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HBR-REPRESENTATIVE

Health Benefit Report

SilverScript Prescription Drug Plan (PDP)

Enrollment Form | Disenrollment Form | Mail Order Prescription Form | Pharmacy Locator | 2024 Formulary Drug List | 2024 Summary of Benefits | Opt-Out Member Letter

The SilverScript PDP sponsored by NALC Health Benefit Plan combines Medicare Part D prescription drug coverage with additional coverage provided by the NALC Health Benefit Plan to close the gaps between the standard Part D plan and our current coverage.

If you are an annuitant or an annuitant’s family member who is enrolled in Medicare Part A or Medicare Parts A and B, you will be automatically enrolled in SilverScript. You are eligible to receive up to a $600 Medicare Part B premium reimbursement per enrollee from the NALC Health Benefit Plan.

Participation in the SilverScript PDP is voluntary, and you have the choice to opt out of SilverScript PDP enrollment at any time. If you decide to opt out of the SilverScript PDP, you will automatically remain in your current NALC prescription plan. If you need more information or wish to opt out, please call SilverScript at 833-272-9886, 24 hours a day, 7 days a week.

Health Equity

NALC-MRA Claim Form | NALC-MRA Claim Form Instructions

HealthEquity enables members to easily access their Medicare Reimbursement Account (MRA) sponsored by the NALC Health Benefit Plan. Program availability is for those annuitant members who remain enrolled in Medicare Parts A, B, and the SilverScript Employer Prescription Drug Plan (PDP). Members who maintain those enrollments are eligible to receive an annual tax-free reimbursement of up to $600 for their Medicare Part B premiums. To receive reimbursement, you must submit proof of Medicare part B premium payments through the online portal, HealthEquity’s EZ Receipts app, by fax or mail.

To learn more, or to register please call 844-768-5644 Monday – Friday 8 a.m. to 8 p.m. or visit www.healthequity.com/wageworks.

WageWorks – Medicare Reimbursement Account – Pay Me Back Claim Form

How to receive your annual tax free reimbursement of up to $600 for your Medicare Part B Premiums.  

1- Visit your local Social Security Office 

2- Request a Benefit Verification Letter as proof that you are paying for Medicare part B.

3- The following NALC form #4416-ST-MRA(202310) is required to be submitted with your verification letter.

Click this link to download form.   Pay me Back Claim Form

4- File claim via fax or mail: Claim forms may also be filed either via fax or US Mail and sent to the following locations: Fax: 877-353-9236, US Mail: CLAIMS ADMINISTRATOR, P.O. Box 14053, Lexington, KY, 40512

 
Lubbock Branch 2589, 1101 31st Street, Lubbock, Texas 79411 Phone # 806–744-2589 Fax 806-744-8011