my.viabenefits.com
Helping You
Understand Medicare Open
Enrollment and
Your Health
Reimbursement
Arrangement (HRA)
© 2020 Willis Towers Watson. All rights reserved.
Fall, 2020
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22
Click on the ‘Red Box w/ Arrow’ to
expand the control panel if it isn’t already
expanded.
The ‘Questions’ drop-down will allow you to
type in your questions; click on
box with diagonal to expand;
this is not a chat box, but a questions box.
Note: we believe we will address about 85%
of your questions directly in this presentation –
in their most effective order for understanding.
Audio Challenges?• Do the ‘Sound Check’ and test your
‘Computer Audio’;
• Toggle between COMPUTER
AUDIO, NO AUDIO and back
* If still unsuccessful, please choose
‘Phone call’ and the # and Dial-In code
is right there
willistowerswatson.com 3© 2020 Willis Towers Watson. All rights reserved.
Today’s Presentation is Available Ongoing
Step1: Open your internet browser and type
my.viabenefits.com/PEBP in the address bar
Step 2: From the landing page, scroll down to
‘The Enrollment Experience’ subheading and click
on the link:
PEBP Retiree Medical Video Presentation
Online –
my.viabenefits
.com/PEBP
Online –
pebp.state.nv.
us
Step1: Open your internet browser and type
pebp.state.nv.us in the address bar
Step 2: From the landing page go to ‘Plans’,
‘Retiring Before Age 65 and Retiring After Age 65’,
then click on ‘Helpful Links’.
my.viabenefits.com
Helping You
Understand Medicare Open
Enrollment and
Your Health
Reimbursement
Arrangement (HRA)
© 2020 Willis Towers Watson. All rights reserved.
Fall, 2020
©2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
willistowerswatson.com
55
Click on the ‘Red Box w/ Arrow’ to
expand the control panel if it isn’t already
expanded.
The ‘Questions’ drop-down will allow you to
type in your questions; click on
box with diagonal to expand;
this is not a chat box, but a questions box.
Note: we believe we will address about 85%
of your questions directly in this presentation –
in their most effective order for understanding.
Audio Challenges?• Do the ‘Sound Check’ and test your
‘Computer Audio’;
• Toggle between COMPUTER
AUDIO, NO AUDIO and back
* If still unsuccessful, please choose
‘Phone call’ and the # and Dial-In code
is right there
willistowerswatson.com 6© 2020 Willis Towers Watson. All rights reserved.
Today’s Presentation is Available Ongoing
Step1: Open your internet browser and type
my.viabenefits.com/PEBP in the address bar
Step 2: From the landing page, scroll down to
‘The Enrollment Experience’ subheading and click
on the link:
PEBP Retiree Medical Video Presentation
Online –
my.viabenefits
.com/PEBP
Online –
pebp.state.nv.
us
Step1: Open your internet browser and type
pebp.state.nv.us in the address bar
Step 2: From the landing page go to ‘Plans’,
‘Retiring Before Age 65 and Retiring After Age 65’,
then click on ‘Helpful Links’.
©2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
willistowerswatson.com
777
Discussion Topics
Medicare — Plan Types
Via Benefits -- Who We Are
2
1
Via Benefits Enrollment Process
Health Reimbursement Arrangement (HRA)
Questions and Answers
3
4
5
©2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
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8
8
Who We Are
willistowerswatson.com
Experience That Counts When You Need it Most
© 2020 Willis Towers Watson. All rights reserved. 9
Retirees from
hundreds of
employers
2 MIL
The first and
largest private
Medicare
company
#1
Enrollment
Season
15th
Insurance
providers
120+
my.viabenefits.com
Via Benefits
Online Call
10© 2020 Willis Towers Watson. All rights reserved.
Salt Lake City
Dallas
Salt Lake
City
PhoenixDallas
Monday – Friday
5:00am – 6:00pm Pacific
My.ViaBenefits.com/PEBP
24 hours a day/7 days a week TOLL FREE 1- 888-598-7545
willistowerswatson.com
Plans and Insurers
12© 2020 Willis Towers Watson. All rights reserved.
Medicare Advantage
(Part C)
Medicare Supplement
(Medigap)
Prescription Drug
(Part D)
PLANS
INSURERS
Dental and Vision Plans Available
my.viabenefits.com
Your Supplemental Coverage OptionsMedicare Advantage with Prescription Drug (MAPD)
13© 2020 Willis Towers Watson. All rights reserved.
