HealthFund
How do I access my HealthFund dollars?

Present your ID card to your provider each time you receive services. The card gives your provider a website and phone number for contacting Cigna to verify your HealthFund balance. Your provider bills Cigna for the services you receive, and, if there’s money in your HealthFund, Cigna pays your provider directly from your HealthFund balance. Pharmacy claims also can be paid from your HealthFund account; however, you must file a paper claim form to receive reimbursement. Claim forms are available here.

Please note: Effective January 1, 2017, HISD no longer offers the HealthFund. You may continue to use any funds you have left over from previous years to pay for eligible expenses as long as you are enrolled in an HISD medical plan. 

How do I use my HealthFund to pay for a doctor office visit?

When you go to an in-network participating doctor:

  1. Present your new Cigna medical plan ID card.
  2. Your provider should file your claim directly with Cigna for reimbursement.
  3. The card provides a website and phone number to verify your HealthFund balance. If there’s money in your HealthFund, that provider bills Cigna and Cigna pays your provider directly from your HealthFund balance.

If you receive emergency care from an out-of-network provider, you may need to pay the bill and file a claim for reimbursement. Filing your medical claim accesses your HealthFund dollars, too.

Please note: Effective January 1, 2017, HISD no longer offers the HealthFund. You may continue to use any funds you have left over from previous years to pay for eligible expenses as long as you are enrolled in an HISD medical plan. 

What expenses can be paid from the HealthFund?

All expenses eligible for coverage under the Medical plan are payable from your HealthFund. But remember that you also have the HISD-provided preventive care benefit that pays preventive care expenses, such as costs for annual wellness exams, at 100%.

Please note: Effective January 1, 2017, HISD no longer offers the HealthFund. You may continue to use any funds you have left over from previous years to pay for eligible expenses as long as you are enrolled in an HISD medical plan. 

What if my eligible expenses are more than the amount left in my HealthFund?

If the provider enters a request for the entire expense and it’s more than you have in your HealthFund, Cigna pays the amount available, and the provider bills you for the rest. The provider also has the right to request any amounts not available in the HealthFund at the point-of-service or otherwise payable by the plan.

Please note: Effective January 1, 2017, HISD no longer offers the HealthFund. You may continue to use any funds you have left over from previous years to pay for eligible expenses as long as you are enrolled in an HISD medical plan. 

How do I check my HealthFund balance?

You can check your HealthFund balance at myCigna. You need to register before accessing the system. You can also get your balance by calling Cigna member services.

Please note: Effective January 1, 2017, HISD no longer offers the HealthFund. You may continue to use any funds you have left over from previous years to pay for eligible expenses as long as you are enrolled in an HISD medical plan. 

How do I pay for prescription drugs with my HealthFund?

Pay your copay at the pharmacy and file a paper claim for reimbursement with Cigna using your pharmacy receipt. Cigna mails you a check if you have funds available. 

Please note: Effective January 1, 2017, HISD no longer offers the HealthFund. You may continue to use any funds you have left over from previous years to pay for eligible expenses as long as you are enrolled in an HISD medical plan. 

How does participating in a medical plan that includes a HealthFund affect my health care flexible spending account (FSA) contributions?

As a participant in a medical plan that includes a HealthFund, you can maximize your savings by using a health care FSA to pay expenses that aren’t covered by your medical plan, such as coinsurance amounts. HealthFund dollars must be used first and then your FSA dollars are used.

Please note: Effective January 1, 2017, HISD no longer offers the HealthFund. You may continue to use any funds you have left over from previous years to pay for eligible expenses as long as you are enrolled in an HISD medical plan. 

If I have a HealthFund and HISD switches carriers later, what happens to my HealthFund rollover amounts?

The dollars in your HealthFund remain with HISD, not Cigna. If at some point the contract with Aetna ends, the HealthFund dollars rolled over remain with HISD for you to use on covered health care expenses as long as you remain enrolled in a medical plan that includes a HealthFund.

Please note: Effective January 1, 2017, HISD no longer offers the HealthFund. You may continue to use any funds you have left over from previous years to pay for eligible expenses as long as you are enrolled in an HISD medical plan. 

For any benefits question or concern, one call does it all.
Call us at 877-780-HISD (4473)

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