Medical Expense Reimbursement
Reimbursement for premium expenses often exhausts your account balance. Submit reimbursement for out-of-pocket expenses if you have a remaining balance.
You can be reimbursed for an out-of-pocket medical expense as long as it's an eligible expense (such as an office visit or prescription copay, dental treatment, hearing aids, etc.) Your Reimbursement Guide provides more details on reimbursable expenses. You can also view eligible expenses in your Account Details on the website. Sign into Via Benefits. On the Home page, select View Accounts in the Funds and Reimbursement section. Select Show Account Details. A side panel opens that includes the information.
You can request reimbursement by submitting a reimbursement request on the Via Benefits Accounts mobile app, on the website, or by submitting a Reimbursement Request Form.
Read Documentation Requirements for Reimbursement to learn what documentation must be provided with your reimbursement request.
Expenses Incurred in a Foreign Country
Expenses you incur in a foreign country may be eligible for reimbursement, as long as the care is medically necessary. If the supporting documentation is in a foreign language, the five required elements (provider name, participant name, date of service, type or description of service or product, and document showing the participant’s financial responsibility) must be translated in to English. The amount of the expense must be converted from the foreign currency to US dollars. You can do the translation and currency conversion yourself. It doesn't need to be a formal translation.
Medication ordered from another country, such as Canada, and consumed within the US isn't an eligible expense.
Transportation Expenses
Transportation or travel expenses might be reimbursable, depending on your former employer’s reimbursement guidelines. Your Reimbursement Guide provides more details on reimbursable expenses.
Eligible Transportation Expenses
Transportation expenses are eligible for reimbursement when they're essential to medical care.
Your expenses can include subway, bus, taxi, train, or plane fares, rideshare services (e.g., Uber, Lyft), ambulance services, parking or toll fees, mileage, and transportation expenses for individuals who must go with the person receiving treatment, like a parent, nurse, or caregiver.
Documentation Requirements
All of your transportation expenses must have a corresponding expense for medical care, such as an Explanation of Benefits (EOB) from your insurance carrier, a provider receipt, or a pharmacy receipt.
Also, your transportation expenses (except for mileage and parking meters) must have receipts or statements that include the expense amount, dates, provider, and address to and from.
Mileage Logs
Your proof of mileage must be kept in a mileage log or similar document.
A mileage log should include:
Origin or starting address (usually your home address)
Provider's address (where medical care was incurred)
Total distance traveled between locations, in miles
Expense dates
Expense recipient (who the expense was for)
Requested amount (mileage rate x miles traveled)
Refer to IRS issues standard mileage rates for 2023 for more details.
Type of service (e.g., office visit, emergency room, chemotherapy)
Accepted mileage documents include a printout from an online map service, such as Google Maps, a handwritten document, or an Excel or Word printout.
Mileage Log Examples
Handwritten or Computer Produced Mileage Log
Google Map Printout
*Via Benefits reimbursement accounts are administered by Extend Health, LLC.