Medicare Advantage with
Prescription Drug coverage
(Part C)
MAPD
Health
Maintenance
Organization
HMO
Preferred
Provider
Organization
PPO
Hearing Aids
Vision
Dental
& More
Optional Supplemental
Benefits
©2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
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14
Your Supplemental Coverage Options
Medigap Plans
Medigap
Prescription
Drug Plans
(Part D)
+
my.viabenefits.com
Medicare Supplement Insurance (Medigap)
Lettered policies in 47 states
(Exceptions -Minnesota, Wisconsin and Massachusetts)
15© 2020 Willis Towers Watson. All rights reserved.
Medicare Supplement Insurance (Medigap) Policies
Benefits A B D G K L M N
Medicare Part A coinsurance
and hospital costs100% 100% 100% 100% 100% 100% 100% 100%
Medicare Part B
coinsurance or copayment100% 100% 100% 100% 50% 75% 100% 100%
Blood (first 3 pints) 100% 100% 100% 100% 50% 75% 100% 100%
Part A hospice care
coinsurance or copayment100% 100% 100% 100% 50% 75% 100% 100%
Skilled nursing facility care
coinsurance100% 100% 50% 75% 100% 100%
Part A deductible 100% 100% 100% 50% 75% 50% 100%
Part B deductible
Part B excess charges* 100%
Foreign travel emergency
(up to plan limits)80% 80% 80% 80%
Source: CMSOut-of-Pocket limit
in 2021
*CT, MA, MN, NY, OH, PA, RI, VT $6,220 $3,110
Medicare
First-Eligible
Before 2020
ONLY
C F
100% 100%
100% 100%
100% 100%
100% 100%
100% 100%
100% 100%
100% 100%
100%
80% 80%
©2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
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16
Your Supplemental Coverage Options
Medigap Plans
Medigap
Prescription
Drug Plans
(Part D)
+
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17
*Spouse/DP must also have a medical plan through Via Benefits in order to elect PEBP dental.
Plan Year 2021 PEBP Dental Plan RatesJuly 1, 2020 – June 30, 2021
State Retiree Non-State Retiree
Retiree only $40.44 $41.67
Retiree + Spouse/DP* $80.87 $83.33
PEBP Dental Option
▪ Medical plan through Via Benefits = option to elect the PEBP dental plan
▪ You will need to fill out an RBECF or log on to your E-PEBP Portal to enroll (or decline)
▪ PEBP Dental coverage will be effective for the entire plan year (July 1-June 30)
▪ Reimbursement will occur automatically, no need to submit a paper claim form
▪ In most cases the dental premium will be deducted from your PERS pension check
▪ No PERS pension check? Pay online or set up automatic payments through your E-PEBP Portal
©2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
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18
18
Plans and Premiums Examples
Las Vegas, NVClark County89101
my.viabenefits.com
Plans for Clark County
19© 2020 Willis Towers Watson. All rights reserved.
Plan TypeNumber of
Plans
Offered
2021
Monthly
Premium
Insurers
[subject to change]
Medicare Advantage 29 $ 0 - $151
Humana, Aetna,
Senior Care Plus,
UHC, Anthem BCBS,
Cigna, Select Health
Medicare Supplement
(Medigap)24 $85 - $362
Aetna, Humana,
AARP/UHC,
Anthem BCBS
Part D 22 $7 - $95
Aetna,
ExpressScripts,
Humana, WellCare,
Mutual of Omaha,
UHC, Anthem BCBS
*not applicable to retirees with “Access only” coverage
my.viabenefits.com
Ancillary Plans for Clark County
20
Plan TypeNumber of
Plans Offered
2021
Monthly Premium
Insurers
[subject to change]
Vision 5 $6 - $18VSP, UVP,
Humana
Dental 12 $27 - $59
Humana, Ameritas,
MetLife, Cigna,
Guardian,
Renaissance
© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com
Medicare Advantage for Clark County
21
Benefit 2021 Cost
Premium $0
Network PPO
Deductible $0
Doctor Copay $5
Specialist Copay $35
Hospital Days 1 - 5 $295 per day
Emergency Room $90
Rx – DeductiblePreferred Retail Co-Pay Tiers (30 days)
$195 $0 / $10 / $47 / $100 / 29%
Preferred Mail Order Co-Pay Tiers
(90 days)$0 / $0 / $131 / $290
© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com
Medigap Plan F + Prescription Drug Plan
22
Based on a 75 year old male
Benefit 2021 Cost
Premium $208 ($201 Medical + $7 PDP)
Network Not Applicable
Deductible $0
Doctor Copay $0
Specialist Copay $0
Hospital $0
Emergency Room $0
Rx – DeductiblePreferred Retail Co-Pay Tiers (30 days)
$445 (Except Tier 1)$0 / $19 / $46 / 49% / 25%
Preferred Mail Order Co-Pay Tiers
(90 days)$0 / $57 / $138 / 49%
© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com
Medigap Plan G + Prescription Drug Plan
23
Based on a 75 year old male
Benefit 2021 Cost
Premium $198 ($175 Medical + $23 PDP)
Network Not Applicable
Deductible $198 (2020)
Doctor Copay $0 $175 < $201
Specialist Copay $0
Hospital $0
Emergency Room $0
Rx – DeductiblePreferred Retail Co-Pay Tiers (30 days)
$0 $0 / $4 / $40 / 37% / 25%
Preferred Mail Order Co-Pay Tiers
(90 days)$0 / $10 / $100 / 37%
© 2020 Willis Towers Watson. All rights reserved.
