FAQs and How-Tos
  This page will help to answer basic questions regarding FSAs and the different reimbursement accounts.
  Flexible Spending Account (FSA) Types:
  Select one of the following tabs for more information.
 

 
  Frequently Asked Questions - Health Care Reimbursement Accounts
 
What are Health Care Reimbursement Accounts?
Ineligible Receipts
How often should I submit claims for reimbursement?
What do I need to do to get reimbursed for my medical copays and deductibles?
What type of services are reimbursable under the Medical Reimbursement Account?
May I submit claims for Over-the-Counter (OTC) medications?
Who can seek reimbursement?
What are the quantity limits?
How far back can I submit claims for reimbursement?
 
  What Are Health Care Reimbursement Accounts?
 

A health care reimbursement account (FSA) can be used to reimburse medical and dental expenses that qualify as federal income tax deductions (whether or not they exceed the IRS minimum applied to these deductions) under Section 213 of the tax code. Medical expenses that are not deductible under Section 213 may not be reimbursed by a health FSA. Expenses may be incurred by the employee or by the employee's spouse or eligible dependents (children, siblings, parents and others for whom an exemption may be claimed under Section 152 of the tax code).

 "Medical care" expenses as defined by Section 213 include amounts paid for the diagnosis, treatment, or prevention of disease, and for treatments affecting any part or function of the body. The expenses must be to alleviate or prevent a physical defect or illness. Expenses for solely cosmetic reasons generally are not expenses for medical care. Examples include face lifts, hair transplants, and hair removal (electrolysis). Also, expenses that are merely beneficial to one's general health (for example, vacations) are not expenses for medical care.

Any questions regarding reimbursable health care expenses should be referred to a Tax Consultant.

 
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  The Following are NOT Acceptable Receipts
 
  • Bankcard statements

  • Canceled checks

  • Charges submitted that are illegible

  • Estimates of expenses (a statement is required showing date of service and type of medical expense).

  • Statement balances and/or balance forwards are never acceptable

 

 
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  How often should I submit claims for medical reimbursement?
  It is recommended that you submit a request for reimbursement as least every six (6) months. Remember, you have 30 days following the end of the coverage period (the date you are no longer eligible for coverage due to termination/reduction of hours or the end of the plan year - whichever comes first) to submit requests for reimbursements for eligible expenses incurred during the coverage period.
 
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  What do I need to do to get reimbursed for my medical copays and deductibles?
  Submit a claim form and provide the Explanation of Benefits you receive from your medical or dental plan or bills/statements from your provider's office. Claims are processed faster when submitting the Explanation of Benefits because the Plan has already determined your out-of-pocket expenses.
 
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  What types of services are reimbursable under the Medical Reimbursement Account?
  In general, any medical or dental expense that is not reimbursed or reimbursable by an employer provided health plan, or an other group or individual health or accident insurance; and that you haven't claimed the expense as a deductible on our federal income tax return. See IRS publication 502 for a complete listing.
 
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  May I submit claims for Over-the-Counter (OTC) medications?
  Yes, under certain circumstances. Eligible expenses must alleviate or treat personal injuries or sickness. Expenditures merely benefit the general health of an individual are not covered.

All over the counter reimbursement items are subject to review by the plan and may require additional documentation (such as a doctor's prescription for purchases on or after January 1, 2011).
 
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  Who can seek reimbursement?
  Section 152 of the code states: The taxpayer, spouse, or dependents are eligible.
 
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  What are the quantity limits?
  Only amounts that can be used within the plan year by the taxpayer, spouse, or dependent are to be included.

Claims must be properly substantiated. What does this mean? You must submit a complete and signed Flex Plan claim form with the receipts attached. Additionally, effective for purchases beginning January 1, 2011, the Flexible Benefits Plan will not reimburse you for most over-the-counter medications. This change is required by the 2010 healthcare reform legislation (the Patient Protection and Affordable Care Act). You can continue to receive reimbursement for insulin and over-the-counter medications for which you have a prescription. You can also continue to receive reimbursement for items such as crutches, bandages and diagnostic devices such as blood sugar test kits.
 
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  How far back can I submit claims for reimbursement?
  Claims may be submitted for reimbursement any time within the plan year. It is recommended that you submit claims at least every six months. You have 30 days following the end of the coverage period (the date you are no longer eligible for coverage due to termination/reduction of hours or the end of the plan year - whichever comes first) to submit requests for reimbursements for eligible expenses incurred during the coverage period.
 
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