MEDICARE REIMBURSEMENT ACCOUNT CLAIMS

MEDICARE REIMBURSEMENT

ACCOUNT CLAIMS

fepblue.org

Submitting a claim

There are four ways to submit your claim: online, via the EZ Receipts app, by fax or by mail. The method

you choose is largely up to your personal preference and what you’re most comfortable with. Keep in

mind that some methods require more processing time, which will impact how quickly you receive your

reimbursement. All options require you to submit documents verifying that you paid for a Medicare

Part B premium. Below is an overview of each submission method, so you can choose the one that works

best for you.

Medicare Reimbursement Account (MRA)

Basic Option members who pay Medicare Part B premiums can

be reimbursed up to $800 each year! You must submit proof of

Medicare Part B premium payments through the online portal,

EZ Receipts app or by fax or mail. Upon approval, you will

receive reimbursement by direct deposit or check depending

how you set up your account.

Each member in your household with Medicare Part A and B

is eligible to receive this beneﬁt.

Online or app

fepblue.org/mra or download

the EZ Receipts app on the App

Store or Google Play Store.

Upload your receipts/

proof of premium payment

and get 24/7 access to

account alerts and updates.

We process most claims in

1-2 business days.

Receive reimbursement

funds via direct deposit

or mailed check.

Fax

Download your claim form

at fepblue.org/mra.

Fax copies of receipts/

proof of premium payment

along with your form to

877-353-9236.

We process most claims

within 10 days of receipt.

Receive reimbursement

funds via mailed check.

Mail

Download your claim form

at fepblue.org/mra.

Attach copies of receipts/

proof of premium payment

along with your form and

send to P.O. Box 14053,

Lexington, KY 40512.

We process most claims

within 10 days of receipt.

Receive reimbursement

funds via mailed check.

Note: You cannot submit claims for 2021 premium reimbursement until Jan. 1, 2021.

Providing proof of premium payment

No matter how you submit your claim form, you must include

documents that prove you have paid a Medicare Part B premium.

Examples of proof of payment documents include:

• A Social Security Cost of Living Adjustment

(COLA) statement

• A canceled check*

• A copy of your credit card statement*

• A copy of your bank statement*

* If you submit a check, credit card or bank statement, you must

also submit a Medicare Part B premium bill that matches the

amount paid.

Submitting your claim by fax or mail

If you’d prefer to submit your claim by fax or mail, begin by downloading a copy of the claim form

at fepblue.org/mra. Make sure you have separate form(s) for your spouse and/or dependents.

Read carefully through the included instructions before ﬁlling in your information and make sure

you have copies available of any document(s) you will be submitting along with your form.

Make sure your documents

include the following

ﬁve pieces of information

required by the IRS:

• Date of payment

• Provider name (which is

Medicare in this case)

• Detailed description

• Proof of payment

• Name

Submitting your claim online

1. First, register for your MRA account online at fepblue.org/mra.

If you already have an account, log in and skip to step 3.

2. To register, you will need to provide your 4-digit ID Code.

Your ID Code is a combination of your day of birth (DD) and

the last 2 digits of your SSN. For example, if you were born

on the 8th day of the month and the last 2 digits of your SSN

are 12, your ID Code would be 0812.

3. After you’ve registered, you can log in and begin ﬁlling out

the online claim form and uploading your proof documents.

4. We review most claims within two business days.

We’ll provide your reimbursement once we approve the claim.

For questions about Medicare reimbursement or submitting a claim form,

call 1-888-706-2583 weekdays from 8 a.m. to 8 p.m. Eastern time.

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Google Play and the Google Play logo are trademarks of Google LLC.

HealthEquity is an independent company that administers the Medicare Reimbursement Account on behalf of the BCBS Service Beneﬁt Plan.

The Blue Cross

and Blue Shield

words and symbols, Federal Employee Program

and FEP

are all trademarks owned by Blue Cross Blue Shield Association.

The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies.

MRAQRG2021