FSA Eligible Expenses Crosby Benefit Systems v
|
|
- Roy Evans
- 8 years ago
- Views:
Transcription
1 FSA Expenses All over-the-counter (OTC) medications and drugs must be prescribed by a physician to be eligible for reimbursement. This change was effective January 1, 2011, regardless of your plan year. IMPORTANT: The following is a list of common medical, dental and vision related items and services. Crosby determines "" based on IRS guidance. Crosby's interpretation is subject to change without notice. This list is intended only as a general guideline because all submitted expenses will be reviewed on a case-by-case basis based on the documentation provided. *In most cases, a Dual Purpose item will require a medical practitioner note to verify medical necessity. A medical practitioner note may be written by a doctor of medicine, dentistry, podiatry, optometry, an authorized chiropractor, an alternative healer or other qualified medical practitioner and must contain the following: 1. date; 2. patient s name; 3. medical practitioner s name; 4. statement of medical necessity; 5. the prescribed treatment; and 6. the duration of treatment required. Item Example/Notations? OTC Medicine or Abortion Acne Treatment Acupuncture Adoption, Pre-Adoption Medical Expenses Proactive, Stridex, Clean & Clear Air Conditioner Air Purifier Alcoholism Treatment Allergy Relief Alternative Dietary Substitutes Alternative Drugs & Medicines Alternative Healers Ambulance Analgesics Antacids & Heartburn Relief Antibiotic Creams & Ointments, Hemorrhoid Preparations Oral Medications, Nasal Sprays & Patches Aspirin, Acetaminophen, Ibuprofen Alka-Seltzer, Mylanta, Milk of Magnesia Preparation H, Bacitraycin, Neosporin Dual purpose* Dual purpose* Anti-Diarrheal Imodium, Pepto-Bismol Anti-Itch & Hydrocortisone Creams Benadryl, Caladryl, Cortaid
2 FSA Expenses Item Example/Notations? OTC Medicine or Arthritis Pain-Relief Capzasin, Activon Artificial Limbs Artificial Teeth Asthma Treatments Rx required if over-the-counter Automobile Modifications Babysitting & Child Care Not Bandages Elastic, Gauze Pads, Band Aids Behavioral Modification Programs Birth Control Pills Birthing Classes Blood Pressure Monitoring Devices Blood Sugar Test Kits & Test Strips Body Scans Braille Books & Magazines Breast Pumps Breast Reconstruction Surgery Following Mastectomy Calamine Lotion Prescription Required Capital Expenses Carpal Tunnel Wrist Supports Cervical Pillow Chelation Therapy Chiropractors Chondroitin/Glucosamine Christian Science Practitioners Circumcision Co-Insurance Amounts Cold Medicines Tablets, Syrups, Drops, Lozenges Cold/Hot Packs Condoms Contact Lenses, Materials & Equipment Contraceptives Co-Payments Cosmetic Procedures Cosmetics Makeup, Lipstick, Cotton Swabs, Cotton Balls, Baby Oil Not Not
3 FSA Expenses Item Example/Notations? OTC Medicine or Counseling Crowns, Dental Crutches Dancing & Swimming Lessons Deductibles Dental Care Marriage and couples counseling are ineligible Toothache Relief, Temporary Filling, Denture Adhesives Dual purpose* Dental Floss, picks, brushes Not Dental Sealants Dental Treatments Denture Care Cleaners Not Dependent Care Expenses Not Diabetic Supplies Diagnostic Items & Services Diaper Rash Creams A&D Ointment, Desinex Diapers Not Diarrhea Medicine Imodium, Kaopectate Diet Food Not Dietary Supplements Disabled Dependent Care Expenses DNA Collection & Storage Doulah Not Drug Addiction Treatment Drug Overdose Treatment Dyslexia Ear Care Ear Drops, Ear Wax Removal Ear Plugs Egg Donor Fees Eggs & Embryos Storage Fees Electrolysis or Hair Removal Not Exercise Equipment or Programs Eye Care Contact Lens Lubricating Drops, Contact Lens Solution, Eye Patches, Reading Glasses Eye Examinations Face Creams Not Face Lifts Not
4 FSA Expenses Item Example/Notations? OTC Medicine or Family Planning Feminine Care Feminine Hygiene Products Fertility Treatments Fiber Supplements First Aid Condoms, Contraceptive Creams, Pregnancy Test, Ovulation Predictor Kits Progesterone Cream, Estrogen Cream Tampons, Pads, Feminine Washes Heat Wraps, Hot/Cold Packs, Compresses, Bandages, Tape, Gauze Dressing, Adhesive Pads, Band-Aids Not First Aid Kits Flu Shots Fluoridation Device or Services Foot Care - Non-Medicines and Drugs Arch & Insole Supports Foot Care - OTC Medicines and Drugs Athlete's Foot Treatment, Nail & Foot Antifungal creams Founder's Fee Funeral Expenses Gambling Problem Treatment Genetic Testing Glucose monitoring equipment Guide Dog: Other Aid Animals Hair Care Color, Shampoo, Conditioner, Brushes, Hair-Loss Products, i.e. Rogaine Not Not Not Hair removal & Transplants Not Hand Lotion Not Health Club Fees Health Institute Fees Hearing Aids & Its Batteries Hemorrhoid Treatments Home Care Home Diagnostic Tests or Kits Blood pressure, cholesterol, diabetes, colorectal, HIV, urine test, thermometers
