Flex Participants
Claim Forms
- FSA Claim Form
- Transit/Parking Claim Form
- HRA Claim Form
- Orthodontic Reimbursement Schedule
- Direct Deposit Request Form
- Dependent Debit Card Request Form
FSAStore.com is the only one-stop-shop stocked exclusively with
FSA-eligible products and services so there are no guessing games as to
what is and isn't reimbursable which is what consumers face every time
they walk into a drugstore. In addition to more than four thousand
FSA-eligible products the site offers a national provider database of
FSA-eligible services and an FSA Learning Center. FSAStore.com accepts
all FSA-debit and major credit cards, offers 24/7 customer service,
one-to-two-day turnaround and free shipping on orders $50+.
