©2014 BusinessPlans, Inc. – myCafeteriaPlan | In California DBA: BPI Flex Administrators
For more information please contact [email protected] or call (800) 865-6543
Debit Card - Save All Receipts
myCafeteriaPlanFlex Debit Card - Save All Receipts!Welcome to myCafeteriaPlan®! Your employer has provided you with the convenience of the Flex Debit Card to pay for your eligible cafeteria plan expenses, at the point of sale. For maximum convenience and savings, there are a few important things to know when using your flex debit card.
1. Sometimes you may need to provide a receipt.Expenses that can be automatically approved according to IRS regulations include:
• Prescriptions purchased at IIAS1 merchants• Co-pays associated with your employer’s group health plan• Recurring expenses - you’ll need to submit a receipt for the first claim, but if the amounts and
providers match subsequent charges, those claims will auto-approve.
Expenses that most often require receipts:• Dental & Vision expenses• Expenses that do not match co-pays for your group health plan• Co-Insurance or deductible expenses
2. If we need your receipt, we’ll let you know.The Provider is paid immediately; notification is for additional documentation to ensure the IRS regulations are met. Receipt requests are sent by email* on the following schedule:
• The 1st receipt request will be sent out the day your claim has processed• 45 days later a second receipt request is sent • 60 days after the claim is processed a final receipt request is sent • At 68 days debit cards are automatically suspended until the receipt is received• 75 days after the claim is processed the claim will automatically be denied and a request to
repay the plan will be sent if proper documentation has not been received
*Please make sure your email address is up to date. You can check your email address by log-ging into your account at www.mycafeteriaplan.com. If an email address is not on file, we will mail a letter via USPS. All notifications are also placed on your online account.
3. Receipts should contain 5 pieces of information.When you use your Flex Debit Card, please ask the provider for an itemized statement. The statement should include the following:
1. Provider name2. Patient name3. Date of Service4. Service Provided5. Amount charged
You may also submit an EOB (Explanation of Benefits) statement from your insur-ance company for dental and vision expenses, or for medical claims that do not match your group health plan co-pay.
myCafeteriaPlan provides multiple methods for submitting documentation so you can choose which is easiest for you. Receipts can be sent by fax, mail, mobile
app, or online. It is very important to submit documentation when requested in order to remain eligible for the tax advantage provided by your cafeteria plan and continue using the convenience of the Flex Debit Card.1 Inventory Infomration Approval System - To learn more about IIAS and find out what stores qualify, you may access https://www.sig-is.org/.
Debit Card - Save All Receipts.indd 1 8/11/2014 9:25:32 AM
Why
do
I nee
d to
pro
vide
a c
opy
of m
y re
ceip
t?
Whe
n I v
isit
the.
..*I
can
use
my
flex
card
for..
.I w
ill n
eed
to s
end
in a
re
ceip
t w
hen.
..I s
houl
d no
t use
my
card
for..
.
