FSA Debit Card Substantiation Requirements
All FSA Debit Card transactions must
be substantiated, somehow, in order to confirm that all items paid
for with pre-tax dollars are eligible for a tax break. Some of
these transactions can be substantiated electronically, but others
may require you to submit a paper claim and
follow-up
documentation to support your purchases.
Examples of Electronic Substantiation (no
follow-up documentation
required):
- Purchases that match a known co-pay amount for health, vision or
dental plan you have selected through your employer (a known co-pay
is a flat dollar amount in your employer's medical, dental, vision
or pharmacy plan that you pay for things like office visits and
prescriptions). If your insurance plan has co-insurance, or
cost sharing, you can use the card to pay for these expenses, but
you will be prompted to provide documentation to substantiate your
purchase.
- Purchases that match any combination of up to five times a known
co-pay amount for the health, vision or dental plan you have elected
through your employer.
- Purchases that are made at a retail outlet with an
Inventory Control System
in place that restricts purchases with your pre-tax dollars to FSA
eligible expenses.
- Recurring expenses at the same provider for the exact same dollar
amount. If you have a recurring expense, you may provide
follow up documentation to ASIFlex one time and ask that it be
marked to your account as a recurring expense. This way, each
time you swipe your card at the same provider, for the exact same
dollar amount, follow up documenation will not be required.
You will be required to follow-up with
substantiating
documentation for all other purchases with your FSA Debit Card,
including co-payments for your spouse's insurance plan. When
you make a purchase that cannot be electronically substantiated,
your FSA account will show up as being overpaid by that amount.
When you submit the documentation to substantiate your purchase, your
account will go back to normal. Click
here to see follow-up
documentation requirements.
Example 1: Tom goes
to his dentist and pays $272 for his portion of the expense for a
root canal with his FSA Debit Card. The purchase amount does not
match a known co-pay, and it cannot be electronically substantiated.
Two days after Tom makes the purchase, he receives an email from
ASIFlex asking for supporting documentation to insure that his
purchase was eligible for a tax break. Tom faxes his statement
from his dentist, along with the email from ASIFlex, and his FSA
goes back to normal.
Example 2: Tom goes
to the local vision center store and purchases glasses that cost
$145 for his child with his FSA Debit Card. Two days later,
Tom receives an email from ASIFlex asking for supporting
documentation to insure that the purchase was eligible for a tax
break. Tom doesn't immediately follow-up with the documentation,
thinking he will provide this information at the end of the month.
However, Tom submits a claim for $25 in prescription medication he
paid for with cash. ASIFlex processes the claim and his
account shows up as being over-reimbursed by $120. At the end
of the month, Tom submits the itemized statement from his vision
provider along with the email he received from ASIFlex.
ASIFlex processes the claim and issues a reimbursement for $25 (for
the prescription medication he paid for with cash).