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How to get reimbursed
1 - Buy eligible products and services
Such as prescription drugs, over-the-counter medicine, or a doctor visit.
Eligible items for Health FSAs (PDF)
2 - Keep your itemized statement or EOB
Take a photo of it with your phone and our mobile app.
3 - Submit your claim
Include the photo using our mobile app or online portal.
4 - Get reimbursed
For easiest reimbursement, enroll in direct deposit on our mobile app or portal.
Ways to pay
Prepaid benefit card
Offered by some employers, it's more convenient than paying out of your own pocket. Check with your HR department to see if your plan includes a benefit card.
Using your prepaid benefit card (PDF)
Easy Pay
For PacificSource health insurance plan members. Get automatic reimbursement on eligible expenses, without submitting claims or receipts.
Easy Pay Enrollment Form (PDF)
The FSA Store
All items are FSA eligible. When using a prepaid benefit card, expenses are automatically deducted from the available balance, eliminating the need to submit a claim.
Shop FSA Store
Looking for more details?
Additional resources
Find more information and materials related to FSA, HRA, and other services provided by PacificSource Administrators in our documents and forms, FAQ, and glossary.