5 FSA Expenses Item Example/Notations? OTC Medicine or Home Improvements Exit Ramps, Widening Doorways Homeopathic Medicines Hormone Replacement Therapy Hospital Services Household Help Not Humidifier Illegal Operations, Treatments, Drugs Not Immunizations Inclinator Incontinence Supplies Infertility Treatments Insulin Joint-Support Bandages & Hosiery For example Depends and Serenity Pads Laboratory Fees Lactation Consultant Lactation Supplies Lamaze Classes For mother only. Expenses for the coach or significant other do not qualify. Language Training Laser Eye Surgery LASIK Late Fees For late payment of bills for Not medical services Laxatives Metamucil Lead-Based Paint Removal Learning Disability Instructional Fees Legal Fees, General Lodging at a Hospital or Similar Institution
6 FSA Expenses Item Example/Notations? OTC Medicine or Lodging Not at a Hospital or Similar Institution Lodging of a Companion Lodging While Attending a Medical Conference Marriage Counseling Massage Therapy Mastectomy-Related Special Bras Maternity Clothes Mattresses Meals at a Hospital or Similar Institution Meals Not at a Hospital or Similar Institution Meals of Companion Meals; Attending a Medical Conference Medical Alert Bracelet or Necklace Medical Conference Admission, Transportation, Meals Medical Information Plan Charges Up to $50 per night if used primarily for and essential to medical care provided by a physician in a licensed hospital or medical care facility and there is no element of personal pleasure recreation or vacation in the travel Will qualify if accompanying a patient for medical reason and all of the following conditions apply: up to $50 per night if used primarily for and essential to medical care provided by a physician in a licensed hospital or medical care facility and there is no element of personal pleasure recreation or vacation in the travel Craniosacral Therapy, Myofacial Release Not Not Not Not Not Not Not Dual Purpose
7 FSA Expenses Item Example/Notations? OTC Medicine or Medical Monitoring & Testing Devices Medical Newsletter Not Medical Records Charges Menstrual Pain Relievers For example, Midol Mileage for Medical Appointment Expenses for Transportation Primarily for & Essential to Medical Care Mineral Supplements Dual Purpose Missed Appointment Fees Not Morning After Contraceptive Pills Motion Sickness Treatment Dramamine, Patches, Bracelets, Bonine Mouthwash Not Nail Care & Personal Grooming Items Scissors, Nail Files, Nail Polish Not Nasal Strips or Sprays Nursing Services Provided By A Nurse or Other Attendant Wages, employment taxes and other amounts paid for nursing services generally will qualify. If person is providing household and personal services, these do not qualify. Nutritional & Dietary Supplements Bars, Milkshakes, Power drinks Occlusal Guards to Prevent Teeth Grinding Operations Optometrist Organ Donors/Transplants Orthodontia Orthopedic Shoes & Inserts Osteopath Fees Ovulation Monitor Oxygen Patterning Exercises Personal Hygiene Personal Trainer Fees Deodorant, Soap, Body Powder, Shaving Cream, Razors, Feminine Care, Sanitary Products Not
8 FSA Expenses Item Example/Notations? OTC Medicine or Physical Exams Physical Therapy Pregnancy Test Kits Prenatal Vitamins if taken during pregnancy Pre-Payment Not Psychiatric Care Psychoanalysis Psychologist Radial Keratotomy Retin-A For Treatment of Acne Rolfing Routine Dental Care Toothpaste, Toothbrush, Not Electric Toothbrush, Floss, Mouthwash Including Antibacterial Mouthwash & Fluoride Rinse, Breath Strips, Teeth-Whitening Rubber Gloves Rubbing Alcohol Safety Glasses Prescription Only Screening Tests Shampoo Treatments Relating to Treatment of Lice A200, Rid Shipping & Handling Fees Skin Care Skin & Body Moisturizing Not Lotion, Lip Balm Sleep Aids Tylenol PM, Sominex, Unisom Sleep Deprivation Treatment Smoking Cessation Medications Smoking Cessation Programs Special Education Schools Special Home for Mentally Handicapped Nicoderm, Nicorrett, Nicotine Gum, Smoking Cessation Patches Sperm, Storage Fees
9 FSA Expenses Item Example/Notations? OTC Medicine or Spermicidal Foam Stem Cell Harvesting & Storage Sterilization Procedures Stomach/Digestive Relief Pepto-Bismol, Imodium, Colace, Lactaid Student Health Fees Not Sun Glasses Prescription Lenses Only Sun Screen Sunburn Creams & Ointments Solarcaine Supplements Surrogate Expenses Not Taxes on Medical Services & Products Teeth Whitening Telephone for Hearing-Impaired Persons Television for Hearing-Impaired Persons Not Therapy Thermometers Toiletries Moisturizers, Toothpaste, Lotions, Antiperspirant, Lip Balm, Perfume, Cologne Not Tooth & Mouth Pain Relief Oragel, Anbesol Treadmill Tuition For Special Needs Program Ultrasounds Umbilical Cord, Freezing & Storage Urinary Pain Relief Vaginal Infection Treatment Monistat Vaporizers Varicose Veins Treatment Vasectomy Vasectomy Reversal Veneers Not Viagra Vision Discount Programs Not Vitamins
10 FSA Expenses Item Example/Notations? OTC Medicine or Walkers Wart Removal Medication Compound W Weight Loss Programs and/or Drugs Prescribed to Induce Weight Loss Wheelchair Wigs X-ray fees
FSA Eligible Expenses Crosby Benefit Systems www.crosbybenefits.com v09122014
FSA Expenses All over-the-counter (OTC) medications and drugs must be prescribed by a physician to be eligible for reimbursement. This change was effective January 1, 2011, regardless of your plan year.