©2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
willistowerswatson.com
24
24
Plans and Premiums Examples
Carson City, NV89701
my.viabenefits.com
Plans for Carson City
25© 2020 Willis Towers Watson. All rights reserved.
Plan TypeNumber of
Plans
Offered
2021
Monthly
Premium
Insurers
[subject to change]
Medicare Advantage 9 $ 0 - $180Aetna,
Senior Care Plus
Medicare Supplement
(Medigap)24 $69 - $323
Aetna, Humana,
AARP/UHC,
Anthem BCBS
Part D 22 $7 - $95
Aetna,
ExpressScripts,
Humana, WellCare,
Mutual of Omaha,
UHC, Anthem BCBS
*not applicable to retirees with “Access only” coverage
my.viabenefits.com
Ancillary Plans for Carson City
26
Plan TypeNumber of
Plans Offered
2021
Monthly Premium
Insurers
[subject to change]
Vision 4 $6 - $18 VSP, UVP
Dental 10 $32 - $64
Humana, Ameritas,
MetLife, Cigna,
Guardian,
Renaissance
© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com
Medicare Advantage for Carson City
27
Benefit 2021 Cost
Premium $0
Network HMO
Deductible $0
Doctor Copay $0
Specialist Copay $45
Hospital Days 1 - 6 $275 per day
Emergency Room $120
Rx – DeductiblePreferred Retail Co-Pay Tiers (30 days)
$195 $5 / $12 / $41 / $94 / 33%
Preferred Mail Order Co-Pay Tiers
(90 days)$10 / $24 / $82 / $188
© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com
Medigap Plan F + Prescription Drug Plan
28
Based on a 75 year old male
Benefit 2021 Cost
Premium $208 ($201 Medical + $7 PDP)
Network Not Applicable
Deductible $0
Doctor Copay $0
Specialist Copay $0
Hospital $0
Emergency Room $0
Rx – DeductiblePreferred Retail Co-Pay Tiers (30 days)
$445 (Except Tier 1)$0 / $19 / $46 / 49% / 25%
Preferred Mail Order Co-Pay Tiers
(90 days)$0 / $57 / $138 / 49%
© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com
Medigap Plan G + Prescription Drug Plan
29
Based on a 75 year old male
Benefit 2021 Cost
Premium $198 ($175 Medical + $23 PDP)
Network Not Applicable
Deductible $198 (2020)
Doctor Copay $0 $175 < $201
Specialist Copay $0
Hospital $0
Emergency Room $0
Rx – DeductiblePreferred Retail Co-Pay Tiers (30 days)
$0 $0 / $4 / $40 / 37% / 25%
Preferred Mail Order Co-Pay Tiers
(90 days)$0 / $10 / $100 / 37%
© 2020 Willis Towers Watson. All rights reserved.
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30
30
Plans and Premiums Examples
Reno, NVWashoe County89512
my.viabenefits.com
Plans for Washoe County
31© 2020 Willis Towers Watson. All rights reserved.
