Medical Reimbursement
Account
A Blue Priority Flex medical reimbursement account allows you to pay
for eligible medical expenses on a pre-tax basis.
You estimate how much
you’ll
spend on qualified medical expenses in the coming year and decide on
a contribution amount. When you have an eligible expense, you submit
a claim form and, once approved, are reimbursed with tax-free dollars
from your account.
How do I get started?
At the beginning of the plan year, your employer asks you how much money you
want to contribute for the year. You have only one opportunity a year to
enroll, unless you have a qualified family status change, such as marriage,
birth, divorce, or loss of a spouse’s insurance coverage.
The amount you designate for the year is taken out of your paycheck
in equal installments each pay period. However, the total amount you
elect for your medical reimbursement account is available any time during
the year, even if the funds have not yet been withheld from your pay.
How much should I contribute?
Give some thought to calculating how much money to contribute for the year.
If you put in more money than you need, by law, you lose it. However,
some employers offer a grace
period of up to two-and-a-half months to use
the money.
Use the reimbursement
account worksheet (pdf) to estimate the expected out-of-pocket
medical expenses for you and your dependents for the next year.
How do I get reimbursed for expenses?
- Submit a flex claim with
a copy of the Explanation of Benefits or the provider's invoice and proof
of payment. Once your claim is approved, you’ll be issued a reimbursement
check. Sign up for direct
deposit (pdf) or automatic
reimbursement (pdf) to speed up
the reimbursement process. With automatic reimbursement, expenses
are automatically paid from your
medical reimbursement account, so you don't need to file a claim.
- Pay the doctor or pharmacy with your Blue
Priority Flex debit card,
so the money is taken directly from your account.*
Be sure to keep your receipts in case you need to verify a claim.
What can I spend the money on?
You can take out your flex funds, tax-free, to pay for health care
not covered by your health plan — everything from doctor fees
to over-the-counter drugs and your health plan deductible. View a list
of eligible
expenses. What are the tax advantages?
- You can withdraw money
tax-free to cover qualified medical expenses.
- Your contributions will
be taken from your paycheck before taxes are calculated, lowering your
income tax payments.
- Any contributions your employer makes don't count
as taxable income.
* Debit card feature not offered by all employers;
contact your benefits administrator.
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