How does this all work and how do I get reimbursed for my health claims?

After you have set up your plan online, the process is as easy as 1, 2, 3: You can see it in action here.

You as an employer / company have two broad funding options:

1. "Pay-as-you-go:" where your company submits funding as expense claims are submitted
2. "Pre-funding:" where your company sends in a block of money that will be held in an account, and drawn from as HSA claims come in. This can be done anytime. By "Pre-funding" an account, claims can be processed immediately (without any funding concerns).

PreTax Health is unique in the industry - it operates in either mode (Pay-as-you-go, or Pre-funding), automatically. In fact, you don't really even have to think about it or choose an option.

If you do nothing, our system will call on your company automatically when it needs to submit funds. Any funds we don't use, we'll simply keep on account for you and use toward your subsequent claims automatically. There is nothing special you have to do.

If you do choose to Pre-fund (so that funds are readily available when a claim is processed) and opt for direct deposit of claims, then reimbursements are normally completed in a few business days.

If you want to Pre-fund, you can even specify a threshold, and our system will notify your company once your funding amount will be dropping below that threshold.

Although there is no restrictions on whether a company decides to Pay-as-you-go or Pre-pay a block of money, the steps are broken down for each.

Steps if you decide to Pay As You Go for each claim submitted:

• The health/dental expense is paid first by the employee who then completes the on-line claim form, prints and signs it, and mails it (with the original receipts) to PreTax Health.
• The employer receives automatic (email) notification and is directed to 'submit funding' using the on-line, real-time service. The employer then submits a cheque for the total cost of the expense, plus the 10% administration fee (+GST on the admin fee only).
• The claim is adjudicated and the amount of the reimbursement is directly deposited (or mailed as a cheque, if preferred) to the employee. The web site keeps itemized details of all claims activities.

Steps if you already have funds available via Prepayment:

• The employer goes to the site and "submits funds" to fund their organization's Health Spending Account.
• The health/dental expense is paid first by the employee who then completes the on-line claim form, prints and signs it, and mails it (with the original receipts) to PreTax Health.
• The claim is adjudicated and the amount of the reimbursement is directly deposited (or mailed as a cheque, if preferred) to the employee. The PreTax Health site keeps itemized details of all claims activities.

100% Business Tax Deduction:

The system itemizes all health care claim details which are 100% deductible from the company's income. The administrator of the company simply pulls a monthly statement from the online system for their records.