After You've Enrolled | Alight Retiree Health Solutions

After Enrollment

WHAT'S NEXT?

Services provided by Alight Retiree Health Solutions continue even after you’ve enrolled in a plan — at no additional cost to you. Our licensed Benefits Advisors and customer service representatives are available to help if needed.

So that we can better serve your coverage needs:

You’ll want to keep your online account up to date if you move or have changes to your personal information.
If your medications change, you should update your online medicine cabinet to add new ones or make changes to your existing. This allows us to help ensure that the coverage you select covers your prescription requirements.
If you change doctors be sure to update them in your preferred provider preferences online — it’ll make it easier to evaluate, compare or select a plan next year.

If you have questions or issues about your coverage, billing or claims, contact your insurance company first. If you need assistance resolving an issue with your insurance company, let us know.

Review your coverage

If you want to review any of the plans you selected, you can find them underMy Account

Insurance ID cards

Your insurance carrier will issue your ID card, and it will arrive in your mail close to the effective date of your coverage. Depending on the plan(s) you selected, you may receive more than one card. Always keep your Medicare and related health care insurance ID cards with you and be sure to notify all existing and future providers of your new insurance information.

Billing and payments

You’ll receive premium statements from your insurance company, and payments should be made directly to your insurance company. Consider taking advantage of the automatic payment option, if it's available, so you don't have to worry about missing a payment. If you have a reimbursement account (often called a health reimbursement account, HRA or another name) through your former employer, you must still make your payments to your insurance company and then submit them for reimbursement. Your reimbursement account details (if applicable) are found in theMy Account section of our website.

Medicare exam and annual wellness visits

Medicare covers you for a thorough initial exam to assess your health. Once your health care plan is in effect, be sure to schedule this important visit with your primary care physician. You’ll learn about any issues that might require monitoring or treatment, so you and your doctor can work together on developing a plan to maximize your health. Going forward, after you’ve had Medicare (Part B) for longer than 12 months, it covers wellness visits once every 12 months.

Managing your account

The Alight Retire Health Solutions website is your one-stop health insurance resource available 24/7. Your online account is a place where you can keep all of your health care-related information secure and easy to access:

Personal details and contact information
Medications and provider details
Coverage information
Reimbursement account information, if applicable

My Profile

Keep your account information updated at all times. This allows us to help you evaluate your coverage and benefits year after year. It also lets you receive important coverage-related communication, as well as information on new services, ways to get the most from your existing coverage and more. Also, be sure to keep your insurance carrier(s) and your former employer updated with any changes in your personal information.

Contact information and communication preferences
Power of Attorney
Family Members

Medications, dosages and frequency
Doctors, specialists, hospitals and other providers

Saved Plans

Not sure which plan is right for you? Compare up to 3 plans at a time –– check medications listings, provider networks and other details. If you want to add other coverage, such as Medicare Prescription Drug (Part D), dental or vision plans, you can review and save plans to compare them before selecting and enrolling in the one that works best for you. You can select and save plans that interest you so you can refer back to them later.

My Coverage

You can access your health and prescription plan benefits to get details about your copays, coinsurance, deductibles, premiums and more. You can also shop for vision and dental plans year round, compare them, save them to your account or enroll.

Reimbursement Account

If you have a reimbursement account (often called a health reimbursement account, HRA or another name by your former employer), you can manage your account online. Once your coverage takes effect, you’ll receive a welcome kit from Your Spending Account™ (YSA), the service that administers your account.

On the YSA website, you can see your reimbursement amount and eligible expenses, plus:

Get your account balance
Submit claims and documentation
Check the status of your claims and reimbursements
Get answers to frequently asked questions

Activity Alerts

If there’s anything that needs your attention as it relates to your account information, we’ll post an alert (!) on your account. We’ll let you know when it’s time to update your providers, medications, Power of Attorney (if applicable) and contact information; or advise any pre-scheduled appointments with our Benefits Advisors.

Appointments

Before you enroll, we may pre-schedule a telephone appointment for you to speak with one of our licensed Benefits Advisors. These are licensed agents who can answer questions, review coverage with you and help you select and enroll in a plan. You may also receive appointment requests in the future. You can confirm or reschedule an appointment online or by calling us. You’ll see any appointment activity notifications when you log in to the My Account page. They’re also listed under the Appointments tab at the top of the page.

Life events — changing your coverage

If you’re happy with your current coverage and it’s still available, it will renew automatically for the following year.

If you have a Medicare Advantage (Part C) Plan and/or a Prescription Drug Plan (Part D), you can make changes during the Open Enrollment Period (October 15 through December 7) every year. You can evaluate new plans when they are announced on October 1. Changes made during this time become effective on January 1 of the following year.

Special Enrollment Period: If you move, lose your current coverage, have a chance to get other coverage, or if your plan changes its contract with Medicare or you experience any of several other significant eligible events, you may qualify for a Special Enrollment Period (SEP). If you do, you’ll be able to change your Medicare Advantage and/or Medicare Prescription Drug Plan without waiting for the next Open Enrollment Period. Details on the eligible circumstances, timeframes and allowable changes are outlined on the Medicare website.