For 2023, the reimbursement amount for medical mileage is $0.22 per mile.
With a Flexible Spending Account (FSA) and certain employer-funded Health Reimbursement Accounts (HRA), you can submit claims to be reimbursed for the mileage traveled to service providers.
Complete the following steps:
1. Download the form.
2. Open the form.
3. Locate Step 1 on the form, where you will be asked for your personal information. Complete all of the information fields. Failure to do so will result in your claim not being processed. (Step 1 on form, pictured below)
4. Locate Step 2 on the form, the Medical Expense Claims section. Fill in the fields with the requested information. (Step 2 on form, Medical Expense Claims section, pictured below)
5. Locate Step 3 on the form. Sign and date in the appropriate fields. (Step 3 on form, pictured below)
6. Gather the required documentation listed in the Map Details and Evidence of Appointment sections. (Map Details and Evidence of Appointment sections pictured below)
7. Submit your claim form and required documentation to Ameriflex using one of the following methods:
- Email: email@example.com
- Fax: 888.631.1038 Attention: Claims Department
- Mail: Ameriflex Claims Department P.O. Box 269009 Plano, TX 75026
- Participant Portal (Use this link to see how to submit your claim through the participant portal)
You have successfully submitted your claim!
Once approved, we will issue the reimbursement using the funds in your account. You will receive your reimbursement via mailed check or direct deposit, depending on the reimbursement method you have selected. (Our default method of reimbursement is check by mail)
If you do not currently have direct deposit set up, and would like to do so, click here for step by step instructions.