Advocate Health Care
Benefits
Flexible Spending Accounts

 
Resources Forms

Associate Contributions Dental HMO Dental HMO Copayment Schedule MetLife PDP MetLife PDP with Orthodontia MetLife Dental ID Card MetLife PDP Dental Nomination Card
Disability Certification Disability Council Eligibility Requirements Limited Hours Program Long Term Disability Plan Short Term Disability Plan Social Security Disability Benefits   Vocational Rehabilitation Services   
Affidavit of Domestic Partnership Dependent Coverage    Eligibility    Enrollment Process    Estimated Imputed Income Paying for Benefits   
Account Rules    Eligible Dependent Day Care Expenses    Eligible Health Care Expenses    Reimbursement Process    Tax Advantages   
ActiveHealth® HealthMedia® Healthe You Goes RED Healthe You Awards Healthe TRENDS Know Your Numbers    Questions & Answers    Start! Walking
Coming Soon! Healthe Actions Healthe Breathing Healthe Care Healthe Champion Healthe Eating Healthe Path Healthe Vending
Covered Services FAQs
FAQs  
Optional AD&D Insurance    Optional Life Insurance   
Associate Contributions Deductible Reimbursement Account (DRA) Health Maintenance Organization (HMO) Health Reinbursement Account (HRA) Health Savings Account (HSA) Healthe Futures Account (HFA) High Deductible Health Plan (HDHP) Medicare Part D   Non-Duplication of Benefits   Physician Search PPO/Deductible Reimbursement Plan (PPO/DRP) PPO/DRP and HDHP Covered Services Woman's Health and Cancer Rights Act of 1998  
PTO Sharing/Donation  
Investment Options Vesting Loans and Withdrawals Other Information
Condell Health Network Retirement Plan- Form 5500 Portable Pension Plan    Benefits Update
Primary Benefits   Secondary Discounts Rates  

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Reimbursement Process
Reimbursement for dependent day care expenses
Here’s how to get reimbursed for eligible Dependent Day Care FSA expenses:

1.   Pay your dependent care provider as usual.
2.   Submit an itemized receipt, along with a completed Tri-Star Systems FSA Claim Form. Following the instructions provided on the application form. Your receipt must include the following information:
A.   The caregiver’s name, address, taxpayer identification number (or Social Security number)
B.   The dates of service
C.   The caregiver’s signature if your caregiver is an individual
3.   Receive reimbursement as follows:
A.   You’re reimbursed up to the current balance in your account.
B.   You’ll get a check for the amount that is currently funded if there’s not enough money in your account to cover your entire claim.
C.   You’ll be reimbursed for the balance of your claim as you contribute to your account through payroll deductions.

Dependent Day Care FSA claims are processed daily. Claims must be for at least $5, except for year-end claims. If you have questions about flexible reimbursements or outstanding claims, you may contact the Flexible Spending Accounts Administrator.

Reimbursement for health care expenses
Here’s how to get reimbursed for eligible Health Care FSA expenses:

1.   Pay your health care bills as usual.
2.   If an expense is covered by the Advocate medical plan or dental plan:
A.   Submit a claim to the appropriate plan.
B.   When you receive your explanation of benefits (EOB), submit that form along with a completed Tri-Star Systems FSA Claim Form following the instructions provided on the applicable form.
3.   If an expense isn't covered by the Advocate medical plan or dental plan or if you're in the HMO, submit the completed claim form with your itemized bill or itemized receipt from your health care provider to the Flexible Spending Accounts Administrator. Cancelled checks and credit card receipts aren't acceptable documentation.
4.   You're reimbursed for the full amount of your claim, up to the annual amount you decided to deposit into your Health Care FSA.

Health Care FSA claims are processed daily. Claims must be for at least $5, except for year-end claims.

For more information
For answers to questions about general plan features or claims related to your FSA contributions, contact Tri-Star Systems—by phone at 800.727.0182 (7 a.m. to 5 p.m. ct, Monday – Friday), or online at www.tri-starsystems.com. See the Benefits Directory for an address and fax number for written correspondence.