Table of Contents Who is eligible? How can a Medical Flexible Spending Arrangement (FSA) help me? How does the Medical FSA work? When can I enroll and how do I do it? When does my coverage begin? What if I’m a represented employee eligible for a $250 Medical FSA contribution? Whose expenses qualify under the Medical FSA? What health care expenses are eligible? Do all prescription medicines qualify for reimbursement? When is additional documentation required? Orthodontia expenses Stockpiling Ineligible health care expenses How do I get reimbursed? The Navia Benefits Debit Card Claim submission deadline Carryover and “use it or lose it” Carryover examples Debit card requests IIAS and participating merchants How do I receive information from Navia Benefit Solutions? When can I make changes? Approved leave of absence (including Leave Without Pay) Transfers between state agencies and higher-education institutions Continuation coverage through COBRA What happens if my employment ends? How do I appeal a denied claim? How to contact Navia Benefit Solutions Business hours: Monday – Friday, 5 a.m. – 5 p.m. PT Phone: 1-800-669-3539 Email: [email protected] Fax: 1-425-451-7002 or toll-free fax 1-866-535-9227 Mail: Navia Benefit Solutions, PO Box 53250, Bellevue, WA 98015 2