Orthodontic Reimbursement Guidelines

Orthodontic expenses may be reimbursed up to the full amount, depending on available FSA balance, of the advance payment that has been paid to the provider. Supporting documentation of services rendered and payment must be submitted and reimbursement may be limited based on the annual election.

• Total case fee
• Expected insurance coverage / discounts
• Initial start and expected length of treatment (in months)
• Proof of provider payment

Below are some examples and key reminders for reimbursing orthodontic treatment.

• Only payments that have been made to the provider will be considered for reimbursement from FSA
• Predetermination of benefits or amounts that are expected by the patient are not allowable until payment is made
• If you are currently in an orthodontic agreement and making monthly installments, these amounts are reimbursable as payment is made to the provider
• If you are currently in an orthodontic agreement, you will be eligible for payment of any advance payments made during the plan year that it is being submitted for. For example, an advance payment made in 2010 would be applied to the 2010 plan year benefits
• Call FBA at 800-759-4952 with any questions regarding reimbursement