Frequently Asked Questions

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About CEHA

General FAQ

There are only certain times when you can enroll in benefits or make changes – when you’re first hired, during open enrollment, or after a qualifying life event. So what exactly is a qualifying life event? Certain changes in your personal life qualify as an official change in status according to the IRS, which means that you can modify your benefit selections between open enrollment periods. Examples include changes in family status such as getting married, having a baby, or a change in child custody. In addition, a common qualifying life event is a change in employment status, such as a termination of employment or a change in employment status. Typically, you have 30 days from the date of the event to make changes to your benefits.

For MDLIVE Providers:
MDLIVE telehealth visits have a $0 copay for both medical and behavioral health visits.


For Non-MDLIVE Providers:
The Plan covers virtual and telephonic visits with all non-MDLIVE providers at the applicable office visit benefit.

When you or a loved one falls ill or has an accident, it can be difficult to choose the best course of action, especially when time is of the essence and your primary care physician is not available. What other options are there, and how do you know where to go when a health issue arises? This video walks through the differences and common use cases for three types of care: telehealth, urgent care and hospital/emergency room.

Conifer Health’s goal is to help you find the best care possible within the options offered through your employer’s health plan. In addition, your personal health nurse will advocate for your health needs by working with you and your family members to identify community resources to further support your goals for healthy living.

Conifer Health serves many thousands of health plan members through its unique and holistic approach to personal health management. Throughout the personal health management program, your medical information is handled in a confidential and professional manner and will not be shared with your employer or anyone else without your consent. Our clinical team comprises full-time nurses who are credentialed and certified through state laws and professional groups, and our clinical guidelines are regularly reviewed by nationally-recognized practicing physicians. In addition, the Conifer Health Personal Health Management operation is accredited by a national quality organization.

An experienced nurse employed by Conifer Health reviews your health information and determines if you, or a dependent, could benefit from Personal Health Management support. If you qualify for the program, a nurse will call you to provide you with key information about the program and to discuss your healthcare needs. If you choose to enroll in the program, the nurse becomes your personal health nurse and serves as your healthcare advocate — helping you live a healthier life through personalized, convenient support. Additionally, if you feel that you qualify for the Personal Health Management program, you may contact your personal health nurse directly.
Personal Health Management through Conifer Health, is a free, confidential program that empowers you to become informed and proactive about leading a healthier life. Whether you are chronically ill, suffering from complex medical conditions or experiencing an acute illness, navigating the evolving healthcare system can be challenging. The Personal Health Management program offers one-on-one support by collaborating with you and your healthcare providers to develop your customized care plan. Our goal is to provide the peace of mind you need to start focusing on the right things, like improving and maintaining your health.

You can access your benefits information 24/7 by logging into the Delta Dental of VA member portal and downloading your Member Welcome Kit. If you have questions about your benefits, you may also contact the Benefit Services Department at 800-237-6060.

If you are a resident of another state, you are not required to see a dentist in Virginia. Find a dentist from our national network of providers who participates in our plan.

Low Plan = Delta Dental PPO network; High Plan = Delta Dental PPO Plus Premier network

Log in as a member to print additional copies of your ID card, call us at 800.237.6060, or download the Delta Dental mobile app to save an electronic version on your Apple or Android device.

No ID card is needed when you visit a VSP® network provider—just tell them you have VSP, and we’ll take it from there! But if you’d like a copy of your ID card for your records, you can print a card from VSP member account. 

When you schedule an eye appointment, your doctor may ask for your VSP member ID or member number. This may be the last four digits of your (the primary subscriber’s) social security number or a unique ID given by your employer (if you are enrolled through your workplace).

If you have dependents covered under your vision plan and they are asked for a member ID, they should use the same one you do (the last four of the primary subscriber’s social security number or a unique ID from the primary subscriber’s employer).

Log in to view your member ID card or learn more about how to use your benefits. 

To view your benefits information, such as your copays, frame allowance, and more, log in to your VSP member account. Once logged in, click View Your Benefits in the Your Benefits tile. Then, click My Benefits to view your vision coverage details.  

You can learn more about viewing your vision plan details here. 

