Take Care Debit Card'

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Take Care Debit Card.
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Understanding How Your Debit Card Works!!

• Keep all Documentation
• If you have co-pays, an expense amount equal to
  your co-pay for doctor
• visits will be automatically substantiated.
• An expense up to a five-times multiple of
  eligible co-pays will be automatically
  substantiated.
• A recurring expense that has previously been
  substantiated will auto
• substantiate after the first time if the amount
  and provider remain the same.
• Card will only work for a purchase that is equal
  to or less than your remaining available balance.
• Goods or services paid from your employers
  flexible benefit plan which are not substantiated
  must be repaid by you or your card will be
  suspended.
• This Debit Card should only be used to pay for
  eligible medical expenses, and cannot be used at
  any ATM.

• Card pre-loaded with annual election amount
• Additional cards can be ordered for your spouse
  at no additional charge at www.myflexonline.com
• Accepted at medical/dental service providers
  using approved MCC (merchant category codes)
• Money instantly deducted from spending account-
  no waiting for reimbursement
• No PIN required
• Card automatically activated at first use
• Cards issued by plan year

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• Swipe flex debit card first as credit like any
  other VISA credit card, for eligible medical
  expenses.
• Swipe personal debit/credit card for other
  expenses not eligible.
• You may be asked to supply substantiation for
  your card swipe. If so, you will be notified by
  email or letter.
• There will be a link to click on that will take
  you to www.myflexonline.com. This is a secure
  site, you will need to set up your username and
  password if you have not done so. Once, you have
  set up your account, there will be an icon to
  click on to view claims. Then follow simple steps
  to prepare your claim form and mail/fax to
  Glynn Griffing and Associates, Administrators. We
  need this debit card claim form to complete your
  claim. Please do not mail substantiation before
  you receive this email or letter.

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DEBIT CARD INSTRUCTIONS The website will open
to your Account Summary page. To locate debit
card payments to be reviewed you will see
Click here to review, which is just above View
My Statement. Then follow
simple steps to prepare your claim form for
substantiation 1. Click RED ButtonReview
Now 2. Follow instruction on this page (only
add items to form that you are
submitting right away then click continue) 3.
Review Non-Qualified Expense (if any) click This
is correct 4. Click Printprint claim form
(sign and date form) Submit your debit card claim
form and proper documentation, usually an
Explanation of Benefits, and mail, fax, or scan
to Glynn Griffing and Associates, Administrators.
We need this debit card form to complete your
claim. Please do not mail substantiation before
you are notified by email.
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Approved Merchantstakecarepartners.com

• Albertsons
• Brookshires
• CVS Pharmacy
• Kroger
• Sams Club
• Target

• Wal-Mart
• Walgreens