More informationFSA Eligible Expenses Crosby Benefit Systems, Inc. www.crosbybenefits.com Version: 04/19/2011
FSA Expenses www.crosbybenefits.com Version: 04/19/2011 Please Note: Effective January 1, 2011, all over-the-counter (OTC) medications and drugs must be prescribed by a physician to be eligible for reimbursement.
More informationPOTENTIALLY ELIGIBLE* ELIGIBLE YES
MEDICAL FLEXIBLE SPENDING ACCOUNT EXPENSES Abortion Acne Treatment Acupuncture Adaptive Equipment Alcoholism treatment Allergy medicine Alternative healers/chinese herbal Ambulance Appearance Improvements
More informationAllowable Medical Expenses
Allowable Medical Expenses This is a general listing of accepted items. Please check your company s plan documents for specific exclusions. For example, participation in a Health Savings Account would
More informationELIGIBLE FLEXIBLE EXPENSES
ELIGIBLE FLEXIBLE EXPENSES The following is not a comprehensive list of items, but it should cover the majority of eligible expenses that can typically be processed through flexible spending accounts.
More informationEligible Expense Guide Updated 10/28/2011
Eligible Expense Guide Updated 10/28/2011 According to SIGIS, the nonprofit group that oversees eligible over-the-counter expense items, the Affordable Care Act requires a doctor's prescription for the
More informationQUALIFIED FSA EXPENSES (For Health Care Flexible Spending Accounts)
QUALIFIED FSA EXPENSES (For Health Care Flexible Spending Accounts) * This list is by no means exhaustive. Please consult IRS 213 for additional information, or contact MGIS directly (flexinfo@mgis.com).
More informationFSA Health Care Eligible & Ineligible Expense Items. FSA Eligible Health Care Expenses
FSA Eligible Health Care Expenses Acupuncture Alcoholism Treatment Ambulance Artificial Limb Autoette/Wheelchair Bandages Braille Books and Magazines Breast Pumps and Lactation Supplies Chiropractor Christian
More informationDiabetic supplies Diagnostic items/services Diaper rash ointments/creams Diarrhea medication
Flexible Spending Account Eligible Expenses Your Health Care Reimbursement Flexible Spending Account lets you pay for medical care expenses not covered by your insurance plan with pre-tax dollars. The
More informationExpenses that ARE Covered Under Niagara Falls City School District s Health Flexible Spending and Health Reimbursement Account
Expenses that ARE Covered Under Niagara Falls City School District s Health Flexible Spending and Health Reimbursement Account Medical care expenses include amounts paid for the diagnosis, cure, mitigation,
More informationHealth Care Eligible Items
Health Care Eligible Items Your Health Care Flexible Spending Account (FSA) is a smart way to save money on everyday expenses! Take a moment to review the following items for eligibility as outlined by
More informationIRS Eligible Expenses (Frequently Asked About)
IRS Eligible Expenses (Frequently Asked About) RX (Prescription) Co-payment (Medical) Office visit (Medical) Dental (for non-cosmetic purposes) Over-the-counter (OTC) As of 1/1/2011 Over-the-counter medicines
More informationItems generally considered Eligible from IRS Publication 502
This list has been compiled for the convenience of our clients and participants and is designed to provide a general overview of expenses that may be eligible under section 213(d) of the Internal Revenue
More informationHealth Savings Accounts (HSAs)
Health Savings Accounts (HSAs) What does the Beniversal HSA provide? Tax-free savings on eligible medical expenses for today and tomorrow. A savings opportunity! You own the account. Funds carry over from
More informationFlexible Spending Account Enrollment Packet
Flexible Spending Account Enrollment Packet The following forms are included in this enrollment packet: Enrollment Form In order to participate in a cafeteria plan you must complete the enrollment form
More informationFlexible spending account expense guide
Flexible spending account expense guide or the UniAccount SM FSA This guide provides details about: Things that are and are not allowed expenses for the FSA. These lists are based on IRS rules. Keep in
More informationWhat Expenses Are Eligible for Reimbursement?
