Take Care by WageWorks

FLEXIBLE MEDICAL AND DEPENDENT CARE FORMS


(Effective 4/1/2013)

File a claim

Enter your claim online. It's the fastest (and most secure) way to get paid!

Click here to log into your account and enter your claim online.

Was my claim received?

To verify your claim has been received, click here.

Claim filing instructions

When filing your claim, you must attach copies of the receipts. The receipt must show the date and type of service. Cancelled checks, credit card slips or statements showing only a balance due on your account are not allowable. Keep a copy of the claim form and supporting documents for your records.

Fax

For faster service, faxyour claim with receipts to 877-782-8889. Your claim form is your fax cover page. After you fax a claim and receipts, please do not follow up with a postal mail or email.

Email

For even faster service, scan your claim form with receipts into a single PDF. Your claim form should be the first page of your scan. Email the PDF to claims@takecareclaims.com. After you email a claim with receipts, please do not follow up with a postal mail or fax.

Mail

If you don't use email or fax, postal mail your claim with receipts to:
take care by WageWorks, PO Box 14054, Lexington, KY 40512

Paper claim forms (online claim forms are faster): Click a link below to print a form.

 Health Care Claim Form

 Dependent Care Claim Form

Need help?

Visit www.takecareWageWorks.com or call take care by WageWorks at 800-950-0105. Customer service hours are weekdays: 8am to 8pm EST.