4 ELIGIBLE EXPENSES 8 NOT ELIGIBLE EXPENSES
|
|
|
- Rudolf Griffith
- 7 years ago
- Views:
Transcription
1 YOUR FLEXIBLE SPENDING ACCOUNT PROGRAM: KNOW WHAT S ELIGIBLE AND WHAT S NOT ELIGIBLE 4 ELIGIBLE EXPENSES 8 NOT ELIGIBLE EXPENSES 4 Copayments, coinsurance, & deductibles 4 Acupuncture 4 Alcoholism 4 Ambulance 4 Artificial limb 4 Artificial teeth 4 Bandages 4 Birth control pills 4 Body scan 4 Braille books and magazines 4 Breast reconstruction surgery 4 Car modifications for a disability 4 Chiropractor 4 Christian Science practitioner 4 Contact lenses & related supplies 4 Crutches 4 Dental treatment 4 Denture care 4 Diagnostic devices 4 Drug addiction 4 Durable medical equipment 4 Ear care 4 Eye care 4 Eyeglasses 4 Eye surgery 4 Fertility enhancement 4 First aid / medical supplies 4 Foot care 4 Guide dog or other service animal 4 Hearing aids 4 Home diagnostic tests or kits 4 Hospital services 4 Laboratory fees 4 Lactose intolerance 4 Learning disability 4 Massage therapy 4 Medications (prescribed) 4 Nursing services 4 Osteopath 4 Oxygen 4 Physical examination 4 Pregnancy test kit 4 Prosthesis 4 Psychiatric care 4 Psychoanalysis 4 Psychology 4 Special education 4 Sterilization 4 Stop-smoking programs 4 Surgery 4 Telephone for hearing impaired 4 Television for hearing impaired 4 Therapy 4 Transplants 4 Vasectomy 4 Wheelchair (for relief of sickness or disability) 4 Wig 4 X-Rays 8 Baby sitting, childcare, and nursing services for a normal, healthy baby 8 Cosmetic surgery 8 Dancing lessons 8 Diaper service 8 Electrolysis or hair removal 8 Exercise equipment 8 Exercise pools 8 Funeral expenses 8 Hair transplant 8 Health club memberships 8 Herbal supplements 8 Household help 8 Illegal drugs, surgery, and treatments 8 Insurance premiums 8 Items or procedures not approved by the FDA 8 Lodging 8 Maternity clothes 8 Mattresses 8 Meals 8 Medications from other countries 8 Naturopathic, holistic, and alternative treatments (limit to licensed providers of the healing arts) 8 Nutrition supplements 8 Over-the-counter items (see Over-the-Counter Eligibility) 8 Personal computers, tablets, Smartphones (including related software and applications) 8 Personal use items 8 Pillows 8 Prenatal vitamins 8 Prepayments 8 Shoes 8 Sleeping aids 8 Swimming lessons 8 Teeth whitening 8 Travel expenses (allow local mileage only) 8 Vacuum cleaners 8 Vitamins 8 Veterinary fees 8 Weight-loss programs 8 Whirlpools, exercise pools Please remember, some of the items that are eligible for Flexible Spending require a prescription or letter of medical necessity from your physician!
