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No Automatic Monthly Reimbursement for Orthodontia expenses To set up automatic reimbursements check this box. PayFlexDirect. com or accessible via Aetna Navigator under MyPayFlexDirect Resources and select Administrative Forms. I have not received reimbursement for any of these expenses. I will not seek reimbursement elsewhere including from a Health Savings Account HSA. For Health Care FSA I certify that I my spouse or eligible dependent have incurred each expense on this form. These...
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Health care ampamp dependent refers to the individuals who rely on another person for their medical care and support.
Individuals who have dependents that rely on them for medical care and support are required to file for health care ampamp dependent.
To fill out health care ampamp dependent, individuals need to provide detailed information about the dependent's medical needs and the type of care they require.
The purpose of health care ampamp dependent is to ensure that individuals who rely on others for medical care receive the necessary support and assistance.
Information such as the dependent's medical conditions, treatment plan, medications, and any special requirements must be reported on health care ampamp dependent.
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