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| Q |
What is a Payment Card? |
| A |
A Payment Card is a stored-value card. It is a convenient reimbursement option
that deducts funds electronically from your medical expense or dependent care
FSA, HRA or commuter benefits account (depending on your employer’s plan). |
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| Q |
Is there anything I need to do before using FBMC’s Payment Card? |
| A |
If you have the EZ REIMBURSE® Card, then you must activate your Payment Card
before you can use it for the first time. To activate your card, call the
toll-free number located on the sticker attached to the front of your card. The
myFBMC Cardsm is fully functional as soon as you receive it.
Remember to sign the back of your card before you use it for the first time. |
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| Q |
Is this a credit card? |
| A |
No. A Payment Card is a stored-value card, not a credit card. The maximum
amount of funds stored and available on your Payment Card for any given plan
year is equal to the full, annualized amount of your reimbursement account
contribution. This amount is "stored" and available for your use through your
Payment Card on first day of the plan year. |
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| Q |
I currently have a reimbursement account and I already have a credit
card to pay my expenses. Why do I need this card? |
| A |
You can use your credit card to pay for medical expenses, but only a Payment
Card gives you immediate access to your reimbursement account funds.
When you use your card, your expense is automatically sent to FBMC, eliminating
the worry of forgetting to submit it and the risk of forfeiting dollars at the
end of the plan year. Also, because the Payment Card is not a credit card, you
have no monthly bill or interest charges to pay as you would if your expense or
service was charged on a credit card.
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| Q |
Does the card replace my health card? |
| A |
Your Payment Card is a means of payment for out-of-pocket expenses. It does not
replace your health card. Continue to carry your health card to identify your
type of insurance. |
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| Q |
Will I receive a new card and account number each year? |
| A |
As long as you remain actively employed and enroll in a reimbursement account
each successive plan year, you will keep the same account number. Your Payment
Card will be replaced every three years, or sooner if it is damaged or lost. |
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| Q |
When I receive my card will I have to sign anything? What if I don't
like the terms and conditions of this card? |
| A |
When you receive your Payment Card, you will also receive a cardholders'
agreement. As with all legal documents, you should read the terms and
conditions carefully. By activating and signing the back of your card, you
accept the terms and conditions of the agreement - there is nothing else to
sign. It is always your choice to accept and then use your card. |
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| Q |
How do I use this card? |
| A |
Depending on your employer’s plan, you may use this to pay for prescriptions,
Over-the-Counter (OTC) items and/or eligible medical expenses. Additionally, if
your employer’s plan allows, the card can be used to pay for eligible dependent
care and commuter benefits. Simply swipe it through the card reader as you
would a credit card.
When you use a Payment Card, information required on the claim form is
automatically sent to FBMC for processing. You need only submit your itemized
documentation and Payment Card completed claim form or transmittal Sheet to
FBMC when a transaction appears in BLUE on your monthly statement or RED on the
Web site. A copy of your specific Payment Card claim form or transmittal sheet
can be downloaded from this Web site. Simply log in, click the Resources tab on
the main menu, select Forms and Instructions and follow the steps laid out to
download the Transmittal Sheet PDF.
Note: Review your enrollment materials for SPECIFIC uses of your card. Some
Payment Cards have specific usage restrictions.
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| Q |
Can I purchase Over-the-Counter Drugs (OTC) at my drugstore? |
| A |
Yes, you may purchase OTC at your drugstore. Please refer to our partial list
of accepted
OTC items on this Web site. Also, please be sure to check our
IIAS Store List for suggested drugstores merchants that will accept the
Payment Card. More information about IIAS can be found in these FAQs.
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| Q |
May I use my card for mail order drugs? |
| A |
You may use your Payment Card for the purchase of mail order prescriptions, as
long as the mail order pharmacy is through one of your health plans. Mail order
purchases will not require any follow up substantiation. That means your
transaction is completely paperless! Review your enrollment materials for
SPECIFIC uses of your card. |
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| Q |
Can I use my card to pay for all doctor visits? |
| A |
Your Payment Card can be used at your doctor, dentist, and ophthalmologist or
optometrist offices for co-pays, deductibles, and any qualified amounts not
covered by insurance. It uses credit card technology, so as long as your
healthcare facility accepts credit cards with a matching logo and you have an
available balance (annualized amount less any reimbursements) in your account
to cover your expense, your card will be accepted.