2 GUIDE TO FLEXIBLE SPENDING ELECTIONS Over-the-Counter Eligibility Type / Class of Drug or Product Allergy Prevention and Treatment Analgesics / Antipyretics Antacids and Acid Reducers Actifed, Allerest, Benadryl, ChlorTrimetron, Claritin, Contac, Nasalcrom, Sudafed Aspirin, Advil, Alleve, Ibuprofen, Naprosyn, Tylenol, Midol, Pamprin, Premysyn AXID AR, GasX, Maalox, Mylanta, Tums, Pepcid AC, Prilosec, OTC, Tagamet HB, Zantac Antibiotics (topical) Bacitracin, Triple Antibiotic Ointment Anticandial (yeast) Femstat 3, Gynelotrimin, Mycelex7, Monistat 3, Vagistat1 Antidiarrheal & Laxatives ExLax, Immodium AD, Kaopectate, PeptoBismol Antifungal Lamisil AT, Lotramin AF, Micatin Antihistamines Anti-itch Lotions and Creams Actidil, Actifed, Allerest, Benadryl, Claritin, ChlorTrimetron, Contac, Drixoral, Sudafed, Tavist1, Triaminic Bactine, Benadryl, Caldecort, Caladryl, Calamine, Cortaid, Hydrocortisone, Lanacort, Lamisil AT, Lotramin AF Asthma Medicines Bronitin Mist, Bronkaid, Bronkolixer, Primatene Band-Aids / Bandages Cold Sore / Fever Blisters Eligible without a prescription
3 Type / Class of Drug or Product Cold, Flu, Decongestants, and Sinus Remedies Actidil, Actifed, Advil Cold and Sinus, Afrin, Alka Seltzer Cold and Flu, Afrinol, Alleve Cold and Sinus, Children's Advil Cold, Contac, Dayquil, Dimetane, Dristan LongLasting, Drixoral, NeoSynephrine 12Hour, Nyquil, Orrivin, Pediacare, Sudafed, TavistD, Theraflu, Triaminic, Tylenol Cold and Flu, Cough Drops, Nasal Sprays, Throat Lozenges Contraceptives Spermicides Eligible without a prescription Cough Suppressants or Expectorants Robitussin, Vicks 44, Chloraspetic, Cough Drops, Throat lozenges Dehydration Pedialyte Dental Orajel Denture Care Poligrip Diaper Rash Balmex, Desitin Durable Medical Equipment Wheelchairs, Walkers, Crutches Ear Care Ear Candles, Ear Bulb Syringes, Ototek Loop, Hearing Aids Ear Care, Solutions Ear Drops, Ear Wax Removal Eye Care Contact Lens Supplies, Reading Glasses, Eye Patches Eye Drops Eye Drops Family Planning Ovulation Predictor Kits, Pregnancy Tests First Aid Kits Antisep tics, Bandages, Cold/hot Packs for injuries, Rubbing alcohol, Ace Wraps, Splints, Thermometers, Liquid Adhesives, etc. Eligible without a prescription
4 Type / Class of Drug or Product Foot Care Arch and Insole supports, Orthotic inserts Eligible without a prescription Foot Care Callous Removers, Athlete's Foot Products (see antifungal), Bunion Treatments, Blister and Corn Treatments Hemorrhoidal Preparations Preparation H, Hemorrhoid, Tronolane Home Diagnostic Tests or Kits Blood pressure (monitor and related equipment), Cholesterol, Diabetic Equipment and supplies, Colorectal Screenings, HIV test Lactose Intolerance DairyCare, Digestive Advantage, Lactaid, Menstrual Cycle Midol, Pamprin, Premysyn PMS Migraine Relief Advil Migraine, Motrin Migraine, Excedrin Motion Sickness Dramamine, Marizine NSAIDs Advil, Alleve, Ibuprofen, Motrin, Naprosyn, Naproxen Pediculicide (head lice) Nix, Rid Prenatal Vitamins Sunburn / Burn Relief Aloe Vera, Solarcaine Sleeping Aids Smoking Cessation Commit, Nicoderm CQ, Nicorette, Nicotrol Teething / Toothaches Orajel, Anbesol Topical Steroids Hydrocortisone Wart Removal Compound W, Dr. Scholl's Clear Away, WartOff
5 Dual purpose over-the-counter medicines and products may be reimbursed through your medical/dental Flexible Spending Account with a licensed health-care provider s note stating your specific diagnosis or medical condition, a recommendation to take the specific over-the-counter medicine to treat your condition, and documentation of the product and cost. Here are some examples: Type / Class of Drug or Product Reimbursable Use Excluded Use Acne Retin-A Chronic acne under treatment by a physician Occasional outbreak or blemish Calcium Cosmetics Dental Fluoride Dental Products Dietary / Nutritional Supplements Feminine Hygiene Fiber Supplements Herbal Supplements Homeopathic Remedies Calcium Carbonate, Caltrate, Tricalcium Phosphate, Calcium Citrate, Calcium Lactate, Calcium Gluconate Face soaps, creams, make up, perfumes, hair removal Dental floss, Toothpaste, Toothbrushes, Teeth whitening kits Protein bars, Power drinks, Ensure, Glucerna, Slimfast Benefiber, Metamucil, PeptoBismol Post-surgery or childbirth Routine use for general oral care Routine use for general health Incontinence Post-surgery Infants and toddlers Joint Supplements Glucosamine, Condroitin Mineral Calcium, Caltrate, Ferrous Sulfate, Feosol, Slow FE, Folic Acid OTC Hormone Therapy Peri-menopausal or menopausal symptoms Routine use for general health Snoring Cessation Breathe Right, Snorezz Sleep Apnea Toiletries Deodorant, Shampoo, Body sprays, Soaps, Moisturizers, Chapstick
Flexible Spending Account Convenience Card
How to Use Your Flexible Spending Account Convenience Card Your Flexible Spending Accounts allow you to be reimbursed for eligible health care and dependent care expenses with tax-free dollars. Overview
Flexible Spending Accounts
Creating Healthier Benefits sm Flexible Spending Accounts Information & Enrollment Packet Post Office Box 19108, Raleigh, NC 27619-5621 Departure Drive, Suite 117, Raleigh, NC 27616 Phone: (919) 877-9933
ELIGIBLE FLEXIBLE EXPENSES
ELIGIBLE FLEXIBLE EXPENSES The following is not a comprehensive list of items, but it should cover the majority of eligible expenses that can typically be processed through flexible spending accounts.
