The Supplemental Trust provides reimbursement for the following:
This page is a summary for what costs are covered by the Supplemental Trust. For a comprehensive explanation of what is covered by the Supplemental Trust, please check your Plan Booklet (PDF) in English, Spanish, Vietnamese, or Russian.
- The Medicare Part B Premium of up to $121.80
- Up to $44 in 2018 per month towards either a Medicare Advantage Plan, a Medicare Supplement Plan or Medicare Part D
- Your Medicare Part B and Supplemental/Advantage/Part D plan deductibles, copays and coinsurance. You will be eligible for coverage of up to $3,000 in 2016, up to $4,000 in 2017, and up to $5,000 in 2018 per calendar year from the Trust for your covered deductible, copayment and coinsurance expenses relating to any claims you incur that are covered under your Medicare Part B and Medicare Advantage, Medicare Supplement or Medicare Part D plan in which you are enrolled. You may pay for covered deductibles, copayments and coinsurance expenses at the point of service using the Benefit Convenience Card issued to you by the Trust. If you have not received your Benefit Convenience Card, please follow the Trust’s reimbursement process by submitting a completed Ameriflex Reimbursement Form along with a copy of your explanation of benefits ("EOB").
For 2018, if you are currently receiving Part B reimbursements, you do not need to resubmit a reimbursement form to continue to receive that Part B premium benefit as long as you remain eligible. You do need to submit a reimbursement form to the Trust Administrative Office for any Supplemental/Advantage or Part D Premium benefit for 2018. The monthly reimbursement for Supplemental/ Advantage or Part D Premiums will continue to be up to $44 for 2018.
For eligible Medicare premiums, please use the reimbursement process. To get reimbursed, you will need to submit the following reimbursement claim form securely via DocuSign- English, Spanish, Russian, Vietnamese, Chinese or PDF version - English, Spanish, Russian, Vietnamese, Chinese and supporting materials to the Trust. If using the PDF version, please type your information into the form, print and then mail or fax (along with a copy of your premium bills) to the Trust. Once the Trust has processed your paperwork for payment, you will receive a check from the Trust. To reference what type of reimbursement check you are receiving, refer to the Check from the Trust Guide.
Oregon Homecare Workers Trusts
PO Box 6
Mukilteo, WA 98275
By Fax: 1-866-459-4623, Subject: OHCWT Reimbursement
For eligible Medicare out-of-pocket expenses prior to receipt of the Benefit Convenience Card, please use the Ameriflex Reimbursement process. Benefit Conveniece Card reimbursement requests should be submitted to Ameriflex:
Ameriflex Claims Department
PO Box 269009
Plano, TX 75026
By Fax: 1-888-631-1038, Subject: Attention: Claims Department