Note: Review your enrollment materials for SPECIFIC uses of your card. Some
Payment Cards have specific usage restrictions. |
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| Q |
I have some services that require a letter of medical need. Can I
still use my card? |
| A |
When receiving products and services from your health provider or pharmacist
that require a Letter of Medical Need, secure the letter and submit it along
with your Payment Card claim form or transmittal Sheet and documentation.
Although your transaction will be accepted at the point of sale (as long as you
have not exceeded your annualized contribution limit), it is deducted from your
account and could be subject to payback if your letter and documentation are
not submitted. |
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| Q |
What do I do if the merchant/provider does not accept my card? |
| A |
If your provider does not accept your Payment Card, or if your expense is
greater than your available balance, pay for your service or purchase by cash,
check or credit card. Then submit a paper claim with the appropriate
accompanying documentation. Your claim will be processed and eligible expenses
will be reimbursed to you by check or through direct deposit. |
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| Q |
What are some eligible medical service providers? |
| A |
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Ambulance Services
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Medical, Dental, Ophthalmic and Hospital Equipment/Supplies
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Hearing Aid Sales, Services and Supplies
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Orthopedic Goods - Prosthetic Devices
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Counseling Services (related to medical care)
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Doctors and Physicians
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Dentists and Orthodontists
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Osteopaths
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Chiropractors
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Optometrists and Ophthalmologists
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Opticians, Optical Goods and Eyeglasses
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Over-the-Counter Medicines
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Podiatrists and Chiropodists
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Prescription Drugs
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Nursing and Personal Care Facilities
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Hospitals
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Medical and Dental Laboratories
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Medical Services and Health Practitioners
The specific service provided must meet all eligibility requirements for
Medical FSA and HRA reimbursement. Some services may require a medical needs
letter. Eligible medical service providers accept credit cards with a matching
logo and have a valid merchant identification code. Specific IRS regulations
apply. See your enrollment materials for details. |
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| Q |
Will my dependents, including my spouse, be able to use the card? |
| A |
Yes, your dependents can use the Payment Card. For your convenience, we will
send you and additional card for their use. This additional card is free of
charge. |
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| Q |
When do I send my documentation to FBMC? |
| A |
There are two ways to verify if documentation is required:
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Check your Card Transactions
under the Payment Card tab on this Web site. If you see transactions in RED,
please click on the magnifying glass to determine what action is needed by you.
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As a participant, you will receive a monthly statement from FBMC. Your
statement will include a BLUE Outstanding Card Transactions Requiring
Documentation section. If a transaction appears in this section, you must
submit documentation to FBMC for your expenses. Monthly Statements can also be
viewed on the Web site.
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| Q |
What type of documentation do I need to submit for substantiation of
Payment Card transactions? |
| A |
For substantiation, you should always submit itemized statements and/or bills.
(eg: an Explanations of Benefits) Documentation must include:
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Patient name
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Type of service
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Date of service
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Provider name
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Total amount
If the transaction is for a prescription or Over-the-Counter Drug, please
remember to include the name of the medicine. The prescription name is required
for reimbursement. If possible, send in the label that is stapled to your
prescription bag. |
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| Q |
What happens if I do not send my itemized receipts to FBMC? |
| A |
If you fail to send in the requested documentation for a Payment Card expense
after two notifications on your monthly statement, you will be subject to:
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withholding of payment for an eligible paper claim to offset any outstanding
card transactions
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suspension of your card privileges
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salary deduction for the amount of any outstanding card transactions (as
permitted by law) and
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the reporting of any outstanding card transaction amounts as income on your W-2
at the end of the tax year.
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| Q |
Where do I send my itemized documentation? |
| A |
You may fax your itemized documentation, along with a Payment Card claim form
or transmittal Sheet. Payment Card claim forms or transmittal sheet can be
downloaded from this Web site. Simply log in, click the Resources tab on the
main menu, select Forms and Instructions and follow the steps laid out to
download the Transmittal Sheet PDF and fax the info to the number shown on the
form. |
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| Q |
What should I do if an ineligible expense is mistakenly processed
using my Payment Card? |
| A |
You must immediately repay your employer's account. This can be done by sending
a personal check, made out to your employer, to FBMC, or you can submit a paper
claim for another eligible expense and tell us to substitute the paper claim
for the ineligible transaction. Remember to use your Payment Card for eligible
health expenses ONLY. Otherwise, you risk having your card access suspended.
