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,...
Money that isn't used in a flexible spending account goes to the employer. Technically, employees who open accounts reduce their wages in return for their employer paying out-of-pocket medical expenses up to the amount chosen by each employee. The money is not taxable wages but rather the employer's money and, if it isn't used, it belongs to the employer.
Forfeited money rarely adds up to enough to pay for the employer's cost of administering a program.
And employers also take a financial risk. Let's say an employee uses up the $3,000 in a flexible spending account in the first few months of the year. The employer pays the money out, planning to reduce each paycheck by a certain amount to total $3,000 by the end of the year. But if the employee leaves the company in, say, six months, only $1,500 would have been removed from the paychecks, leaving the employer $1,500 short.
- Date of Service
- Type of Service
- Amount of Service
- Patient Name
- Provider / Clinic Name
Visa slips and cleared checks are not considered allowable.
Yes. You do not need to be enrolled in your employer insurance plan to participate in the FSA. You would only need to meet the eligibility requirements set by your employer.
No, teeth whitening products or services to enhance the brightness of your teeth are cosmetic and cannot be reimbursed.
Yes, under a health care FSA, your travel to and from the doctor's office as well as any parking fees associated with your visit are reimbursable, provided you have a receipt that validates your visit.
When needed for vision correction, amounts paid for the following items are qualified vision care expenses:
- prescription eyewear and supplies (eyeglasses, goggles, safety glasses, sports eyewear, sunglasses)
- tinting of prescription eyewear
- eye exams (refractions)
- over-the-counter reading glasses and other vision aids
SIGIS' latest newsletter says:
"... we are reviewing product descriptions of sunscreen and sunblock products to determine which broad spectrum, SPF 15+ items can be added to the list."
"Note that we will add only those items that can be clearly identified as SPF 15 or higher and that provide protection against both ultraviolet B radiation (UVB) and ultraviolet A radiation (UVA). These products will not require an Rx for purchase with a health care debit card at SIGIS certified merchants."
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