What Expenses Are Eligible for Reimbursement? The following table illustrates expenses commonly requested for reimbursement from the Health FSA (Unreimbursed Medical Expense Account) or HSA. This tool
More informationHSA Eligible Expenses
Page 1 of 10 Brokers and Agents Contact Us About Us Customer Support HomeFor IndividualsFor Employers Log In Search Email Account Holders What is an HSA? Am I Eligible? How do I contribute? How do I take
More informationHealth FSA Eligible Expense Listing
Health FSA Eligible Expense Listing Paychex reserves the right to modify this list at any time to be in compliance with federal law. Paychex, along with the Plan Administrator, may deem it necessary to
More informationFlexible Spending Account (FSA) Enrollment Kit. Significant savings 24/7 web access Fast, efficient, convenient The benefit that benefits everyone
Flexible Spending Account (FSA) Enrollment Kit Significant savings 24/7 web access Fast, efficient, convenient The benefit that benefits everyone The FSA Plan A Flexible Spending Account (FSA) is an employee
More information(if you are enrolling)
(if you are enrolling) Healthcare Expense Estimator Dependent Care Expense Estimator Tax Savings Estimator Healthcare Expense Worksheet (For Your Records Only. Do Not Turn In.) Instructions: Using this
More informationWhat is a Health Savings Account and what do I need to know? Q. What is a Health Savings Account?
What is a Health Savings Account and what do I need to know? Q. What is a Health Savings Account? A. A health savings account (HSA) combines high deductible health insurance with a tax-favored savings
More informationELIGIBLE EXPENSES. FSA Eligible & Ineligible Expenses MEDICAL/PRESCRIPTIONS DENTAL VISION
ELIGIBLE EXPENSES MEDICAL/PRESCRIPTIONS Acupuncture - if to treat a medical condition Ambulance Expenses Artificial Limbs/Prosthetics Breast Reconstruction Surgery - following a mastectomy to ameliorate
More informationSample eligible expenses Personal Care Account (PCA), Health Savings Account (HSA) and Flexible Spending Account (FSA)
Prescription drugs: Prescription drugs or insulin Medicines and drugs from other countries Illegal drugs Cosmetic prescriptions Medical equipment: Artificial limbs Blood pressure monitoring devices Breast
More informationYOU RE GOING TO NEED A BIGGER BANK. BASIC FLEX
YOU RE GOING TO NEED A BIGGER BANK. BASIC FLEX GET MORE OUT OF YOUR PAYCHECK. Do you pay medical expenses? How about insurance premiums? Child care? If you answered yes to any of these questions then keep
More informationWelcome. What s Inside. Have questions? A Guide to Your Flexible Spending Account (FSA) As you start the new plan year, remember that:
Welcome A Guide to Your Flexible Spending Account (FSA) As you start the new plan year, remember that: ``You are saving tax dollars. You won t pay taxes when you use your money for eligible health and/or
More informationHow To Pay For Medical Expenses
The Medical Flexible Spending Account is used for tax-deductible health care expenses not paid by insurance for yourself, your spouse and anyone you claim as a dependent on your federal income tax return.
More informationHealth FSA Eligible Expense Listing
Health FSA Eligible Expense Listing Paychex reserves the right to modify this list at any time to be in compliance with federal law. Paychex, along with the Plan Administrator, may deem it necessary to
More informationSee IRS Publication 502) Ineligible Health Care Expenses (See IRS Publication 502) unless
Eligible Health Care Expenses- See IRS Publication 502} Eligible medical care expenses include amounts paid for the diagnosis, cure, mitigation, treatment or prevention of disease, and for treatments affecting
More informationFlexible Spending Accounts
A l l i a n c e B e n e f i t G r o u p ( 8 5 5 ) 8 6 6-8 0 6 0 w w w. a b g a c c e s s. c o m Flexible Spending Accounts A Flexible Spending Account (FSA), also known as a Section 125 Flexible Benefit
More informationFlexible Spending Account Overview
Flexible Spending Account Overview Medical Reimbursement Accounts Dependent Care Reimbursement Accounts Transforming Employee Benefits What is a Flexible? A Flexible is offered through your employer and
More informationFlexible Spending Accounts
Flexible Spending Accounts A Flexible Spending Account (FSA), also known as a Section 125 Flexible Benefit Plan or Cafeteria Plan is a voluntary, tax-free way for employees to save for qualified medical,
More informationa unique approach to HR technology and managing benefits administration The Full Benefits of a Flexible Spending Account with a Debit Card
a unique approach to HR technology and managing benefits administration The Full Benefits of a Flexible Spending Account with a Debit Card What Is A Flexible Spending Account? Flexible Spending Account
More informationYour Hard-Earned Dollars Want 30% More? A Flexible Spending Account can do just that!
