How does it work?

A Health Care FSA allows employees to set aside pre-tax dollars out of their paychecks to pay for eligible health care expenses. Funds put into the plan avoid both Federal Income Tax and FICA, creating a tax savings for both the participant and the employer!

Employees determine an annual election amount to set aside into their Health Care FSA. This annual election amount will be deducted evenly out of each pay check on a pre-tax basis and put into the Flexible Spending Arrangement (FSA). Participants then use the pre-tax dollars in their FSA to pay for eligible expenses.

What expenses are eligible?

Health Care FSAs cover a wide range of medically necessary expenses including, but not limited to:

  • Copays
  • Coinsurance
  • Deductibles
  • Prescriptions
  • Dental Expenses
  • Vision Expenses
  • Orthodontia

For a more extensive list of eligible items, check out our Eligible Expenses List

Participant Features

Your employees will have access to the top tools and resources available without any additional costs. The services listed below are included for your participants as part of our standard administration.

  • The Navia Benefits Debit Card
  • FlexConnect
  • The MyNavia Mobile App
  • Mobile Pay
  • Online Account Access
  • Online Claim Submission
  • Direct Deposit

Employer Features

As our Client, we’ll provide you with the best features available in the industry at no additional cost to you or your employees. The services listed below are included as part of our standard plan administration.

  • Customized Enrollment Materials
  • Online Enrollment
  • Online Account Access and Eligibility reporting
  • Dedicated Account Team
  • $570 Carryover or 2 ½ Month Grace Period Administration
  • Custom Reimbursement Cycle
  • Integration with Payroll and HRIS systems
  • Plan Document & SPD Preparation
  • Secure File Uploads
  • Annual Non-discrimination Testing and Form 5500 Preparation
  • Compliance Support Services

Single Card Solution

Planning on offering Commuter Benefits to your employees now or in the future? The Commuter Benefits, along with our Health Care FSA benefit, are part of our single card solution suite of benefits. These benefits are consolidated onto a single debit card that will recognize the expense type and allocate funds from the appropriate benefit!

Interested in learning more?

Contact our sales team at 425.452.3498 or sales@naviabenefits.com

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For Individuals

Health Care Flexible Spending Account (FSA)
Save over $800 a year on health care expenses

How does it work?

During your employer’s open enrollment period, you’ll estimate your out-of-pocket expenses for the upcoming plan year. The amount you elect will be deducted out of each pay check on a pre-tax basis and put into your Health Care FSA. Since the FSA is pre-funded, you will have access to your full election amount and can use those pre-tax dollars in your FSA to pay for your eligible out-of-pocket expenses.

example

During open enrollment, you choose to set aside $1,200 for the year. If you’re paid once per month you will have $100 deducted from each paycheck to apply towards your Health Care FSA.

You have an expensive medical procedure in the first month of your plan year. At this point, you’ve only contributed $100 from your paycheck towards the FSA but you can still use your full $1,200 right away! Your entire election amount is available to use in advance of any paycheck contributions and your remaining paycheck contributions will pay back the plan.

 

 

What expenses are covered?

Health Care FSAs cover a wide range of medically necessary expenses including, but not limited to:

  • Copays
  • Coinsurance
  • Deductibles
  • Prescriptions
  • Dental Expenses
  • Vision Expenses
  • Orthodontia

For a more extensive list of eligible items, check out our Eligible Expenses List

Who does it cover?

The Health Care FSA covers you, your spouse, and any taxable dependents even if they aren’t covered on your employer’s medical insurance. As the employee, you don’t even have to be covered on your group medical insurance to participate in the FSA, you just need to be eligible for benefits through your employer

How much should I elect?

If you need help estimating your out-of-pocket expenses, check out our eligible expense list to help estimate your out-of-pocket expenses. A good rule is to set aside funds for your predictable medical expenses so you can be sure to use your entire election amount within the plan year. If you do not use your entire election amount, the remaining funds are subject to the “Use-it or Lose-it” rule.

Use-it or Lose-It

The Health Care FSA is subject to the “Use-It or Lose-It” rule. This means that if you do not use your all of your annual election within the plan year, the remaining funds are returned to your employer and are not refundable to you.

Check your employer’s plan design to see if the Grace Period or Carryover feature has been put in place to help reduce your risk of loss.

Carryover

The Carryover feature allows participants to roll over up to $570 from one plan year to the next. Any funds above the $570 threshold would be forfeited to your employer. This is an optional feature so check your employer’s plan design to see if the Carryover is included.

Grace Period

The Grace Period gives you an extra 2.5 months at the end of the plan year to incur expenses against your FSA balance. This is an optional feature so check your employer’s plan design to see if the Grace Period is included.

How do I access my funds?

There are four ways you can access your FSA:

1.The Navia Benefits Debit MasterCard

The Navia Benefits Card is loaded with your full election amount and can be used to pay for eligible expenses. When the card is used, funds will be pulled directly from your Health Care FSA and are paid to the provider. For more information on the debit card, click here.

2. The Online Claim Submission tool

If you’ve paid out-of-pocket for eligible services and are requesting reimbursement, you can use the Online Claim Submission tool. You just need to fill out your claim information, upload documentation from your computer, and click submit! Login above to gain access to the online claim submission tool.

3. The MyNavia App

You can use the MyNavia App to submit claims right through your phone! Just enter your claim information and upload a photo of your documentation right from your phone’s camera. Learn more about the app!

You must be registered on our website to use the App, click the register button at the top of the page to start the registration process.

4. Email or Mail

Fill out a claim form, attach your itemized documentation, then email or mail your claim to Navia.

What type of documentation do I submit?

It is important to send proper documentation to substantiate the claim. The IRS requires that the documentation shows the:

  • Date of service (Must fall within the plan year)
  • Type of service or item
  • Cost or your patient responsibility of the service or item

Itemized bills from providers and Explanation of Benefits (EOB’s) from insurance carriers are perfect forms of documentation. You do not need to show proof of payment unless you are submitting an orthodontia claim. Do not submit copies of cancelled checks, credit or debit card receipts.

Questions?

Check out our FAQs or contact our customer service team