Mass Group Marketing, Inc.
Guide to Eligible Health and Dependent Care Flexible Spending Account Expenses Mass Group Marketing, Inc. A Section 125 Cafeteria Plan offered by Mass Group Marketing, Inc. A Section 125 Plan is a part
Flexible Spending Arrangements
IRC Section 125 Flexible Spending Arrangements Enrollment Information Save 25-40% on your eligible expenses! Save money on your common medical and day care expenses and put more money in your pocket!!!
POTENTIALLY ELIGIBLE* ELIGIBLE YES
MEDICAL FLEXIBLE SPENDING ACCOUNT EXPENSES Abortion Acne Treatment Acupuncture Adaptive Equipment Alcoholism treatment Allergy medicine Alternative healers/chinese herbal Ambulance Appearance Improvements
Flexible Spending Accounts
IRC Section 125 Flexible Spending Accounts Enrollment Information Save 25-40% on your eligible expenses! Save money on your common medical and day care expenses and put more money in your pocket!!! SAVE
What is a Health Savings Account and what do I need to know? Q. What is a Health Savings Account?
What is a Health Savings Account and what do I need to know? Q. What is a Health Savings Account? A. A health savings account (HSA) combines high deductible health insurance with a tax-favored savings
Health Savings Accounts (HSAs)
Health Savings Accounts (HSAs) What does the Beniversal HSA provide? Tax-free savings on eligible medical expenses for today and tomorrow. A savings opportunity! You own the account. Funds carry over from
How To Set Up A Flexible Spending Account Plan
SPRING ARBOR UNIVERSITY FLEXIBLE SPENDING ACCOUNT PLAN SUMMARY FOR 2015 HOW IT WORKS Your flexible spending account (FSA) allows you to redirect a portion of your salary into two specific types of expenses:
Eligible Expense Guide Updated 10/28/2011
Eligible Expense Guide Updated 10/28/2011 According to SIGIS, the nonprofit group that oversees eligible over-the-counter expense items, the Affordable Care Act requires a doctor's prescription for the
FSA Health Care Eligible & Ineligible Expense Items. FSA Eligible Health Care Expenses
FSA Eligible Health Care Expenses Acupuncture Alcoholism Treatment Ambulance Artificial Limb Autoette/Wheelchair Bandages Braille Books and Magazines Breast Pumps and Lactation Supplies Chiropractor Christian
QUALIFIED FSA EXPENSES (For Health Care Flexible Spending Accounts)
QUALIFIED FSA EXPENSES (For Health Care Flexible Spending Accounts) * This list is by no means exhaustive. Please consult IRS 213 for additional information, or contact MGIS directly (flexinfo@mgis.com).
Allowable Medical Expenses
Allowable Medical Expenses This is a general listing of accepted items. Please check your company s plan documents for specific exclusions. For example, participation in a Health Savings Account would
SISC Flex Plan HEALTH CARE AND DEPENDENT CARE EXPENSES
SISC Flex Plan HEALTH CARE AND DEPENDENT CARE EXPENSES *Please note, all "potentially eligible expenses" require a Certification of Medical Necessity form completed by your medical practitioner in order
Flexible Spending Account (FSA) Enrollment Kit. Significant savings 24/7 web access Fast, efficient, convenient The benefit that benefits everyone
Flexible Spending Account (FSA) Enrollment Kit Significant savings 24/7 web access Fast, efficient, convenient The benefit that benefits everyone The FSA Plan A Flexible Spending Account (FSA) is an employee
Flexible Spending Accounts ~ Eligible Expense Guide Healthcare & Dependent Care
Flexible Spending Accounts ~ Eligible Expense Guide Healthcare & Dependent Care Eligible Expense Guide This guide will provide a detailed listing of a healthcare and dependent care FSA spending account.
