logo


CLAIMS
Ask a question, file a claim, report a claims issue.
 
BENEFITS
Ask a specific question about your coverage or benefits.
 
RESOURCES
Visit other sites with valuable health and healthcare resources.
 
CONTACT US
Mailing address, phone and fax numbers.
 


FSA Frequently Asked Questions

Q: When can I access the money I have directed into a Flexible Spending Account (FSA)?
A: On the first day of your employer's plan year, you have full access to 100% of the money you have directed to your Healthcare FSA for that plan year. You have access to money directed to your Dependent Care FSA only to the extent that funds have actually been withheld from your wages and remitted to Benemax by your employer.

Q: How long do I have to use the money I direct into a Flexible Spending Account?
A: You may use the money you direct into your FSA to pay for any qualified expense that you incur during your employer's plan year. Your plan includes a grace period at the end of that year to allow you to submit claims for expenses incurred during the plan year.

Q: What happens to my money if I do not use all of it in the plan year?
A: It reverts to your employer. Please note: this is an IRS requirement, not a matter of employer policy.

Q: Can I carry forward money unused at the end of one plan year to pay for expenses in the next plan year?
A: Unfortunately, no.

Q: Can I change my FSA election once the plan year begins?
A: Generally, no. However, certain changes in family circumstances do permit you to make a change. For health care accounts, changes are only possible if a change in family status directly impacts a covered dependent's eligibility. For dependent care accounts, however, changes are possible whenever a change in circumstances impacts an employee's dependent care needs.

Q: Can the cost of transportation be reimbursed under a Healthcare FSA?
A: Yes, provided the transportation is primarily for and essential to healthcare.

Q: Can expenses for Cosmetic Surgery be reimbursed under a Healthcare FSA?
A: No. Expenses for procedures such as hair transplants and electrolysis are not allowed.

Q: Can a Health Care FSA reimburse payments made before services are received?
A: Generally, no. The law requires the expenses to "be incurred" prior to reimbursement. However, expenses for orthodontia may be reimbursed as paid provided payment is based on a "reasonable" payment plan.

Q: Do I have to pay for an incurred expense before receiving reimbursement?
A: No.

Q: Can a Healthcare FSA reimburse me for expenses incurred after my employment terminates?
A: Yes, but only if you elect to continue FSA coverage through COBRA.

Q: Is Radial Keratotomy a reimbursable expense under an FSA?
A: Yes. The IRS has ruled that this corrective procedure meets the general definition of medical care.

Q: To participate in a Dependent Care FSA, do both employee and spouse have to be employed?
A: Generally, yes. However, the definition of "gainfully employed" has been expanded to include spouses who are unemployed but looking for work, spouses who are self-employed, spouses who are full time students and spouses who are disabled.

Q: If I pay a summer day camp deposit in advance, when can I be reimbursed?
A: Expenses can only be reimbursed when that expense has been incurred (i.e. service has been provided). You would receive reimbursement when the child attended camp.

Q: If I have both a Dependent Care and Healthcare FSA, can I use funds from one account to reimburse me for expenses from the other account?
A: No. Funds allocated to each account may only be used for qualifying expenses for that specific account.