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1. How do I use this card?
2. How do I know which providers accept the card?
3. Where can I find participating pharmacies?
4. What happens if the pharmacist does not know how to process my card?
5. Where do I send my itemized receipts?
6. What happens if I do not send my itemized receipts to FlexChecks?
7. Is this a credit card?
8. I currently have a Medical Expense Flexible Spending Account and I already have a Visa to pay my expenses. Why do I need this card?
9. Can I use my FlexChecks Debit Card to pay for all doctor visits?
10. Can I use my card to pay for other expenses?
11. I have some services that require a letter of medical need. Can I still use my card?
12. What should I do if an ineligible expense is mistakenly processed using my FlexChecks Debit Card?
13. Will my spouse be able to use the card?
14. Does the card replace my health card?
15. What do I do if the merchant/provider does not accept my card?
16. Toward the end of the plan year my medical expense may be greater than my available FSA balance - will my card transaction be affected?
17. How can I track my account information?
18. What happens to my card if I leave employment?
19. Will I receive a new card and account number each year?
20. How does the FlexChecks Debit Card keep my expenses tied to the correct plan year, particularly during the grace period of my plan?
21. Can I pay with my FlexChecks Debit Card in advance of the date of my service?
22. When I receive my card will I have to sign anything? What if I don't like the terms and conditions of this card?
23. What are some eligible medical service providers?

Q. How do I use this card?
You may use this card for two purposes: to pay for prescriptions and/or to pay for eligible medical services.

To pay for prescriptions, present your Debit Card to your pharmacist, along with your primary pharmacy coverage card. The pharmacist will process your FlexChecks Debit Card. This will take any remaining uncovered amount directly out of your Medical Expense FSA. Using your card for prescriptions requires no paperwork or receipts as long as the amount follows the co-pay tables.

To pay for medical services, present your card as a form of payment. The transaction will be performed like a credit card. However, you must then mail or fax a copy of the itemized receipt/Explanation of Benefits (EOB). Make sure the receipt/EOB contains the following information: Name of patient, Name of service provider, Date of service, Description of Service and Cost of Service.

The funds will be taken directly from your Medical Expense FSA. This means no out-of-pocket expenses for you and no claim forms to complete.

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Q. How do I know which providers accept the card?
Any healthcare provider displaying the Visa logo will accept your card. Check with your provider(s) to be certain.

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Q. Where can I find participating pharmacies?
Most major Pharmacies will accept the card. See your enrollment materials for a list of exceptions.

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Q. What happens if the pharmacist does not know how to process my card?
Ask the pharmacist to call the Customer Service number located on the back of your card.

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Q. Where do I send my itemized receipts?
You may fax your itemized receipts to: FlexChecks at (616)-791-7901. You may also mail them to: P.O. Box 141215, Grand Rapids, MI, 49514-1215.

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Q. What happens if I do not send my itemized receipts to FlexChecks?
Thirty (30) days after the transaction, we will send an email reminding you that we need a receipt for the outstanding transaction. If we do not receive a response within twenty (20) days, we will send another letter notifying you that your card will be suspended and requesting "payback" of the outstanding funds.

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Q. Is this a credit card?
No. The FlexChecks Debit Card is an FSA stored-value card, not a credit card. The maximum amount of funds stored and available on your FlexChecks Debit Card for any given plan year is equal to the full, annualized amount of your Medical Expense FSA contribution. This amount is "stored" and available to you through your FlexChecks Debit Card on day one of the plan year.

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Q. I currently have a Medical Expense Flexible Spending Account and I already have a Visa to pay my expenses. Why do I need this card?
The FlexChecks Debit Card gives you immediate access to your Medical Expense FSA funds.

When you use your FlexChecks Debit Card for prescriptions at participating pharmacies, you do not have to send in a claim form for your receipts. Since the information is automatically sent to FlexChecks for processing, your reimbursement is "paperless!" Note: If the amount does not fall within the Co-pay Tables you will need to forward a copy of your receipt to FlexChecks.

When you use the Debit Card at your doctor's office, you need only send your itemized receipts to FlexChecks. All other information currently required on the claim form is automatically sent to FlexChecks for processing. This saves you the time you would have spent in locating and completing the proper claim form. Note: There is only a need to forward itemized receipts if the amount does not fall within the Co-pay Tables.

When your expense is automatically sent to FlexChecks, you won't forget about the expense and risk forfeiting dollars at the end of the plan year.

