Frequently Asked Questions

Qualifying expenses are those for medical care for yourself (the participant), your spouse, your qualified child or qualified relative. You may also claim medical expenses you incur and pay to medical providers of a child for whom you don't get the tax exemption due to a divorce decree, as long as one parent claims the child as a tax dependent. (The tax exemption may switch from year to year between parents. As long as one parent gets the tax exemption, the medical expenses you pay on behalf of the child to the medical provider qualify under the HCSA.)

Generally, no. Items such as those listed above are typically considered to be utilized for general good health purposes and, as such, typically do not qualify for reimbursement under the HCSA. However, these items may qualify for reimbursement if you have been diagnosed with a medical condition that necessitates the purchase of these items and you would not have purchased them if it were not for the medical condition. To claim these items, you must have a letter of diagnosis and recommendation/prescription for these items to qualify under your HCSA. This letter is valid for 12 months from issue date. Please review the Sample Letter of Medical Necessity (use the Resources tab on the home page and then click on Forms) for all information that is needed for approval on these items.

You may claim transportation expenses that were primarily for, and essential to, your or your qualifying dependents receiving medical care or services. These transportation expenses could include round trip mileage, mass transit expenses or ambulance service, as well as other expenses. See IRS Publication 502 for further detailed information (there is a link to this Publication under the Resources tab on the main page of the website). You cannot include mileage for going to and from work, travel for purely personal reasons to another city for an operation or medical care, or travel merely for general health improvement.

You can submit claims:

1. Via the ASIFlex mobile app
2. Through your online account at asiflex.com
3. Manual claim form

ASIFlex has an exhaustive eligible expense list; the list can be found under the Resources tab on the home page of this website. Please note that the list is updated frequently, as required by changing regulations.

Generally, yes, as long as they are prescription drugs and are legal under Federal and State law. However, prescriptions that are purchased solely for cosmetic purposes which are not treating an existing medical condition do not qualify under the plan.

Additionally, Federal law disallows the importation of drugs from foreign countries; as such, drugs purchased in foreign countries, even if they are prescription drugs, are not an allowable expense through your flexible spending program. The only exception to this rule is if you are in a foreign country and purchase and consume the drug while you are in the foreign country.

OTC drugs and medicines purchased on or after January 1, 2020 do not require a prescription and are eligible for reimbursement. Just submit a claim with a copy of the merchant itemized store receipt showing the store name, date of purchase, a description of each item, and dollar amount. Note: If OTC drug and medicines were purchased prior to January 1, 2020 a physician prescription is required.

Items such as vitamins, herbs or nutritional supplements are considered to be expenses incurred for general health purposes and do not typically qualify for reimbursement through your FSA. In order to claim these items, you must have:

• An existing or imminent medical condition:
• A pre-printed receipt from the provider documenting the purchase:
• A physician diagnosis and prescription for the specific item(s) if it is a vitamin, herb or nutritional supplement.

Your work-related expenses must be for the care of one or more members of your home who are qualifying persons. You must provide over half of the qualifying person’s support. The qualifying person cannot have income in excess of the Federal exemption amount. A Qualifying Dependent is:

• Your qualifying child under the age of 13, who shares the same residence with you, or
• Your spouse or qualifying child or qualifying relative who is physically or mentally unable to care for him/herself who shares the same residence with you and has income less than the Federal exemption amount.

If you are divorced, you must have physical custody of your child for over half of the year, in order to be eligible for reimbursements through your DCAP. If custody is exactly equal then neither parent can use the childcare expenses. The parent who has more than 50% custody is eligible for the dependent care regardless of who claims the tax exemption. Physical or mental incapacity must be disabling. Persons who are not able to dress, clean or feed themselves because of physical or mental problems are considered unable to care for themselves. Persons with mental defects who require constant attention to prevent them from injuring themselves or others are considered unable to care for themselves.

