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PO Box 1608, Windsor, Ontario N9A 7G1 Attn: Dental Department or CUSTOMER SERVICE Center 1888711 1119DENTAL CLAIM FORM PART 1 PROVIDER Patient Last Name A T I E NT Given NameAddressProvinceI hereby
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How to fill out health care spending account

01
Determine if you are eligible for a health care spending account through your employer.
02
Review the information provided by your employer about the health care spending account benefits and rules.
03
Decide how much money you want to contribute to your health care spending account for the year.
04
Enroll in the health care spending account program through your employer's benefits portal or HR department.
05
Keep track of your eligible health care expenses throughout the year and submit claims for reimbursement as needed.

Who needs health care spending account?

01
Employees who want to save money on out-of-pocket healthcare expenses such as deductibles, co-pays, and prescriptions.
02
Individuals with chronic health conditions that require ongoing medical treatment and supplies.
03
Families with dependents who have regular medical expenses.
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A health care spending account is a type of account that allows individuals to set aside money on a pre-tax basis to pay for eligible medical expenses.
Employees who have elected to contribute to a health care spending account through their employer's benefits program are required to file a health care spending account.
To fill out a health care spending account, individuals need to keep track of their eligible medical expenses and submit reimbursement claims to the administrator of the account.
The purpose of a health care spending account is to help individuals save money on out-of-pocket medical expenses by allowing them to use pre-tax dollars to pay for eligible medical services and supplies.
The information that must be reported on a health care spending account includes the date of service, description of the medical expense, and the amount paid for the expense.
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