Transcript What is a Flexible Spending Account?

Flexible Spending Account with Benny Card
The more you know about
Flexible Spending Accounts
The more you save!
An FSA is a free & voluntary benefit that allows
you to set aside pre-tax dollars to reimburse
out-of-pocket medical, dental, vision, and
dependent care expenses.
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Elections are withdrawn from your paycheck
evenly throughout the year on a pre-tax basis.
Benefit:
Save 25-30% on pre-tax dollars
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Acupuncture
Ambulance fees
Braille – books and magazines
Breast Pump
Childbirth classes – mother-to-be
expenses only; partner’s expenses
not eligible
Chiropractic care
Coinsurance
Contact lens, solutions, and cleaners
Crutches
Deductibles
Dental fees
Dentures
Denture adhesives
Diagnostic testing fees
Eyeglasses, including examination fee
•Guide dog
•Hearing aids and batteries
•Hospital bills
•Insulin and diabetic supplies
•Laboratory fees
•Laetrile by prescription
•Nurse fees
•Obstetrical expenses
•Operations
•Orthodontia
•Orthopedic shoes
•Osteopath fees
•Oxygen
•Physician fees
•Practical nurse fees
•Prescribed drugs–see cosmetic
exceptions below
•Psychiatric care
•Psychologist fees or individual therapy
•Radial keratotomy/Laser eye surgery
•Routine physicals
•Special communication equipment
for the deaf
•Smoking cessation prescriptions
•Special plumbing for the handicapped
•Surgical fees
•Therapeutic care for drug and alcohol
addiction
•Therapy treatments, prescribed
•Transplants
•Transportation expenses/mileage
to receive medical care or services
•Tuition at special school for physically
or mentally impaired
•Wheelchairs
•X-rays
Per IRS regulations, the following, while not intended to be complete, illustrates examples of eligible medical or medical-related
expenses. Expenses must be incurred during the Plan Year from which you are requesting reimbursement. Expenses are considered
incurred when service is rendered, not when service is billed or payment is made. Expenses cannot be reimbursed in advance of the
date service is rendered.
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Cosmetic procedures are not eligible FSA Expenses
Teeth Whitening
Massages
Not an FSA Eligible Expense
Must be Medically Necessary &
Require a Doctor’s Letter
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To participate in an FSA , you must be eligible
to enroll in your company’s group health
insurance.
Example:
You may still participate in your FSA benefit if you are
eligible for your company’s group health insurance, but
do not enroll because your coverage is through your
spouse’s employer.
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Expenses can be incurred by:
Participant
Spouse
Dependent
Definition of a dependent:
Child up to the age of 26, does not have to live at home,
does not have to be a full-time student, and may be
married.
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Your entire medical FSA election is available to
you on the first day of the plan year.
Example:
If your plan year start date is 1/1/2015, on that same
day, you are eligible to use all of the funds in your
account, even though your contributions will be
deducted from your payroll check throughout the year.
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Benny Card
 All participants receive 2 Benny Cards
 Mailed to the home address
 Cards are valid for 5 years
 Replacement cards cost $10
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Employee Portal
 Login online at www.beneflexhr.com
 Submit claims, view account balance, review
claim history, sign up for direct deposit, &
update your profile
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BeneFlexHR Mobile App
 App is available for all iphones, ipads, and
Android devices.
 Submit medical FSA claims, check account
balances, upload pictures of receipts, and
receive text alerts.
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Customer Service
Office Hours
7:00 a.m. to 6:00 p.m. CST
 Phone:
314-909-6979
800-631-3539 (toll free)
 Email:
[email protected]
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Deadline for claims processing is Tuesday at
3:00 p.m. CST.
Claims submitted by the Tuesday deadline will
be paid on Thursday via check or direct deposit.
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Download at www.beneflexhr.com.
Click on “Employee” and then “Printable Forms”.
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OVER-THE-COUNTER ITEMS
Watch for updates at www.beneflexhr.com
Example of Over-the-Counter Items that
require a Doctor’s Prescription
Eligible without a Doctor’s Prescription
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Asthma flow meters
Bandages
Blood pressure
monitors
Cholesterol tests
Contact lens solution
Crutches
Denture care products
Diabetes care:
Blood test strips,
glucose kits,
monitors and testers
Eyeglasses
First Aid kits
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Gauze and gauze pads
Heart rate monitors
Heating pads
Incontinence supplies
for adults
Medical bracelets &
necklaces
Medical tape
Nebulizers
Orthopedic shoe
inserts
Sunscreen (15+ SPF)
Supports and braces
Thermometers
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Acid controllers
Allergy & Sinus
Antibiotic products
Anti-diarrheals
Anti-gas
Anti-itch & Insect bite
Anti-parasitic
treatments
Baby rash
ointments/creams
Callous and corn
removers
Cold sore remedies
Cough, cold & flu
Digestive aids
Eye drops
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Feminine antifungal/anti-itch
Hemorrhoidal preps
Hydrogen peroxide
Laxatives
Nasal strips
Ointments
Pain relief
Respiratory treatments
Rubbing alcohol
Sleep aids & Sedatives
Sunburn cream
Stomach remedies
Wart removal products
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Over-the-Counter (OTC) drugs –
Doctor’s prescription required
 When and who sold the product (date, name &
address)
 Type of OTC was purchased – *Must show
product or brand name
 Amount of charge
*If the receipt does not show the name of the
product you can write the product name on the
receipt.
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Daycare expenses for a dependent includes;
child care expenses for dependent children
under the age of 13 years old or care for a
dependent that is not mentally or physically
able of caring for themselves .
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Examples:
 Before/After School Programs
 Summer Camps (not overnight)
 In-Home Daycare
 Adult Day Care Programs
Must reside with you at least 6 or more months of the year.
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Maximum Election:
 $5,000 per year/per household
Individual or facility must reflect income on tax
returns. Claim form must reflect a Social
Security Number or Federal Tax ID Number of
the provider.
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Manual claims must be submitted to BeneFLEX
for reimbursement via the Employee Portal, fax,
or mail.
 Dependent Care elections are not loaded on the Benny Card.
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Must make an election each year to
participate.
2. Only way to change your election during the
plan year is to have a Life Changing or
Qualifying Event.
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Examples of a Qualifying Event:
 Marriage, divorce, birth of a child, adoption
of a child, or spouse loses his/her job.
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10805 Sunset Office Drive, Ste. 401
St. Louis, Mo 63127
Phone: 314.909.6979
Toll Free: 800.631.3539
Email: [email protected]
Website: www.beneflexhr.com
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