How do you fill out an Aetna FSA reimbursement form?


Quick Answer

To complete an Aetna reimbursement form, hover over Individuals & Families on Aetna.com, click on Using Your Aetna Benefits, and choose Take Me to Forms under the Find a Form heading. Download the appropriate form in PDF format by clicking on its title under the Flexible Spending Account, or FSA, Reimbursement section. Fill in all fields digitally or by hand. Mail or fax the completed form to the address listed on the form.

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Full Answer

The company offers two categories of flexible spending account reimbursement forms, notes Aetna. The first category is PayFlex FSAs and limited FSAs. The only form available in this category, as of January 2016, is titled Health Care and/or Dependent Care Reimbursement Form. The second category is specifically for Aetna FSAs, and it includes forms such as a health care reimbursement form, dependent care reimbursement form and over-the-counter reimbursement form. This page of the Aetna website also features downloadable medical, dental and vision claim forms; a prescription mail-order delivery form; and a prescription drug claim form.

Depending on the individual plan, certain Aetna members may not be eligible to use all of the forms on the website, explains Aetna. Log in to your account for specific information on which forms apply to your coverage and benefits. It is also useful to call the phone number on the back of your member ID card with any questions about which forms to use.

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