Page 10 - NH Non NC Guide
P. 10
Dependent Care FSA
Examples of Dependent
Care Spending Account The Dependent Care FSA lets you use pre-tax dollars towards
Eligible Expenses qualiied dependent care. The maximum amount you may contribute
Cost of child or adult day care * to the Dependent Care FSA is $5,000 (or $2,500 if married and iling
separately) for the December 1, 2015 through November 30, 2016 plan
Nursery school
year.
Preschool (excluding
kindergarten) Planning for any dependent child care expenses will not be affected at all
* Eligible Dependent by the HRA.
Tax dependent child under age 13
Tax dependent spouse, parent, or
child unable to care for themselves
Debit Card
The Health Equity FSA debit card is an easy way to keep cash in your
pocket while using your FSA. Many payments made with the card are
approved automatically, so no further paperwork is required. Both
healthcare and dependent care expenses may be paid with the debit card.
If HealthEquity cannot determine the use of your debit card is for
an 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 the expense. The reason for this request is to prove funds were
used to pay eligible medical, dental, and vision care expenses. Failure to
respond to substantiation requests will result in the suspension of your
debit card.
Your FSA debit card eligible expenses include medical out-of-pocket
expenses not covered by the HRA, dental, vision, pharmacy copays, and
over-the-counter materials and medication with a written prescription
from your doctor.
The FSA debit card can be used to pay your portion of the deductible
before the HRA pays. The HRA will automatically begin to pay your
portion of the deductible once you have exceeded the $500 per individual
or $1,000 per family deductible. We suggest you wait to pay your portion
of the deductible until you receive your Explanation of Beneits (EOB)
from UnitedHealthcare and you may use your FSA debit card to pay your
share of the deductible.
10
New Hire Guide
Examples of Dependent
Care Spending Account The Dependent Care FSA lets you use pre-tax dollars towards
Eligible Expenses qualiied dependent care. The maximum amount you may contribute
Cost of child or adult day care * to the Dependent Care FSA is $5,000 (or $2,500 if married and iling
separately) for the December 1, 2015 through November 30, 2016 plan
Nursery school
year.
Preschool (excluding
kindergarten) Planning for any dependent child care expenses will not be affected at all
* Eligible Dependent by the HRA.
Tax dependent child under age 13
Tax dependent spouse, parent, or
child unable to care for themselves
Debit Card
The Health Equity FSA debit card is an easy way to keep cash in your
pocket while using your FSA. Many payments made with the card are
approved automatically, so no further paperwork is required. Both
healthcare and dependent care expenses may be paid with the debit card.
If HealthEquity cannot determine the use of your debit card is for
an 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 the expense. The reason for this request is to prove funds were
used to pay eligible medical, dental, and vision care expenses. Failure to
respond to substantiation requests will result in the suspension of your
debit card.
Your FSA debit card eligible expenses include medical out-of-pocket
expenses not covered by the HRA, dental, vision, pharmacy copays, and
over-the-counter materials and medication with a written prescription
from your doctor.
The FSA debit card can be used to pay your portion of the deductible
before the HRA pays. The HRA will automatically begin to pay your
portion of the deductible once you have exceeded the $500 per individual
or $1,000 per family deductible. We suggest you wait to pay your portion
of the deductible until you receive your Explanation of Beneits (EOB)
from UnitedHealthcare and you may use your FSA debit card to pay your
share of the deductible.
10
New Hire Guide
