SUPPLEMENTAL MEDICAL: click to download form

HEALTH REIMBURSEMENT ACCOUNT (HRA) - FLEX CARD

The Flex card will be administered by EBS-RMSCO, INC.

Effective 3/1/10 we switched to flex cards for Supplemental claims.

This convenient, efficient debit card will allow you to pay providers immediately.

A few highlights:

    - The flex card will expand your coverage to now cover over the counter drugs.

    - Prescription drug claims will be increased from six months to twelve months. 

    - The mandatory minimum balance will decrease from $250 to $100 but no longer can go to zero when self paying for          

       Insurance, unless retired.

    - For claims submitted manually checks will be cut or direct deposited weekly.

    - Accounts will be charged a $5 monthly fee.

Click on the link for a full listing of qualifying and non-qualifying expenses  Qual_Exp_List_2009b R      

1. Supplemental Medical Forms
   
   1. EBS 2010 CLAIM FORM
   2. Supplemental Self-Pay Payment Request
   3. Supplemental Medical Transfer Request Form
   
   
2. Plan Summary Information
   
   1. Medical Supplemental Summary
      
3. Summary Annual Report Information
   
   1. Supplemental Medical Plan
      
4. Supplemental Medical News & Information