The Health Care Plan for Retirees and Surviving Dependents provides medical, mental health/substance abuse treatment and prescription drug coverage for eligible retirees and their families.
At retirement, PG&E will provide you with a Retiree Medical Savings Account (RMSA) to help you pay retiree medical premiums. If you have remaining credits in your Health Account when you retire, you can continue to use your Health Account to pay for eligible retiree medical expenses.
You can find more specifics about RMSA in your Summary of Benefits Handbook and a detailed description of the Retiree Medical Plan in the Summary of Benefits Handbook for Retirees and Surviving Dependents or log on to the Mercer BenefitsCentral.
Deadline for filing claims for Anthem members
For 2016 expenses
File claims with WageWorks through March 31, 2017, for 2016 health care expenses incurred through December 31, 2016.
File claims with WageWorks through March 31, 2018, for 2017 health care expenses incurred through December 31, 2017.
Don’t use your card for prior year expenses
Don’t use your health payment card in 2017 to pay for 2016 expenses. Instead, you’ll need to file a claim to reimburse yourself or to pay your provider.
You get a prescription December 15, 2016, and incur an expense. You have until March 31, 2017, to file a claim for that expense prescription December 15, 2016, and incur an expense. If you pay for your prescription in 2017, you’ll need to file a claim for.
There are three ways to get reimbursed:
|Pay My Provider
||Pay Me Back
||Manually file claims
Log in to your WageWorks account and use Pay My Provider if you get a bill and you don’t want to use your card.
Pay My Provider sends money to your provider for amounts not paid by insurance.
Log in to your WageWorks account and use Pay Me Back if you already paid an eligible expense out of your own pocket.
Download the free WageWorks app—EZ Receipts®—for an easy way to use Pay Me Back.
Use the Health Account and Healthcare Flexible Spending Account Claim Form or the Dependent Care Claim Form to file claims with WageWorks.
WageWorks automatically debits your Health Care FSA, if you elected it, and then your Health Account.
Don’t have enough in your Health Account or Health Care FSA to cover the charge? You’ll need to pay with your own money.
Tip: Don’t wait!
Send your explanation of benefits (EOB) to WageWorks when you get it—even if you paid with your WageWorks card. Sending the EOB right away will help avoid having your payment delayed.
If you need help filing a claim or reimbursement, call the PG&E Benefits Service Center at 1-866-271-8144, and select option 6 for WageWorks.
Set up your WageWorks account
To set up your account, log on to your Mercer BenefitsCentral account and click on WageWorks link. You’ll be able to go straight to your WageWorks account without creating a username and password.
Deadline for filing claims for Kaiser Health Account members
|All Expenses: Kaiser
You can file Health Account claims with Kaiser Permanente.
Go to kp.org/healthpayment to file a claim
Call Kaiser at 1-877-750-3399 for help filing claims
Call the PG&E Benefits Service Center at 1-866-271-8144 if you have any questions.