IRS Eligible Expenses (Frequently Asked About)
IRS Eligible Expenses (Frequently Asked About) RX (Prescription) Co-payment (Medical) Office visit (Medical) Dental (for non-cosmetic purposes) Over-the-counter (OTC) As of 1/1/2011 Over-the-counter medicines
FSA Eligible Expenses Crosby Benefit Systems www.crosbybenefits.com v09122014
FSA Expenses All over-the-counter (OTC) medications and drugs must be prescribed by a physician to be eligible for reimbursement. This change was effective January 1, 2011, regardless of your plan year.
Health Care Eligible Items
Health Care Eligible Items Your Health Care Flexible Spending Account (FSA) is a smart way to save money on everyday expenses! Take a moment to review the following items for eligibility as outlined by
FSA Eligible Expenses Crosby Benefit Systems www.crosbybenefits.com v04072014
FSA Expenses All over-the-counter (OTC) medications and drugs must be prescribed by a physician to be eligible for reimbursement. This change was effective January 1, 2011, regardless of your plan year.
Sample eligible expenses Personal Care Account (PCA), Health Savings Account (HSA) and Flexible Spending Account (FSA)
Prescription drugs: Prescription drugs or insulin Medicines and drugs from other countries Illegal drugs Cosmetic prescriptions Medical equipment: Artificial limbs Blood pressure monitoring devices Breast
FSA Eligible Expenses Crosby Benefit Systems, Inc. www.crosbybenefits.com Version: 04/19/2011
FSA Expenses www.crosbybenefits.com Version: 04/19/2011 Please Note: Effective January 1, 2011, all over-the-counter (OTC) medications and drugs must be prescribed by a physician to be eligible for reimbursement.
Out-of-Pocket Health Care Costs and Tax Deductions Everything you need to know about deducting health care expenses
Out-of-Pocket Health Care Costs and Tax Deductions Everything you need to know about deducting health care expenses Contents 2 3 4 6 7 8 11 12 13 Table of Contents Introduction and Methodology Survey Highlights
CITY OF NEW BERN. A Guide To Your Flexible Spending Account
CITY OF NEW BERN A Guide To Your Flexible Spending Account FSA Reminders for City of New Bern Group number: 212 Plan year: 07/01/15-06/30/16 FSA Reimbursement checks: Claims are processed weekly. Healthcare
Flexible Spending Accounts (FSAs) & Dependent Care Accounts (DCAs)
What s Inside: What is an FSA? Benefits of Debit Mastercard Rules and Restrictions FSA Worksheet Eligible/Ineligible Expenses Claims Procedures FAQs Inventory Information Approval System (IIAS) Important
Flexible Spending Account (FSA) / Dependent Care Account (DCA)
Flexible Spending Account (FSA) / Dependent Care Account (DCA) University Medical Associates PLAN YEAR: 1/1/15 12/31/15 You have 90 days at the end of the Plan to file claims for services provided during
PARTIAL LISTING OF OVER-THE-COUNTER DRUGS
A Abreva Actifed Cold & Allergy Actifed Cold & Sinus Caplets Actron Advil Advil Cold and Sinus Advil Flu & Body Ache Caplets Advil Migraine Liquigels Afrin 12 Hour Afrin Nasal Decongestant Children's Aleve
SISC Flex Plan HEALTH CARE AND DEPENDENT CARE EXPENSES
SISC Flex Plan HEALTH CARE AND DEPENDENT CARE EPENSES *Please note, all "potentially eligible expenses" require a Certification of Medical Necessity form completed by your medical practitioner in order
YOU RE GOING TO NEED A BIGGER BANK. BASIC FLEX
YOU RE GOING TO NEED A BIGGER BANK. BASIC FLEX GET MORE OUT OF YOUR PAYCHECK. Do you pay medical expenses? How about insurance premiums? Child care? If you answered yes to any of these questions then keep
Flexible Spending Account Enrollment Packet
Flexible Spending Account Enrollment Packet The following forms are included in this enrollment packet: Enrollment Form In order to participate in a cafeteria plan you must complete the enrollment form
How To Pay For Medical Expenses
The Medical Flexible Spending Account is used for tax-deductible health care expenses not paid by insurance for yourself, your spouse and anyone you claim as a dependent on your federal income tax return.
Medical Reimbursement Account. How to Use Your Medical Reimbursement Account. San Francisco City Option Updated April 2016 www.sfcityoption.