Den
tist
Regu
lar e
xam
s, cl
eani
ngs,
x-ra
ys, c
row
ns,
brid
ges
and
fillin
gs p
rovi
ded
in th
e cu
r-re
nt p
lan
year
The
amou
nt c
harg
ed d
oes
not m
atch
a
co-p
ay w
ith y
our e
mpl
oyer
’s be
nefit
pla
nTe
eth
whi
teni
ng, v
enee
rs fo
r cos
met
ic p
ur-
pose
s, el
ectr
onic
toot
hbru
shes
, too
thpa
ste
and
mou
thw
ash
for g
ener
al u
se, b
alan
ced
from
a p
rior y
ear
Der
mat
olog
ist
Co-P
ays,
Ded
uctib
les,
Coin
sura
nce
for s
er-
vice
s pr
ovid
ed in
the
curr
ent p
lan
year
The
amou
nt c
harg
ed d
oes
not m
atch
a
co-p
ay w
ith y
our e
mpl
oyer
’s be
nefit
pla
nA
ny c
osm
etic
pro
cedu
re, p
rodu
cts
used
for
cosm
etic
pur
pose
s on
ly, b
alan
ces
from
a p
rior
year
Eye
Doc
tor/
Vis
ion
Cent
erEy
e ex
ams,
cont
act l
ense
s, gl
asse
sTh
e am
ount
cha
rged
doe
s no
t mat
ch a
co
-pay
with
you
r em
ploy
er’s
bene
fit p
lan
War
rant
ies,
sung
lass
es w
ithou
t a p
resc
riptio
n,
bala
nces
from
a p
rior y
ear
Gen
eral
Phy
sici
an/ H
ospi
tal/
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atri
cian
/ Spe
cial
ist
Co-p
ays,
Ded
uctib
les,
Coin
sura
nce
for
serv
ices
pro
vide
d in
the
curr
ent p
lan
year
The
amou
nt c
harg
ed d
oes
not m
atch
a
co-p
ay w
ith y
our e
mpl
oyer
’s be
nefit
pla
nPr
evio
us b
alan
ces
from
a p
rior p
lan
year
, co
smet
ic p
roce
dure
s
Now
that
you
hav
e yo
ur F
lex
Deb
it Ca
rd a
nd a
re u
sing
it fo
r you
r out
of p
ocke
t med
ical
exp
ense
s, y
ou m
ay re
ceiv
e a
notic
e fr
om m
yCaf
eter
iaPl
an re
ques
ting
supp
ortin
g do
cum
enta
tion
for a
pur
chas
e m
ade
with
you
r Fle
x D
ebit
Card
. W
e au
tom
atic
ally
app
rove
as
man
y Fl
ex D
ebit
Card
tran
sact
ions
as
poss
ible
, as
allo
wed
by
the
Inte
rnal
Re
venu
e Se
rvic
e (IR
S).
If w
e ar
e un
able
to a
utom
atic
ally
app
rove
a tr
ansa
ctio
n, y
ou w
ill re
ceiv
e a
notic
e re
ques
ting
docu
men
tatio
n. T
o av
oid
rece
ivin
g no
tices
, onl
y us
e yo
ur c
ard
for c
o-pa
ys w
ith y
our e
mpl
oyer
’s be
nefit
pla
n an
d at
IIA
S (In
vent
ory
Info
rmat
ion
App
rova
l Sys
tem
) app
rove
d m
erch
ants
.
Rem
embe
r, th
e IR
S do
esn’
t con
side
r all
serv
ices
or p
rodu
cts
prov
ided
by
doct
ors,
den
tists
, der
mat
olog
ists
or e
ye d
octo
rs to
be
elig
ible
, pre
-tax
exp
ense
s. P
leas
e se
e th
e ch
art b
elow
for m
ore
info
rmat
ion.
*The
exp
ense
s lis
ted
are
exam
ples
and
do
not r
epre
sent
an
all i
nclu
sive
list
. Som
e el
igib
le it
ems
will
requ
ire fo
llow
up
docu
men
tatio
n to
be
subm
itted
. For
mor
e in
form
atio
n se
e IR
S N
otic
e 20
06-6
9.
©20
14 B
usin
essP
lans
, Inc
. – m
yCaf
eter
iaPl
an |
In C
alifo
rnia
DBA
: BPI
Fle
x Ad
min
istr
ator
s
Don
’t Fo
rget
!•
Use
you
r Fle
x D
ebit
Card
for c
o-pa
ys a
ssoc
iate
d w
ith y
our e
mpl
oyer
’s be
nefit
s an
d pr
escr
iptio
n ex
pens
es o
nly
to a
void
the
need
to s
end
in re
ceip
ts!
• U
se y
our F
lex
Deb
it Ca
rd to
pay
for s
ervi
ces
prov
ided
in th
e cu
rren
t pla
n ye
ar o
nly.
Flex
Deb
it C
ard
Qui
ck T
ips
Debit Card - Save All Receipts.indd 2 8/11/2014 9:25:32 AM