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Reimbursement Program

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Emergency Room Copay

Regardless of what health insurance plan you select, the co-pay cost for Emergency Room services is $500 per visit. In order to help with this cost, members and dependents insured under one of our medical plans are eligible for a reimbursement of up to $200.

 

This program is available through our provider, WEX Benefits and all you need to do is submit a claim form directly to them.

 

For more information, contact WEX Benefits at www.wexinc.com or by phone at 866-451-3399.

Inpatient Hospital (IHRP)

This plan is fully funded by Horizon House and covers all employees who elect one of the health plan options. The plan will reimburse 50% of the cost for in-patient hospitalization up to $1,000.

 

No enrollment is necessary, but you have to submit the Inpatient Hospitalization Reimbursement Form to the Benefits Unit should you become hospitalized.

 

Full details are outlined on the benefit website portal at hhinc.ukg.net.

Self-Administered Specialty Drugs

Members will be expected to pay 50% of the up-front plan cost of the drug to a maximum of $1,000 per script; but Horizon House will reimburse employees any amount over $300 /script.

 

Search for WEX Benefits in the App Store on your mobile phone to download the mobile app to be reimbursed in as little as 3 days.

 

For more information and help, contact WEX Benefits at www.wexinc.com or by phone at 866-451-3399.

Mental Health Services

Horizon House will reimburse staff for a portion of outpatient Mental Health visits for in-network providers. The current co-pay for a mental health visit is $60; however, the Agency will reimburse up to $30 per visit for anyone who utilizes this benefit.

 

For more information and help, contact WEX Benefits at www.wexinc.com or by phone at 866-451-3399.

Reimbursement Program Forms & Resources

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