Healthcare Flexible Spending Account (HCFSA) Support

Frequently Asked Questions

  • If you already have an American Fidelity online account, simply log in to your account to view your HCFSA information.

    If you have not created an account, click here to register now. Then, follow the prompts to complete the registration process. You will use this same registration information on the mobile app, AFmobile®.

  • By law, the maximum pre-tax contribution for 2024 is $3,200 per plan year. Please note, this amount may be further limited by your employer.

  • HCFSAs are “use or lose” accounts. This means that at the end of your plan year, the funds remaining in your account may be forfeited and returned to your employer's plan. Learn what employers can do with unused HCFSA funds 

    If your employer has elected a carryover provision, you may be able to carry over up to $640 unused HCFSA contributions into the 2025 plan year.

    If your employer has elected a grace period, you will have 2.5 months following the end of your plan year to incur HCFSA claims for the previous plan year’s account balance.

    Your plan may include a runoff period that allows you to file claims for the previous plan year’s expenses. However, these expenses must have been incurred during the plan year or grace period (if applicable).

    To view your specific plan details, log in to your online account and select the account name from the home dashboard. 

    View Reimbursement Account Details 

  • Only an individual who is defined by the Internal Revenue Code (IRC) as a qualified dependent can be considered for reimbursement of medical expenses. Learn who qualifies as a dependent 

  • No. Contributed funds must remain in their designated account.

  • Your HCFSA will cover a variety of eligible medical expenses—see a substantial list of eligible HCFSA expenses.

    For convenient online shopping, you may also purchase eligible products through the FSA Store.

  • Typically, you can only elect contributions into your HCFSA during a yearly open enrollment period, but there may be exceptions if you experience a qualifying life event. Some changes may not be permitted. Check with your employer regarding the plan design and/or restrictions. 

  • If your employer has elected a grace period, you will have 2.5 months following the end of your plan year to incur HCFSA claims for the previous plan year’s account balance.

    To view your specific plan details, log in to your account and select the account name from the home dashboard.

    View Account Details

  • If your employer has elected a carryover provision, beginning in 2024, you may be able to carry over up to $640 of unused HCFSA contributions to the next plan year.

    To view your specific plan details, log in to your account and select the account name from the home dashboard.

    View Account Details

  • Your plan includes a 90-day runoff period that allows you to file claims for the previous plan year’s expenses. However, these expenses must have been incurred during the plan year or grace period (if applicable).

    To view your specific plan details, log in to your account and select the account name from the home dashboard.

    View Account Details

  • Yes. As with other reimbursement accounts, be sure to retain documentation for all medical expenses. You’ll need to provide documentation when submitting a claim, and you may be requested to submit verification of expenses after using your Benefits Debit Card.

  • For your convenience, there are several ways you can submit your documentation:

    Mobile app: Use the “Additional Documentation” button on AFmobile®

    • Select Additional Documentation.
    • Select Reimbursement Account(s).
    • Select the pending transaction, and select Attach New Document to upload documentation.

    Online: Upload through your online account

    • Click the Manage My Reimbursement Account button
    • Navigate to the transaction from Claim Activity, My Recent Transactions or Account Activity page.
    • Select the appropriate transaction.
    • Select Add Receipt.
    • Browse or Drag and Drop document(s).
    • Select Submit.

  • Your documentation should include:

    • Explanation of Benefits (EOB) from insurance carrier or,
    • Itemized documentation for an expense which should include: 
      • Original date of service
      • Description of service rendered or expense
      • Charges for service or expense
      • Provider of service or expense
      • Name of patient who received service or incurred expense

    Credit card receipts are not sufficient unless they include the above information.

  • If you have used your Benefits Debit Card to make an HCFSA purchase, or if you submitted an out-of-pocket reimbursement claim without documentation, you will receive a request for documentation notice. You also may receive this notice if the documentation you submitted was insufficient.

  • You may receive this notice if:

    • Your Benefits Debit Card was used for an expense incurred outside the plan year,
    • Your Benefits Debit Card was used for an ineligible expense, or
    • If submitted documentation is missing information.

