0000008467 00000 n 0000009006 00000 n

0000028280 00000 n 0000026306 00000 n A Letter of Medical Necessity is required for all exercise referrals. 0000011449 00000 n 0000002149 00000 n Details. 0000004091 00000 n Flexible Spending Accounts. BUT, NOT LIMITED TO FOR PHASE 1 IMPLEMENTATIONS. The information contained in this booklet is intended to be used as a general guide to the UT FLEX Plan. 0000050827 00000 n Any amounts you do not use throughout the plan year (and during the grace period for health-related expenses) will be forfeited. 0000050053 00000 n trailer This is different from the Healthcare Reimbursement Account (HCRA) in which you are able to incur eligible expenses through the Grace Period (November 15) to use up the funds in your 2017-2018 account.The UT FLEX spending account plans are “use it or lose it" plans. The University of Texas at Austin provides public access to a first-class education and the tools of discovery. This form should be completed by the attending physician to confirm treatment is necessary for a specific medical condition. 0000006378 00000 n 0000011051 00000 n

UT FLEX Letter of Medical Necessity Form. The UT FLEX spending account plans are “use it or lose it" plans. 0000010715 00000 n

0000006919 00000 n <. UNIVERSITY MANAGEMENT SYSTEM ER DIAGRAM, ENHANSED- UNIVERSITY MANAGEMENT … 0000050526 00000 n 0000006493 00000 n 0000009688 00000 n 0000028399 00000 n 0000006264 00000 n Responsible Office(s) Employee Benefits.
0000054515 00000 n

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xref 0000036013 00000 n 0000005404 00000 n 0000094186 00000 n 0000024247 00000 n Document Type. 0000057454 00000 n 0000003537 00000 n This has resulted in a culture of ambition and leadership, where physical scale is matched by bold goals and achievements. 0000007903 00000 n Any amounts you do not use throughout the plan year (and during the grace period for health-related expenses) will be forfeited.For any questions about your DCRA or HCRA accounts, please contact Maestro Health directly at (844) UTS-FLEX (887-3539) or,© 2020 The University of Texas System. 0000001805 00000 n UT FLEX COBRA Application FOR HEALTH CARE REIMBURSEMENT ACCOUNTS FOR PLAN 2019-2020 Please type or print clearly in black or blue ink.

0000012937 00000 n 0000031585 00000 n 0000001990 00000 n UT FLEX Handbook for plan year September 1, 2013 - August 31, 2014. For any questions about your DCRA or HCRA accounts, please contact Maestro Health directly at (844) UTS-FLEX (887-3539) or [email protected].

0000015380 00000 n Release Date. 0000014766 00000 n Be sure to complete the entire form, including the signature and date. 0000046623 00000 n 0000010157 00000 n 0000040482 00000 n

0000046708 00000 n 0000017125 00000 n 0000046553 00000 n 0000044644 00000 n 0000021958 00000 n 0000009604 00000 n 0000057075 00000 n A Letter of Medical Necessity is required to receive reimbursement for exercise-related expenses. %PDF-1.4 %âãÏÓ 0000054048 00000 n Main page content Document File(s) Letter of Medical Necessity.

… 210 West 7th Street, Austin, Texas 78701-2982. 0000006085 00000 n

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330 0 obj <> endobj Expenses for exercise to improve general health are not eligible.

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Individuals with medical conditions that can be improved by physical activity (such as diabetes, hypertension, depression, and more) are able to receive reimbursement from their healthcare flexible spending account to pay for some exercise programs or equipment. 0000057901 00000 n

UNIVERSITY MANAGEMENT SYSTEM UNIVERSITY PROCESSES – DATA FLOW DIAGRAM, ONE LEVEL AS SHOWN. 0000004969 00000 n

UT provides economic stimulus, an educated workforce, applied research, and basic research to solve societal problems and push the knowledge frontier. Thursday, September 1, 2016 .