Your Hard-Earned Dollars Want 30% More? A Flexible Spending Account can do just that! What is a Flexible Spending Account? How does it work? How many dollars can I STRETCH? How can I spend the money? What
More informationFlexible Spending Account Enrollment Guide
Flexible Spending Account Paying for healthcare is now easier and less expensive with a Flexible Spending Account (FSA) from ConnectYourCare. What is a Flexible Spending Account (FSA)? A Flexible Spending
More informationCITY OF NEW BERN. A Guide To Your Flexible Spending Account
CITY OF NEW BERN A Guide To Your Flexible Spending Account FSA Reminders for City of New Bern Group number: 212 Plan year: 07/01/15-06/30/16 FSA Reimbursement checks: Claims are processed weekly. Healthcare
More informationFlexible Spending Account (FSA) / Dependent Care Account (DCA)
Flexible Spending Account (FSA) / Dependent Care Account (DCA) University Medical Associates PLAN YEAR: 1/1/15 12/31/15 You have 90 days at the end of the Plan to file claims for services provided during
More informationAdvantages of a Flexible Spending Account
Advantages of a Flexible Spending Account Increase Your Take-Home Pay by Reducing Your Taxable Income! A Flexible Spending Account (FSA) allows you to save up to 30% on your eligible healthcare and/or
More informationEmployee Guide to Pre-Tax Savings
Employee Guide to Pre-Tax Savings Flexible Benefit Plan Information What is a Flexible Benefit Plan? What expenses qualify for reimbursement? Can I use funds I have set aside for dependent care to pay
More informationEMPLOYEE GUIDE. To Pre-Tax Savings. Dependent Care Reimbursement Account. Expense Worksheet
EMPLOYEE GUIDE To Pre-Tax Savings Flexible Benefit Flexible Plan Benefit Plan Dependent Care Reimbursement Account Medical Reimbursement Medical Reimbursement Account Account Expense Worksheet Flexible
More informationIneligible Expenses The following expenses are not eligible for reimbursement under a Health FSA, HRA or HSA:
Ineligible Expenses The following expenses are not eligible for reimbursement under a Health FSA, HRA or HSA: Annual medical contract fees for exclusive provider care Arch supports, knee wrist braces (unless
More informationFlexible. Spending Accounts. Instructions for using your. Medical Care Flexible Spending Accounts. Dependent Care Flexible. Spending Accounts.
Medical Care Flexible Spending Accounts Instructions for using your Flexible Spending Accounts Dependent Care Flexible Spending Accounts FAQ s Requesting Reimbursement Account Balance Customer Service
More informationEligible Expenses. Your plan may have additional restrictions and entire categories of eligible items may not qualify for reimbursement.
Eligible Expenses The following are examples of IRS allowable and disallowed healthcare expenses for a Healthcare Flexible Spending Account (FSA) or Personal Care Account (PCA). Note: This is only a list
More informationFlexible Spending Account (FSA)
Flexible Spending Account (FSA) A Flexible Spending Account (FSA) is a benefit governed by the IRS and sponsored by your employer. An FSA allows you to pay certain Health Care and/or Dependent Care expenses
More informationFlexible Spending Account Enrollment Guide
Flexible Spending Account Paying for healthcare is now easier and less expensive with a Flexible Spending Account (FSA) from ConnectYourCare. What is a Flexible Spending Account (FSA)? A Flexible Spending
More informationMedical Reimbursement Account. How to Use Your Medical Reimbursement Account. San Francisco City Option Updated April 2016 www.sfcityoption.
Medical Reimbursement Account How to Use Your Medical Reimbursement Account San Francisco City Option Updated April 2016 www.sfcityoption.org Contents About this Handbook...1 What is a Medical Reimbursement
More informationQualified Expenses for Limited and Post-Deductible FSA A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
EPENSES A B C D E F G H I J K L M N O P Q R S T U V W Y Z Abortion The cost of a legal abortion is a qualified medical expense. Acne treatment When used for the treatment of acne, the cost of acne treatment
More informationOut-of-Pocket Health Care Costs and Tax Deductions Everything you need to know about deducting health care expenses
Out-of-Pocket Health Care Costs and Tax Deductions Everything you need to know about deducting health care expenses Contents 2 3 4 6 7 8 11 12 13 Table of Contents Introduction and Methodology Survey Highlights
More informationIRS Eligible Expenses
IRS Eligible Expenses Eligible individuals - Expenses under a health FSA may be incurred by the employee or by the employee's spouse or eligible dependents. The following is an alphabetical list of items
More informationAcupuncture Yes When recommended by a health care professional for a medical condition, the cost of acupuncture is a qualified medical expense.
