Combined Services LLC
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Medical Reimbursement Accounts - Section 105
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Medical Reimbursement Accounts - Section 105
Medical Reimbursement Accounts - Section 105
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Medical Reimbursement Accounts - Section 105
At Combined Services LLC, we have tracked the questions that our participants ask, and we have provided answers to several of the most "Frequently Asked Questions (FAQ)" below. We hope that this provides you with the information that you require. But, if you have a question that is not addressed below, please feel free to contact us.
Medical Reimbursement Accounts - Section 105
Medical Reimbursement Accounts - Section 105

Questions Regarding:
Medical Reimbursement Accounts - Section 105
Health & Dependent Care Flexible Spending Accounts
Medical Reimbursement Accounts - Section 105
Debit Card
Medical Reimbursement Accounts - Section 105
Combined Services LLC
Medical Reimbursement Accounts - Section 105
Health & Dependent Care Flexible Spending Accounts
Medical Reimbursement Accounts - Section 105
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Medical Reimbursement Accounts - Section 105
Q. What types of expenses are eligible?
Medical Reimbursement Accounts - Section 105
A. Health Flexible Spending Account (HFSA)
Medical Reimbursement Accounts - Section 105
Combined Services LLC has complied a general list of common eligible medical expenses that typically qualify for reimbursement. Some expenses require further documentation from a physician in order to qualify. If you have questions on an expense, you can contact our Flexible Benefits Department, Monday through Friday from 8:00am-4:30pm (extended hours Tuesday & Thursday until 5:30pm).
Medical Reimbursement Accounts - Section 105
Dependent Care Flexible Spending Account (DCFSA)
Medical Reimbursement Accounts - Section 105
During the year, employees can set aside pre-tax dollars through payroll deductions to pay for dependent care expenses. To be eligible for a dependent care FSA, the dependent must be under age 13 or a handicapped/elderly adult who is unable to care for himself/herself. The care must be provided to enable an employee (and the spouse, if married) to work. PUBLIC & PRIVATE KINDERGARTEN ARE NOT ELIGIBLE FOR REIMBURSEMENT ACCORDING TO IRS GUIDELINES. Per IRS regulations, claims can only be paid out to the amount contributed to date with the Dependent Care Flexible Spending Account.
Medical Reimbursement Accounts - Section 105
Q. What over-the-counter medications qualify for HFSA?
Medical Reimbursement Accounts - Section 105
A. Combined Services LLC has complied a list of some of the more common over-the-counter medications that typically qualify for HFSA reimbursement. If you have questions on an item, you can contact our Flexible Benefits Department, Monday through Friday from 8:00am-4:30pm (extended hours Tuesday & Thursday until 5:30pm).
Medical Reimbursement Accounts - Section 105
Q. How can I see how much money is in my account?
Medical Reimbursement Accounts - Section 105
A. You can check the status of your account at any time by visiting our website. Every participant will receive a welcome letter shortly after they are enrolled. This letter will provide your Personal Identification Number (PIN) and instructions on how to check the status of your account. If you need help with logging onto the website you can contact our Flexible Benefits Department, Monday through Friday from 8:00am-4:30pm (extended hours Tuesday & Thursday until 5:30pm).
Medical Reimbursement Accounts - Section 105
Q. How do I request reimbursement?
Medical Reimbursement Accounts - Section 105
A. In order to request reimbursement for a Health or Dependent Care FSA, you will need to complete a Reimbursement Request Form. You can download this form from the Flexible Benefits Participants home page. There are a few requirements when submitting for a Reimbursement Request:
Medical Reimbursement Accounts - Section 105
Documentation to be included with reimbursement request:
Include third-party verification with your request (a detailed invoice/statement from the provider or an Explanation of Benefits from your insurance company).
The documentation must have the date of service (not the date you paid the bill); name and credentials of the provider; amount charged for the service; description of the service provided; and, name of the individual who received the service.
Cancelled checks are not sufficient documentation.
Your signature certifying that the expenses listed on the Reimbursement Request Form are not eligible for reimbursement from any other source; that you understand that the expenses must qualify for reimbursement under the Internal Revenue Code; and that you understand that reimbursement expenses cannot also be claimed as credits or deductions on your personal tax return.

