Page 11 - 2016 Enrollment
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Restricted Debit Card Examples of Eligible

When you enroll in the UHC HRA and also enroll in the healthcare FSA Expenses for FSA/
you will receive a restricted debit card to use for FSA eligible expenses. FSA HSA Accounts
debit card eligible expenses include dental, vision, pharmacy, and over-the-
counter medications with a written prescription from your doctor. Under the „ Doctor visit copays

UHC HRA plan, any expenses you incur to satisfy your medical deductible „ Prescription drug copays
or out-of-pocket maximum are directly applied toward your HRA account. „ Medical and dental
When you have a copay expense you will be required to pay out-of-pocket deductibles
at the time of service and will receive automatic reimbursement from your „ Hearing aids
Healthcare FSA when the claim is processed by UHC. This reimbursement
will be in the form of a check mailed to your home or direct deposit, without „ Eye glasses
having to submit a claim form. „ Contacts


FSAs and Your Medical Plan Account „ Contact lens solution

„ Dental services
HRA and FSA: Plan Very Carefully
„ Orthodontia
HRA participants can participate in the company’s FSA to apply pre-tax
dollars to healthcare and dependent childcare expenses during the plan year. „ Acupuncture
The HRA will reimburse all eligible expenses in the medical plan before „ Laser vision correction
the FSA does. In addition, you can use your FSA to cover copays and non- surgery
covered dental and vision expenses.


Planning for any dependent childcare expenses will not be affected at all by
the HRA. Consider those savings as you would in any other plan year.


HSA and FSA: Only Allowed With Dependent Care FSA

IRS rules prohibit an employee from having a Healthcare FSA and an HSA
at the same time. In addition, you may not contribute to an HSA while your
spouse is contributing to an FSA through their employer. Conversely, a
spouse may not contribute to an FSA while you are contributing to an HSA.


The IRS requires participants in the HSA plan to use only the HSA plan
for healthcare expenses. That means that HSA participants can use the
company’s Dependent Care FSA only for dependent childcare expenses.


If you are accustomed to using an FSA for healthcare related expenses,
consider redirecting those dollars as voluntary contributions to your HSA
account.




2016 New Hire Enrollment
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