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2023 Flex Annual Open Enrollment |

Your Allied Flexible Spending Account (FSA)

WHAT IS AFLEXIBLE SPENDING ACCOUNT (FSA)?

A Flexible Spending Account, or an FSA, is a special account that allows you to set aside pre- taxmoneydirectlyfromyour companypaycheck tocover certain out-of-pocketcosts.

There are three types of FSAs: 1. Healthcare FSA - Covers out-of-pocket healthcare expenses, such as copayments, deductibles, some drugs, and more.

2. Dependent Care FSA - Covers costs associated with caring for children, a disabled spouse, elderly parents or other dependents while working or attending school full-time.

3. Limited Purpose FSA – HSA compatible FSA that covers eligible vision and dental costs.

HOW IT WORKS Once you are enrolled in the Flex plan, you will receive an Allied Flex Debit Card. This debit should be used to pay for any covered FSA expenses, and will automatically deduct funds from your Allied Flex Account. All spending activity, account balances and claims can be easily viewed by logging into your Member Portal Account on AlliedBenefit.com.

WHAT CAN FLEX BE USED FOR?

Deductibles Coinsurance

Preventative care

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Routine gynecological exams

Office visit co-payments

Menstrual products

Prescriptions

Over-the-counter medications Dental exams, fillings, crowns, and x-rays

Physical exams Chiropractic care Birth control pills Physical therapy

Orthodontia

Eye examinations

Eyeglasses and contact lenses

Medical supplies and first aid kits

* For a complete list of FSA eligible expenses, refer to IRS Publication 502 or the FSA Store.

2023 Benefits Guide

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