What to do when you receive a provider bill or carrier EOB

Your Hixme Health Bundle includes additional safety net coverages to protect you and your family in case of unexpected accidents or illness. These additional coverages are processed by Hixme RATHER than your health coverage carrier

You will need to submit documentation of these expenses to Hixme — we call this Trigger My Bundle.
See below for how and when these additional coverages apply, and any special instructions you need to follow:

Doctor or Specialist Visit
Your Hixme Health Bundle provides reimbursement for office visit copayments in excess of your Bundle’s maximums ($50 for Flexible Bundles, $35 for Balanced Bundles, and $25 for Secure Bundles). However, when you visit a doctor or specialist, you may need to pay more at point of service and then submit your bill and  EOB to Hixme for reimbursement. If you have paid more than your Bundle’s cap, follow the Trigger My Bundle instructions to submit to Hixme for reimbursement.

Doctor or Specialist Procedure
If you receive a doctor or specialist bill for over $500, submit the provider bill and EOB to Hixme so we can determine if your additional coverages apply. Follow the Trigger My Bundle instructions. 

Pharmacy
Your Bundle provides reimbursement for eligible prescription copayments in excess of your Bundle’s maximums. If you need to pay more than that maximum at the point of service, you will then submit the receipt to Hixme for reimbursement. Follow the Trigger My Bundle instructions. 

Emergency Room Visits
Your Bundle provides coverage for emergency room services as part of the hospital coverage. However, when you visit the ER you may be required to pay a larger amount at the time of service. You will need to submit your bill and EOB to Hixme for processing and possible reimbursement. Follow the Trigger My Bundle instructions. 

Hospital Admissions
If you are admitted to the Hospital, it is CRITICAL that you DO NOT PAY ANY BILLS before  contacting Hixme. You will send all provider bills and EOBs to Hixme. Hixme will then apply your Bundle’s safety net coverages to reduce your costs. Follow the Trigger My Bundle instructions. 

Out-Patient Hospital
You have additional coverage for certain outpatient surgeries, diagnostic testing, radiation therapy or chemotherapy and certain other procedures. Send all provider bills and EOBs to Hixme. Hixme will then apply your Bundle’s safety net coverages to reduce your costs. Follow the Trigger My Bundle instructions. 

Accident
If you have an accident, you may be eligible for additional benefits. Send all provider bills and EOBs to Hixme to determine if you qualify for additional benefits. Follow the Trigger My Bundle instructions.