1.
Is lasik eye surgery a reimbursable expense under
the health spending account?
Answer:
Yes, lasik procedures are reimbursable.
2.
How often am I reimbursed and how do I receive reimbursement?
Answer:
Reimbursement schedules are determined by your Employer.
Please contact Taxsaver Plan's office for your reimbursement
schedule. Generally, a check or direct deposit is
sent directly to your home address, but please ask
our Customer Service Associate for the method of
reimbursement offered by your Employer's Plan.
3.
What is a claim form and how can I obtain one?
Answer:
A claim form is a simple piece of paper that identifies
you and your Employer and provides a signature line
where you attest that the expenses you are submitting
are for eligible dependents and have not been submitted
elsewhere. A signed claim form is required for all
claim submissions unless you are submitting a debit
card receipt. Claim Forms are available on our website.
4.
I am going out on a unpaid leave of absence this
year. What will happen to my FSA accounts?
Answer:
This is a question for your Employer's Benefits Department. In
general, you are not eligible to participate in the Dependent
Care FSA while on a leave, whether the leave is a FMLA leave
or unpaid leave. If the leave is a paid leave, you may still
contribute pre-tax dollars to the Dependent Care FSA, but you
will not be able to submit claims incurred while on leave. The
dollars contributed while on leave will build up in your account
and you may claim those dollars when you return with eligible
expenses incurred after the leave period ends or if your expenses
incurred prior to the leave period exceeded the dollars contributed
to the account, those expenses may be reimbursed from the dollars
contributed while on leave. In most Plans, you are still considered
eligible for the Health FSA while on FMLA leave or unpaid leave. You
will need to ask your Employer how to handle missed contributions
while on an unpaid leave.
5.
My Doctor has prescribed a treadmill as a part of
my rehabilitation after knee surgery. May I claim
this expense under my health spending account?
Answer:
Possibly. The first step is to have your Doctor
write a Medical Determination Letter, not a prescription,
stating the medical condition or disease that the
treadmill has been prescribed for. If the treadmill
is a matter of convenience, the claim for the treadmill
would be denied. If the treadmill is medically necessary,
(example: the support the track of the treadmill
provides is deemed by the Doctor to be necessary
to the proper healing process after the surgery)
the claim may be reimbursed. If anyone else in the
household will be using the treadmill, the entire
cost of the treadmill may not be reimbursable.
6. Are health club dues reimbursable
under a health spending account?
Answer: No, dues are not reimbursable.
But, the fee for a specific class that you participate
in may be reimbursable with a letter from your physician
stating the medical condition/disease that is being
treated.
7. If I have a status change during
the plan year that allows me to make an election
change to my health spending account, when is the
effective date of the status change?
Answer:
Once a status change has occurred, you
normally have a certain amount of days (please refer
to your employer's Summary Plan Description to verify
the number of days that your employer's plan allows)
to notify your employer that you have had a qualifying
event/status change. Once the plan has approved
your change as an eligible status change, the change
will be effective as of the date that you first
NOTIFIED your employer. For example, if your baby
is born on March 2nd and you notify your employer
of the birth on March 25th, the change becomes effective
on March 25th. It is not effective retroactively
to March 2nd.
8.
Is contact lens solution that I purchase over the
counter a reimbursable item?
Answer:
Yes, over the counter contact lens solutions are
reimbursable.
9.
If I buy prescription glasses, may I be reimbursed
for the clip-on attachment that turns the prescription
glasses into sunglasses?
Answer:
Non-prescription sunglasses are only reimbursable
if you have a specific medical condition that requires
you to wear sunglasses. The clip-on lenses would
only be reimbursable in a case where you have a
specific medical condition or disease that requires
you wear tinted shades.
10.
Why does Taxsaver Plan request a letter from my
physician for certain expenses, like nutritionists,
treadmills, massage therapy, weight loss programs/drugs,
etc?
Answer: In order for an expense
to be reimbursable, the IRS says that the expense
must be incurred primarily for the prevention or
alleviation of a physical defect or ailment. In
contrast, expenditures that are merely beneficial
to the general health of an individual are not reimbursable
when not incurred primarily for a medical purpose.
11.
Are insurance premiums reimbursable under a Health
FSA?
Answer:
No, insurance premiums are not reimbursable under
a Health FSA.
12.
Why must my receipt state the date of service and
type of service rendered in order to be reimbursed?
Why isn't a copy of my paid receipt enough?
Answer:
A Section 125 Plan states that services must be
incurred during the plan year. Incurred is defined
as when the service is rendered, not when it is
paid. Taxsaver Plan must verify that the dates of
service have occurred during the plan year. The
type of service determines the eligibility of the
expense.