    If the documentation cannot be provided or the expense is ineligible, you have three options:

    • Submit different itemized documentation to offset the transaction amount,
    • Contact American Fidelity to make a credit card payment, or
    • Submit the notice received along with a check in the amount of the transaction to be applied to your Healthcare FSA account.
  • This depends on where you use your card and what type of expense it is.

    Example of when documentation is not needed: If your card is used for an eligible expense at a merchant with the Inventory Information Approval System (IIAS), the details needed to approve the transaction will automatically be provided. No further documentation will be required.

    Example of when documentation is needed: If your card is used at a doctor’s office for an expense, you will need to provide an itemized receipt or documents, so the details of the expense such as the date of service and the service provided may be verified. Keep in mind, the date of service must be within the plan year or grace period, if applicable, in your HCFSA plan.

    The Internal Revenue Code (IRC) regulations have requirements stating that expenses must be verified using itemized documentation, third party statements, or an Explanation of Benefits. To comply with IRC guidelines, we request documentation of your expense to verify the eligibility of the purchase.

    We request this documentation to comply with the Internal Revenue Code (IRC) code regulations.

    Learn more: Why is Substantiation Required for Certain Debit Card Expenses?

  • A Benefits Debit Card allows you to pay for eligible expenses, such as prescriptions and copayments. If your employer has elected to provide a Benefits Debit Card, you may use this card instead of paying out of pocket.

    Please note – if you use your Benefits Debit Card to pay for eligible medical expenses, you must submit itemized documentation for every transaction, like an explanation of benefits (EOB).

  • You may use it at most health care facilities, including hospitals, physician’s, dental, and vision offices.

    Additionally, many merchants also accept the card. To view a list of participating stores, visit SIGIS Store Locator.

  • Log in to your online account and select Manage My Reimbursement Account. Then, hover over your name on the top right and click Debit Card(s). Click Report Lost or Stolen next to the appropriate card. Once complete, you will have the option to order an additional card.

    Report a Card Lost/Stolen 

  • To reactivate your card, you will either need to submit the requested documentation or pay back the transaction. 

    Note: If your card is no longer active, you may have submitted insufficient documentation for an existing claim.

    Learn How to Reactivate Your Card 

  • Pending transactions require additional documentation to complete processing. You will receive communication when documentation is needed.

    How to submit documentation to an existing transaction:

     Log in to your online account or AFmobile®

    • Select the Additional Documentation button
    • Select Reimbursement Account(s)
    • Select the pending transaction and click Add Receipt to upload documentation
  • If you have additional qualified dependents, you may request a card for them through your online account, or on our mobile app, AFmobile®. Here’s how:

    • Online
      1. Log in to your online account.
      2. Select Manage My Reimbursement Account.
      3. Hover over your username the right side of the navigation bar and select Profile.
      4. At the bottom of this screen, select Add Family Member.
      5. In the Add Family Member window, select the box to Issue Dependent Card.
      6. When complete, click Next and Save.
    • AFmobile
      1. Select the Profile, and then select Family Members.
      2. In the Add Family Member window, select the box to Issue Dependent Card.
      3. When complete, click Next and Save.
  • Yes. Even though you did not make a new election, you may use your card during the new plan year to pay for eligible expenses.

  • If your plan does not have a carryover or grace period, you may not use your Benefits Debit Card after your plan year ends. You may submit eligible claims incurred during the previous plan year via the mobile app, our website, or via mail or fax. 

    If your plan has a carryover or grace period, you may use your Benefits Debit Card for the carryover amount or your previous plan year's balance.

    Read: Carryovers, grace periods, and runoff periods - what are the differences?

  • Yes, you may continue to use your Benefits Debit Card during the 2.5 month grace period. After the grace period is over, your card will be disabled.

  • New charges on the debit card will pull from the plan year based the date of swipe. If you have expenses that were incurred in the previous plan year and are trying to use funds from the previous plan year during the Run-Off Period, please submit manual claims.

