Frequently Asked Questions
Frequently Asked Questions About Insurance Savings Group
How does a Savings Group work?
- You choose to voluntarily join the savings group.
- Your savings group account is funded by you and/or your employer.
- In exchange for having money withheld from your paycheck each pay period or your monthly “savings contribution”, you receive access to your full “savings limit” starting day one.
What expenses are covered?
Only eligible expenses can be reimbursed by the Savings Group. These expenses are defined by IRS rules and your employer’s plan.
Eligible expenses are those that you pay for out of your pocket for medical care that’s provided to you, your spouse, and eligible dependents. Generally, IRS rules state that medical care includes items and services that are meant to diagnose, cure, mitigate, treat, or prevent illness or disease. Transportation that is primarily for medical care is also included. Here are some examples:
- Your health plan deductible (the amount you pay before your plan starts paying a share of your costs)
- Your share of the cost of doctor’s office visits and prescription drugs
- Your share of the cost of eligible dental care, including exams, X-rays, and cleanings
- Your share of the cost of eligible vision care, including exams, eyeglasses, contact lenses, and laser eye surgery
- Check out our Eligible Expenses page for more details.
- Some HRA plans allow qualified health insurance premiums as eligible expenses, check with your employer to see if this is a feature of your plan.
Click here to see a detailed list of eligible expenses.
Are over-the-counter medicines eligible expenses?
Yes.
What expenses are not covered by the Savings Group?
Expenses that are not approved:
- Herbs, vitamins, and supplements used for general health
- OTC medicines that you don’t have a prescription for (except insulin)
- Family or marriage counseling
- Personal use items such as toothpaste, shaving cream, and makeup
- Expenses that are reimbursed by another plan or program, including a health care plan
- Any other item or service that isn’t used for medical care as defined by IRS rules
What is the maximum amount I can be reimbursed by the Savings Group?
The maximum reimbursement amount you can receive is equal to your account balance at the time your reimbursement request is processed.
How do I keep track of my account activity?
Your Savings Group account information is available any time day or night by logging in to your online account.
Is there a deadline for submitting claims?
180 days.
What if I stop working for this employer?
Your participation in the group is voluntary and you can leave whenever you choose. If you leave your current employer and wish to stay a member in the group, or have a negative account balance, then your monthly savings contributions will be withdrawn automatically each month from your personal checking account.
What happens when I want to leave the Savings Group?
Joining the group is completely voluntary, which means you can choose to leave at any time. When you decide to leave, a simple calculation is performed: your total savings contributions (money you put in) to the group is compared to your total claims payments made (money taken out) from the group. If you have put in more money than you have taken out, then you can leave and we will ACH your savings contributions back into your personal checking/savings account. If you have taken out more money then you have put in, then you need to keep making your monthly savings contribution until the point your savings contributions equal your total claims payments.