Healthcare Cost Assistance

Carewell SEIU 503 Healthcare Cost Assistance may help eligible Oregon homecare providers pay certain health-insurance premiums and covered out-of-pocket medical expenses.

Assistance is available for eligible providers enrolled in:

✓ A Carewell-approved individual Marketplace health plan
✓ Medicare
✓ VA Benefits
✓ CHAMPVA
✓ TRICARE

The assistance available—and how you request it—depends on the type of health coverage you have. Benefit amounts and eligibility rules may change from year to year.

This benefit is not employer-sponsored or group health insurance.

Who May Qualify?

You may be eligible for Healthcare Cost Assistance if you:

✓ Work at least 40 eligible hours in each of two consecutive months
✓ Complete the required one-month waiting period
✓ Submit your timesheets or payroll vouchers on time each pay period
✓ Keep your personal information current with Carewell SEIU 503 and your payroll vendor
✓ Have qualifying coverage through an approved Marketplace plan, Medicare, VA Benefits, CHAMPVA, or TRICARE

Eligible working hours are hours paid by DHS, Acumen, or PPL on behalf of your consumer.

Working fewer than 40 eligible hours for two consecutive months may cause you to lose eligibility after an additional one-month waiting period. You may qualify again after meeting the eligibility requirements.

Carewell SEIU 503 makes all final eligibility determinations.

Medicare-Connected Assistance

Eligible providers enrolled in Medicare may receive help with:

✓ Medicare Part B premiums—up to $200 per month in 2026
✓ Part D, Medicare Supplement, or Medicare Advantage premiums—up to $50 per month in 2026
✓ Covered out-of-pocket Medicare expenses—up to $8,000 in 2026

Covered out-of-pocket expenses may include deductibles, copayments, coinsurance, and prescriptions for services covered by Medicare.

Medicare premiums are reimbursed after Carewell receives and approves the required request and documentation. The Benefit Convenience Card is used for eligible out-of-pocket medical expenses—not for Medicare premiums.

You must request Medicare Healthcare Cost Assistance each year and provide current proof of your premiums. Benefit amounts may change annually.

Military-Connected Assistance

Eligible Homecare Workers, Personal Support Workers, and Personal Care Attendants enrolled in VA Benefits, CHAMPVA, or TRICARE may receive help with:

✓ Covered deductibles, copayments, and coinsurance
✓ Covered prescription expenses
✓ Other eligible out-of-pocket medical expenses

Healthcare Cost Assistance covers up to $8,000 in eligible out-of-pocket medical expenses in 2026.

This benefit does not reimburse VA, CHAMPVA, or TRICARE premiums. Eligible providers receive a Benefit Convenience Card to pay covered out-of-pocket expenses. Keep your receipts and Explanation of Benefits in case documentation is requested.

To request assistance, you must provide acceptable documentation showing your military-connected coverage. Carewell lists the current documentation and submission options on its official page.

You may receive only one Healthcare Cost Assistance benefit at a time. If you enroll in Medicare, contact Carewell to determine whether your benefit should be changed to Medicare Healthcare Cost Assistance.

How to Request Assistance

If You Have Medicare

Each year, submit current documentation showing your Medicare premiums. Depending on your coverage, this may include:

✓ A Social Security letter or Medicare Premium Bill for Part B
✓ A premium bill for a Part D, Medicare Supplement, or Medicare Advantage plan

You can submit your information through MyCarewell503 or use Carewell’s current Medicare Healthcare Cost Assistance Benefits Request Form.

If You Have VA Benefits, CHAMPVA, or TRICARE

Submit acceptable documentation showing your coverage. Examples may include an identification card, enrollment verification letter, Summary of Benefits letter, Form DD 214, or a state-issued driver’s license with a Veteran designation.

You can upload your documentation through MyCarewell503 or use Carewell’s current Military Connected Healthcare Cost Assistance Benefits Request Form.

After Carewell reviews and approves your request, you will receive information about your benefit. Depending on your coverage, this may include premium reimbursements, a Benefit Convenience Card, or both.

Using Your Benefit

The Benefit Convenience Card may be used for eligible out-of-pocket medical expenses covered by your approved health plan. Keep your receipts and Explanation of Benefits documents in case Carewell or Ameriflex requests proof.

If you pay an eligible expense with your own money, you may be able to request reimbursement through Ameriflex.

Do not use the card for:

✗ Medicare or TRICARE premiums
✗ Dental, vision, or hearing expenses
✗ Medical expenses for family members
✗ Services or products your health plan does not cover
✗ Expenses incurred while you were not eligible for Healthcare Cost Assistance

You may be required to repay funds used for expenses that are not covered.

Keep Your Information Current

To help prevent an interruption in your benefit:

✓ Submit your timesheets or payroll vouchers on time
✓ Keep your contact and health-insurance information current
✓ Respond to messages from Carewell SEIU 503 and Ameriflex
✓ Submit updated Medicare premium documentation each year, if applicable

Need Help?

Contact Carewell SEIU 503 if you need help checking your eligibility, requesting Healthcare Cost Assistance, updating your coverage, or resolving a reimbursement problem.

Carewell SEIU 503 Benefits

Phone: 1-844-503-7348
Email: CarewellSEIU503Benefits@RISEpartnership.com

Benefit amounts, eligibility requirements, forms, and procedures may change. Always confirm current information with Carewell SEIU 503.