Note: As you know, compliance with plan guidelines is very important. FBMC must
diligently monitor and adjudicate claims in strict compliance with IRS
regulations (Revenue Rulings 2003-43 & 2006-69). Failure on your part to
resolve ineligible claims will result in suspension of your card privileges. In
addition, your employer may elect to deduct an amount from your wages until the
ineligible expense debt is repaid in full. If you have questions about eligible
or ineligible expenses, see your plan materials for details.
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| Q |
My statement shows some transactions with “payback via auto
substitute”. What does that mean? |
| A |
This means you did not submit the required documentation, so FBMC withheld
payment for an approved paper claim request to compensate for any outstanding
transactions. After receiving and processing approved Payment Card receipts, a
payment will be made to you representing the difference between the approved
paper claim(s) and any outstanding transactions (if applicable). |
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| Q |
How can I track my account information? |
| A |
You may access your account information, 24 hours a day, at this Web site,
through the Interactive Voice Response telephone line or your monthly account
statement.
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| Q |
Toward the end of the plan year my medical expense may be greater
than my available FSA balance - will my card transaction be affected? |
| A |
Yes. If your expense is greater than the balance remaining in your account, the
transaction will be rejected. Currently, the technology does not accommodate a
partial payment. When this occurs, simply pay with a credit card, check or cash
and submit your expense as a paper claim. |
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| Q |
What happens to my card if I leave employment? |
| A |
Your Payment Card will be suspended on the date of your termination from
employment.
If you made arrangements with your employer to continue your reimbursement
account following termination, you may submit claims incurred during the
remainder of the plan year using the traditional method (properly completed
claim form with accompanying documentation).
In the event of a leave of absence, your Payment Card will be suspended unless
arrangements have been made by you and your employer to continue your payroll
reductions while on leave. When reductions continue uninterrupted, you will not
experience a break in coverage. You can continue to incur expenses during this
period for reimbursement in accordance with IRS rules and regulations.
Note: Refer to your plan materials for the dates of your plan year run-out
period. This is the final date when claims may be submitted for reimbursement.
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| Q |
What is IIAS? |
| A |
IIAS = Inventory Information Approval System
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Transactions presented to the FBMC claims system from a merchant who utilizes
an IIAS will be automatically adjudicated in our system since the purchase was
adjudicated at the point of sale. Here is an example of how it works:
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A customer takes a bottle of aspirin, a prescription prescriptions and a
magazine to the register and swipes their Payment Card; (each item worth $5.00)
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The IIAS recognizes the FBMC Payment Card as a health card and enacts “FSA”
rules.
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IIAS approves the purchase for the aspirin and prescription on the Payment Card
(total of $10) and prompts the cashier to ask the customer for another form of
payment for the magazine;
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Customer gives form of payment for the last $5.00.
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Customer takes purchases, NO PAPERWORK TO FBMC!
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| Q |
Will my FBMC payment card be accepted at non IIAS - complaint stores? |
| A |
Under Revenue Ruling 2006-69, merchants who can declare that 90 percent of their store's gross receipts during the prior taxable year consisted of items which qualify as expenses for medical care under § 213(d) can accept health care payment cards. For participants, this means FBMC payment card purchases will be processed at those stores; however, all charges to the payment card are subject to follow up documentation (other than co-payment matches, recurring expenses and real-time substantiation) describing the goods or services purchased, the date of the service or sale and the amount of the charge. Click here for a list of Other Merchants who can accept the card for Rx / OTC. |
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| Q |
How does the FSA Grace Period affect my card? |
| A |
Some employers have elected to utilize an FSA Grace Period, which allows a participant to use up any FSA funds that are left over from the previous plan year within the first 2-1/2 months of the new plan year. If your employer participates in the Grace Period and you have funds left over from a previous plan year, you must submit any run-out paper claims from the previous plan year and ensure they have been processed BEFORE using your payment card. When using your payment card or submitting current year paper claim reimbursements at the beginning of a new plan year, the previous year’s FSA funds will be used first to pay for your eligible expenses. This could potentially deplete the remaining funds and prevent payment on any outstanding paper claims.
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