The Health Care Flexible Spending Account is an account that money is put into to pay for certain out-of-pocket health care costs such as medical and dental costs, including copayments, deductibles and prescription drugs which helps save on taxes. Whether you are newly enrolling or re-enrolling, this information will help you in understanding the tools and resources available to effectively manage a Health Care FSA account.
WHAT IS THE HEALTHCARE FSA WEBSITE?
Members can view their Health Care FSA account information in real-time by accessing the member website at www.payflex.com.
WHO CAN AND WHEN TO ENROLL?
Eligible associates who are newly hired, eligible associates who have a family status change, and during the open enrollment period.
HOW IS THE HEALTH CARE FSA DEDUCTED?
The amount of the yearly contribution the associate has selected will be divided into 26 equal amounts and deducted from the associate’s payroll check bi-weekly.
WHAT IS THE CONTRIBUTION LIMIT?
For 2020 the current maximum annual contribution amount for a Health Care FSA is $2,750 but this amount may change each year.
HOW TO USE THE FUNDS?
Members will use a debit card to make purchases. Think of this as an automatic claim. For many purchases, members can swipe the card and the transaction is completed. But there may be some purchases that require “substantiation” afterwards, which means members are required to send in a detailed receipt to show that the purchase was for an item or service that meets Health Care FSA eligibility requirements.
Members will receive one debit card that can be used as a credit card or debit card for eligible healthcare expenses before the end of plan year.
The debit card will NOT be active until January 1 unless enrollment is due to an eligible new hire or a family status change. It will remain active while members are enrolled in the Health Care FSA, and will be valid for up to 5 years. Participants who are re-enrolling will have their current FSA debit card re-loaded with their new deferral amount effective January 1, again unless enrollment is due to an eligible new hire or a family status change.
Send in a claim form and provide a supporting receipt(s). In this case, members will not have used their debit card and have spent their own (non-FSA) money to make the purchase, and they’re filing the claim to get reimbursed with their FSA funds.
WHAT ARE SOME ELIGIBLE EXPENSES?
Doctor visits, prescriptions, over-the-counter medications (only if you have a prescription from a doctor), bandages, contact lens solution, pregnancy tests, chiropractor visits, LASIK eye surgery, acupuncture, dental expenses, prescription eyeglasses, and many other health care expenses. See IRS publication 502 for a complete list.
HOW MANY DEBIT CARDS ARE DISTRIBUTED ONCE ENROLLED IN HEALTH CARE FSA?
All Health Care FSA participants will receive one debit card once enrolled and this card is valid for up to 5 years of consecutive enrollment in the Health Care FSA.
CAN OTHER FAMILY MEMBERS RECEIVE A DEBIT CARD?
Members can go online and request additional debit cards. To request a debit card with a family member’s name other than the member, please call customer service at 1-888-678-8242.
WHAT IF THE HEALTH CARE FSA DEBIT CARD IS LOST?
Please report the lost/stolen card immediately by calling 1-888-678-8242 and a new card will be issued.
CAN THE HEALTH CARE FSA DEBIT CARD BE USED FOR DEPENDENT CARE (DAYCARE) EXPENSES?
No, the debit card is only to be used for eligible Health Care FSA expenses.
CAN THE HEALTH CARE FSA FUNDS ROLLOVER?
Members that are active eligible employees on the last day of the plan year, may rollover up to $500 of unused funds from one year to the next.
WHAT HAPPENS TO THE CARRYOVER AMOUNT IF A MEMBER DOES NOT ENROLL IN THE HEALTH CARE FSA UPCOMING YEAR?
Members who do not enroll in the Health Care FSA the upcoming year may still carry over up to $500 in unused funds to the next plan year, as long as they are an active eligible employee at the end of the benefit year, example 12/31/2020. If the member is no longer an active employee, the funds will forfeit and return to the company.
WHAT IF THE MEMBER HAS MORE THAN $500 IN UNSUED FUNDS AT THE END OF THE PLAN YEAR?
The member will have until the end of the plan’s run out period to submit claims for eligible expenses. These claims should reduce the amount of unused funds and still allow the member to carry over up to $500 into the next plan year.
DOES THE AMOUNT CARRIED OVER CHANGE THE AMOUNT THE MEMBER CAN CONTRIBUTE?
The amount carried over does not change the amount contributed to Health Care FSA.
WHAT HAPPENS TO THE HEALTH CARE FSA UNUSED FUNDS IF THE ASSOCIATE IS SEPARATED FROM THE COMPANY?
Members who may separate from the company before the end of the plan year may file claims to be reimbursed for eligible purchases before the runout time or deadline given. If the member does not have any claims to file, the funds would be forfeited and returned to the company.
HOW DOES A MEMBER FILE A CLAIM AND “SUBSTANTIATE”?
Members can substantiate via the member website (www.payflex.com), mobile app, fax or mail.
The FAX number to send in substantiation documents is: 1- 888-238-3539
The mailing address to send in substantiation documents is
PayFlex Systems USA, Inc.
P.O. Box 4000
Richmond, KY 40476-4000
Using the smartphone app or the website, a claim can be filed by taking a photo of the detail receipt and uploading the photo to file the claim.
Note: for overseas participants, the FAX number is the same: 888-238-3589
IS THERE A MOBILE APPLICATION AVAILABLE?
Yes, members who have an iPhone®, BlackBerry® or Android™ smartphone, can install the PayFlex Mobile App and can stay connected anytime, anywhere.
USING THE MOBILE APP, MEMBERS CAN:
Receive Account Alerts – Receive notifications related to account status and actions needed to keep your account active.
View Account Activity - Access real-time Healthcare FSA data including account balances, claims processed and transaction details.
Check Claim Submissions - Submit claims for reimbursement wherever and whenever, and even substantiate (send in supporting receipts for) a debit card transaction. Use phone camera to take a picture of the receipt and upload to file a claim.
Review Benefit Plan Details - Access relevant health plan information to make informed decisions at the time of service.
WHAT IS THE CONTACT NUMBER FOR ADDITIONAL INFORMATION?
Members may contact Customer Service Representatives at 1-800-416-7053 who are available Monday through Friday, 7 am – 7 pm, CST and on Saturday from 9 am – 2 pm, CST.
For additional information, please go to the NAF Health Plan link at
https://www.nafhealthplans.com/files/2115/3860/0339/2019 Aetna FSA Program with Exchange.pdf.
Overseas participants can contact us at: 1-888-678-8242. Members can also email questions 24/7/365 through Aetna Navigator. Members can register for Aetna Navigator by going to www.aetna.com.