Complete the form and attach the appropriate proof of payment. Proof of payment includes an explanation of benefits (EOB) form you receive from your health plan administrator. The EOB shows the amount paid by the group health plan and the amount you must pay. For other types of claims, you must attach a statement or receipt for services that includes the type of service or product provided, the date expenses were incurred, the name of the family member for whom the service/product was provided and the amount of the expenses.
Fax or mail the form, along with proof of payment, to SHPS. Fax to 1-866-643-2219 or mail to P.O. Box 34700, Louisville, KY 40232.
SHPS will review your request for reimbursement and send your reimbursement either by direct deposit or by check(depending on which method you selected) in the amount of your eligible expenses and an explanation of benefits.
The total amount of your HCRA election (less any amounts you’ve already been reimbursed) is available to you at any time. That means if you contribute $1,000 for the year, you can be reimbursed for an eligible $1,000 expense even if your current HCRA balance has not accumulated to that amount. However, if you’ve already been reimbursed for a $200 expense, only $800 is available to you. This is described in more detail under "Reimbursement Amounts."
If you have any questions regarding your reimbursement, you may contact SHPS directly at 1-800-807-8847, press 1.
To help you keep track of your HCRA balances, you will receive the following statements:
An Explanation of Benefits (EOB) is sent each time you receive a reimbursement from your HCRA. It explains how the amount was determined, summarizes previous reimbursements, and shows the current account balance.
A HCRA statement is sent quarterly to all participants showing what you have taken out and how much you have left. You should keep these statements to help you plan for the following year and as a reminder to file claims for your remaining balance.
Deadline for Filing Claims
You must submit all claims for a Plan Year by March 31 of the following year. For example, expenses you have incurred from January 1 through December 31 of the current Plan Year must be received no later than March 31 of the following Plan Year. The date an expense is considered to be incurred is the day the service or supply is provided, not the date you receive or pay the bill. Any money left in your account after March 31 (for the previous year) will be forfeited as required by the IRS.
Don’t miss the claim Deadline!
All claims must be received by March 31 of the following year for expenses you incurred from January 1 through December 31.