Citi Benefits Handbook
Paying for Your Expenses Out of Pocket
For eligible health care expenses that are not submitted from a health care provider to the health plan, you may choose to pay out of pocket, instead of using the CYC payment card, and submit a claim online on the CYC website, or you can submit a paper claim to CYC using the CYC Manual Claim Form. The claim-filing instructions are on the CYC website and the Manual Claim Form. In order for your claim to be reimbursed, you must provide any pertinent documentation to establish that an expense is eligible to be reimbursed. If such information is not provided by the deadline noted below, the funds in your HSCA/LPSA that are in dispute are subject to forfeiture.