FOOTHILLS REGIONAL HIGH SCHOOL
FLEXIBLE SPENDING & DEPENDENT CARE
What are Medical Flexible (FSA) Accounts?
A pre-tax benefit account used to pay for out-of-pocket health care costs such as deductibles, co-pays, prescribed medication, and some over the counter medications.
What is Dependent Care Accounts?
A pre-tax benefit account used to pay for dependent care services such as preschool, summer day camp, before or after school programs, and child or elder daycare.
Plan Rules:
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Eligibility: Employees as described on page 1, spouse and children (Medical FSA: up to age 26 / Dependent Care FSA: children ages 12 and under)
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Coverage through Medcom
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Plan year is from January 1- December 31 and employees must re-elect each year
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Married and not filing jointly participants limited to $2,500 deferral for DCFSA
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Transfer of funds between Dependent Care and Unreimbursed Medical are prohibited
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Only family status changes will allow you to change your annual election. The altered election must be consistent with the status change.
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For a full list of eligible Flexible Spending Account expenses, please go to www.medcom.net
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$3.50 administration fee per participant per month
Contact Campus Benefits for assistance with claims.
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Call 1-866-433-7661, option 5
What is covered under Medical FSA Account?
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Medical coinsurance and deductible
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Doctor’s office visit co-pays
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Emergency Room costs
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Dental co-pays and out-of-pocket costs
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Vision co-pays and out-of-pocket costs
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Contacts and Glasses
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Prescriptions
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Please see the full eligibility list for other covered expenses
What is covered under Dependent Care Account?
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Children ages 12 and under (including stepchildren, grandchildren, adopted or foster children, and children related to you who are eligible for a tax exemption on your federal tax return).
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Tax dependents residing with you and incapable of self-care (this could include your spouse, a child age 13 and over, and elderly parents).
The CARES Act permanently reinstates over-the counter products, and adds menstrual care products for the first time, as eligible expenses for your FSA funds WITHOUT A PRESCRIPTION!
Eligible items for purchase without a prescription now include, but are not limited to:
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Pain relief medications, e.g., acetaminophen, ibuprofen, naproxen sodium
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Cold & flu medications
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Allergy medications
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Acne treatments
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Eye drops
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Stomach & digestive aids
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Pads, Tampons and Menstrual sponges
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Sleep aids
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Children’s pain relievers, allergy medicines, and digestive aids
IMPORTANT NOTE:
Dependent Care FSA is for eligible expenses related to the care of your child, disabled spouse, elderly parent, or other dependent who is physically or mentally unable for self-care (i.e. day care, adult day care) or is disabled. Medical expenses for your dependent are not eligible for reimbursement under the Dependent Care.