Submitting a Reimbursement Request on the Website
This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement)*.
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Automatic Premium Reimbursement and Express Reimbursement are the preferred methods to submit premium reimbursements as they don't require supporting documentation. Reimbursements should only be entered manually if you don't have Automatic Premium Reimbursement or Express Reimbursement turned on.
To submit a reimbursement request on the website, complete the following steps:
1. Sign into Via Benefits and select View Accounts in the Funds and Reimbursements section.
2. Select Visit the Reimbursement Center for the desired account on the Request Reimbursement and Manage Funds tab.
3. On the Dashboard, select Add New Expense. Go to the Premium Expense or Out-of-Pocket Expense section of this article to enter your request.
Note: Your former employer or benefits provider may provide premium reimbursement only. You will only see the options offered to you by your former employer. Your selection options also automatically adjust per your current account setup.
Premium Expense
To enter a premium expense, complete the following steps:
1. Enter what kind of expense it is:
Category (e.g., Medicare, Part A/B, Medical, Pharmacy).
Type (Premium)
Select Continue.
2. Enter the expense details:
Policy Period (Enter the date using the calendar (e.g., January 2024 to December 2024)). Your Policy Period must be after the date your reimbursement account began.
Note: Premiums don't require a specific date of service because they're based on a full month.
Amount
Select the type (Monthly or Total).
Enter the Amount (enter the premium amount paid to your insurance carrier for the selected policy period).
Carrier (e.g., Aetna).
Note: If you entered carriers in the past, the field auto-populates with suggestions when you begin typing. However, you can enter any other carrier in the blank field.
Individual Serviced (select yourself or a dependent from drop-down list).
Select Continue.
Note: A warning message will occur if the system detects a duplicate submission. You may continue with the request or cancel it.
Part B Example
Enter the Policy Period (e.g., January 2024 to March 2024).
Select Total as the Amount type, and enter the amount paid for the quarterly payment.
Enter the Carrier as Part B.
Select the Individual Serviced.
Select Continue.
3. Select Bank Account you would like to have funds deposited to, select Continue.
Note: You can Add Bank Account if necessary.
You may receive a check by mail if your former employer allows it. Please confirm your mailing address. Allow up to 10 days to deliver your check.
To learn more about direct deposit, read Direct Deposit.
4. Select Pick from Receipts or Browse for File(s) to provide supporting documents. Documentation requirements and acceptable document examples are shown onscreen.
Note: Select Add File to upload additional documents.
5. Select Review.
6. Select Submit after reviewing your request.
7. A success message appears on the Finished page when completed.
Select Add Another Expense if you want to submit another expense.
Select Back to Dashboard to return to the Home page.
Out-of-Pocket Expense
To enter an out-of-pocket expense, complete the following steps:
1. Enter what kind of expense it is:
Category (e.g., Medical).
Type (Treatment, Equipment)
Select Continue.
2. Enter the expense details:
Date of Service (Enter the date using the calendar (e.g., 08/23/2024 to 08/23/2024). Your date of service must be after the date your reimbursement account began.
Amount
Carrier (e.g., Dr. Smith, CVS).
Individual(s) Serviced (select yourself or a dependent from drop-down list).
Select Continue.
Note: A warning message will occur if the system detects a duplicate submission. You may continue with the request or cancel it.
3. Select Bank Account you would like to have funds deposited to, select Continue.
Note: You can Add Bank Account if necessary.
You may receive a check by mail if your former employer allows it. Please confirm your mailing address. Allow up to 10 days to deliver your check.
To learn more about direct deposit, read Direct Deposit.
4. Select Pick from Receipts or Browse for Files(s) to provide supporting documents. Documentation requirements and acceptable document examples are shown onscreen.
Note: Select Add File to upload additional documents.
5. Select Review.
6. Select Submit after reviewing your request.
7. A success message appears on the Finished page when completed.
Select Add Another Expense if you want to submit another expense.
Select Back to Dashboard to return to the Home page.
*Via Benefits reimbursement accounts are administered by Extend Health, LLC.