Medicare Premium Reimbursement Process: Complete Guide
Overview
This guide explains the steps to complete the Medicare premium reimbursement process effectively using the Take Command platform. It includes general information on required documents, submission processes, and additional considerations to help ensure reimbursements are processed smoothly.
Steps for Completing the Reimbursement Process
Upload Proof of Coverage (POC): Ensure you upload valid proof of your Medicare coverage via Take Command’s Member Portal. Instructions for uploading are available if needed.
Select the Medicare Option: During setup in the platform, choose the Medicare option to align your details with reimbursement requirements.
Complete Required Details: Input monthly premium information accurately in the system. Upload supplemental insurance information if applicable.
Proof of Coverage Requirements
To receive reimbursements, you need to provide acceptable POC that clearly displays:
Your name
The insurance plan name or Medicare logo
The premium amount (if applicable)
The effective dates of coverage
Acceptable Documents:
Red, white, and blue Medicare card (Parts A and B visible)
SSA letter showing Medicare premium deductions
Medicare premium billing statement
Monthly invoices, annual letters, or a Social Security benefits statement
Specific Situations:
If premiums are deducted from Social Security, submit an SSA letter confirming the deduction.
If transitioning from a previous plan, ensure the old account is reset and upload documents (e.g., Medicare card) upon receiving Take Command email instructions.
If a spouse is covered under your employer’s reimbursement plan, they must upload their own POC separately.
Annual Requirements for Reimbursement
To ensure your Medicare reimbursement is processed for a new plan year:
Upload valid POC each year by completing the enrollment externally if applicable.
Complete the enrollment process through Take Command by confirming all supporting documentation is accurate and up-to-date.
How to Submit a Claim
Log into the Member Portal.
Navigate to: My Benefits > HRA Benefits > Submit Claim.
Enter the required details and upload the mandated POC documents.
Following these steps ensures document compliance, quick review by the compliance team, and eligibility determination for reimbursement.