Eep a copy of your completed form and receipts for your records. K Please remember that FSAFEDS has a minimum reimbursement threshold of 25. 00. If your claim does not total 25. 00 it will be processed and you will receive a reimbursement statement but your payment will be pended until you submit another claim and reach the 25. FSAFEDS.com or contact an FSAFEDS Benefits Counselor at 1-877-FSAFEDS. Page 1 - HEALTH CARE CLAIM FORM MAIL FSAFEDS Program PO Box 36880 Louisville KY 40233 PHONE...
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Video instructions and help with filling out and completing fsafeds claim form

Hello and welcome to The Federal Flexible Spending Account Program (FSAFEDS). This is the last in OPM’s series of webcasts for the 2013 Federal Benefits Open Season. My name is Clifford Mosley and I am a Program Analyst with OPM’s Insurance Operations office. During this webcast we will explain what a flexible spending account is, How it works, The types of flexible spending accounts, Who is eligible to enroll, What expenses are eligible for reimbursement, When the benefit period is, How much you can put into your flexible spending account, and How to enroll. What is a Flexible Spending Account? Let’s start with an example. Suppose you’re going to spend $500 next year on prescription drugs, doctor’s office visits, and a new pair of glasses. What’s the best way to pay for these things? You have a couple options. You could pay for these things with the money in your paycheck, also known as your take-home pay. What you get in your paycheck is your gross income minus several deductions, including income tax, Social Security tax, Medicare tax, even state and local taxes. Because of these deductions, it could take six, seven, even eight hundred dollars of gross salary to get $500 of take-home pay. The other way is to pay for these things using a flexible spending account, or FSA. You could set aside $500 from your gross salary before it is taxed. By paying for these health care expenses with untaxed dollars, you could see hundreds of dollars in savings. Here’s another example. Suppose you have young children and will spend about $2,000 next year on day care and summer day camp for them. What’s the best pay to pay for these things? You could use the money in your paycheck, after income tax, Social Security tax, Medicare tax, and state and local taxes. It could take twenty-five hundred or three thousand dollars of gross salary to get two thousand dollars of take-home pay. But if you use a flexible spending account, you can set aside $2000 from your gross salary BEFORE it is taxed. By paying for your dependent care expenses with untaxed dollars, you could save hundreds. What is a Flexible Spending Account? It’s a benefit that allows Federal employees to pay for eligible health care or dependent care expenses with pre-tax dollars. Using pre-tax dollars to pay for these out-of-pocket expenses is like getting a big discount on them. With FSAFEDS, you save money by paying less in taxes. How does FSAFEDS Work? Step one is figuring out how much you would like to put into your flexible spending account. Look at how much you spent this year on eligible health care and dependent care costs, and how much you expect to spend next year. Step two is simply and easily enrolling online. Step three is as you incur eligible expenses, you submit a form and your receipts to FSAFEDS. Or if your insurance plan is enrolled in our Paperless Reimbursement program, they send the paperwork to FSAFEDS for you. Finally, FSAFEDS processes your claim and sends a reimbursement...