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The Virtual Blue plans give members (small and large groups) the choice of virtual or in-person care. Virtual care includes $0 unlimited visits to primary care, behavioral health and specialty care through a new partnership with AccoladeCare. In-person care is available through the Tandem PPO network in California and via BlueCard when outside of the state.
The two Virtual Blue small group plans available in PRISM are the Virtual Blue Gold Tandem PPO 1500/45 and Virtual Blue Bronze Tandem PPO 7500/75. These can be identified by ‘Virtual Blue’ in the plan name.
When using the PRISM filter options for Narrow or Broad networks, select ‘All’ networks instead of ‘Broad’ only networks to generate plans for Blue Shield’s Virtual Blue, Trio HMO, and Tandem PPO plans.
If you need assistance, please contact our Quotes team at quotes@claremontcompanies.com or 800.696.4543.
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The passage of the Coronavirus Aid, Relief, and Economic Security (CARES) act on March 27, 2020 expands how you can use Flexible Spending Account (FSA) and Health Savings Account (HSA) funds. However, FSAs do not allow certain types of purchases, including the three mentioned below.
1. Masks
Even though recommended by the CDC, masks are an ineligible expense and cannot be purchased as an over-the-counter item using an FSA card. Learn more.
2. Multivitamins
Over-the-counter vitamins and supplements are not considered an eligible expense because of how the IRS determines eligibility. They are considered a dual purpose item and require a doctor’s note before purchasing. You’ll then need to submit a claim.
FSA funds can be used to purchase doctor-prescribed specific supplements with a Letter of Medical Necessity (LMN).
3. Weight Loss Items
When signing up for a weight loss program and purchasing items to support your health journey, you must have an LMN to back up your purchase. This includes scales, weight loss program costs, and supporting material such as training videos or online coaches.
If your pre-tax benefits are administered by BRi, have your doctor fill out an LMN. Otherwise, it’s best to not use your FSA funds for weight loss.
Visit the healthcare.gov website for eligible FSA expenses.
If you’re a Benefit Resource Inc. client, view the Eligible Expenses Table through your online account. The list contains a breakdown of items and their eligibility status. Just log in to BRiWeb and view the Eligible Expenses Table in documents.
To learn more, visit Benefit Resource Inc.
Questions?
Contact your Claremont team at 800.696.4543 or info@claremontcompanies.com.
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