95% of my FSA claims are automated. When I bought prescription sunglasses from Oakley, I had to turn in a claim with the invoice to get reimbursed. When I get a massage, it's automated at one of the spas that i go to, and other other one I have to make sure I get a receipt if I want to be reimbursed (if I'm already close to using up all my funds with other expenses, I don't bother).
It's a dead simple way to keep some of your taxes in your own pocket. I'd recommend it to anyone (that doesn't have a HSA/high deductible insurance).
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