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Flex-Plan Services - HCFSA Expenses with OTC


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Health Care Expenses

The Health Care FSA can cover a wide variety of expenses. We�ve assembled a list of common expenses that are eligible for reimbursement as well as common expenses that are ineligible. Some services may be eligible if you meet certain criteria.

For details on the September 2003 IRS ruling that allows over the counter drugs and medicines to be reimbursed by a Health Care FSA, click here.

To view a list of eligible expenses not relating to over the counter drugs and medicines, click here.


Eligible over the counter expenses include the following:

Ace bandagesContact lens solutionLab workPrenatal vitamins
Acupuncture Cortaid Lactose intolerance pills Preparation H
Actifed Cough medicine Lamisil Prescription medicines
Allergy medication Crowns Lotrimin Primatine Mist
Advil Crutches Laxatives Prilosec
Aleve Dayquil Little Colds Psychotherapy
Alka Seltzer Desitin Little Noses Reading glasses
Antacids Dimetapp Maalox Riopan Plus
Anacin Diaper rash ointments Marazine Robitussin
Anti-diarrhea medicine Doctor visits Micatin Rolaids
Bactine Dulcolax Midol Root canals
Balmax Dramamine Mentholatum Rubbing alcohol
Bayer Drixoral Milk-o-Magnesia Saline solution
Bandage tape Excedrin Monistat Simply Cough
Band-Aids Ex-Lax Mylanta Sinus medication
Ben Gay Eye drops Motion sickness Sudafed
Benadryl Eye exams Medication Surgery
Bufferin Fillings Motrin Syrup of Ipecac
Burn creams First Aid creams Neosporin Sterilization procedures
Calamine First Aid kits Nicoderm Tagamet
Caladryl First Aid supplies Nicorette Thera-Flu
ChiropracticFlexall Nicotrol Thermometers
Chlor-Trimitron Gauze Nicotine gum/patch Tiger Balm
Chloraseptic Gaviscon Nyquil Tinactin
Claritin Gas-X Orthodontia Triaminic
Co-Pays Glasses Orajel Tums
Cold medicine Gyne-Lotrimin Pamprin Tylenol
Compound W Hearing aids Pain relievers Vaccinations
Condoms Hemorrhoid medication PediaCare Vagisil
Contac Hydrocortisone Pepcid AC Visone
Contraceptive foams Incontinence supplies (only after surgery) Pepto-Bismal Vicks
Contacts Immodium AD Physical therapy X-Rays
Kaopectate Pregnancy tests Zantac


Ineligible health care expenses include the following:

These services are not eligible through a Health Care FSA under any circumstances.

Birthing Coach
Blood Pressure Machines
Breast Pumps
Carmex
Cosmetic Surgery
Dental Bleaching
Dental Hygiene Products
Doula Services
Electrolysis
Family counseling
Health Club Dues
Herbs
Humidifiers
Hypoallergenic Linens
Hypoallergenic Pillows
Insurance Premiums
Marriage Counseling
Marijuana
Medicated shampoo/soap
Neck support Pillows
Sex Change
Skin Moisturizers
Sonicare Products
Supplements
Toiletries
Vitamins
Weight Loss Meals


Documentation Required

There is a small group of items that may be allowed if and only if you are diagnosed by a medical doctor (M.D.) with a specific medical condition and that the specific item is medically necessary to treat the condition. These items must be to treat the condition and cannot be for preventative purposes. A written 'medical diagnosis' by a medical doctor (M.D.) is required for Flex-Plan Services, Inc. to reimburse these expenses.

Acne Treatment Chondroitin Glucosamine Sunscreen
Blood Pressure Machine Custom Orthodics Hormone Therapy Vitamins
Cayenne Pepper Fiber Supplements St. John�s Wort


For example:

An individual suffers from anemia and the doctor prescribes iron supplements to treat the anemia. The medical doctor would need to diagnose the participant with anemia and provide a letter stating the diagnosis and that iron supplements are medically necessary to treat the condition. The participant would need to be diagnosed with the condition in order for the expense to be eligible. The iron could not be allowable for someone who may be at risk for anemia and is taking it for preventative reasons.

Remember, it will be your responsibility to find out if a service is eligible before you sign up for the benefit.





 




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