What Is a Qualified Medical Expense?
A qualified medical expense is a healthcare cost that can be paid or reimbursed using your ICHRA funds. These are expenses related to your medical care, including treatment, prevention, and care management, that are recognized under IRS rules. Your employers ICHRA may cover health insurance premiums only, or it may cover both health insurance premiums […]
How do I get a copy of my health insurance ID card?
You will receive your ID cards in the mail directly from your insurance carrier within 10-14 days (about 2 weeks) from the start date of your plan. For example, if your health insurance plan start date is January 1, expect to receive a physical copy of your ID card in the mail on or around […]
How to schedule time with a licensed Benafica counselor
If you’d like personalized help selecting a health plan or have questions during the enrollment process, you can schedule a one-on-one session with a licensed Benafica guidance counselor at any time. These 30-minute appointments are designed to give you expert support and help you feel confident in your choices. Where to Find the Scheduling Option […]
What to expect after enrolling: Next steps in your coverage
Congratulations — your health plan enrollment is complete! Here’s what happens next and what you should be prepared for as your coverage is processed. Benafica Submits Your Enrollment to the Insurance Carrier After you finish your enrollment in BEN360, Benafica will securely send your information to your insurance carrier. This processing period typically takes about […]
How to make sure your prescriptions are covered
When choosing a health plan, it’s important to confirm that your regular prescriptions are covered — and understand how much they may cost under different plans. While BEN360 does not yet offer a built-in prescription lookup tool, you can still check coverage by reviewing each plan’s formulary. A formulary is the list of medications an […]
How to create a member account with your insurance carrier
BEN360 helps you shop for plans, enroll, and view basic plan details, but once your coverage begins and you start using your health insurance, you’ll need to create an online member account directly with your insurance carrier. Your carrier’s member portal is where you can track the day-to-day usage of your plan, including: Claims and […]
How to shop for plans using filters in BEN360
When you’re ready to compare health plans in BEN360, the filter tools make it easy to narrow down options and find the coverage that fits your needs. Instead of scrolling through every available plan, you can quickly sort and filter by the things that matter most to you — such as metal tier, network type, […]
What if I receive an email saying the insurer will cancel my coverage?
If you have received an email stating “ACTION REQUIRED NOW: If you do not provide these documents, your coverage will be canceled by your insurer.” please reach back out to us with the information requested, which may ask for proof of U.S Citizenship and proof of Social Security Number. The reason this happens is that the information that […]
HSAs and ICHRAs
An HSA (Health Savings Account) is an account owned by you, the employee. You can contribute up to a set amount of money on a pre-tax basis. The HSA money can be withdrawn tax-free to pay for a qualified medical expense. Alternatively, you can let the money accrue interest or invest it in the stock […]
Adding your doctors and providers to check network compatibility
During the enrollment process in BEN360, you’ll have the option to add your doctors and medical providers. This step is important because it helps us show you only the health plans that include your preferred providers in-network, saving you time and helping you make a more confident decision. How to Add Your Providers When prompted […]