You can contribute between $200 and $2,500 per year into Healthcare FSA and use your FSA for many uninsured medical, vision, and dental related expenses incurred by you and your eligible dependents. 
 
You must have at least 90 days of Company service to enroll in Healthcare FSA.  You or your eligible dependents do not have to be covered under the Shaw healthcare plans to be eligible for reimbursement under Healthcare FSA. 

Note:  HSA plan participants are NOT eligible to elect Healthcare FSA. Health Savings Account funds can be used to cover healthcare expenses.
 
IMPORTANT:  Please note that you need to use caution in your Healthcare FSA enrollment when both spouses are employed at Shaw.  If one spouse is enrolled in the Shaw Medical Plan and has the other spouse covered as a dependent, the associate who carries the medical coverage should also be the one to enroll in Healthcare FSA in order for the MasterCard to be used for prescription drugs for both spouses.  You will always be able to be reimbursed for eligible prescription drugs by paper claims, but the convenience of the MasterCard is only available for the enrolled associate and their covered dependents.
 
You and your spouse can each enroll in Healthcare FSA (maximum $2,500 each).
 
Healthcare FSA Facts
  • All outstanding paper claims for reimbursement must be received at HealthSmart no later than March 31st following the year they were incurred. Any new paper claims for reimbursement must be recieved at Optum no later March 31st following the year they were incurred. 
  • Contributions are only eligible to cover expenses incurred during the current year of your enrollment date.  The date you incur an expense is the date you received the service, not the date you are billed or pay for the service.  IRS guidelines allow participants to use their prior year’s balance for reimbursement of claims incurred up to 2 ½ months after the close of the plan year. This means you can submit charges incurred between January 1st and March 15th of the following year when you have unused funds from the previous year. You may use the MasterCard as payment for these services until March 15th. After March 15th, the MasterCard can no longer access prior year funds and will require paper reimbursement forms to be submitted by March 31st. 
  • IRS rules state that monies left in your FSA account as of March 31st will be forfeited.  These forfeitures will be used to offset administrative expenses.
  • Eligible dependents are those that you claim on your Federal income tax return.  When you enroll in the Healthcare FSA, you will also receive a MasterCard® that can be used to pay for eligible healthcare expenses (except prescription drugs for eligible dependents not covered under the Shaw Medical Plan or prescription drugs not covered by Shaw.)  The MasterCard® gives you an easy, automatic way to pay for qualified healthcare expenses.  The MasterCard® expires every five years, even if you skip a year of participation in the FSA benefit.
 
Information on using the MasterCard® 

Using the MasterCard® is simple because:
 
It’s automatic – the funds are immediately transferred from your FSA at the time of purchase.
 
It’s fast – a simple swipe of the Card makes it hassle-free!
 
It improves your cash flow – you do not have to lay out cash at the point of service and then wait for reimbursement.
 
It’s easy – in most cases, no claim forms need to be completed or filed.
 
It’s easy to track – your current balance and additional information is available any time at OptumHealthFinancial.com.
 
**Note:  The dollar value on your MasterCard is the amount of your annual pledge less any amounts you have already spent. **
 
IMPORTANT:
  Please note that using the MasterCard does not always eliminate the request for audit documentation.  The IRS requires all expenses paid through the MasterCard must be verified to assure they qualify as eligible expenses.  Therefore, it is very important that you maintain ALL itemized receipts and documentation throughout the year for audit purposes.  If this information is requested and cannot be provided, use of your MasterCard could be suspended.
 
You are not required to use the MasterCard®.  Through March 31st you have the option of submitting a claim form to HealthSmart to receive reimbursement from your FSA account. Click here for the Healthcare FSA Reimbursement Form.  Simply complete this form, attached your Claims EOB (Explanation of Benefits) and/or Prescription receipts and mail to the address on the form. For new claims, contact Optum for more information on claim submission. 
 
As a reminder, only uninsured expenses are eligible for reimbursement under your FSA benefit. For example, you may use the MasterCard to cover medical and prescription expenses to satisfy your annual deductible, as well as medical coinsurance and/or prescription drug co-pays after the annual deductible has been satisfied. 

Optum Customer Service:
1-800-243-5543
accountservices@optum.com

OptumHealthFinancial.com


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