Medical Reimbursement Accounts - Section 105
If you have any questions, you can contact a representative from our Flexible Benefits Department, Monday through Friday from 8:00am-4:30pm (extended hours Tuesday & Thursday until 5:30pm) who would be happy to assist you.
Medical Reimbursement Accounts - Section 105
Expenses for either Health or Dependent Care Flexible Spending Accounts must be incurred during your group's plan year. However, there is a run-off period (after the plan year-end) to submit your claims for reimbursement. Check your summary plan description to find out how many days your employer allows.
Medical Reimbursement Accounts - Section 105
We will try to help you use the Flexible Spending Accounts only for eligible expenses. However, your employer and the claims administrator bear no responsibility for your taxes. You remain fully accountable to the IRS to prove the eligibility of any expense you submit. Therefore, you should keep copies of all documentation for your tax records.
Medical Reimbursement Accounts - Section 105
Q. Why was my reimbursement request returned?
Medical Reimbursement Accounts - Section 105
A. There are a few common reasons that reimbursement requests are returned to participants. If your claim has been returned, you should contact Combined Services LLC at 1 888 227-9745 ext. 2040 if you have questions.
Medical Reimbursement Accounts - Section 105
Did you remember to sign the request form?
Did you attach proper documentation for each of your claims? (Supporting documentation should include the date of service, credentials of the provider, amount charged for the service, description of the service provided, and the name of the individual who received the service).
Did the service(s) on the claim meet IRS guidelines as reimbursable Health or Dependent Care expense(s)?
Did the service require a physician's documentation to meet IRS guidelines?
Was the date of service within the plan year?
Did you have enough money set aside in your account to be reimbursed for the amount(s) listed on the Reimbursement Request Form?
Medical Reimbursement Accounts - Section 105
Q. How often are claims paid?
Medical Reimbursement Accounts - Section 105
A. Claims are paid weekly out of Combined Services LLC directly to you, the participant. All of your documentation must be completed and received at Combined Services LLC by Friday to receive payment the next week. There is typically a minimum check reimbursement amount of $40.00. However, at the end of the plan year, it is reduced to $1.00.
Medical Reimbursement Accounts - Section 105
Q. How is Orthodontia Reimbursement Different?
Medical Reimbursement Accounts - Section 105
A. Orthodontia is reimbursed according to your contract with your orthodontist (i.e. if your contract indicates monthly installments of $150 per month, you can only be reimbursed for each month’s installment as it comes due). A copy of the contract is required with your first claim.
Medical Reimbursement Accounts - Section 105
Combined Services LLC
Medical Reimbursement Accounts - Section 105
Debit Card
Medical Reimbursement Accounts - Section 105
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Medical Reimbursement Accounts - Section 105 For Employers who offer a Debit Card option, Employees have the ability to pay for eligible expenses at the point-of-service. For example, at the pharmacy counter or at the physician/dentists office you can pay for your co-payment on the spot! It is important to save all documentation as you may be requested to present copies to Combined Services LLC for verification of purchase of an eligible item.
Medical Reimbursement Accounts - Section 105
Q. Why have I received an e-mail requesting information about my MBI debit card purchase?
Medical Reimbursement Accounts - Section 105
A. When you use your Flexible Benefits mbi debit card, you are required to submit an itemized bill or receipt for the services or purchase paid for with the card that do not match office visit or prescription co-pay amounts set up for your account. If the amount you purchased on the mbi card does not match one of your co-pay amounts, a notification is sent to you requesting documentation for the purchase of goods or services. You can have the notification mailed by US Postal Service or by e-mail.
Medical Reimbursement Accounts - Section 105
If you do receive a request for documentation, simply submit the documentation requested along with the notification to Combined Services LLC. You can mail, fax or e-mail the documentation back to Combined Services LLC.
Medical Reimbursement Accounts - Section 105
Q. Why is my MBI debit card being declined?
Medical Reimbursement Accounts - Section 105
A. There are a few common reasons that an mbi card may be declined. If your card has been temporarily inactivated, you should contact Combined Services LLC at 1 888 227-9745 ext. 2040 to have the card reactivated.
Did you make a purchase on the mbi card previously that did not match your co-pay amounts and forget to submit documentation?
Is there enough money set aside in your account to make the purchase on your card?
Did your last purchase meet IRS guidelines as reimbursable Health or Dependent Care expense(s)? If not, will need to contact Combined Services LLC.
Medical Reimbursement Accounts - Section 105

 

 

 

 

 

 

 

Combined Services LLC