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Flexible Spending Accounts (FSA)
Q. If I’m a County employee, married to a County employee and I carry medical and/or dental coverage
and my spouse contributes to the healthcare FSA, will our FSA claims be filed automatically?
A. No, medical and/or dental claims will only be filed automatically to the healthcare FSA account in the
same name as the individual carrying the medical and/or dental coverage.
Q. If I opt out of auto-file can I still have my FSA reimbursements direct deposited to my personal
bank account?
A. Yes, you do not have to participate in auto-file to elect the direct deposit option.
You can also elect auto-file without having to elect direct deposit.Q. Will my out-of-pocket expense for my mail order prescriptions be handled by auto-file?
A. Yes, any co-pays or co-insurance associated with your Aetna mail order prescriptions will be
automatically filed with your healthcare FSA.
Q. Where can I find a complete list of eligible and ineligible expenses for
the Flexible Spending Accounts?
A. You can find out what expenses are eligible or not eligible to submit to an FSA by going to http://www.aetnaFSA.com or http://www.irs.gov/publications/p502/index.htmlQ. Does the Rx debit feature work with mail order?
A. Yes, Aetna Rx auto debit works with mail order prescriptionsQ. When does the automatic filing feature automatically deduct payments from my FSA account?
A. The only time a “Real-time” debit will be made from your FSA account is for prescriptions you purchase at the pharmacy.Q. I am enrolled in the Enhanced Plan, why is my paid prescription amount listing an amount that is higher than my co-pay or not within the three tier payment levels?
A. FSA participants with auto-file have prescription claims filed “Real-time” to their FSA Medical account. The pharmacy is unable to distinguish at that time what the co-pay is, therefore they list the full billed price on the receipt. Aetna reviews the claim and ensures that the appropriate co-pay is deducted from the FSA account and the plan pays the rest.