RESOURCES

The following resource can be used to learn more about where Aviben benefit cards can be used. For the card to be accepted, the merchant must participant in the IIAS Merchant Program or the 90% Rule Merchant Program. The salesclerk will scan the entire purchase. The benefit card should be used first and will only pay for the items that are categorized as eligible medical items.

AVIBEN DEBIT CARDS (BENEFIT CARDS)


  • IIAS – Inventory Information Approval System
    A card system that automatically identifies eligible medical expenses. Examples of these stores would include Walgreens, Walmart, and Target.
  • 90% Merchant – Limited to drug stores and pharmacies that have stores whose sales are 90% or more eligible medical items. The merchant category for 90% Merchants only includes the following:  5912, Drug Stores/Pharmacies; 5122 – Druggist/Drug Proprietaries. These are typically going to be true pharmacies who only fill prescriptions and sell medically qualified products.
  • Informative chart that highlights the key characteristics and requirements of each program - https://sig-is.org/programs/iias-vs-90-comparison .
  • Use this link to search for a store to see if it is on the 90% list or the IIAS store list - https://sig-is.org/storelocator .
  • Helpful link that goes over some reasons for card declines. If your debit card is declined, please reach out to Aviben for assistance - https://sig-is.org/resources/most-frequent-reasons-for-card-declines .


FORMS

Complete this form for reimbursement from your FSA or HRA account. Please note that claims submitted through your Consumer Portal or the Mobile App do not need a separate claim form. 

Claim Reimbursement Form (Fillable) 

Claim Reimbursement Form (Printable) 

Complete this form when you have or will be requesting a reimbursement for an expenses that would otherwise be considered ineligible.

Aviben Letter of Medical Necessity 

Complete this form to indicate individuals whom you authorize Aviben to speak with and disclose your account information.

Authorization Proxy Form