See How the LASSO HEALTHCARE MSA Works
No Provider Network - You Are Free to See The Provider Of Your Choice.
With the Lasso Healthcare MSA, there is not not a provider network or contracted provider list.
The Lasso Healthcare MSA combines health coverage with a special medical savings account, or MSA. MSAs are a type of Medicare Advantage Plan. Lasso deposits money from Medicare into the member’s savings account. The member is free to spend it on health services that they decide on. MSA plans are designed by CMS to be consumer-driven, and work exactly like Original Medicare with reimbursement and clinical access.
Lasso Healthcare does not contract. Remember, Lasso Healthcare is prohibited by CMS from restricting clinical access for their members, so they have no "network" or "contracted providers" like other Medicare Advantage plans. You are required to see the member if you are a Medicare-participating provider and accepting new patients. Non-par and opt-out providers are not required to see the member.
At the time of service
Show your Lasso Healthcare MSA member ID card instead of your Medicare Card, and tell your provider to file the claim with Lasso Healthcare. The claims submission information is listed on the back of your member ID card and on the Lasso MSA website.
It’s important a claim is filed with Lasso even if you have not met your plan deductible so they can 1) ensure the service is within the Medicare-approved amount and 2) help track your progress to your deductible.
No co-pays, co-insurance, or other payments are due at the time of service if you receive care from a Medicare participating/accepting provider.
Providers opting out of Medicare are not bound to Medicare reimbursement policies and may charge you more than the Medicare-approved amount and/or require payment at time of service.
After the service
Once Lasso receives the provider’s claim, they process it and determine your coverage. They will mail you a monthly Explanation of Benefits (EOB) showing the coverage decision, progress toward the deductible and any amount you need to pay the provider. They also share that same coverage and payment due information with your provider.
If you’ve reached your plan deductible, they will pay the provider directly for any Medicare-covered expense on the claim.
The provider then sends you a bill or invoice for any portion of the claim you owe. It is good practice to compare the provider’s bill with your EOB to match the billed amount to your determined liability.
If your provider asks you to pay an amount different than the amount shown on the EOB (above the limiting charge for a non-participating provider, if applicable), please contact them directly to determine what documentation they need; if the issue remains unresolved, please contact our Member Services team for additional assistance.
Paying The Provider
You choose to pay with your MSA bank account funds, your own money or a combination of both. If you no longer have funds in your MSA account, you will need to pay out of your own pocket until you reach the plan deductible amount.
Optum Bank provides a convenient debit card to use that’s linked to your account balance. If you’ve switched to another financial institution, use whatever access method they’ve provided you.
If your provider does not accept debit cards as a form of payment, you will need to pay in whatever payment method they do accept and, subsequently, reimburse yourself from your MSA bank account.
Requesting Reimbursement From Lasso Healthcare
Did you pay for a service directly (either with MSA funds or out-of-pocket) instead of having your provider file a claim? Don’t worry.
Simply fill out Lasso's Member Reimbursement Form in the Documents tab to provide them with documentation of the service and your payment. Return the completed form to them via one of the methods listed on the form, and they will determine if the amount you paid was within the Medicare-approved amount and apply the amount you paid toward your plan deductible.
If you’ve met your deductible, Lasso will reimburse you. If you overpaid the provider, you can use the EOB they will provide to seek reimbursement directly from your provider.
The "For Your Health" Program
All members will receive a For Your Health welcome kit with a welcome letter, instructions, forms to be completed, and reward request forms.
The program consists of three activities for members to complete. The materials for each activity are color-coded and consist of a health form and gift card request form.
Upon completion of each activity, members may choose from a wide selection of gift card brands or Visa pre-paid card and can choose to have a physical card mailed or have an e-code emailed.
Activities to be Completed
For 2020, there are three activities members can complete to earn rewards:
- Health Survey
The survey should take approximately 10-15 minutes to complete. Responses provided will assist Lasso Healthcare with supporting you on your healthcare journey.
- Labs Certification
This form will need to be completed by you and your medical or lab provider after lab work.
- Annual Wellness Visit Certification
This form will need to be completed by you and your provider after an annual wellness visit.
Earning Rewards is as Easy as 1-2-3
- Mail the completed, color-coded health form and reward form in one of the provided envelopes.
- Lasso will process your gift card order.
- Repeat this process for all three activities to earn $250 in rewards.
For Your Health incentive program subject to change. Gift card requests will be processed within 3 business days after receipt. Please allow up to 21 business days to receive a physical card via mail.