You can use an HRE to pay for things like deductibles, co-insurance, co-pays, dental care, vision care, prescriptions drugs, eligible over-the-counter medications, bandages, feminine hygiene products, and so much more. Click HERE to find a list of eligible expenses or visit the PacificSource Administrators website.  You have access to your entire annual election amount at the beginning of the benefit year.  You also can elect to get a ‘debit card’ also called a Benny Card, to pay for eligible expenses so that you don’t have to pay up front and then file for reimbursement later. To find answers to some Health Related Expenses FAQ’s HRE

The Benny™ Prepaid Benefits Card

The Benny™ card is a special MasterCard® that deducts charges for qualified purchases from your FSA account. You can use your Benny™ card at any business that accepts MasterCard®.

How does it work?

1. Charge it!
   Use your Benny™ Prepaid Benefits Card, instead of check or cash, to pay for health-related expenses at your doctor’s office, pharmacy, or store.
2. Check your receipt. 

           Before you leave the doctor’s office or pharmacy look at your receipt to ensure that it shows the following information:

• Date of service or purchase date
• Brief description of the item or service
• Patient responsibility (the amount you paid), after the insurance has paid (if they were billed)
• If your receipt is incomplete, ask the provider to print out a receipt showing all three pieces of information.

       3. Save your receipt.

Unlike most pharmacies, healthcare providers do not have a specialized inventory system in place that allows us to determine what you purchased. If we are unable to auto-match your purchase, we will contact you to ask for a copy of your documentation to substantiate the transaction.

Benny Card Flyer

Benny Card FAQ’s

Each of the expenses listed below are potentially qualifying expenses. Expenses must enable the participant and spouse (if applicable) to be gainfully employed or actively looking for work.

• After school care or extended day care programs
• Agency fees (if required to obtain the related care)
• Application Fees (if required to obtain the related care)
• Babysitter (unless this is a person for whom the participant can claim a deduction on IRS Form 1040)
• Before-school care
• Day camps (overnight camp is not eligible)
• Day care center
• Deposits
• Eldercare
• Nanny
• Prepaid fees for care
• Preschool
• Registration fees (if required to obtain the related care)
• Sick-child facility

Find answers to Dependent Care FAQ’s DCE

Qualifying Events and Midyear Change Rules

FSA Change Form (Pacific Source) – This form is for mid-year changes to Dependent Care FSA only. Please return completed form within 30 days of the change. Please note that the form needs to be returned to Human Resources by the 15th of the month for changes to current month pay cycle.