MEDICARE REIMBURSEMENT
ACCOUNT CLAIMS
What you need to know
fepblue.org
We want to make sure our members get the most out of their health care budget. That’s why we offer
programs like this one that help you manage out-of-pocket costs and save money.
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 on how you
set up your account.
Each member of your household with Medicare Part A and Part B
(Original Medicare) or Medicare Part C (Medicare Advantage)
is eligible to receive this benet.
Four ways to submit your claim—choose what’s best for you
The method you choose is up to your personal preference and what you’re most comfortable with.
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.
Online or app
Register or log in at
fepblue.org/mra or download
the EZ Receipts app on the
App Store
®
or Google Play™.
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.
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.
Make sure your documents
include the following
ve 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 lling 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.
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 lling in your information, and make sure
you have copies available of any document(s) you will be submitting along with your form.
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.
Apple, the Apple logo, iPad and iPhone are registered trademarks of Apple Inc. Google Play and the Google Play logo are trademarks of Google Inc.
We encourage you to consider possible tax implications as part of this program and to consult your tax, legal or accounting advisors for additional information.
HealthEquity is an independent company that administers the Medicare Reimbursement Account on behalf of the BCBS Service Benet 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.
MRAQRG2023
The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies.
