Flexible Spending Accounts
Commonly Asked Questions
Q. What do I need to do to
make sure the claim I am submitting will be processed?
A. When
submitting receipts for office visits, prescriptions, dental services, vision
services, etc., please make sure your receipt states:
¨
Patient’s name
¨
Date of service
¨
Specific type of service
¨
Dollar amount incurred.
If you have dental insurance, the
EOB (Explanation of Benefits) from your dental carrier is the receipt to submit
since it states all four items needed for reimbursement.
If you have vision insurance, an
itemized receipt with the above four items must be on your receipt plus the
estimated insurance benefit received.
If the receipt is for
Over-the-Counter items purchased, the receipt must be pre-printed with the
following:
¨
Provider’s name (CVS, Rite Aid, Eckerd, Wal-Mart, etc.)
¨
Description of item
¨
Date of purchased
¨
Dollar amount paid (dollar amount minus any coupons, discounts)
Finally, please make sure your claim
form is filled out properly with Employer’s name, your name, social security
number, listing of the receipts submitted and always sign the bottom of the
claim form.
Q. Are cancelled checks, credit card receipts
and/or statements acceptable?
A. Reimbursement
from your flexible spending account is based on the date the services were
rendered (incurred), not when payment was made.
The IRS has determined that since cancelled checks and credit card
receipts/statements do not indicate the service or the patient’s name who
received the service, these receipts are not acceptable forms of documentation
for Flex claims.
Q. Can I submit register receipts for pharmacy prescriptions?
A. In
order to receive reimbursement for prescriptions, the receipt must state the
patient’s name, date the prescription was filled, the type of medication or NDC
number and dollar amount incurred. Since
register receipts only show payments being made, they cannot be accepted as
proper documentation. You may request
from your Pharmacy, a computer generated report for the prescriptions filled for
a specific time period which is acceptable documentation.
Q. How can I have the vitamins my physician
prescribed to me covered through my Flex account?
A. Vitamins
are generally not covered by the Flex Plan if they are taken to “maintain good
health”. However, vitamins can be
reimbursed if they are needed to treat a specific medical condition. In this
case, a letter from your physician stating the medical condition being treated
by the vitamins is acceptable. The
requirements of the proper documentation can be found on our website at www.rkinsurance.com\groupbenefits/otcq&a.pdf
Should you have any questions
regarding receipts or submitting a claim