You have no monthly bill or possible interest to pay as you would if your expense or service was charged on a credit card.

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Q. Can I use my FlexChecks Debit Card to pay for all doctor visits?
Your FlexChecks Debit 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 Visa technology, so as long as your healthcare facility accepts Visa and you have an available balance (annualized amount less any reimbursements) in your account to cover your expense, your card will be accepted.

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Q. Can I use my card to pay for other expenses?
The FlexChecks Debit Card is not intended as a substitute for your existing credit cards. Your FlexChecks Debit Card is restricted to use for eligible services and purchases associated with your Medical Expense Flexible Spending Account, as governed by IRS regulations.

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Q. I have some services that require a letter of medical need. Can I still use my card?
When receiving products and services from your health provider that require a letter of medical need, secure the letter and submit along with your receipts within 10 days to FlexChecks. Following this timeline is very important. 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 receipt are submitted.

Prescriptions that require a letter (e.g. Retin-A) can be processed through your Debit Card by submitting a copy of your medical needs letter at the beginning of the plan year. If you require the use of your prescription in future plan years, you must re-submit your medical needs letter at the beginning of each plan year.

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Q. What should I do if an ineligible expense is mistakenly processed using my FlexChecks Debit Card?
You must immediately repay your employer's account. FlexChecks will notify you in writing with specific instructions. Remember to use your card responsibly for eligible health expenses ONLY. Otherwise, you risk having your debit card access suspended.

Note: As you know, compliance with plan guidelines is very important.

FlexChecks must diligently monitor and adjudicate claims in strict compliance with IRS regulations. 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. Will my spouse be able to use the card?
Yes, your dependents can use the FlexChecks Debit Card. To apply for an additional card in your spouse's name, contact FlexChecks Customer Service at (866) 791-7900. Each additional card is a $5.00 charge. Cards are limited to spouses 18 years of age or older.

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Q. Does the card replace my health card?
Your FlexChecks Debit 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. What do I do if the merchant/provider does not accept my card?
If your provider does not accept Visa 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. Toward the end of the plan year my medical expense may be greater than my available FSA balance - will my card transaction be affected?
Yes. If your expense is greater than the balance remaining in your account, the transaction will be rejected via the Visa system. 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. How can I track my account information?
You may access your account information, 24 hours a day, at FlexChecks's Web site: www.flexchecks.com. In addition, your account information will appear on your FSA reimbursement check stub.

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Q. What happens to my card if I leave employment?
Your FlexChecks Debit Card will be suspended on the date of your termination from employment.

If you made arrangements with your employer to continue your FSA 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).

Your FlexChecks Debit Card will be suspended on the date of your leave of absence, 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 grace period. This is the final date when claims may be submitted for reimbursement.

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Q. Will I receive a new card and account number each year?
As long as you remain actively employed and enroll in a Medical Flexible Spending Account with each successive plan year, you will keep the same account number. Your FlexChecks Debit Card will be replaced if your card is damaged or lost.

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Q. How does the FlexChecks Debit Card keep my expenses tied to the correct plan year, particularly during the grace period of my plan?
The date of your transaction (the date your card is entered in the Visa system determines which plan year your expense is posted against. See the following Q&A.

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Q. Can I pay with my FlexChecks Debit Card in advance of the date of my service?
We encourage you to pay your service provider for the expense on the date your service is incurred. Prepaying with your card prior to the date of service, or alternatively paying with your card after your service date has passed could result in a declined transaction at the point of sale. If you do not have your card available for your health care provider on your date of service, it is recommended that you pay by cash, check, or other credit card and submit a paper claim form to FlexChecks.

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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?
When you receive your 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. What are some eligible medical service providers?
• Ambulance Services
• Medical, Dental, Ophthalmic and Hospital Equipment/Supplies
• Hearing Aid Sales, Services and Supplies
• Orthopedic Goods - Prosthetic Devices
• Counseling Services (related to medical care)
• Doctors and Physicians
• Dentists and Orthodontists
• Osteopaths
• Chiropractors
• Optometrists and Ophthalmologists
• Opticians, Optical Goods and Eyeglasses
• Podiatrists and Chiropodists
• Nursing and Personal Care Facilities
• Hospitals
• Medical and Dental Laboratories
• Medical Services and Health Practitioners
The specific service provided must meet all eligibility requirements for Medical FSA reimbursement. Some services may require a medical needs letter. Eligible medical service providers accept Visa and have a valid merchant identification code. Specific IRS regulations apply. See your enrollment materials for details.

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