Medical Expense Reimbursement Plan
What is CompleteCare?
Your Spouse’s Open Enrollment is a Qualifying Event for you to Enroll in CompleteCare!
CompleteCare offers employees who enroll in an alternate group medical plan (typically through your spouse) up to 100% medical coverage.
For enrolling in alternate coverage, CompleteCare will reimburse ALL eligible
co-pays, co-insurance and deductibles incurred on your alternate medical plan!
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CompleteCare Benefits
- Co-pays, deductibles and co-insurance reimbursed by CompleteCare up to $9,200/single and $18,400/family per year.
- You will be reimbursed for the premium contribution paid for the alternate coverage if it exceeds the premium contribution that you would have paid to remain on the MCSIG medical plan up to a monthly maximum of $100/single, $200/2-party and $300/family.
IRS Rules
- You may be enrolled in an HRA or FSA. You CANNOT be reimbursed from both CompleteCare and your HRA or FSA.
- You are NOT eligible for CompleteCare if your alternate coverage:
- is contributing to a Health Savings Account(HSA);
- is Medicare, Medicaid, Tricare or an Individual Policy.
- is a Limited Benefit Health Plan.
How to File Claims
CompleteCare ID Card:
- Present Alternate Coverage ID card
- Present CompleteCare ID card
- Provider may bill Catilize Health directly
Paper Claims:
- Present Alternate Coverage ID card
- Complete claim form and sign
- Send completed and signed claim form to Catilize Health with the following:
- Office visit co-pay, co-insurance or deductible: Explanation of Benefits (EOB) from Alternate Coverage
- Prescriptions: “Tab” from pharmacy that includes name of drug, date filled, patient’s name and patient responsibility amount
Have Questions?
For more information, please call
Catilize Health at 877-872-4232 or email
us at CompleteCare@catilizehealth.com, or or visit the CompleteCare Resource center at https://britehr.app/MCSIG.
