What paperwork is required for an unreimbursed medical expense claim/ How do I get reimbursed for my Healthcare FSA claims?
We need a receipt or an itemized statement from the medical provider of service that includes; 1. Date of service, 2. Type of service and 3. Your charge for the service. You must file a claim form to be reimbursed for an eligible expense. With your completed claim form, you must submit one of the two items below to document your claim: • Explanation of Benefits Statement (EOB) – This is the statement that you typically receive each time that you, or a health care provider, submit a claim for payment to your health, dental, or vision care plan. The EOB shows the expenses paid by the plan and the amount you must pay. For expenses that are partially covered by your health care plan, your spouse’s, or other dependent’s, you must attach the EOB. • Acceptable Documentation – For expenses that are not covered at all by your, your spouse’s or other dependent’s health care plans, or that you elect not to submit to your FEHB plan or any other insurance you may have, you must sign the claim form
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