Medical Reimbursement Account How to Use Your Medical Reimbursement Account San Francisco City Option Updated April 2016 www.sfcityoption.org Contents About this Handbook...1 What is a Medical Reimbursement
ELIGIBLE EXPENSES. FSA Eligible & Ineligible Expenses MEDICAL/PRESCRIPTIONS DENTAL VISION
ELIGIBLE EXPENSES MEDICAL/PRESCRIPTIONS Acupuncture - if to treat a medical condition Ambulance Expenses Artificial Limbs/Prosthetics Breast Reconstruction Surgery - following a mastectomy to ameliorate
List of Eligible & Ineligible Healthcare Expenses
List of & Ineligible Healthcare Is it eligible or not? is a question many ask when they prepare to purchase products or pay of services using funds from Flexible Spending Accounts (FSAs),Health Savings
Flexible Spending Accounts
A l l i a n c e B e n e f i t G r o u p ( 8 5 5 ) 8 6 6-8 0 6 0 w w w. a b g a c c e s s. c o m Flexible Spending Accounts A Flexible Spending Account (FSA), also known as a Section 125 Flexible Benefit
Eligible Expenses. Your plan may have additional restrictions and entire categories of eligible items may not qualify for reimbursement.
Eligible Expenses The following are examples of IRS allowable and disallowed healthcare expenses for a Healthcare Flexible Spending Account (FSA) or Personal Care Account (PCA). Note: This is only a list
Expenses that ARE Covered Under Niagara Falls City School District s Health Flexible Spending and Health Reimbursement Account
Expenses that ARE Covered Under Niagara Falls City School District s Health Flexible Spending and Health Reimbursement Account Medical care expenses include amounts paid for the diagnosis, cure, mitigation,
Flexible Spending Account (FSA) Enrollment Kit
Flexible Spending Account (FSA) Enrollment Kit Significant Savings 24/7 Web access Fast, Efficient, Convenient The benefit that benefits everyone With the EBS Flex Card An FSA means more money in your
Flexible Spending Account Overview
Flexible Spending Account Overview Medical Reimbursement Accounts Dependent Care Reimbursement Accounts Transforming Employee Benefits What is a Flexible? A Flexible is offered through your employer and
Health Reform Changes Affecting Over-the-counter Expenses in 2011
Expenses Guide This guide provides important information about your CONEXIS flexible spending account () and includes detailed lists of expenses generally reimbursable under your. The various lists contain
HEALTH SAVINGS ACCOUNT BASICS
HEALTH SAVINGS ACCOUNT BASICS WHAT IS A HEALTH SAVING ACCOUNT? A Health Savings Account (HSA) is a tax-favored account which you and your employer can make contributions to pay for qualified medical expenses
Flexible Spending Accounts
Flexible Spending Accounts A Flexible Spending Account (FSA), also known as a Section 125 Flexible Benefit Plan or Cafeteria Plan is a voluntary, tax-free way for employees to save for qualified medical,
Diabetic supplies Diagnostic items/services Diaper rash ointments/creams Diarrhea medication
Flexible Spending Account Eligible Expenses Your Health Care Reimbursement Flexible Spending Account lets you pay for medical care expenses not covered by your insurance plan with pre-tax dollars. The
Advantages of a Flexible Spending Account
Advantages of a Flexible Spending Account Increase Your Take-Home Pay by Reducing Your Taxable Income! A Flexible Spending Account (FSA) allows you to save up to 30% on your eligible healthcare and/or
Flexible Spending Account Enrollment Guide
Flexible Spending Account Paying for healthcare is now easier and less expensive with a Flexible Spending Account (FSA) from ConnectYourCare. What is a Flexible Spending Account (FSA)? A Flexible Spending
(if you are enrolling)
(if you are enrolling) Healthcare Expense Estimator Dependent Care Expense Estimator Tax Savings Estimator Healthcare Expense Worksheet (For Your Records Only. Do Not Turn In.) Instructions: Using this
Health Savings Account
County National Bank Health Savings Account SCHEDULE OF FEES INTEREST RA.TE Setup Fee Balance AER Monthly Fee $0.01 -$999.99 0.50%* Minimum Balance Required $0.00 Debit Card Debit Card Transactions $ 1,000-$4,999.99
Flexible Spending Account (FSA)
Flexible Spending Account (FSA) A Flexible Spending Account (FSA) is a benefit governed by the IRS and sponsored by your employer. An FSA allows you to pay certain Health Care and/or Dependent Care expenses
Dependent Care Assistance Account (Dependent Care FSA) For your expenses related to dependent day care such as after school child care.