No, they do not have to be licensed, unless they care for enough individuals to require licensing in your state. The provider must provide you with the company’s Tax ID Number or his/her Social Security Number, as this will be required when filing your Federal income tax returns.

Additionally, the care provider can be a relative of yours (even if he/she lives in your home) as long as the provider is not a dependent. However, do not count any amounts you pay to:

1. A dependent for whom you (or your spouse if filing jointly) can claim as an exemption;
2. Your child who was under age 19 at the end of the year, even if he or she was not your dependent;
3. A person who was your spouse any time during the year; or
4. The parent of your qualifying person if your qualifying person is your child and under age 13.

No. Expenses for education do not qualify for your DCAP. However, if you are charged for “after-care” for the portion of the day that your child attends the school that is charged for care and well-being, this charge does qualify for the DCAP. Your provider must provide you with support for the charges for the portion that is specifically for care and well-being.

Expenses for dependent care no longer qualify for the DCAP on the day your child turns age 13, unless your child is physically or mentally disabled and incapable of self-care. Persons who are not able to dress, clean or feed themselves because of physical or mental problems are considered unable to care for themselves. Persons with mental health challenges who require constant attention to prevent them from injuring themselves or others are considered unable to care for themselves. Care for dependents incapable of self-care qualifies to any age as long as it is for care and well-being while you are working or looking for work.

No. Only charges for care and well-being in order for you to work or look for work qualify for your DCAP. Separately billed charges for food, transportation, activity fees, etc. do not qualify.

No. You may file claims for services provided after the period of service claimed has been completed. The service must be provided that gives rise to the expense. Expenses are not valid based upon when paid.

No. The Internal Revenue Code disqualifies expenses that include overnight care. The charges cannot be prorated to include the portion that was for care during the day while you were working.

No. The Internal Revenue Code does not allow the tax exemption on expenses incurred for education.

If the primary purpose of these camps is for care and well-being in order for you (or you and your spouse if married) to be gainfully employed, they may qualify. If ASIFlex cannot independently verify the primary purpose of the camp, ASIFlex will request a statement that the primary purpose is for care and well-being and not for educational/instructional purposes. Summer school is considered educational and not eligible for reimbursement. Overnight camps are not eligible for reimbursement.

Each item claimed must be supported by an itemized statement of service from an independent provider. Documentation must contain the following information in order for payment to be issued:

• the name of the provider of the service;
• the name of the person obtaining care;
• the date(s) of service;
• the amount charged for the service; and
• an itemized description of each service provided.

For items covered by insurance, the insurance explanation of benefits (EOB) may also be used since a statement of services has already been submitted to the insurance company for determination of service date and whether it was a qualifying expense.

If you file your claim form online or via the mobile application, you will be provided with a confirmation number after you submit the claim. This number indicates that your claim was received by ASIFlex.

No. Copies of provider statements are acceptable, as long as they are legible and have not been altered.

You may file claims as soon as you incur expenses, once the plan year begins. Please note that services must be provided before reimbursements will be made.

You may submit claims as frequently, or as infrequently as you prefer. You do have to file at least one claim each year prior to the claims filing deadline for the plan year in which the services were provided.

The regulations provided by the Internal Revenue Code (Section 125) require that a participant provide a statement with each reimbursement request to certify that the expenses claimed were not paid by insurance or other means and reimbursement will not be sought from another party.

No. ASI does not have a claim minimum.

The Internal Revenue Code regulations require that the statement from the independent provider include what type of service was provided for what period of time. The expenses must have been provided for care during the period that you were covered during the plan year. Statements showing payments made or bills for services are acceptable as long as they identify what service was provided, for whom, by whom, and for what period of time.

The Internal Revenue Code regulations require that the statement of services from the independent provider indicate the type of services provided. The regulations also require that each item claimed be adjudicated by the plan (or administrator) to determine whether the expense qualifies under the plan and whether the services were incurred (services were provided) during the period that the participant was covered under the plan.

