Page 18 - AESC 2019 Benefits Gudie
P. 18
Eligible Expenses FSA Debit Card
Healthcare FSA The WageWorks FSA debit card is an easy way to keep cash in your
X Doctor’s visit pocket while using your FSA. Many payments made with the card are
approved automatically, so no further paperwork is required. Both
X Prescription drugs healthcare and dependent care expenses may be paid with the debit card.
X Medical and dental
deductibles, copays, and If WageWorks cannot determine the use of your debit card is for an
coinsurance eligible expense, a request for substantiation will be sent which will require
you to submit a copy of the receipt which clearly indicates the nature of
X Over-the-counter medications the expense. The reason for this request is due to the IRS’ requirement
(with a written prescription)
to prove funds were used to pay eligible medical, dental, and vision care
X Hearing aids expenses. Failure to respond to substantiation requests will result in the
X Eyeglasses suspension of your debit card.
X Orthodontia Your healthcare FSA debit card eligible expenses include medical out-
of-pocket expenses not covered by the Reimbursement (HRA) plan
Limited Health FSA or the Sharing (EPO) plan, dental, vision, pharmacy copays, and over-
X Hearing aids the-counter materials and medication with a written prescription from
X Eyeglasses your doctor. The FSA debit card can be used to pay your portion of the
deductible before the medical plans begin to pay.
X Dental copays and
coinsurance Your limited health FSA debit card eligible expenses include dental and
X Orthodontia vision expenses that are not covered by a health plan.
X Eye exams
$500 Carryover Provision
Dependent Care FSA You can roll over up to $500 of unused FSA dollars from the 2019 plan
X Cost of child or adult day year into your account to use in the next plan year. The amount you roll
care* over is in addition to your regular annual election. The rollover applies to
X Nursery school both the healthcare FSA and the limited health FSA plans.
X Preschool (excluding Rollover funds will not be available until the FSA claims iling deadline of
kindergarten) March 31, 2020. Any unused funds up to $500 will be rolled over by mid
* Eligible dependent: tax dependent April of 2020.
child under age 13; tax dependent
spouse, parent, or child unable to
care for themselves Please note: If you use your WageWorks debit card at the time of service,
the monies will be deducted from your healthcare FSA irst if you have
an HRA account. If you have an HSA account, monies will come out of
your limited health FSA irst for dental and vision out-of-pocket only.
18 2019 Benefits Enrollment
Healthcare FSA The WageWorks FSA debit card is an easy way to keep cash in your
X Doctor’s visit pocket while using your FSA. Many payments made with the card are
approved automatically, so no further paperwork is required. Both
X Prescription drugs healthcare and dependent care expenses may be paid with the debit card.
X Medical and dental
deductibles, copays, and If WageWorks cannot determine the use of your debit card is for an
coinsurance eligible expense, a request for substantiation will be sent which will require
you to submit a copy of the receipt which clearly indicates the nature of
X Over-the-counter medications the expense. The reason for this request is due to the IRS’ requirement
(with a written prescription)
to prove funds were used to pay eligible medical, dental, and vision care
X Hearing aids expenses. Failure to respond to substantiation requests will result in the
X Eyeglasses suspension of your debit card.
X Orthodontia Your healthcare FSA debit card eligible expenses include medical out-
of-pocket expenses not covered by the Reimbursement (HRA) plan
Limited Health FSA or the Sharing (EPO) plan, dental, vision, pharmacy copays, and over-
X Hearing aids the-counter materials and medication with a written prescription from
X Eyeglasses your doctor. The FSA debit card can be used to pay your portion of the
deductible before the medical plans begin to pay.
X Dental copays and
coinsurance Your limited health FSA debit card eligible expenses include dental and
X Orthodontia vision expenses that are not covered by a health plan.
X Eye exams
$500 Carryover Provision
Dependent Care FSA You can roll over up to $500 of unused FSA dollars from the 2019 plan
X Cost of child or adult day year into your account to use in the next plan year. The amount you roll
care* over is in addition to your regular annual election. The rollover applies to
X Nursery school both the healthcare FSA and the limited health FSA plans.
X Preschool (excluding Rollover funds will not be available until the FSA claims iling deadline of
kindergarten) March 31, 2020. Any unused funds up to $500 will be rolled over by mid
* Eligible dependent: tax dependent April of 2020.
child under age 13; tax dependent
spouse, parent, or child unable to
care for themselves Please note: If you use your WageWorks debit card at the time of service,
the monies will be deducted from your healthcare FSA irst if you have
an HRA account. If you have an HSA account, monies will come out of
your limited health FSA irst for dental and vision out-of-pocket only.
18 2019 Benefits Enrollment