Flexible Spending Accounts (FSA) Health Care Reimbursement Account (Health FSA) For your out-of-pocket medical, dental, vision and hearing expenses. You and your dependents do not have to be covered under
Items generally considered Eligible from IRS Publication 502
This list has been compiled for the convenience of our clients and participants and is designed to provide a general overview of expenses that may be eligible under section 213(d) of the Internal Revenue
FSA Plan. City of Seattle. Administered by Flex-Plan Services, Inc. Plan Year starting 1/1/2013 and ending 12/31/2013
FSA Plan Administered by Flex-Plan Services, Inc. City of Seattle Plan Year starting 1/1/2013 and ending 12/31/2013 www.flex-plan.com Flex-Plan Services, Inc General FSA Overview An FSA plan is a pre-tax
Welcome. What s Inside. Have questions? A Guide to Your Flexible Spending Account (FSA) As you start the new plan year, remember that:
Welcome A Guide to Your Flexible Spending Account (FSA) As you start the new plan year, remember that: ``You are saving tax dollars. You won t pay taxes when you use your money for eligible health and/or
a unique approach to HR technology and managing benefits administration The Full Benefits of a Flexible Spending Account with a Debit Card
a unique approach to HR technology and managing benefits administration The Full Benefits of a Flexible Spending Account with a Debit Card What Is A Flexible Spending Account? Flexible Spending Account
HSA Eligible Expenses
Page 1 of 10 Brokers and Agents Contact Us About Us Customer Support HomeFor IndividualsFor Employers Log In Search Email Account Holders What is an HSA? Am I Eligible? How do I contribute? How do I take
Health FSA Eligible Expense Listing
Health FSA Eligible Expense Listing Paychex reserves the right to modify this list at any time to be in compliance with federal law. Paychex, along with the Plan Administrator, may deem it necessary to
EMPLOYEE GUIDE. To Pre-Tax Savings. Dependent Care Reimbursement Account. Expense Worksheet
EMPLOYEE GUIDE To Pre-Tax Savings Flexible Benefit Flexible Plan Benefit Plan Dependent Care Reimbursement Account Medical Reimbursement Medical Reimbursement Account Account Expense Worksheet Flexible
Examples of Qualifying Medical Expenses Medical Flexible Spending Account
Examples of Qualifying Medical s (Defined in Section 213 of the Internal Revenue Code) Abortion Acne Treatment (OTC) Acupuncture Adoption, pre-adoption medical expenses Alcoholism treatment Allergy medicine
Flexible Spending Accounts
Flexible Spending Accounts FLEX Your Check Get More Muscle from Your Pay Oakland University Flexible Spending Account Flexible Spending Accounts let you set aside money from your paycheck before federal,
Health Flexible Spending Account Frequently Asked Questions
Health Flexible Spending Account Frequently Asked Questions What is a health flexible spending account? A health flexible spending account (FSA) is part of your benefits package. This plan lets you use
What Expenses Are Eligible for Reimbursement?
What Expenses Are Eligible for Reimbursement? The following table illustrates expenses commonly requested for reimbursement from the Health FSA (Unreimbursed Medical Expense Account) or HSA. This tool
Flexible Spending Accounts
Flexible Spending Accounts Health Care and Dependent Care Flexible Spending Accounts Discovery Benefits, Inc. (866) 451-3399 Option 1, 1 Plan Description You have access to a Flexible Spending Account
Flexible spending account expense guide
Flexible spending account expense guide or the UniAccount SM FSA This guide provides details about: Things that are and are not allowed expenses for the FSA. These lists are based on IRS rules. Keep in
Flexible Spending Account Enrollment Guide
Flexible Spending Account Paying for healthcare is now easier and less expensive with a Flexible Spending Account (FSA) from ConnectYourCare. What is a Flexible Spending Account (FSA)? A Flexible Spending
Flexible Spending Account Enrollment Guide
Flexible Spending Accounts What are Flexible Spending Accounts (FSA)? FSAs are tax-advantaged accounts that allow you to use pre-tax dollars to pay for out-of-pocket qualified medical and dependent day
How to Order: Keep this catalog. You will need this to look up the Health and Wellness products you want to order each month.