The supporting documentation must identify the provider of services and the person obtaining the care as well as the date, cost and general description of services provided. The insurance explanation of benefits (EOB), for items covered by insurance, may also be used since a statement of services has already been submitted to the insurance company for determination of service date and whether it was a qualifying expense.

Yes, you may fax your claims. ASI’s phone number for claims is 1-877-879-9038. This is a toll-free number.

ASI’s mailing address for flexible spending account claims is:

ASI, PO Box 6044, Columbia, MO 65205-6044

This is the preferred mailing address.

However, if sending something through a courier service such as UPS or FedEx, you can send it to:

ASI, 201 W. Broadway, Bldg 4 Suite C, Columbia, MO 65203

You may make copies of a blank claim form or download additional forms by clicking the Claim Forms link on the Forms tab from the Home screen. Additionally, please feel free to contact ASI's Customer Service Department via email at [email protected] or by calling ASI at 1-800-659-3035 to request additional forms.

ASI typically reviews all claims within one business day of receipt. Payments are issued for all eligible amounts the same day that a claim is processed.

ASI releases Medical FSA funds on the day the claim is reviewed (not always the day received).

ASI releases claim payments each business day, excluding major holidays, for claims processed that day.

Each prescription does not have to be listed on a separate line of the claim form. You are welcome to group prescriptions from the same pharmacy on one line of the claim form, indicating the range of fill dates and total of the prescriptions filled on those dates.

No. A credit card receipt only shows that a payment was made. Federal regulations require that the supporting documentation identify the provider of services and the person obtaining the care as well as the date, cost and general description of services provided. The insurance explanation of benefits (EOB), for items covered by insurance, may also be used since a statement of services has already been submitted to the insurance company for determination of service date and whether it was a qualifying expense.

You may file claims as soon as you incur charges (have services provided) after the plan year has begun.

You may submit claims as often or as infrequently as you prefer. You do have to file at least one claim each year prior to the claims filing deadline.

No. ASI does not have a claim minimum.

Incurred is defined in Internal Revenue Code Section 125 as the date that the services are provided that gave rise to the expense. Expenses are not considered to be provided at the time you are billed for or pay for services.

Generally, no. The Internal Revenue Code does not require proof of payment prior to submitting the items claimed. The regulations require that the services have been provided that give rise to the expense. ASI has additional information available and requirements for orthodontic expenses. Also, some plan documents may be written to include a requirement for proof of payment. Please refer to your Missouri Flex Enrollment Guide for more details.

No, we do not accept E-mail claims due to security issues.

Yes, you can submit them at my.asiflex.com or use ASI's new mobile app.

The deadline for filing claims for each Plan Year is defined in your Plan Document. Generally, plans allow 90 days after the end of the Plan Year to file claims for services provided during that Plan Year. Please refer to your Missouri Flex Enrollment Guide for specifics for your plan.

Your authorization for direct deposit remains in effect with ASIFlex until you change or revoke that authorization. ASIFlex does retain direct deposit information from Plan Year to Plan Year unless notified of a change by the participant.

You may change your direct deposit information online after signing into your account.

You may also complete and sign a Direct Deposit Form located in the Forms section accessible on the home page of this website under the Resources tab.

No. You are responsible for notifying ASIFlex of any changes required for direct deposit of your Flexible Spending Account claims.

No. Federal banking regulations do not allow the deposit to be effective the day the deposit is generated by ASI. Therefore, the effective date of the deposit is typically the banking day following the release of payment of the claim by ASI. However, this will vary based upon when your financial institution posts the deposit information (typically, credit unions take two business days for deposits to post to your account).

You may view your remaining balance and account activity via the secure mobile app or login to your online account.

Generally, no. Your election under the Plan is irrevocable after the annual open enrollment period has closed for the entire Plan Year unless you have a qualifying event (life status event). If you have experienced a qualifying event, please review your Enrollment Booklet found by clicking Resources and then Enrollment from the Home screen for specific information.