Astrohc doc 2026

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The document provides instructions for submitting claims for reimbursement from a Flexible Spending Account (FSA) related to health care expenses. It outlines the necessary steps to complete the claim form, including sections for member and employer information, expense details, and required documentation such as Explanation of Benefits (EOB) or itemized bills. The document emphasizes the minimum reimbursement amount, the importance of retaining copies of submitted claims, and provides contact information for further assistance.

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Click ‘Get Form’ to open the Astrohc document in the editor.
Begin by completing Section 1, where you will enter your Member Identification Number assigned by Aetna. This unique number is essential for processing your claim.
Proceed to Sections 3 and 4. Here, list and separate expenses by individual family members. Ensure you provide accurate details for each expense incurred.
In Sections 5 and 6, attach the necessary documentation as specified. This includes an Explanation of Benefits (EOB) for partially covered expenses or itemized bills from providers.
Complete the Employee Certification section, confirming that all claimed expenses have not been reimbursed elsewhere and are valid under tax regulations.

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Astrohc doc 2026

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