The HCSA covers out-of-pocket medical and dental expenses that exceed your Active Benefits Plan coverage. The HCSA maximum benefit is $500 per family per calendar year. Amounts remaining in your HCSA at the end of the calendar year can be carried forward for one year only. The maximum amount you can accumulate in any two (2) year period is $1,000.
HCSA can only be used for eligible expenses under our Plan where a plan maximum has been reached.
To use your HCSA allocation, you can indicate it on the claim forms or through the mobile or web applications at the time of submission.
You can also submit using a HCSA claim form, found on https://www.oebac.org/forms, expand the Health & Welfare Claimsand download the Health Care Spending Account Claim form.
Step 1: Download the claim form. You can fill it out online or print it out and fill it out.
Step 2: Complete the form. Please include the claim number with the outstanding balance under the Supplier’s Name and Address column and under the Amount ($), please include the outstanding balance amount.
Step 3: Remember to sign, date and fill out the MVA section
Step 4: Submit the claim for submission.
o Save the form and proof of payment (showing the outstanding balance paid) electronically and email it to email@example.com
Electronic submission through the mobile or web applications:
o Save the form and proof of payment (showing the outstanding balance paid) electronically and upload it as an image for submission.
o Include the form, and proof of payment (showing the outstanding balance paid) and send it to the address below:
OEBAC Claims Department
2201 Speers Road, Unit 1
Oakville, ON, L6L 2X9