Plan TypeNumber of
Plans
Offered
2021
Monthly
Premium
Insurers
[subject to change]
Medicare Advantage 16 $ 0 - $180
Aetna, Humana,
Anthem BCBS, UHC,
Senior Care Plus
Medicare Supplement
(Medigap)24 $69 - $323
Aetna, Humana,
AARP/UHC,
Anthem BCBS
Part D 22 $7 - $95
Aetna,
ExpressScripts,
Humana, WellCare,
Mutual of Omaha,
UHC, Anthem BCBS
*not applicable to retirees with “Access only” coverage
my.viabenefits.com
Ancillary Plans for Washoe County
32
Plan TypeNumber of
Plans Offered
2021
Monthly Premium
Insurers
[subject to change]
Vision 4 $6 - $18 VSP, UVP
Dental 10 $32 - $64
Humana, Ameritas,
MetLife, Cigna,
Guardian,
Renaissance
© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com
Medicare Advantage for Washoe County
33
Benefit 2021 Cost
Premium $0
Network HMO
Deductible $0
Doctor Copay $0 - $10
Specialist Copay $50
Hospital Days 1 - 5 $275 per day
Emergency Room $120
Rx – DeductiblePreferred Retail Co-Pay Tiers (30 days)
$0 $5 / $12 / $41 / $94 / 33%
Preferred Mail Order Co-Pay Tiers
(90 days)$10 / $24 / $82 / $188
© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com
Medigap Plan F + Prescription Drug Plan
34
Based on a 75 year old male
Benefit 2021 Cost
Premium $208 ($201 Medical + $7 PDP)
Network Not Applicable
Deductible $0
Doctor Copay $0
Specialist Copay $0
Hospital $0
Emergency Room $0
Rx – DeductiblePreferred Retail Co-Pay Tiers (30 days)
$445 (Except Tier 1)$0 / $19 / $46 / 49% / 25%
Preferred Mail Order Co-Pay Tiers
(90 days)$0 / $57 / $138 / 49%
© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com
Medigap Plan G + Prescription Drug Plan
35
Based on a 75 year old male
Benefit 2021 Cost
Premium $206 ($183 Medical + $23 PDP)
Network Not Applicable
Deductible $198 (2020)
Doctor Copay $0 $183 < $201
Specialist Copay $0
Hospital $0
Emergency Room $0
Rx – DeductiblePreferred Retail Co-Pay Tiers (30 days)
$0 $0 / $4 / $40 / 37% / 25%
Preferred Mail Order Co-Pay Tiers
(90 days)$0 / $10 / $100 / 37%
© 2020 Willis Towers Watson. All rights reserved.
©2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
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36
“Welcome to Medicare” Visit and Yearly “Wellness” Visits
During the first 12 months that you have Part B, you can get a “Welcome to Medicare” preventive visit.
This visit includes:
▪ A review of your medical and social history related to your health
▪ Education and counseling about preventive services, such as certain screenings, shots, and referrals for other care
▪ Every 12 months thereafter, you may
▪ schedule a Wellness Visit.
When you make your appointment, let your doctor’s office know that
you’d like to schedule your “Welcome to Medicare” or Yearly “Wellness”
preventive visit.
IMPORTANT! Do not call it a physical or it will not be covered as a
preventive benefit.
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37
Medicare App
my.viabenefits.com
Prescription Drugs — 5 Tiers of Co-Pays
© 2020 Willis Towers Watson. All rights reserved.
Tier 5 – Specialty drugs
Tier 1 – Preferred generic
Tier 2 – Non-preferred generic
Tier 3 – Preferred brand
Tier 4 – Non-preferred brand
willistowerswatson.com
Medicare Prescription Drug Coverage 2021
39© 2020 Willis Towers Watson. All rights reserved.
39
$3.70 for Generics
$9.20 for Brand Name
or 5% coinsurance
(whichever is greater)
25% for Brand Name
25% for Generics
Beneficiary Pays
$0-445
$4130
$6550
Total Cost
Full retail until
deductible is met
Copays for your plan
coverage
70% manufacturer
discounts count
towards TrOOP
Coverage Gap
(only 25% will reach)
Deductible
Initial Coverage
Catastrophic Coverage
(only 4% will reach)
my.viabenefits.com
Via Benefits Online Easy to use, helps you understand your options, 24 hour availability
41© 2020 Willis Towers Watson. All rights reserved.
Your time is important. Take these steps online to maximize your time.
my.viabenefits.com 42© 2020 Willis Towers Watson. All rights reserved.