Did you know that depending on your current Humana plan, you may be able to purchase Health and Wellness products from the RightSource mail-order pharmacy? Call RightSource at 1-855-211-8370 (TTY: 711)
Quick Reference Guide
ELIGIBLE EXPENSES Quick Reference Guide Locate expense categories and coverage availability (YES/NO/MAYBE). Click on category for link to more detailed guidelines. OTC eligibility information follows in
CONEXIS Benefit Card Frequently Asked Questions
CONEXIS Benefit Card Frequently Asked Questions What is the CONEXIS Benefit Card? The CONEXIS Benefit Card is a stored-value card that simplifies the process of paying for qualified health flexible spending
Eligible Expenses Quick Reference Guide
Quick Reference Guide Expense categories and coverage availability (YES/NO/MAYBE). OTC eligibility information follows in this document. A Acupuncture YES Air Conditioning, Air Filter, Purifier,Humidifier
Employee Guide to Pre-Tax Savings
Employee Guide to Pre-Tax Savings Flexible Benefit Plan Information What is a Flexible Benefit Plan? What expenses qualify for reimbursement? Can I use funds I have set aside for dependent care to pay
Health FSA Eligible Expense Listing
Health FSA Eligible Expense Listing Paychex reserves the right to modify this list at any time to be in compliance with federal law. Paychex, along with the Plan Administrator, may deem it necessary to
How to get the most out of your Aetna HealthFund HSA.
How to get the most out of your Aetna HealthFund HSA. Welcome to HealthEquity. HealthEquity is your health savings account (HSA) administrator, which means it s our job to help you better understand and
Rosemount-Apple Valley-Eagan School District #196 Flexible Spending Account (FSA) Benefit Guide 2014-2015
Rosemount-Apple Valley-Eagan School District #196 Flexible Spending Account (FSA) Benefit Guide 2014-2015 Plan Outline Administrator: Corporate Health Systems, Inc. Local Phone: (952) 939-0911 Toll Free
Health Savings Account Overview
Health Savings Account Overview Paying for health care is now easier and less expensive with a Health Savings Account (HSA) from ConnectYourCare. What is an HSA? An HSA is like a 401(k) for health care.
Acupuncture Yes When recommended by a health care professional for a medical condition, the cost of acupuncture is a qualified medical expense.
Abortion The cost of a legal abortion is a qualified medical expense. Acid Controller w/ Prescription When prescribed by a physician, the cost of an acid controller is a qualified medical Acne treatment
Flexible Spending Account (FSA) Enrollment Kit
Flexible Spending Account (FSA) Enrollment Kit Significant Savings 24/7 Web access Fast, Efficient, Convenient The benefit that benefits everyone With the EBS RMSCO Debit Card B 3384 An FSA means more
See IRS Publication 502) Ineligible Health Care Expenses (See IRS Publication 502) unless
Eligible Health Care Expenses- See IRS Publication 502} Eligible medical care expenses include amounts paid for the diagnosis, cure, mitigation, treatment or prevention of disease, and for treatments affecting
Health Reimbursement Arrangement (HRA) RETIREE Pay Me Back Claim Form
www.wageworks.com **An electronic claim may be submitted at www.wageworks.com.** TOLL-FREE FAX: (877) 353-9236 Or, mail to: Claims Administrator, PO Box 14053, Lexington, KY 40512 ACCOUNT HOLDER INFORMATION
Health and Wellness Preference Data Segments Arts & Entertainment > Reading > Health Baby Health & Safety Beauty, Health & Fitness > Cosmetics &
Health and Wellness Preference Data Segments Arts & Entertainment > Reading > Health Baby Health & Safety Beauty, Health & Fitness > Cosmetics & Beauty Products Beauty, Health & Fitness > Fitness & Exercise
Flexible. Spending Accounts. Instructions for using your. Medical Care Flexible Spending Accounts. Dependent Care Flexible. Spending Accounts.
