What documentation is needed if I use another form of payment other than my PayFlex™ Card?
• If you did not use your PayFlex™ Card for your transaction, you will be required to submit a claim form with your documentation for reimbursement. For items such as hearing aid batteries, contact lens solutions or over-the-counter items, acceptable documentation includes itemized cash register receipts that list the merchant name, name of the item/product, date of the purchase and amount. For vision, dental or other healthcare expenses, an insurance plan’s Explanation of Benefit (EOB) statement and itemized statements are appropriate documentation to provide. Your credit card receipt is not an acceptable form of documentation for substantiating your purchases. For prescription drugs purchased at a pharmacy, a pharmacy receipt is acceptable or you can request a printout from your pharmacy. We recommend you keep all documentation in a separate envelope at home or work for the entire plan year.
