Benefits Handbook

The claims filing deadline is March 31 following the end of the plan year. For example, for the 2024 plan year, your eligible expenses must be incurred no later than December 31, 2024 and must be submitted to the Claims Administrator by March 31, 2025 (the claims filing deadline).

An Explanation of Benefits is a statement that the Claims Administrator sends to you after you, one of your covered family members or your health care provider files a claim for benefits. The Explanation of Benefits shows the charges that were submitted, the amount paid and not paid, if any, and the amount you may need to pay, if any.

Expenses are treated as having been incurred when the care or service is provided, not when you are billed or pay for it.

The plan year is January 1 through December 31.

The run-out period is the time period allowed after the end of the plan year during which you can submit claims for reimbursement of eligible expenses incurred during the plan year. The run-out period for the 2024 plan year is January 1, 2025 through March 31, 2025.

Substantiation means to prove or support that a purchase made with the Prepaid MasterCard® is a qualified health care expense in compliance with IRS rules. Substantiation consists of providing documentation such as an Explanation of Benefits or itemized statements/receipts to verify that your purchases were eligible expenses.