Medical Care Flexible Spending Accounts Instructions for using your Flexible Spending Accounts Dependent Care Flexible Spending Accounts FAQ s Requesting Reimbursement Account Balance Customer Service
Bluegrass Family Health HSA Enrollment Guide
Health Savings Account Paying for health care is now easier and less expensive with a Health Savings Account (HSA) from Bluegrass Family Health. What is a Health Savings Account (HSA)? A Health Savings
Flexible Spending Account Enrollment Guide
Flexible Spending Account Paying for health care is now easier and less expensive with a Flexible Spending Account (FSA) from ConnectYourCare. What is a Flexible Spending Account (FSA)? A Flexible Spending
Medical FSA and HSA Expense Eligibility List (IRS Code Section 213 (d) Eligible Expenses)
The following is a summary of common expenses claimed against Medical Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs). Due to frequent updates to the regulations governing FSAs and
Flexible Spending Account Overview
Flexible Spending Account Overview Flexible Spending Account Paying for health care is now easier and less expensive with a Flexible Spending Account (FSA) from ConnectYourCare. What is an FSA? A Flexible
Medical Care and Cosmetic Purposes
A Expense AA meetings, transportation to Abortion Acne treatment Acupuncture Adaptive equipment Adoption, pre-adoption medical s Is a qualifying? Qualifying Qualifying Qualifying Comments and special rules
Qualified Expenses for Limited and Post-Deductible FSA A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
EPENSES A B C D E F G H I J K L M N O P Q R S T U V W Y Z Abortion The cost of a legal abortion is a qualified medical expense. Acne treatment When used for the treatment of acne, the cost of acne treatment
Eligible Expense List
What can be reimbursed under a Health FSA? The below table describes whether certain types of s qualify as medical care under your Flexible Spending Plan. Cautions Regarding Use of the Table. Confirming
Bluegrass Family Health FSA Enrollment Guide
Flexible Spending Account Paying for health care is now easier and less expensive with a Flexible Spending Account (FSA) from Bluegrass Family Health. What is a Flexible Spending Account (FSA)? A Flexible
Healthcare and Dependent Care Flexible Spending Accounts. City & County of San Francisco Employees. Short Plan Year Resource Guide
Healthcare and Dependent Care Flexible Spending Accounts City & County of San Francisco Employees Short Plan Year Resource Guide 2 City & County of San Francisco Table of Contents 3 Flexible Spending Accounts
Ineligible Expenses The following expenses are not eligible for reimbursement under a Health FSA, HRA or HSA:
Ineligible Expenses The following expenses are not eligible for reimbursement under a Health FSA, HRA or HSA: Annual medical contract fees for exclusive provider care Arch supports, knee wrist braces (unless
Medical Reimbursement Account (MRA) Eligible Expenses
Medical Account (MRA) Eligible Expenses If you still have questions regarding eligible expenses after reading this guide, please call (866) 697-6078 to speak to an ADP Customer Service Representative.
Flexible Spending Account Enrollment Guide
Flexible Spending Account Paying for healthcare is now easier and less expensive with a Flexible Spending Account (FSA) from ConnectYourCare. What is a Flexible Spending Account (FSA)? A Flexible Spending
Medical Reimbursement. Account (MRA) Eligible Expenses. Medical Reimbursement. Account
Medical Reimbursement Account Medical Reimbursement Account (MRA) Eligible Expenses If you still have questions regarding eligible expenses after reading this guide, please call 1(866) 697-6078 to speak
Know What s in the Medicine You Take:
1 Know What s in the Medicine You Take: Active Ingredients in OTC Pain Relievers, Antihistamines, Decongestants and Cough Medicines Single Ingredient Brand Names Pain relievers Acetaminophen Tylenol:,
IMPORTANT INFORMATION FOR FSA PLANS AND HEALTH CARE REFORM
IMPORTANT INFORMATION FOR FSA PLANS AND HEALTH CARE REFORM The recent enactment of the health care reform legislation represents some impact to health care FSA plans. ADP wants to ensure that you have
FLEXIBLE SPENDING PLAN SUMMARY. 1. Plan Name: Salem Keizer School District Salary Reduction Plan
FLEXIBLE SPENDING PLAN SUMMARY 1. Plan Name: Salem Keizer School District Salary Reduction Plan 2. Employer Identification Number: 93-6000763 3. Employer Address: 2450 Lancaster Dr NE PO Box 12024 Salem,
FSA FAQs. 3. What happens if I don t use all the money in my FSA by the end of the plan year?
FSA FAQs Get the answers you re looking for 1. What is a Health Care FSA? 2. How is using an FSA like giving myself a raise? 3. What happens if I don t use all the money in my FSA by the end of the plan
Health Savings Account. Guide for Members
Health Savings Account Guide for Members Your Health Savings Account Take Control of Your Health Care A Health Savings Account (HSA) is a new way to secure more affordable health coverage for you and your
Flexible Spending Account (FSA)
Flexible Spending Account (FSA) ENROLLMENT GUIDE Offering you more choices for managing your healthcare dollars 1 ConnectYourCare & Consumer-Directed Healthcare Congratulations you may now begin taking
City Colleges of Chicago 2013 Flexible Spending Account (FSA) Open Enrollment
City Colleges of Chicago 2013 Flexible Spending Account (FSA) Open Enrollment Monday, November 26, 2012 Monday, December 10, 2012 Mark your Calendars. Enrollment Forms are Due Monday, December 10, 2012!