FSA What is a Flexible Spending Account? A Flexible Spending Account (FSA) is a savings account filled with a pre-determined, pre-taxed amount from your paycheck to help pay for qualified out-of-pocket medical expenses. FSAs allow you to put aside money tax-free Medical FSA funds are available at the first of the year, so the amount you elect to contribute is available to use any time. When you have an eligible expense, you can use the plan’s debit card to pay for services or you can submit a manual claim and be reimbursed from your account Eligible Expenses: Visit www.optum.com to: Medical and dental deductibles, coinsurance view your account or copays check balances Medical equipment view claims Hearing aids submit claim substantiations Prescription drugs request claim reimbursements. Eye Care Expenses Eligible Claims: Expenses must be incurred during for a complete list, visithttps://fsastore.com the plan year (January 1 thru December 31) Ineligible Expenses: Deadline to Submit of Reimbursement: March Cosmetic surgery 15th of the following year Teeth whitening The IRS does NOT allow you to Fitness club dues contribute to a healthcare FSA and HSA Premiums for a spouse’s health plan at the same time! The FSA is only Over-the-counter medications or drugs that available to employees participating in haven’t been prescribed, except insulin the PPO Plan. Pre-tax benefit that is “Use it or Lose It” Only use for Annual contribution qualifying out of You can rollover up to limit of $3,300 pocket expenses $660, but any additional funds remaining will be lost. For any questions, go to www.optum.com or call 866-234-8913. 9