Abortion The cost of a legal abortion is a qualified medical expense. Acid Controller w/ Prescription When prescribed by a physician, the cost of an acid controller is a qualified medical Acne treatment
More informationFlexible Spending Account (FSA) Enrollment Kit
Flexible Spending Account (FSA) Enrollment Kit Significant Savings 24/7 Web access Fast, Efficient, Convenient The benefit that benefits everyone With the EBS Flex Card An FSA means more money in your
More informationFlexible Spending Account Enrollment Guide
Flexible Spending Accounts What are Flexible Spending Accounts (FSA)? FSAs are tax-advantaged accounts that allow you to use pre-tax dollars to pay for out-of-pocket qualified medical and dependent day
More informationIRS Eligible Expenses
IRS Eligible Expenses Eligible individuals - Expenses under a health FSA may be incurred by the employee or by the employee's spouse or eligible dependents (children, siblings, parents and others for whom
More informationHealth Savings Accounts Frequently Asked Questions (FAQs)
Health Savings Accounts Frequently Asked Questions (FAQs) If you are interested in enrolling in the new Gold Plan with an HSA during Open Enrollment, read on to learn more about the IRS requirements. Or,
More informationYour Spending Account
Abortion Acne products Products specifically marketed for and used to treat acne Acne products Products used for general hygiene such as facial wash, cleansers, toners, and medicated makeup Acupuncture
More informationFlexible Spending Accounts
Flexible Spending Accounts Health Care and Dependent Care Flexible Spending Accounts Discovery Benefits, Inc. (866) 451-3399 Option 1, 1 Plan Description You have access to a Flexible Spending Account
More informationHealth Reimbursement Arrangement (HRA) RETIREE Pay Me Back Claim Form
www.wageworks.com **An electronic claim may be submitted at www.wageworks.com.** TOLL-FREE FAX: (877) 353-9236 Or, mail to: Claims Administrator, PO Box 14053, Lexington, KY 40512 ACCOUNT HOLDER INFORMATION
More informationExamples of Qualifying Medical Expenses Medical Flexible Spending Account
Examples of Qualifying Medical s (Defined in Section 213 of the Internal Revenue Code) Abortion Acne Treatment (OTC) Acupuncture Adoption, pre-adoption medical expenses Alcoholism treatment Allergy medicine
More informationFlexible Spending Account Enrollment Guide
Flexible Spending Account Paying for health care is now easier and less expensive with a Flexible Spending Account (FSA) from ConnectYourCare. What is a Flexible Spending Account (FSA)? A Flexible Spending
More informationBenefits Handbook Date May 1, 2010. Limited Purpose Health Care Flexible Spending Account MMC
Date May 1, 2010 Limited Purpose Health Care Flexible Spending Account MMC Limited Purpose Health Care Flexible Spending Account The Limited Purpose Health Care Flexible Spending Account allows you to
More informationDependent Care Assistance Account (Dependent Care FSA) For your expenses related to dependent day care such as after school child care.
Flexible Spending Accounts (FSA) Health Care Reimbursement Account (Health FSA) For your out-of-pocket medical, dental, vision and hearing expenses. You and your dependents do not have to be covered under
More informationFSA Plan. City of Seattle. Administered by Flex-Plan Services, Inc. Plan Year starting 1/1/2013 and ending 12/31/2013
FSA Plan Administered by Flex-Plan Services, Inc. City of Seattle Plan Year starting 1/1/2013 and ending 12/31/2013 www.flex-plan.com Flex-Plan Services, Inc General FSA Overview An FSA plan is a pre-tax
More informationRosemount-Apple Valley-Eagan School District #196 Flexible Spending Account (FSA) Benefit Guide 2014-2015
Rosemount-Apple Valley-Eagan School District #196 Flexible Spending Account (FSA) Benefit Guide 2014-2015 Plan Outline Administrator: Corporate Health Systems, Inc. Local Phone: (952) 939-0911 Toll Free
More informationBluegrass Family Health FSA Enrollment Guide
Flexible Spending Account Paying for health care is now easier and less expensive with a Flexible Spending Account (FSA) from Bluegrass Family Health. What is a Flexible Spending Account (FSA)? A Flexible
More informationFlexible Spending Account Overview
Flexible Spending Account Overview Flexible Spending Account Paying for health care is now easier and less expensive with a Flexible Spending Account (FSA) from ConnectYourCare. What is an FSA? A Flexible
More informationUSW HRA Fund Examples of Eligible Medical Expenses
USW HRA Fund Examples of Eligible Medical Expenses Abortion Medical expenses associated with a legal abortion. Acne laser treatment Expenses paid for acne treatment. Acupuncture Medical expenses paid for
More informationBooks, trade journals, newspapers and publications for your trade or profession
List of Tax Deductible Expenses Books and Publications Books, trade journals, newspapers and publications for your trade or profession Dues and Fees: Dues to a professional organization for people in your
More informationFlexible Spending Account (FSA)
EBS Flexible Spending Account (FSA) What is a Flex Plan? Set aside a portion of your pre-tax income into a Flex Spending Account or a Dependent Care Account. These accounts be used towards medical expenses
More informationMedical Care and Cosmetic Purposes
A Expense AA meetings, transportation to Abortion Acne treatment Acupuncture Adaptive equipment Adoption, pre-adoption medical s Is a qualifying? Qualifying Qualifying Qualifying Comments and special rules
More informationCity Colleges of Chicago 2013 Flexible Spending Account (FSA) Open Enrollment
City Colleges of Chicago 2013 Flexible Spending Account (FSA) Open Enrollment Monday, November 26, 2012 Monday, December 10, 2012 Mark your Calendars. Enrollment Forms are Due Monday, December 10, 2012!