Create an online account. Add the following information to help narrow your
options when you shop online.
Your personal information: name, email,
address, and telephone number
Your prescription drugs details:
name, dosage, and frequency for
each medication
Your essential doctors – to be
included in network plans, like
Medicare Advantage
Your Medicare ID number (MICN) –
found on your Medicare card right
below your name
my.viabenefits.com 43
Schedule an Appointment
43© 2020 Willis Towers Watson. All rights reserved.
Online Call
2021 Medicare Open Enrollment Period
October 15 – December 7, 2020
my.viabenefits.com/PEBP
24 hours a day/7 days a week
Monday – Friday
5:00am – 6:00pm Pacific
TOLL FREE 1-888-598-7545
my.viabenefits.com 44
Shop & Compare allows you to view Medicare plans available in your area
44© 2020 Willis Towers Watson. All rights reserved.
▪ Sort plans
▪ Compare plans side by side
2021 Medicare Open Enrollment Period
October 15 – December 7, 2020
my.viabenefits.com 45
And if the Medicare Advantage plan offers Optional Benefits, you can clearly see
it in the results.
45© 2020 Willis Towers Watson. All rights reserved.
▪ Optional Supplemental
Benefits are offered for some
Medicare Advantage plans
2021 Medicare Open Enrollment Period
October 15 – December 7, 2020
my.viabenefits.com 46
2021 Medicare Open Enrollment Period
October 15 – December 7, 2020
Refine your choices with Help Me Choose
46© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com/PEBP
View plan options with
24 hours a day/7 days a week
access
For Placement Only
my.viabenefits.com 47
Target drug plans which cover your prescriptions
47© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com/PEBP
Enter your prescriptions
▪ Name
▪ Dosage
▪ Frequency
Discover the Part D plans which
cover your prescriptions and
estimate your annual out-of-
pocket costs by entering in the
prescription drugs you currently
take
Prescription Check
2021 Medicare Open Enrollment Period
October 15 – December 7, 2020
my.viabenefits.com 48
Fast, secure, easy
48© 2020 Willis Towers Watson. All rights reserved.
Can’t Enroll Online?
Call us and we’ll take it
from there!
TOLL FREE
1- 888-598-7545
Note: Plans and rates for
2021 are available in early
October 2020 – NOW!
my.viabenefits.com/PEBP
Available 24 hours a day/7 days a week
2021 Medicare Open Enrollment Period
October 15 – December 7, 2020
my.viabenefits.com 49© 2020 Willis Towers Watson. All rights reserved.
Help & Support
Advocacy All Year Long
Shop & Compare
Prescription Checkup
Help Me Choose
Your plans will automatically renew
from year to year. No need to re-enroll
unless you want to make a change.
Online Help & Support
TOLL FREE
1-888-598-7545
During business hours
We’re here to assist you
when you need it
©2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
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50
Medicare Open Enrollment Period (OEP)
Medicare OEP is different than PEBP’s
Open Enrollment which normally occurs in
May for a July 1st effective date.
Medicare Advantage OEP
▪ January 1 – March 31
▪ Provides an additional safeguard to
participants that feel they enrolled in
the wrong Medicare Advantage
(MA/MAPD) plan
▪ The following changes are allowed
during this time:
▪ Switch from current MA/MAPD
plan to a new MA/MAPD plan
▪ Disenroll from their current
MA/MAPD plan, and return to
original Medicare and enroll into a
stand-alone Prescription drug
plan
▪ This MA/MAPD OEP will not help those
that did not enroll/missed their Special
Enrollment Period (SEP) deadline
Medicare Open Enrollment Period (OEP)
▪ October 15 to December 7
▪ Provides an opportunity to change health
plan and prescription drug coverage.
▪ Changes made during OEP will become
effective January 1.
▪ If you want to make ANY changes to your
coverage, you MUST make your
changes through Via Benefits.
▪ Making changes outside of Via Benefits
will cause you to forfeit your monthly
HRA contribution, Basic Life Insurance
and PEBP dental (if applicable).
willistowerswatson.com 51
Health
Reimbursement
Arrangement (HRA)
© 2020 Willis Towers Watson. All rights reserved.
my.viabenefits.com
Health Reimbursement Arrangement (HRA)
5252
If you are eligible
and qualify
PEBP will make a
MONTHLY
contribution to a
Health Reimbursement
(HRA) Arrangement
Tax-free
account
Used to reimburse you
for eligible health care
expenses – you pay first
and then get reimbursed
You may use
Funding to reimburse
yourself and your spouse
for eligible medical,
prescription drug, dental,
vision, Medicare Part B
premiums, as well as
eligible out-of-pocket
healthcare expenses*
© 2020 Willis Towers Watson. All rights reserved.
