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How and when will I be reimbursed?

How long does it take to receive my QSEHRA or ICHRA reimbursement?

Written by Ryan H

Your employer will reimburse you directly for your reimbursement claims. Each month, Take Command Health will deliver a reimbursement statement to your employer so they know exactly how much to reimburse you. This report includes details such as verified claims and eligible reimbursement amounts, providing transparency for both employers and employees. Some employers choose to add the reimbursements directly to payroll while others issue a separate payment for the claims.

Take Command Health facilitates expense tracking, maintains ledgers, and generates monthly reimbursement reports for employers, but does not itself handle or distribute funds. These reports, typically generated at the start of each month, outline approved claims and assist employers in determining the reimbursement amounts to be issued.

To be eligible for reimbursements, employees must upload proof of an active health insurance plan within a reasonable timeframe after enrollment. Contact Customer Experience if you are unsure of your deadline.

When you submit a recurring premium or medical expense claim through your member portal, it will be reviewed and approved (or declined). Typically, this takes 1-3 business days, but can take up to 30 business days. You can always check the status of your claims in your member portal.

For instance, submitting proof such as receipts, insurance bills, or Explanation of Benefits (EOB) is mandatory when entering claims like premiums or medical expenses. Claims can then show status updates like "pending" or "under review" in the portal.

Step-by-Step Guide to Claim Submission

  1. Log into Your Member Portal: Use your credentials, or reset your password if needed.

  2. Upload Coverage Documents: If not done already, upload your insurance bill or coverage proof showing your name, plan details, and coverage dates.

  3. Submit a Claim: Select the claim type (e.g., Premium or Medical), enter details like amount and date, and attach necessary receipts or EOBs before submission. Approved claims will enter payment processing by your employer.

From there, double check with your employer on how & when they plan to process reimbursements.

Be sure to understand whether the reimbursements will be processed via payroll additions or through separate payments, and clarify the expected timeline with your employer.

Employees terminated during the covered period remain eligible for any reimbursements for the final month they were employed. Post-termination, they retain access to the Take Command portal for up to 90 days, allowing submissions of outstanding claims.

If you've submitted your claim but haven't been paid yet, see ICHRA & QSEHRA Employee: Why Haven't I Received My Reimbursement? for a checklist of common causes and next steps.

Additionally, some companies may enable claim submissions only on specific dates, like the first of each month. Verify your employer’s schedule if you encounter submission restrictions. In one-time reimbursement scenarios, such as initial premiums paid out-of-pocket, employees will still receive reimbursement for that period. Enabling autopay through the carrier can help avoid future delays or manual payments.

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