More informationUnreimbursed Medical (URM) Accounts
HOW YOUR PLAN WORKS: Flexible Spending Accounts allow you to direct a part of your pay, on a pre-tax basis, into special accounts that can be used throughout the year to reimburse yourself for certain
More informationHealth Savings Account
County National Bank Health Savings Account SCHEDULE OF FEES INTEREST RA.TE Setup Fee Balance AER Monthly Fee $0.01 -$999.99 0.50%* Minimum Balance Required $0.00 Debit Card Debit Card Transactions $ 1,000-$4,999.99
More informationEligible Expense List
What can be reimbursed under a Health FSA? The below table describes whether certain types of s qualify as medical care under your Flexible Spending Plan. Cautions Regarding Use of the Table. Confirming
More informatione n r o l l m e n t g u i d e f o r CoreFLEX Flexible Spending Accounts from CoreSource
e n r o l l m e n t g u i d e f o r CoreFLEX Flexible Spending Accounts from CoreSource Table of Contents :: Overview....1 :: Medical Reimbursement Account...2 :: Dependent Care Account...3 :: Contribution
More informationHealth Savings Account Expense Coverage Guide
Health Savings Account Expense Coverage Guide Expenses that are eligible under a Health Savings Account (HSA) are similar to those eligible under a traditional health care spending account (HCSA). After-tax
More informationHealth Savings Account Overview
Health Savings Account Overview Paying for health care is now easier and less expensive with a Health Savings Account (HSA) from ConnectYourCare. What is an HSA? An HSA is like a 401(k) for health care.
More informationHealthcare and Dependent Care Flexible Spending Accounts. City & County of San Francisco Employees. Short Plan Year Resource Guide
Healthcare and Dependent Care Flexible Spending Accounts City & County of San Francisco Employees Short Plan Year Resource Guide 2 City & County of San Francisco Table of Contents 3 Flexible Spending Accounts
More informationHealth Flexible Spending Account Frequently Asked Questions
Health Flexible Spending Account Frequently Asked Questions What is a health flexible spending account? A health flexible spending account (FSA) is part of your benefits package. This plan lets you use
More informationBluegrass Family Health HSA Enrollment Guide
Health Savings Account Paying for health care is now easier and less expensive with a Health Savings Account (HSA) from Bluegrass Family Health. What is a Health Savings Account (HSA)? A Health Savings
More informationList of Eligible and Ineligible Expenses with the Section 125 Health FSA and Health Savings Accounts (HSA) Provided by Kushner & Company
Below, you will find a list and reimbursement information regarding many of the common requests we receive at Kushner & Company. Obviously we cannot listed every item, but this guide should provide you
More informationFlexible Spending Account Enrollment Guide
Flexible Spending Account Paying for healthcare is now easier and less expensive with a Flexible Spending Account (FSA) from ConnectYourCare. What is a Flexible Spending Account (FSA)? A Flexible Spending
More informationFlexible Spending Account (FSA)
Flexible Spending Account (FSA) ENROLLMENT GUIDE Offering you more choices for managing your healthcare dollars 1 ConnectYourCare & Consumer-Directed Healthcare Congratulations you may now begin taking
More informationPeak1 Administration 7600 Mineral Drive, Suite 450 Coeur d'alene, ID 83815 Email: membercare@mypeak1.com Phone: 866-315-1777 Fax: 855-495-3669
Peak1 Administration 7600 Mineral Drive, Suite 450 Coeur d'alene, ID 83815 Email: membercare@mypeak1.com Phone: 866-315-1777 Fax: 855-495-3669 MyPeak1.com Healthcare Flexible Spending Account Overview
More informationHealth Savings Account. Guide for Members
Health Savings Account Guide for Members Your Health Savings Account Take Control of Your Health Care A Health Savings Account (HSA) is a new way to secure more affordable health coverage for you and your
More informationCITY OF COLORADO SPRINGS TAX GUIDE MEDICAL EXEMPTIONS
CITY OF COLORADO SPRINGS TAX GUIDE MEDICAL EXEMPTIONS The City of Colorado Springs Sales and Use Tax Ordinance contains a medical exemption and definitions that, when combined, provide a variety of exemptions
More informationM E M. TO: Flex Plan participants FROM: Mindy Brown RE: Health Spending Account (HSA) & Flexible Spending Account (FSA)
e-mail: flexplan@gicpas.com M E M O TO: Flex Plan participants FROM: Mindy Brown RE: Health Spending Account (HSA) & Flexible Spending Account (FSA) With the growing popularity of Health Savings Accounts,
More informationFLEXIBLE SPENDING ACCOUNT
FLEXIBLE SPENDING ACCOUNT Open a Flexible Spending Account To Save 25-40% on Healthcare and Dependent Daycare Expenses With a Flexible Spending Account (FSA), you pay for eligible expenses with tax-free
More informationFSA Eligible Expenses
The following is a summary of common expenses for Health Care Flexible Spending Accounts (FSAs) and Dependent Care Flexible Spending Accounts (FSAs). Please refer to your employer's Summary Plan Description
More informationFor a list of eligible and ineligible expenses, refer to the inside of this brochure or go to www.benicomp.com/fsa/forms.
