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mySourceCardTM DEBIT CARD |
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When you elect to
participate in the Flexible Benefits or Cafeteria Plan
sponsored by your Employer, Admin America requests a mySourceCardTM
Debit MasterCard® for you (and your spouse, if applicable)
and sends the card(s) to your home address. The mySourceCardTM
benefits debit card enables you to pay most plan expenses
directly from your Flexible Spending Accounts at the time
and place where you incur reimbursable expenses.
Below are a few important
concepts you need to understand about your new mySourceCardTM
benefits debit card, your Flexible Spending Accounts (FSA)
and claim documentation needed to support qualified
expenses.
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The mySourceCardTM
benefits debit card operates within the regular
MasterCard® credit card network. Your card will be
accepted at most service providers or merchants where
eligible FSA expenses can be incurred including most
hospitals, doctor’s offices, dental offices, optical
stores, pharmacies and even some daycare facilities.
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Using the mySourceCardTM
benefits debit card eliminates your wait for a
reimbursement check from your flexible spending accounts.
However, you are not released from submitting the
required documentation supporting the eligibility of the
incurred expenses. IRS regulations require supporting
documentation for all expenses except single copays for
doctor visits and prescriptions if you use your mySourceCardTM
MasterCard® to pay. You need to file a signed
claim form with supporting documentation for every
expense directly with Admin America either by fax or
mail unless it is one of the single copay amounts
defined in your Employer’s group health plan.
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If you have email
access either at home or at work and you provide Admin
America with your email address, you will be able to
receive email information regarding the status of
incurred expenses. You should keep Admin America up to
date with your e-mail address by sending a short message
to “debitcard@adminamerica.com”
with any changes that occur during the Plan Year.
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When you submit claim
documentation, please include a copy of your mySourceCardTM
MasterCard® receipt (if applicable) along
with additional supporting information. The best
documentation includes both a copy of the MasterCard®
receipt (if available) and a copy of a receipt from the
provider (i.e., doctor, pharmacy, dentist, optician,
etc.). The provider’s receipt needs to include the date
of service, name of the provider, description of
services received and the amount that is your
out-of-pocket expense. If you send only the mySourceCardTM
MasterCard® receipt, your claim may be
returned. Claims that are returned due to
missing/insufficient documentation cause delays in the
approval process and may jeopardize your card’s active
status. For your convenience the back of Admin America’s
debit card claim forms have additional information about
receipts that are acceptable and ones that are not
acceptable.
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Claim forms are
available for download from the Internet at Admin
America’s web site:
www.adminamerica.com. When accessing the claim form
download link, please make sure you select the item with
the picture of the mySourceCardTM
logo. These forms differ from others because they have
boxes you mark with a check mark to tell us whether the
expense was paid to the provider using your mySourceCardTM
MasterCard® or remains unreimbursed (i.e.,
not paid with your card) requiring that a check be
issued to you for reimbursement.
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You have access to
detailed account information on the Internet at a secure
web address:
www.myRSC.com. The first time you go to the web site
you will enter your debit card number, your Mother’s
Maiden name and your Social Security Number to set up
your account access. For privacy purposes, you will
create a unique user name and password so that only you
will know how to access your account information. Please
feel free to give Admin America a call if you need
assistance.
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Admin America prepares
reimbursement checks for expenses that were not paid
using your mySourceCardTM MasterCard®
on designated day(s) each month. Checks are either
mailed directly to your home address or sent to your
employer to sign and distribute to you. All
unreimbursed/manual claims submitted at least two full
business days before the scheduled reimbursement date
will be included in the checks we prepare. Ask your
HR/Benefits person for the specific date(s) your checks
will be prepared by Admin America.
We think you will agree
that the mySourceCardTM Debit MasterCard®
will add a significant level of convenience to your flexible
spending accounts. This should make it even easier for you
to enjoy the significant tax savings your Flexible Benefits
Plan offers. If you have any questions regarding your new
mySourceCardTM Debit MasterCard®
or your accounts, please do not hesitate to contact Admin
America by telephone, mail or email.
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