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LIST OF
ELIGIBLE AND INELIGIBLE HEALTHCARE AND
DEPENDENT CARE EXPENSES
This list
does not include all IRS expenses that are eligible or ineligible
for reimbursement. If you do not see an expense on this list,
please call Member Services at 503-219-3679 or 888-398-8057.
ELIGIBLE HEALTHCARE EXPENSES -
To be eligible for
reimbursement, healthcare expenses must be for medical care and
primarily for a medical purpose.
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Alcoholism
and drug addiction treatment
Alternative Care Office visits (Chiropractic, Naturopath,
Acupuncture)
Ambulance
Artificial limbs and teeth
Blood pressure monitoring devices
Birth control pills and Norplant insertion and removal
Co-insurances, co-pays & deductibles
Contact lenses & solution
Contraceptives (prescription and over-the-counter)
Individual Counseling (for a medical condition)
Crutches
Dental and denture expenses
Diabetic Supplies and Insulin
Diagnostic services and x-rays
Dietary Supplements (if
prescribed by a physician to treat a medical condition)
Exercise programs
(if prescribed by a
physician to treat a medical condition)
Eye glasses and reading
glasses
Flu Shots
Glucose monitoring equipment
Hearing Aids
Herbal Supplements (if
prescribed by a physician to treat a medical condition) |
Hospital
services
Immunizations
Laboratory fees
Laser/Lasik eye surgery and radial keratotomy
Massage therapy (if
prescribed by a physician to treat a medical condition)
Operations/Surgeries
Orthodontia
Osteopath
Over-the-Counter Medications
(i.e.: aspirin, pain relievers,
cough syrup/drops, allergy medication – must treat a medical
condition)
Physical therapy
Pregnancy test
Prescription drugs
Psychiatric and Psychology expenses
Screening tests
Smoking Cessation program and products
Sterilization procedures
Test Strips
Transplants
Weight-loss programs (if
prescribed by a physician to treat a medical condition)
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INELIGIBLE HEALTHCARE EXPENSES
- The
following expenses are considered cosmetic or primarily used for
general health purpose. These expenses are not eligible for
reimbursement, even with a physician’s recommendation.
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Annual Fees
for medical services (i.e.: LifeFlight, MedicAlert)
Cosmetic Surgery
Food supplements for weight loss
Insurance premiums |
Long-term
care expenses
Physician retainer fees
Vitamins/Herbal Supplements for general health |
ELIGIBLE DEPENDENT CARE EXPENSES
-
To be eligible for reimbursement, the dependent care expense must be
custodial in nature and allow you and your spouse, if married, to be
gainfully employed.
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Before and
after school care for children under the age of 13
Care provided in your home
(provider cannot be an IRS tax
dependent or a dependent under the age of 19)
Home or daycare for eligible disabled IRS tax dependents (must
spend at least eight hours per day in your home)
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Licensed
day-care providers
Registration Fees
Summer day camps for children under the age of 13 |
INELIGIBLE DEPENDENT CARE EXPENSES
- The
following expenses are not considered custodial in nature and are
not eligible for reimbursement.
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Enrichment
programs (dance, sports or music lessons)
Educational Fees/Tuition
Overnight camps |
Food,
clothing or transportation
Housekeeping expenses
Care not related to work |
OVER-THE-COUNTER PRODUCT LIST
Over-the-Counter (OTC) products are
eligible for reimbursement from your Healthcare Flexible Spending
Account, if the OTC product is for medical care and primarily
for a medical purpose. Expenses or procedures that are
directed at improving a person’s appearance, or the primary purpose
of the product is to improve the general health of an individual,
are not considered expenses for medical care and not eligible for
reimbursement.
1. APPROVED OTC PRODUCTS
– the primary purpose of these products is for medical care and
for a medical purpose. The following products are eligible for
reimbursement.
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Allergy
medication/spray
Antacid and acid reducer
Anti-diarrhea medication
Anti-fungal spray/ointment/cream
Anti-itch lotions and cream
Bandages/band-aids
Blood Pressure Monitor
Cold remedies
Cold Sore/Fever Blister
Contact Lens Solution
Contraceptives
Cough Drops/Syrup |
Crutches
Eye Drops for Allergy/Cold Relief
Gastro-intestinal medicine
Gauze pads
Glucose Monitor
Hemorrhoid suppositories/cream
Hot/Cold packs
Incontinence products
Laxative
Menstrual Cycle Medication
Muscle & joint cream/gel
Nasal spray (decongestant/allergy) |
Orthopedic
inserts
Pain relievers
Pregnancy Test/Ovulation Test
Reading glasses
Rubbing alcohol
Smoking cessation aids and products
Sunburn ointment/cream
Syringes
Test Strips
Toothache and teething pain reliever
Throat lozenges/spray
Vaporizer |
2. DUAL PURPOSE OTC PRODUCTS
–these products have both a medical purpose and a
personal/cosmetic or general health purpose. To be considered
for reimbursement, a letter from a physician prescribing the OTC
medication stating the medical condition that is being treated is
REQUIRED.
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Acne
treatment/medication
Dental fluoride treatments
Dietary supplements (i.e.: vitamins)
Fiber supplements |
Herbal
supplements
Nose strips for proper breathing
Sleeping Aids
Snoring cessation aids and medication |
3. INELIGIBLE OTC PRODUCTS
- these products are
considered cosmetic or used primarily for general health purposes.
The following products are not eligible for reimbursement, even with
a letter from a physician.
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Cosmetics
Deodorants
Face creams & cleansers
Feminine hygiene products
Hair removal treatments and waxes
Lip products (ie: Chapstick, Carmex)
Lotions & Moisturizers |
Mouthwash,
antiseptics and oral anesthetics
Multi-Vitamins
Sundry Items (i.e.: cotton balls/Q-tips)
Sunscreen
Teeth whitening kits and products
Toiletries (i.e.: soap, shampoo, toothpaste, toothbrush)
Wrinkle reducers |
4. SUPPORTING
DOCUMENTATION REQUIREMENT –
BenefitHelp Solutions will require
an itemized grocery/drug store or pharmacy receipt that includes the
name of the specific OTC product that was purchased.
The receipt must also have the location and the date purchased. The
IRS does not allow a generic receipt with a copy of the packaging as
acceptable documentation. If the receipt does not list the
specific OTC product, we cannot reimburse the expense. |
