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FSAHSAHRACOBRATransportation

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What are my reimbursement options?

Online
Enter your claim information on our Web site. A confirmation will appear that you will print and fax along with your substantiation. Payment will be made when the substantiation is received.

Fax/Mail
Complete the reimbursement request form found under the "printable forms" section of our Web site. Fax the completed form along with your substantiation. The form and substantiation can also be mailed or emailed to Discovery Benefits.

Benefits Debit Card
Use your card at the time of service to pay for qualifying expenses and products. The payment is withdrawn directly from your flexible spending account, so you don't have out-of-pocket costs. Don't use the card for amounts that still need to be processed by insurance, such as deductibles and co-insurance. When you receive your final statement from the provider showing insurance has paid, write your benefits debit card number on the statement and mail it to your provider. Keep your statements and receipts for all services and purchases. We will ask for itemized receipts to substantiate for expenses that do not meet co-payments or recurring transactions that were previously approved, such as maintenance prescription drugs.

You will receive one card when you enroll and may request additional cards for your spouse and dependents 18 years of age or older. Simply fill out an Additional Card Request Form found under the printable forms section of our Web site and fax or mail the form to Discovery Benefits. A small one-time fee for each additional card will be deducted directly from your FSA.

Auto Dependent Care
The easiest method to receive reimbursement from your dependent care spending account is to sign up for Automatic Dependent Care Reimbursement. This process only requires you submit one form per year for each day care provider used during the year and reimbursement is sent automatically.

If your day care expenses exceed your payroll deduction, reimbursement will be automatically sent to you as your payroll contributions are received. If your day care expenses do not exceed your payroll deductions, reimbursement is made monthly for the expenses incurred during that month.

To begin receiving automatic reimbursements, complete the Automatic Dependent Care Request Form found on our website under Printable Forms for FSAs. This form must be completed by you as the participant and by your day care provider. A separate form must be completed for each day care provider if you use more than one.

Complete your personal information and information about the dependents receiving the care.

Have your day care provider complete and sign the form. You will also need to sign the form.

Remember to also sign up for Free Direct Deposit when submitting this form if you haven't already done so. Reimbursement will be sent directly to your checking or savings account. No waiting for a check in the mail! Complete the Direct Deposit form found under printable forms. You will only need to complete the Financial Institution Information on the Direct Deposit form (Section 2) if you don't have a voided or photocopied check.

Fax the Automatic Dependent Care Request Form and Direct Deposit Form to Discovery Benefits (866-451-3245).

Auto reimbursements will begin once your information has been approved. A new Auto Dependent Care Request Form is required for each new plan year for each day care provider.

If there are any changes in the information during the plan year, you must notify Discovery Benefits by completing Step 1A on the Auto Dependent Care Request Form.

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