▪ Unused HRA funds are available in future years
▪ Effective May 31, 2021, the available balance for the
HRA will be capped at $8,000. You can accrue more
than $8,000 throughout the plan year, however any
balances over $8,000 will be reduced to the $8,000
cap on May 31 of each year going forward.
*Subject to 365-day rolling
reimbursement request
submission deadline from the
date the service was incurred
my.viabenefits.com
Eligible Expenses
Common Eligible Expenses for Reimbursement*
53© 2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
Premiums
▪ Medicare Medical
▪ Prescription
▪ Dental
▪ Vision
▪ Medicare Part B
Most Common Expenses
▪ Office Visit Copays
▪ Physician Service Copays
▪ Prescription Copays
▪ Deductibles
▪ Co-Insurance
▪ Dental Treatments
▪ Eye Exams
▪ Eyeglasses
Other Eligible Expenses
▪ Artificial Limbs and Teeth
▪ Ambulance Hire
▪ Chiropractor
▪ Contact Lenses
▪ Hearing Aids and Batteries
▪ Immunizations
▪ Laboratory Fees
▪ Medical Supplies and Equipment
▪ Oral Surgery
▪ Osteopath
▪ Psychiatrist
▪ Stop Smoking Programs
▪ Vaccines
▪ Wheelchair
▪ X-Rays
*Note – this is not an all inclusive list of eligible expenses.
The fastest, most secure way to receive your reimbursement
Direct Deposit Set Up Options
▪ Fax
▪ Online (and Mobile App)
Direct Deposit Authorization Forms
available by calling Via Benefits at
TOLL FREE 1-888-598-7545
Direct Deposit
©2018 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only. 55willistowerswatson.com
▪ You pay your requested expense first
▪ Attach required documentation one time
▪ Available for premiums/Medicare Part B
premium expenses
▪ Submit via fax, mail, or online
▪ Enroll in a participating plan on Via
Benefits and activate functionality
▪ Pay premiums as required
▪ Available for plan premiums only
1
2
3
Auto-Reimbursement
Recurring Premium
Reimbursement
▪ You pay your requested expense first
▪ One time request for all eligibleexpenses
▪ Attach required documentation
▪ Submit via fax, mail, or online
One-Time (Manual)
Reimbursement Request
Reimbursement Method
▪ Enroll in a participating plan on Via Benefits
and activate functionality
▪ Pay premiums as required
▪ Available for plan premiums onlyAuto-Reimbursement
▪ Call Via Benefits at 1-888-598-7545 to activate after receiving Funding Account
Welcome packet or you may activate on your account online or app
▪ Can take 6 weeks to receive first AR reimbursement
▪ May also be some delay January – March each year and when you enroll in a new plan
▪ Works for premium reimbursements only
▪ Available on most plans
▪ No paper forms required
▪ If you need your reimbursement sooner, you may simply fill out a one-time reimbursement
form
Option 1: Automatic Reimbursement (AR)
for Plan Premiums
willistowerswatson.com
Health Reimbursement Account
57
Automatic Monthly Premium Reimbursement
Up to the amount available in your HRA
YOU Your Bank
Reimburse (Direct Deposit or Check)
Insurance Provider
Set Up Automatic Withdrawal
Receipt of Payment
Premium
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▪ You pay your requested expense first
▪ Attach required documentation one time
▪ Available for premiums/Medicare Part B
premium expenses
▪ Submit via fax, mail, or online
Recurring Premium Reimbursement
▪ No longer requires separate Recurring Reimbursement
form. The Reimbursement Request Form will be used
▪ Can be used for Monthly plan premiums (i.e. vision) or
Medicare Part B premiums
▪ Submit once for the entire year or if premium
changes for any reason
May be submitted:
▪ Online
▪ Mobile App
▪ Fax
▪ Submit with required supporting documentation
Option 2: Recurring Premium Reimbursement
All Recurring Premium Reimbursement
Request expire on 12/31 each year
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59
Part B Premium Deducted From Social Security Pension
Recurring Reimbursement for Part B Premium
Appropriate supporting documentation:
▪ Social Security Benefit Awards Letter
or
▪ CMS Invoice for Medicare Part B
▪ Used for “one-time” expenses like Physician
coinsurance or copays, prescription copays,
prescription eyeglasses, etc.
