If you choose not to use the Inspira Financial debit card, you can still receive reimbursement for eligible health care or dependent care expenses by:
- submit a claim online by and uploading the supporting documentation.
- submitting a claim using the Inspira Financial Mobile app (PDF). You can download it for free* from your mobile app store. You鈥檒l use the same username and password that you use to log into your Inspira Financial account.
- submitting a paper reimbursement claim form (PDF) and mailing or faxing it to Inspira Financial with your documentation.
*Standard text messaging and other rates from your wireless carrier still apply.
If the expense was first processed through your medical, dental, or vision plan, you鈥檒l need to provide the Explanation of Benefits (EOB) from the plan.
If your expense was not processed through your medical, dental, or vision plan, you can send an itemized receipt or statement for the expense. The documentation must show the:
- date of service or purchase
- amount that you are required to pay
- description of the item or service
- name of the merchant or provider
If the claim is for an over-the-counter (OTC) drug or medicine, you must also include a written prescription from your doctor.
For prescriptions, send your detailed receipt. It must include the pharmacy name, patient name, prescription name, date the prescription was filled, and the amount that you paid.
For dependent care expenses, the dependent care provider must sign the claim form or provide an itemized receipt. The receipt must include the date(s) of service.
Benefits Disclaimer
The HR/Benefits website is intended only to provide information for the guidance of 吃瓜头条911 employees. The writers of the content have exercised their best efforts to ensure accuracy of the information, but accuracy is not guaranteed. If there are any discrepancies between the information on the website, verbal representations and the Plan documents, the Plan documents will always govern. The information is subject to change from time to time, and the University reserves the right to change or terminate these Plans at any time. The information contained on the website is not intended to replace the plan documents, nor is the information in any way intended to imply a contract.