form and fax or mail it to Your Spending Account with the required documentation. Once received, your claim will typically be processed within ten days.
Reimbursement on the YSA website. See page 6 to learn more, or you can complete and sign an HRA Claim Form. To obtain a paper claim form, contact the service representatives at 800-928-8027 (TTY 711). • If completing a paper claim form, fax or mail your HRA Claim Form, along with proof of premium payment (e.g., bank statement, canceled check
3 Simple Steps. Enter your claim information on the YSA website. Print the claim form and have your provider sign and date it. Upload the completed form on the YSA site (after photographing or scanning it), or send a copy by fax or mail. After your documentation is received, YSA will process the claim within 5 days. Submitting Receipts.
The Statement of Medical Necessity Form was created to capture all required information needed to prove a product or service is medically necessary. The following information is required: Patient Name. Specific Diagnosis, Diagnosis Code (ICD-9), or Medical Condition.
When you incur an eligible health care expense that is not covered by insurance, you can use your assigned YSA Visa debit card to immediately pay it, or you can file a claim on the YSA website located within the Your Benefits Resources website at www.resources.hewitt.com/southernco.
