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Health Care Accounts

 

A Health Care Reimbursement Account can reimburse you for eligible out-of-pocket medical expenses incurred by you, your spouse, and your dependents.  Due to the wide range of eligible items, we have compiled a list of common items.  Please note, not all eligible items are listed.  Some items may require a letter of medical necessity or there could be limitations under your plan.  Refer to your Summary Plan Description for detailed explanation of any limitations under your plan. 

Please contact us for specific questions. 

 

 

FSA Eligible Expenses and Items

Your Prepaid Benefit Visa® Card may look like either of these:

  

Click here to access your account

Eligible Expenses

BABY/CHILD TO AGE 13
 Lactation Consultant*
 Lead-Based Paint Removal
 Special Formula*
 Tuition: Special School/Teacher for
    Disability or Learning Disability*
 Well Baby Care

DENTAL
 Dental X-Rays
 Dentures and Bridges
 Exams and Teeth Cleaning
 Extractions and Fillings
 Gum Treatment
 Oral Surgery
 Orthodontia and Braces

EYES
 Artificial Eyes
 Eyeglasses and Contact Lenses
 Laser Eye Surgeries
 Prescription Sunglasses
 Radial Keratotomy/LASIK

HEARING
 Hearing Devices and Batteries
 Hearing Examinations

LAB EXAMS/TESTS
 Blood Tests and Metabolism Tests
 Body Scans
 Cardiographs
 Laboratory Fees
 Urine and Stool Analyses
 X-Rays

 

 MEDICAL EQUIPMENT/SUPPLIES
 Abdominal and Back Supports*
 Air Purification Equipment*
 Arches and Orthopedic Shoes
 Contraceptive Devices
 Crutches and Wheel Chairs
 Exercise Equipment*
 Hospital Beds
 Mattresses*
 Medic Alert Bracelet or Necklace
 Nebulizers
 Oxygen*
 Post-Mastectomy Clothing
 Prosthesis
 Splints/Casts or Support Hose*
 Syringes
 Wigs*

MEDICAL PROCEDURES/SERVICES
 Acupuncture
 Alcohol and Drug Addiction (inpatient
    and outpatient treatment
 Ambulance
 Hospital Services
 Infertility Treatment
 In Vitro Fertilization
 Norplant Insertion or Removal
 Physical Examination
    (not employment-related)
 Reconstructive Surgery (due to a
    congenital defect or accident)
 Service Animals*
 Sterilization/Sterilization Reversal
 Transplants (including organ donor)
 Transportation*
 Vaccinations and Immunizations

MEDICATION
 Birth Control
 Homeopathic Medications*
 Insulin
 Prescription Drugs
 Weight Loss Drugs*

OBSTETRICS
 Lamaze Class
 Midwife Expenses
 OB/GYN Exams
 OB/GYN Prepaid Maternity Fees
    (reimbursable after date of birth)
 Pre- and Postnatal Treatments

PRACTITIONERS
 Allergist
 Chiropractor
 Christian Science Practitioner
 Dermatologist
 Homeopath or Naturopath*
 Osteopath
 Physician
 Psychiatrist or Psychologist

THERAPY
 Alcohol and Drug Addiction
 Counseling (not marital or career)
 Exercise*
 Hypnosis
 Massage*
 Occupational
 Physical
 Speech
 Weight Loss Programs (no meal replacements)*

 

Note: This list is not meant to be all-inclusive, as other expenses not specifically mentioned may also qualify. Also, expenses marked with an asterisk (*) are “potentially eligible expenses” that require a Letter of Medical Necessity or prescription from your health care provider to qualify for reimbursement. For additional information, check your Summary Plan Document or contact your Plan Administrator.