| Q |
How does an HRA work? |
| A |
Health Reimbursement Arrangement, or HRA, is an account that employers use to reimburse employees' healthcare expenses, such as deductibles, medical coinsurance and eligible medical costs. The HRA does not cover pharmaceutical expenses. The HRA funds are available as long as you remain employed by an OGB-participating employer.
|
| Q |
Does it rollover every year? |
| A |
Yes. Unused funds will rollover until you reach your in-network maximum. So for example, if you are on an employee-only plan, your unused funds will rollover until you reach $5,000. |
| Q |
What happens if I get a new job? |
| A |
HRAs are not portable – meaning if you get a new job with a non-OGB participating employer, you will not be able to take your account with you or use the funds still in it. |
| Q |
How do I use the money? |
| A |
The HRA amount is the amount of the deductible that the employer pays on the behalf of the employee with the Pelican HRA 1000 health plan. The HRA pays for 100% of covered medical expenses from any healthcare provider until the HRA is exhausted. |
| Q |
How does an HSA work? |
| A |
A Health Savings Account, or HSA, is an employee-owned account used to pay for qualified medical expenses, including deductibles, medical coinsurance, prescriptions and other eligible medical costs. To enroll in an OGB HSA, you must enroll in the Pelican HSA 775. Both employees and employers can contribute to a HSA, but the funds are owned by the employee. The HSA funds are available even if you are no longer employed by an OGB-participating employer. The Pelican HSA plan is only available to Active Employees. |
| Q |
Does it rollover every year? |
| A |
Yes. Unused funds will rollover year after year. You won’t lose your money if you don’t spend it within the year. |
| Q |
What happens if I get a new job? |
| A |
If you get a new job with a non-OGB participating employer, you can still use your HSA. It is yours to keep and the funds in it will remain available for your use. |
| Q |
How do I use the money? |
| A |
You will receive a debit card that can be used to pay for eligible expenses. |
| Q |
If the employee is enrolled in a General Purpose FSA and elects the Pelican HSA 775 for July 1, 2015, what will happen with their unused FSA money? |
| A |
Any unused FSA funds will be rolled to a Limited Purpose FSA effective July 1, 2015. Funds in a Limited Purpose FSA can be used only for vision and dental expenses for you, your spouse, and eligible tax dependent children while you maintain your eligibility to contribute to the HSA. |
| Q |
Can an employee choose to cease or reduce contributions to FSA? |
| A |
Yes, only if they choose the Pelican HSA 775 plan effective for July 1, 2015. Any unused money remaining in their General Purpose FSA will be rolled to a Limited Purpose FSA effective July 1, 2015. |
| Q |
What is a narrow network? |
| A |
A narrow network means your coverage extends to a limited group of providers. The Magnolia Local plan network is dependent on where you live. |
| Q |
How do I know if my doctor is in the Magnolia Local Network? |
| A |
To see which doctors and hospitals are in your network visit www.bcbsla.com/ogb and scroll down to “OGB Find Care.” Select either Community Blue (East & West Baton Rouge, Ascension, Caddo and Bossier Parishes) or Blue Connect (Orleans and Jefferson Parishes). You may also call Blue Cross at 1-800-392-4089 for assistance. |
| Q |
What if I want to join the plan but don’t live in an approved parish? |
| A |
Only members who reside in the parishes designated can enroll in the Local plan. That’s to protect you from having to use out-of-network services. If you are outside of the coverage area, it means there aren’t enough providers in your local area for you to use this plan.
- Community Blue - Community Blue is a select, local network designed for members who live in the Baton Rouge (East & West Baton Rouge and Ascension Parishes) and Shreveport communities (Caddo and Bossier Parishes). This means healthcare providers work as a team led by a primary care doctor.
- BlueConnect- BlueConnect is a select, local network designed for members who live in the New Orleans community (Orleans and Jefferson Parishes). BlueConnect is a great health plan for people who want local access, a new approach to health and a lower priced insurance plan.
|