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[quote=Anonymous]Your husband's costs are more than 7.5% of AGI after Medicare and his insurance? Is part of it prescriptions?

Here's what I would do/have done to some extent depending on the year:

Do you have an FSA card or do you submit everything manually? Either way, prescriptions are any easy thing to get with the FSA. If you have Express Scripts, and I expect this is true with other Rx insurance, you can download have a report by person (or you may have to get kids to download their own due to age if you aren't set up with permission to see theirs) that shows the patient portion. If you haven't used the FSA card, you can submit the whole report and say it's claims from X date to Y date.

You can also do date ranges with therapy if you can figure out your portion. It's probably the same amount each time once you get past the deductible? You need to ask the therapist for a superbill. I'm assuming they are out of network. Say the therapist charges $150. What I would not do (can't tell if you are doing this or not) is pay the $150 on the FSA card at the appointment. Pay the $150 on a regular credit card. And you'll have the superbill showing you paid $150. Then the EOB may say their allowable charge is $100 and you owe 20% of that. So you owe 150-100 = 50 for the part that's more than they allow plus 20%*100=20 for the part they don't allow. So $70. Usually you can find that number on the EOB. There might be separate columns for each piece. You should be able to just submit the EOB to the FSA without even needing the super bill, but you do have to claim the correct amount of $70 in this example or they will say it doesn't match. Is this helping at all?

Our various insurances typically allow you to download the whole year of claims in a CSV file. Then you can sort and filter by person. And add the data from each insurer into the one big spreadsheet.

If you tell us the column headings you see, maybe we can tell you which ones mean what.
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