Our plan works very similarly to sherilynn's and lilblackdress', except for a couple details. It is reimbursement plan, so I have to pay for the service first, then fill out paperwork to get reimbursed. This is no big deal, as I pay my ortho the payment when I go for an adjustment and they give me a lovely receipt that I submit to the FSA that day. At least I'll be getting a ton of credit card points for my trouble.

Also, because my treatment breaks over two years, 2008 and 2009, I had to submit a treatment plan to the FSA to have on record. It showed initial fees, record fees, the monthly payment amount, and the estimated treatment time. I'm not sure why, but we all (me, my dentist, the ortho) had to be very careful to call the down payment an "initial fee." The different terms mean something different to my FSA company and made a difference in if I got reimbursed or not.