Resources

Our resources page provides a variety of supplementary materials to help you navigate the process of determining your eligibility. Please click on each item to download the file.

Proof of Coverage

What is required to be accepted?
  • Name of Provider: We need to associate the document with the provider seeking benefits
  • Effective Date of the Qualified Health Plan: This impacts the potential CCPU Reimbursement Fund benefit start date
  • The Name/Type of Qualified Health Plan: This program has a specific set of plans that are eligible and we have to confirm the provider is enrolled in one
  • Premium: We need to see the premium being paid for plans eligible for premium reimbursement
    • Note: For CCA plans, we also need to see APTC applied in order to calculate provider premium eligible for reimbursement if on a family plan.

Guidance/Examples (English/Spanish)

Reimbursement Receipts

What is required to be accepted?
  • Name of Provider: We need to associate the document with the provider seeking reimbursement
  • Date of Service/Goods Purchased: We must confirm payment is for services that were incurred in the current plan year and on or after the benefit effective date for the provider
  • What the monies were paid towards: This program has a specific set of eligible expenses depending on the type of benefits you have. We have to have proof the provider paid for services/goods covered by their health insurance plan.
    • Note: We NEVER need your medical diagnosis. We do need to see that charges were for an eligible expense: Covered Rx, Copay, Coinsurance, Deductible, etc.
  • Amount: We need to see the amount needed for reimbursement

Guidance/Examples (English/Spanish)

Permissible Expense Guidance (English/Spanish)

Please visit our YouTube channel for all instructional videos and webinar recordings.