Page 1 - Aegion FSA
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F xel p s e l b i n e n i d o c c a g u t n
S ert a h t i w s r a l l o d e r a c h t l a e h r u o y h c t
fl ixe n e p s e l b n i d o c c a g u F ( t n S ) A
An FSA is a special health care expense account that lets you set aside money from your income — before taxes — to
use on qualified health care and dependent care costs. During your enrollment period, you decide how much to put in
your FSA for the year. Your employer takes money from your paycheck in equal amounts during the year and puts it in
your FSA. The best part is the money you put into your account isn’t taxed — so each dollar goes further.
How to use your FSA
You can use your FSA debit card to pay for qualified expenses, and money will be pulled directly from your FSA, or pay
for qualified expenses out of pocket and ask to be reimbursed.
To access your account, log in at anthem.com or use the Sydney app. You can:
Track your claims and FSA spending. Request reimbursement.
Check your balance. Find a doctor.
What you need to know
Health care FSA Limited-purpose FSA Dependent care FSA
Maximum $2,750 a year $2,750 a year $5,000 a year
contribution
Certain health care costs such Dental and vision care: Care for your child, disabled
as: Fillings spouse, elderly parent or other
Prescriptions Braces dependent:
You can use this Doctor visits Eyeglasses Before- and after-school care
FSA to pay for Dental or vision care Contacts Day care, adult care or elder
Deductibles, copays and Post deductible covered care
your percentage of the costs medical expenses Summer day camp
The IRS regulates how you can use your FSA dollars. Check the complete list of qualifying expenses at
anthem.com/qme A limited-purpose FSA must be paired with a health savings account.
55216ANMENABS VPOD Rev. 11/19
S ert a h t i w s r a l l o d e r a c h t l a e h r u o y h c t
fl ixe n e p s e l b n i d o c c a g u F ( t n S ) A
An FSA is a special health care expense account that lets you set aside money from your income — before taxes — to
use on qualified health care and dependent care costs. During your enrollment period, you decide how much to put in
your FSA for the year. Your employer takes money from your paycheck in equal amounts during the year and puts it in
your FSA. The best part is the money you put into your account isn’t taxed — so each dollar goes further.
How to use your FSA
You can use your FSA debit card to pay for qualified expenses, and money will be pulled directly from your FSA, or pay
for qualified expenses out of pocket and ask to be reimbursed.
To access your account, log in at anthem.com or use the Sydney app. You can:
Track your claims and FSA spending. Request reimbursement.
Check your balance. Find a doctor.
What you need to know
Health care FSA Limited-purpose FSA Dependent care FSA
Maximum $2,750 a year $2,750 a year $5,000 a year
contribution
Certain health care costs such Dental and vision care: Care for your child, disabled
as: Fillings spouse, elderly parent or other
Prescriptions Braces dependent:
You can use this Doctor visits Eyeglasses Before- and after-school care
FSA to pay for Dental or vision care Contacts Day care, adult care or elder
Deductibles, copays and Post deductible covered care
your percentage of the costs medical expenses Summer day camp
The IRS regulates how you can use your FSA dollars. Check the complete list of qualifying expenses at
anthem.com/qme A limited-purpose FSA must be paired with a health savings account.
55216ANMENABS VPOD Rev. 11/19
