Orthodontic treatment is typically rendered over an extended period of time. Often, there is no direct relationship between payment and treatment. Some individuals pay for the entire treatment in full, while others make a monthly payment towards the total cost. In both cases, visits to the orthodontist may occur several times a month, or once every few months for adjustments.
Polestar Benefits, Inc. allows reimbursement for pre-paid orthodontia expenses, up to the elected amount, regardless of the date of service. The payment must have been made during the Benefit Period. If there is coverage under any dental plan, payment from the Flexible Spending Account (FSA) will be reduced by the amount paid by the dental coverage. Please note that orthodontia
differs from other dental procedures that require the actual service to be performed and paid for within the Benefit Period.
The employee and/or the employee’s eligible dependent(s) planning to begin or currently receiving orthodontia treatment are eligible for reimbursement.
Initial Evaluation Fees
Orthodontia services initially performed, such as moldings,...
- Date of Service
- Type of Service
- Amount of Service
- Patient Name
- Provider / Clinic Name
Visa slips and cleared checks are not considered allowable.
QUESTION: My benefits card transaction ended up being an ineligible expense? How do I handle so that my card isn't deactivated?
ANSWER: You have a couple different options when this occurs:
The most common option is to submit a larger claim that has occurred within the correct plan year and we will offset the amount, then reimburse whatever is left.
Another option is to mail us a check for the amount of the ineligible expense and we will apply it to your account.
The last option is to have the provider refund the benefits card directly, however, keep in mind that you will still need to pay the provider with another form of payment. Call us with any questions!
A terminated employee wants to know why their Benefits Card doesn't work when they have money left over.
REASON: Typically and based on the plan document, a terminated employee can only incur expenses to the point of the term date or through the end of the month of active employment. Which is why the card is turned "off" on that date so further transactions are not paid outside the allowable incurred date.
The ex-employee does have a run out date to turn in claims from the term date though. But that is only for expenses incurred after the plan started and the term date.
New cards will NOT be sent each year; instead the new year funds will be loaded to your existing cards. Your cards are valid for three (3) years from the date issued, the expiration date is on the card. (New cards are automatically issued 30 days prior to expiration.)