What is a Flexible Spending Account? A Flexible Spending Account (FSA) is an add-on benefit program that allows you to save money on a pre-tax basis for certain common, eligible expenses. If you choose
More informationFlexible Spending Account (FSA)
Flexible Spending Account (FSA) Enrollment Guide More Choices For Managing Your Healthcare Dollars V2.1 110414 TB Peak1 Administration MemberCare Department Phone: 866.315.1777 Fax: 855.495.3669 membercare@mypeak1.com
More informationGannon University. Flexible Spending Accounts FSA Employee Overview. Plan Dates April 1, 2014 to March 31, 2015. Prepared By:
Gannon University Flexible Spending Accounts FSA Employee Overview Plan Dates April 1, 2014 to March 31, 2015 Prepared By: 401 Cranberry Street, Suite 100 Erie, PA 16507 Telephone: (814) 453-4357 Fax:
More informationHow to get the most out of your Aetna HealthFund HSA.
How to get the most out of your Aetna HealthFund HSA. Welcome to HealthEquity. HealthEquity is your health savings account (HSA) administrator, which means it s our job to help you better understand and
More informationFlexible Spending Accounts. a tax saving benefit
Flexible Spending Accounts a tax saving benefit What are covered expenses? All expenses approved by the Internal Revenue Service (IRS) and partially or not covered under any insurance plan are considered
More informationFlexible Spending Accounts (FSAs) & Dependent Care Accounts (DCAs)
What s Inside: What is an FSA? Benefits of Debit Mastercard Rules and Restrictions FSA Worksheet Eligible/Ineligible Expenses Claims Procedures FAQs Inventory Information Approval System (IIAS) Important
More informationFLEXIBLE SPENDING PLAN SUMMARY. 1. Plan Name: Salem Keizer School District Salary Reduction Plan
FLEXIBLE SPENDING PLAN SUMMARY 1. Plan Name: Salem Keizer School District Salary Reduction Plan 2. Employer Identification Number: 93-6000763 3. Employer Address: 2450 Lancaster Dr NE PO Box 12024 Salem,
More informationFlexible Spending Account (FSA) Enrollment Kit
Flexible Spending Account (FSA) Enrollment Kit Significant Savings 24/7 Web access Fast, Efficient, Convenient The benefit that benefits everyone With the EBS RMSCO Debit Card B 3384 An FSA means more
More informationCHECKLIST OF DEDUCTIBLE AND NON-DEDUCTIBLE MEDICAL EXPENSES (not all inclusive)
54 Main Street, suite 102, Succasunna, NJ 07876-1400 (973) 584-1232 Fax: (973) 584-7869 TIN: 22-3258806 Email: acnj.njcpa@verizon.net Website: www.practicalcpa.com Checklist-MEDICAL_EXPENSES-rev1.doc refer
More informationFLEXIBLE SPENDING PLAN
FLEXIBLE SPENDING PLAN PLAN HIGHLIGHTS v Use pre-tax dollars for: Unreimbursed Qualified Medical Expenses Dependent Care Costs v Eligible first day of the month following 30 days of employment (If employed
More informationHealth Savings Account. Guide for Members
Health Savings Account Guide for Members Take Control of Your Health Care A Health Savings Account (HSA) is a new way to secure more affordable health coverage for you and your family while you save on
More informationHealth Savings Account ENROLLMENT GUIDE. Health Savings Account Enrollment Guide C1
Health Savings Account ENROLLMENT GUIDE Health Savings Account Enrollment Guide C1 Table of Contents Health Savings Account.... 1 Your online account... 3 Using your HSA... 5 HSA calculator... 7 Benefits
More information