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How does an FSA work?
Flexible Spending Accounts will reimburse you for incurred expenses during your FSA plan year (period of coverage).
“Incurred” refers to expenses that happen after a service or product is provided – not when you are billed or pay for the service.You cannot be reimbursed in advance for any services.
Because FSA funds are available to you on the first day of your plan year, you must be able to receive full reimbursement for your contribution.
So, if you opted in for $1,200 a year for your FSA, you could use that amount on the first day (if you wanted to).
You can submit for FSA reimbursement in two ways:
1. Your FSA Administrator might provide you with an FSA Debit Card to use toward FSA eligible expenses.
You’ll be able to use the card at approved stores or pharmacies (we accept FSA Debit Cards and all major credit cards at FSAstore.com!)
By using the FSA debit card, your expenses are auto-adjudicated (electronically approved or disapproved) from the card and you may not need to submit additional receipts to your FSA Administrator.
Some FSA Administrators could still require a receipt to substantiate a claim. Check with your FSA Administrator about reimbursement procedures for your plan.The FSA Debit Card would not be charged if something is not considered FSA eligible under your plan.
2. You’ll have to typically submit a reimbursement claims form with:
- your personal details,
- product/service details(provider information)
- amount owed
- date of service provided.
FSAstore.com can provide you with an itemized receipt after you make your order to submit to your FSA Administrator for FSA reimbursement.
Fludrocortisone acetate is used for oral mineralocorticoid replacement therapy in patients with adrenocortical insufficiency or salt-losing forms of congenital adrenogenital syndrome after electrolyte balance has been restored. Because of its intense sodium-retaining activity, the drug is contraindicated in all conditions except those which require a high degree of mineralocorticoid activity.
In patients with adrenocortical insufficiency, hydrocortisone or cortisone (in conjunction with liberal salt intake) is usually the corticosteroid of choice for replacement therapy. Concomitant administration of a more potent mineralocorticoid (fludrocortisone) may be required in some patients. In salt-losing forms of congenital adrenogenital syndrome, cortisone or hydrocortisone should be administered in conjunction with liberal salt intake. If sodium loss and hypotension are not adequately controlled, fludrocortisone should also be given.
Fludrocortisone acetate has been used with some success to increase systolic and diastolic blood pressure in patients with severe, chronic postural hypotension (e.g., secondary to autonomic dysfunction, levodopa therapy) that does not respond adequately to nondrug therapy.
Dosage and Administration
Fludrocortisone acetate is administered orally. Dosage depends on the severity of the disease and the response of the patient. Patients should be continually monitored for signs that indicate dosage adjustment is necessary, such as remissions or exacerbations of the disease and stress (surgery, infection, trauma).
For the treatment of adrenocortical insufficiency, the usual dosage of fludrocortisone acetate is 0.1 mg daily, although dosage may range from 0.1 mg 3 times weekly to 0.2 mg daily. If hypertension occurs, 0.05 mg of the drug is given daily. Cortisone (10-37.5 mg daily in divided doses) or hydrocortisone (10-30 mg daily in divided doses) is usually given orally concomitantly with fludrocortisone.
Salt-Losing Forms of Congenital Adrenogenital Syndrome
In the management of salt-losing forms of congenital adrenogenital syndrome, the usual dosage of fludrocortisone acetate is 0.1-0.2 mg daily.
When fludrocortisone acetate was used to increase blood pressure in the management of diabetic patients with postural hypotension, 0.1-0.4 mg of the drug was given daily. In patients with postural hypotension secondary to levodopa therapy, 0.05-0.2 mg of fludrocortisone acetate has been given daily.