13.
If I terminate employment, or from the Plan, during
the plan year, may I claim expenses that I incur
after my termination?
Answer:
Once you terminate from the plan, (termination from
the plan is defined in the Summary Plan Description)
expenses incurred after your date of termination
are not reimbursable. You may submit expenses incurred
prior to termination through the open claims period
designated by the employer. If you have not incurred
any eligible expenses prior to your termination
date, you might want to look into the COBRA election
for the Health Spending Account offered by your
employer at the time of termination.
14.
Are Explanation Of Benefits provided by my insurance
company sufficient forms of receipts?
Answer:
Yes, Explanation Of Benefits ("EOB's")
are sufficient under most circumstances. If an "EOB"
is returned to you, and the insurance company has
not paid any of the cost of services, Taxsaver Plan
may request more information than the "EOB"
provides, such as a detailed receipt from the provider.
15.
How does one go about getting reimbursed for orthodontia
expenses?
Answer:
Getting reimbursed for orthodontia expenses
can be tricky. The first thing to keep in mind is
that orthodontia treatment most often extends over
several plan years. Therefore, it is impossible
to be reimbursed for the entire cost of the orthodontia
treatment during the course of one plan year. Should
you decide to pay for the orthodontia treatment
up front at 100%, please be aware that Taxsaver
Plan will need a statement from the Orthodontist
attesting to the costs associated with the current
plan year. If you are paying on a contract, your
monthly coupons are eligible for the plan year that
you pay them in (example: the braces are placed
in March and your employer has a calendar plan year.
Your monthly coupons for March - December of that
year are reimbursable). If you have an upfront cost
associated with the placement of the braces, a receipt
attesting to the date the braces were placed and
the amount charged for the initial placement would
be a sufficient receipt for reimbursement. The initial
cost of placing the braces would be reimbursed out
of the plan year in which the placement occurred.
16.
My Doctor has told me to take one aspirin a day
for my heart. May I be reimbursed for the aspirin
that I purchase at the drug store?
Answer: Yes, certain over the counter
items are reimbursable. If you have a question about
a specific over the counter item, please view Taxsaver
Plan's website for a complete listing of over the
counter expenses that may be reimbursed under the
FSA Plan, assuming that your Employer allows for
over the counter reimbursements under the Plan.
17.
I am seeing a Holistic Healer for my chronic stomach
pain. Are my visits reimbursable? Are the vitamins
and supplements that I purchase from her reimbursable?
Answer:
The charge for the office visit would be reimbursable,
as you are seeking treatment for a medical condition
(stomach pain). Any treatments, supplements, vitamins,
etc. that you purchase from her would not be reimbursable.
If you purchased vitamins or supplements that she
prescribed from a licensed pharmacist, they would
be reimbursable.
18.
I am having a baby this year, and my doctor
has recommended Blood Cord Storage of the baby's
umbilical cord. The cost ranges from $300 - $600.
Is this cost reimbursable?
Answer:
No. The IRS has made official comment that the cost
of Blood Cord Storage is not reimbursable.
19.
I am having a baby this year, but a surrogate will
be giving birth to our biological child. Are the
expenses that I pay towards the care of the surrogate
and the cost of the birth reimbursable?
Answer:
No, the costs that you pay for the care of the surrogate
and the cost of the birth and the agency fees are
not reimbursable. However, the costs that you pay
to prepare your eggs for the transfer would be reimbursable.
And, costs that you pay for an egg donor incurred
for surgery, hospital fees, lab work and transportation
are reimbursable.
20.
I am adopting a child this year and my employer
does not offer an adoption assistance plan. Are
the expenses that I pay for any of the fees associated
with the adoption reimbursable?
Answer:
No, the costs associated with the adoption are not
reimbursable. Any costs that you are required to
pay for the care of the baby once the baby is born
would be reimbursable, even if the adoption is not
considered to be final when the baby is born.
21.
My child was recently diagnosed with ADD and part
of the course of treatment is to send him to a school
that has a course of study that is geared towards
teaching children with ADD. Will the tuition that
I pay be reimbursable?
Answer:
No, the tuition costs are not reimbursable. Costs
that you pay for therapy to treat the ADD are reimbursable.
22.
I planned to have Lasik Eye Surgery this year and intended
to use my Health FSA dollars to pay for this procedure. My
doctor now tells me that I am not eligible for the procedure. Is
this a qualified event that would allow me to change my election
mid-year?
Answer:
No, this is not a qualified event, per IRS regulatios. Please
refer to our Eligible Expense tab on our home page for reimbursable
expenses under the plan.
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