  • Benefits Debit Card charges are applied based on the date of the Benefits Debit Card transactions. Because you are still able to submit claims during your runoff period that were incurred during your previous plan year, any new transactions from the Benefits Debit Card will use amounts from your new plan year. Eligible claims incurred during the previous plan year may be submitted through your online account, AFmobile, by mail, or fax.

  • If you see any suspicious activity with your Benefits Debit Card, report it within 60 days to dispute the charge immediately. The fastest way to dispute a charge is by completing the form online. Here's how:

    • Log in to your online account.
    • Click the Manage My Reimbursement Account button.
    • Expand the fraudulent transaction in either the Claim Activity, Transaction, or Account Activity page.
    • Complete and e-sign the dispute form.

    You can also dispute a charge by calling us at 800-662-1113.

    Unfortunately, you cannot dispute a charge through AFmobile® at this time.

  • No additional action is needed on resolved transactions. Please review your transaction history for reimbursement information.

  • Yes. If you use your Benefits Debit Card to pay for an eligible medical expense, you must submit documentation for every transaction.

  • Online

    1. Log in to your online account
    2. Select Manage My Reimbursement Account
    3. Select your name in the right-hand corner of the screen.
    4. Select Debit Card(s)
    5. Select the card you want the PIN number for
    6. Select View PIN

    AFmobile

    1. Log in to AFmobile
    2. In the Reimbursement Accounts section, select See All
    3. Select Manage your accounts
    4. Select Menu
    5. Select the My dropdown, then select Debit Card(s)
    6. Select the card you want the PIN number for
    7. Select View PIN

  • The fastest way to file a reimbursement claim is through your online account, or on our mobile app, AFmobile.

    • Online
      1. Log in to your online account
      2. Click on the File a Claim button
      3. Select Reimbursement Account(s)
      4. Complete the claim form
      5. Click the Submit button
    • AFmobile
      1. Touch the Submit Reimbursement button on the AFmobile dashboard
      2. Complete the Claim Form
      3. Click the Submit button
    • Fax or Mail
      1. Download and complete a Claim Form and include all applicable receipts and documentation. Please note, paper claim filing is not the fastest option. File a claim online or through AFmobile to get your money faster.

    Eligible expenses must be incurred during your plan year. Log in to your online account to view your plan details. 

  • Turnaround time for claims processing is generally 3-5 business days after we receive all required documentation.

  • The fastest way to receive your reimbursement is through direct deposit.

    Sign up for direct deposit online by logging in to your online account and selecting Manage My Reimbursement Account. Hover over your name to access your Profilethen click the Edit button above Reimbursement Method.

    If you do not sign up for direct deposit, you will receive a check by mail. Note: This method will increase the time it takes to receive your reimbursement.

  • Log in to your online account and select your account to review your balance and transaction history.

    You can also view your account information from our app, AFmobile®. You can view your account balance from the dashboard or by clicking on your reimbursement account to view a complete transaction history. 

  • No, you may not add documentation to your existing denied claim. You will need to submit a new claim with the correct documentation.

HCFSA Features

Choose Your Amount

You determine how much you want set aside for the plan year based on what you know you’ll need or anticipated expenses.

Reduce Taxable Income

As part of a Section 125 plan, Flexible Spending Accounts may actually increase the amount you end up taking home. 

Multiple Filing Options

Pay for eligible expenses with a Benefits Debit Card (depending on your employer's plan design), snap and submit a picture of receipts with AFmobile®, or upload documentation via your online account. The choice is yours.

Variety of Eligible Expenses

Examples of eligible expenses you can be reimbursed for include medical bills, eye and dental exams, flu shots, physical therapy, even some transportation expenses related to medical care.

How-To Videos

HCFSA Articles:

 


Shop for Eligible Items on the FSA Store

You may purchase FSA-eligible items online at the FSA Store. Browse medical supplies, over-the-counter medication, prescriptions, and more.

Purchases may result in a small commission to American Fidelity at no additional cost to you.