Message Center Account Settings Print Help Contact Us Feedback Sign Out 
  Home   Claims & Accounts   Physicians & Facilities   Pharmacies & Prescriptions   Benefits & Coverage   Personal Health Record   Health & Wellness  


Claims & Accounts
Account Balances
Medical Claim Summary
Health Reimbursement Account
Health Savings Account
  Flexible Spending Account(s)
View Statements

Other Claims
Prescription Claims This link will take you to another web site in a new window. Links to other web sites are provided for your information and convenience. Please see our Legal Terms for more information.
Dental Claims This link will take you to another web site in a new window. Links to other web sites are provided for your information and convenience. Please see our Legal Terms for more information.
Vision Claims This link will take you to another web site in a new window. Links to other web sites are provided for your information and convenience. Please see our Legal Terms for more information.
Mental Health Claims This link will take you to another web site in a new window. Links to other web sites are provided for your information and convenience. Please see our Legal Terms for more information.

Member Actions
Submit a Claim
Appeal a Claim
Automatic Payment Options
Mailing Preferences
Direct Deposit
Coordination of Benefits
Request ID Cards

Flexible Spending Account(s) (FSA)


Plan Year: 03/01/2005 - 02/28/2006    View previous plan year

Balance Year to Date
FSA Account Type  Annual Election  Year To Date Contributions  Year To Date Claims  Year To Date Payments  Remaining Balance 
Healthcare $2,000.00 $833.30 $502.00 $502.00 $1498.00
Dependent Care $2,400.00 $1,000.00 $400.00 $400.00 $2,000.00
Check Frequency Healthcare FSA = Daily
Dependent Care FSA = Weekly
Minimum Check Amount  $25.00
Direct Deposit Available Add/Change Direct Deposit Settings
Automatic Payment On Add/Change Automatic Payment Settings
Consumer Accounts Card Active Consumer Account Card FAQ's Dispute Form
Purchase over-the-counter drugs This link will take you to another web site in a new window. Links to other web sites are provided for your information and convenience. Please see our Legal Terms for more information. and have them automatically submitted to your FSA.
Estimate FSA Savings

FSA Claim Summary
Date of Service Received Date  Status  Amount Submitted  Amount Paid  Amount Pending  Paid by
CAC
 
01/31/06– 02/28/06
More details
04/01/06 Processed 4/15/06 $400.00 $400.00 $0.00 No
02/23/06
More details
03/01/06 Processed 3/15/06 $10.00 $10.00 $0.00 No
03/20/06
More details
04/01/06 Processed 4/15/06 $42.00 $42.00 $0.00 No

     
Also See
 
Eligible and Ineligible FSA expenses
Frequently Asked FSA questions
 
 
Common Questions more
 
How can I reduce paperwork?
 
Legal TermsPrivacy & SecurityCompany Information Site Map
Today's Date: Jun 5, 2006©2006 UnitedHealthcare