Welcome to the VSP family! Using your benefits is easy. Once your benefits are effective, create your VSP member account. From here, you can find a doctor near you, view your coverage information, print your Member ID card, and more!

Learn more about how to use your vision benefits.

P&A’s vendor partner, FSA Store, offers discounted pre-approved eligible expenses including PPE, COVID-19 at home tests, over-the-counter medications and more. Browse FSA Store today.

P&A’s vendor partner, FSA Store, offers discounted pre-approved eligible expenses including PPE, COVID-19 at home tests, over-the-counter medications and more. Browse FSA Store today.

  • Use your Benefits Card as a debit card purchase wherever MasterCard® is accepted. The money is automatically transferred from your Health FSA account to the merchant.
  • QuikClaim Mobile Feature- Submit a claim and supporting documentation of your eligible expense directly from your smartphone! Go to www.padmin.com on your smartphone and log into your account.
  • Online Claim Upload- After making a purchase, log in to your My Benefits account and fill out the online reimbursement form.
  • Fax- submit a claim form via toll-free fax to (877) 855-7105.
  • Mail- mail a claim form to P&A Group, 17 Court Street Suite 500, Buffalo, NY 14202.

When submitting a claim you must include a receipt/proof of purchase or insurance statement. To receive reimbursement faster, sign up for direct deposit to have your money directly deposited into your designated checking or savings account.

Claims can be submitted for reimbursement for qualified expenses incurred during the plan year. Each plan allows for a “run-out” period at the end of the plan year, which means that any claims incurred during the plan year can be submitted for reimbursement after the end of the plan year. These expenses MUST be for services performed during your plan year. The typical runout period is 90 days after the end of the plan year. Check with your benefits contact regarding your Employer’s runout period.
Unfortunately, not all expenses from a hospital or dental office are FSA-eligible. For example, some hospital gift stores sell flowers that could still be coded as “hospital” expenses, and some dental offices provide elective services like teeth whitening that could still be coded as “dental” expenses. Unfortunately, these are not FSA-eligible. By obtaining supporting documentation, we’re able to verify the eligibility of the expense to maintain compliance with IRS regulations.

Access your account balance and other information anytime, anywhere with P&A’s text message feature. Simply update your P&A account profile with your mobile number. Text “BAL” to the number 70626 and receive a text message with your account balance. You can also text “CLM” to the number 70626 to receive the status of your claims.


You can also log in to your P&A account to access your real-time account information or call the P&A customer service department at (800) 688-2611 for your latest account information. This system is available in English and Spanish.

Under this IRS guideline you must use your full election amount by the end of the plan year. Any remaining balance in your account will be forfeited. However, the IRS has relaxed this rule. Your employer has the option to adopt a provision that will allow a portion of leftover Health FSA funds at the end of the year to be carried forward to the next plan year (the IRS updates the maximum carryover amount annually).


We encourage participants to plan carefully how much money they put into their account. Be conservative when selecting your annual election amount. Only calculate expenses you anticipate incurring. This can include expenses such as co-payments for prescriptions, vision expenses, and dental work.​ For help calculating your expenses check out this FSA Calculator here.

This rule applies only to the Medical Expense Reimbursement Account (Health FSA). The uniform coverage rule states that your full election amount is available to you on the first day of your plan year. What exactly does this mean? This means you have access to ALL of your funds right away! The uniform coverage rule allows your Health FSA to work like a line of credit. Expenses can be covered upfront, making it easier to budget your finances, especially during tougher economic times.

Participants are only allowed to enroll in an account once a year, which is also known as the open enrollment period. During this time you decide how much money you wish to put in your account. Please note that participants cannot change their annual election amount after open enrollment unless they experience a qualifying event, which includes the following:

 

  • a change in legal status (e.g., marriage, death of spouse, divorce, legal separation or annulment);
  • a change in the number of dependents due to events such as birth or adoption;
  • a termination or commencement of employment of a spouse or dependent; and,
  • a change in the cost of dependent care expenses.

The annual election amount will be evenly divided over the course of a Plan year before taxes are withheld, thus increasing your take-home pay.

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Through a shifting healthcare landscape, CEHA provides dependable, high-quality coverage without compromising Catholic identity.
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