▪ Complete all key data such as the date of
service, amount of reimbursement request,
type of service
▪ Submit with supporting documentation
▪ May be submitted:
▪ Online
▪ Mobile App
▪ Fax
▪ You pay your requested expense first
▪ One time request for all eligibleexpenses
▪ Attach required documentation
▪ Submit via fax, mail, or online
One-Time (Manual)
Reimbursement Request
Option 3: One-Time Reimbursement Request Form
Request additional forms by calling Via
Benefits at 1-888-598-7545 or online:
My.ViaBenefits.com/PEBP
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Health Reimbursement Account
61
Manual Reimbursement
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YOU
YOUR INSURANCE COMPANY
Receipt of
Payment
You may be reimbursed
up to the amount
available in the HRA!
HRA
YOUR INSURANCE COMPANY
Receipt of
Payment
YOU
▪ All expenses are subject to a 365-day rolling reimbursement
request submission deadline from the date the service was
incurred for the expense to be considered eligible
▪ Claims submitted after the 365-day rolling reimbursement
request submission deadline incurrence period will be
automatically denied.
Timely Filing of HRA Reimbursement Claims
my.viabenefits.com
Maximize Your Account
▪ Sign onto your online account
▪ Set up Direct Deposit
▪ Automate your reimbursements
▪ Go paperless
Sign in, Set Up, and Automate
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my.viabenefits.com
Via Benefits Mobile App
With the mobile app, you can
▪ Check reimbursement status
▪ Check available balance
▪ Submit new reimbursement requests
▪ Take a picture and attach documents to
your reimbursement requests
All from your smartphone or tablet
▪ Available for iOS and Android
HRA Management on the go
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©2020 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson and Willis Towers Watson client use only.
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65
Call the Customer Service Center if you
need help with the following:
▪ Available balance inquiries
▪ Auto-reimbursement process
▪ How to navigate the Via Benefits
website
▪ Inquiries related to Medicare Part B
Premiums
▪ Payment status, setting up Direct
Deposit
▪ Questions about a denied claim
HRA Assistance
Telephone assistance is always available through the Via Benefits Customer Service Center by calling 1-888-598-7545 Monday through Friday, 5:00 AM until 6:00 PM Pacific Time
If you have an escalation that has
not been resolved after speaking with
Customer Service you can set up an
appointment with an HRA Specialist
by calling 1-844-266-1395.
▪ Have you received some mail that is confusing?
▪ Are you moving?
▪ Is your current coverage being discontinued?
▪ Do you have questions about your HRA?
Be sure to call Via Benefits
Monday through Friday,
5:00 AM until 6:00 PM Pacific Time
1-888-598-7545
Medical Plan Enrollment is Required to Receive
Via Benefits HRA Funding
IMPORTANT: In order to maintain your PEBP benefits,
HRA funding qualification, Basic Life insurance and
PEBP Dental Plan (if applicable), you MUST STAY
enrolled in a medical plan with Via Benefits.
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67
Contact InformationPublic Employees’ Benefits Program901 S. Stewart St. Suite 1001 Carson City, NV 89701 775-684-7000 or 1-800-326-5496
NEW – Find all important information as well as send us a secure message by logging on to your E-PEBP Portalwww.pebp.state.nv.us
Social Security Administration 1-800-772-1213 www.ssa.gov
Via Benefits1-888-598-7545www.My.ViaBenefits.com/PEBP
my.viabenefits.com 68
Go online now!
my.viabenefits.com/PEBP
Or call us at 1-888-598-7545
Thank You!
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Today’s Presentation is Available Ongoing
Step1: Open your internet browser and type
my.viabenefits.com/PEBP in the address bar
Step 2: From the landing page, scroll down to
‘The Enrollment Experience’ subheading and click
on the link:
PEBP Retiree Medical Video Presentation
Online –
my.viabenefits
.com/PEBP
Online –
pebp.state.nv.
us
Step1: Open your internet browser and type
pebp.state.nv.us in the address bar
Step 2: From the landing page go to ‘Plans’,
‘Retiring Before Age 65 and Retiring After Age 65’,
then click on ‘Helpful Links’.