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FSA Eligible Expenses and Items


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Reimbursement Plans Mobile App

Save Up To 35% on Eligible Expenses

Overview

Full brochure

FSA Brochure en Español

Regulatory Changes That Impact Your FSAs
Have a Limited Purpose FSA?

Click here for an overview

Watch a Video About FSAs
FSA Basics Video
Click here for more videos
Eligible Expenses

Health Care
Dependent Care

How Much Should You Contribute?

Tax Savings Calculator

About the Grace Period
Orthodontia Reimbursement in Your FSA
FSA Frequently Asked Questions

General FSA FAQs
Dependent Care FSA FAQs

Filing a Claim
The TRI-AD BenefitCardtm

      FSA Participants Toolkit

Top Ten Things You Need to Know About the FSA Grace Period

Some plans let you spend any unused 2013 FSA money into early 2014 giving you additional time to spend your account balance! More

Save Up to 35% On Health and Dependent Care Expenses!


fsa

A Flexible Spending Account (FSA) will let you pay for your out-of-pocket health and dependent care expenses with completely tax-free money.

Keep more of your hard-earned money

Read an FSA overview
Need more details? See the FSA brochure


FSA Tools

Health Care
Expenses:
Dependent Care
Expenses:
How Much Should
You Contribute?
How Much Will You
Save In Taxes?
Click here for a list of some common health care expenses

See a list

Click here for information on dependent care expenses

See a list

FSA Expense Estimator

Use the Estimator

Tax Savings Calculator

Use the Calculator

Frequently Asked Questions

General and Health Care Account FAQs
Dependent Care Account FAQs

Tips for Successfully Filing an FSA Claim

Click here to watch a video about submitting claims
  1. Complete your FSA claim form legibly. If we can't read it, we can't process it. Preferably, log in to your FSA account and use your personalized claim form.

  2. Provide the supporting documentation. IRS rules say that your documentation must show:

    • The date you incurred the expense
    • The service provider's name
    • To whom the service was provided
    • The price paid
    • A clear and detailed service description

    Acceptable documentation: Examples of good documentation are insurance company Explanation of Benefit forms (EOBs), receipts showing the above information, and bag tags for prescriptions. Also, for over-the-counter items, a cash register receipt showing the name of the product and its price is acceptable.

    Unacceptable documentation: Bank card statements, canceled checks, medical, dental, vision or other insurance claim forms, credit card receipts, estimates of expenses and balance forward statements are not valid documentation.

    Letter of Medical Necessity: Some procedures, prescriptions and over-the-counter items can be considered ineligible for reimbursement unless accompanied by a Letter of Medical Necessity from the provider. Click here to download one that you can take to your provider.

  3. Sign your form. An unsigned form will stop your reimbursement!

  4. Send in your claim. You may fax it to our toll-free fax number at 866-233-4741, or send it to us at: TRI-AD Reimbursement Plans Department, 221 West Crest Street, Suite 300, Escondido, CA 92025-1737. Some plans also allow for online claims submission. Log in to your account to see if this option is available in your plan.

Top 10 Things You Need to Know About the Grace Period

Click here to watch a video about the Grace Period

Some plans let you spend any unused 2013 FSA money into 2014, giving you additional time to spend your account balance! Here's what you need to know:

  1. Log in to check your FSA plan summary to check your plan's grace period details.

  2. For "calendar year" plans, the grace period runs until February 28 or March 15 of each plan year.
  3. You must be an FSA participant at the end of the plan year to take advantage of the grace period.
  4. In many plans, the grace period does not apply to dependent care claims.
  5. Any claims submitted during the grace period will use up left-over 2013 money first.
  6. Claims are processed in the order they are received. If you submit expenses incurred in 2014 before you submit all your 2013 expenses, your 2013 expenses may later be denied. That’s because your remaining 2013 balance would have been used up paying off your new 2014 expenses.
  7. If you use the TRI-AD BenefitCard during the grace period, all charged transactions will come out of the prior plan year until that balance is depleted, then the card will use the current plan year's funds.
  8. We will not reprocess claims, so please submit your claims in the order in which you want them processed.
  9. Your FSA plan still has a run-out period for you to submit claims against the prior plan year. For example, some plans have a run-out period that extends 30 days past the end of the grace period. Your plan’s run-out period may differ from this – please check your Summary Plan Description.
  10. The claim submission deadline is the same for both the health care and dependent care accounts.

Questions?

If you have a question, call TRI-AD's FSA Participant Services Center before submitting your claim. We're happy to provide you with the guidance you need.

     

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