Page 10 - My FlipBook
P. 10
2016 Beneits Newsletter
How do I get reimbursed Health Reform and FSA Benefits
from my FSA? Just a reminder, FSA funds can no longer be used to purchase
Pay for an eligible expense out of OTC medicine and drugs unless a medicine or drug is prescribed.
your pocket. A “prescription” means a written or electronic order for a medicine
Fax, mail or submit online a or drug that meets the legal requirements of a prescription in the
reimbursement request form state in which the medical expense is incurred and that is issued
with a copy of the receipt for the by an individual who is legally authorized to issue a prescription
eligible purchase to ADP. in that state. If you have a prescription for an OTC medicine or
ADP processes your request and drug, you must pay out-of-pocket at point-of-sale and then submit
promptly reimburses you through a manual claim requesting reimbursement. You can continue to use
direct deposit or by check. your FSA funds to purchase OTC items that are not considered a
Or sign up for the debit card medicine or drug (e.g. bandages, splints, contact lens solution, etc.)
Please note that insulin remains an eligible expense with or without a
option and use it directly at the prescription.
time of service
All FSA participants will have access Dependent Care FSA
to a secure website to view account The dependent care FSA lets you use pre-tax dollars towards
information. qualiied dependent care. The maximum amount you may contribute
to the dependent care FSA is $5,000 (or $2,500 if married and iling
Where can I learn more? separately) per plan year.
Visit www.lexdirect.adp.com for
additional information about lexible Examples of Eligible Expenses
spending accounts, including a list of Healthcare FSA Dependent Care FSA
eligible expenses and an interactive Copays, deductibles, and Cost of child or adult
contribution and tax-savings calculator. coinsurance for medical, daycare*
You can also call 800.654.6695 to dental and vision plans Nursery School
speak with an FSA specialist. Prescriptions Preschool (excluding
Eyeglasses and contacts kindergarten)
First aid supplies * An eligible dependent is a tax dependent
child under age 13 or a tax dependent
Smoking cessation products spouse, parent, or child unable to care
for themselves.
(prescription only)
Braces
Laser eye surgery
10
How do I get reimbursed Health Reform and FSA Benefits
from my FSA? Just a reminder, FSA funds can no longer be used to purchase
Pay for an eligible expense out of OTC medicine and drugs unless a medicine or drug is prescribed.
your pocket. A “prescription” means a written or electronic order for a medicine
Fax, mail or submit online a or drug that meets the legal requirements of a prescription in the
reimbursement request form state in which the medical expense is incurred and that is issued
with a copy of the receipt for the by an individual who is legally authorized to issue a prescription
eligible purchase to ADP. in that state. If you have a prescription for an OTC medicine or
ADP processes your request and drug, you must pay out-of-pocket at point-of-sale and then submit
promptly reimburses you through a manual claim requesting reimbursement. You can continue to use
direct deposit or by check. your FSA funds to purchase OTC items that are not considered a
Or sign up for the debit card medicine or drug (e.g. bandages, splints, contact lens solution, etc.)
Please note that insulin remains an eligible expense with or without a
option and use it directly at the prescription.
time of service
All FSA participants will have access Dependent Care FSA
to a secure website to view account The dependent care FSA lets you use pre-tax dollars towards
information. qualiied dependent care. The maximum amount you may contribute
to the dependent care FSA is $5,000 (or $2,500 if married and iling
Where can I learn more? separately) per plan year.
Visit www.lexdirect.adp.com for
additional information about lexible Examples of Eligible Expenses
spending accounts, including a list of Healthcare FSA Dependent Care FSA
eligible expenses and an interactive Copays, deductibles, and Cost of child or adult
contribution and tax-savings calculator. coinsurance for medical, daycare*
You can also call 800.654.6695 to dental and vision plans Nursery School
speak with an FSA specialist. Prescriptions Preschool (excluding
Eyeglasses and contacts kindergarten)
First aid supplies * An eligible dependent is a tax dependent
child under age 13 or a tax dependent
Smoking cessation products spouse, parent, or child unable to care
for themselves.
(prescription only)
Braces
Laser eye surgery
10