Potentially Eligible Medical Expenses

Transcription

1 Your Health Reimbursement Arrangement (HRA) dollars may be able to be used to pay for co-payments, co-insurance, and deductibles. But that's not all. You may also be able to use your HRA money to pay for many expenses in the following categories: Medical, Dental Care, Eye Care, and Over-the- Counter (OTC) medications. Eligible items can vary by employer, so check the specifics of your particular HRA plan. Potentially Eligible Medical Expenses Acupuncture Alcoholism treatment Ambulance Artificial limb Autoette / Wheelchair Bandages Birth control pills Braille books and magazines 3 Breast reconstruction surgery 2 Chiropractor Christian Science Practitioner 4 Crutches Diagnostic services Disabled dependent medical care Drug addiction treatment Drugs and medicines (prescription and OTC-eligible expenses) Fertility treatment (to overcome fertility) Guide dog or other service animal Hearing aids Home care 5 Hospital services Laboratory fees Lead-based paint removal Lodging essential to medical care 6 Maternity care & related services Meals for inpatients 6 Medical information plan (fees to maintain medical info in databank for your care) Medical services (e.g., physician, surgeon, specialist) Mentally disabled (special home) 7 Nursing home Nursing services Operations Organ donor's medical expenses and transportation Osteopath Oxygen Prosthesis Psychiatric care Psychoanalysis Psychologist Special education 8 Sterilization Stop-smoking program Surgery Telephone for hearing impaired Television adapted for hearing impaired Therapy

2 Transplants Transportation essential to medical care Vasectomy Weight-loss program 9 Wig to replace hair lost to disease X-ray 1 Assumes that your employer's Health Reimbursement Arrangement (HRA) under the plan document and/or Summary Plan Description (SPD) permits the reimbursement for expenses for "medical care" as defined in Internal Revenue Code 213(d). The SPD is the communication about this plan provided to you by your employer. Some plans will be more narrowly defined than this. See your employer or benefits administrator for details about what expenses are reimbursable through your HRA. 2 You can include in medical expenses the amount you pay for breast reconstruction surgery following a mastectomy for cancer. 3 Only the amount above the cost of regular printed material will qualify. 4 You can include in medical expenses the fees you pay to Christian Science Practitioners for medical care. 5 Nursing services eligible (e.g., administer medication, changing dressings, bathing, grooming, etc.), but not expenses for household or personal services. 6 You can include in medical expenses the cost of meals and/or lodging at a hospital or similar institution if a principal reason for being there is to get medical care. You cannot include in medical expenses the cost of meals and/or lodging that are not part of inpatient care. 7 May qualify where provided on doctor's recommendation to aid transition to independent living or, where receiving treatment for disabling medical condition. 8 You can include in medical expenses fees you pay on a doctor's recommendation for a child's tutoring by a teacher who is specially trained and qualified to work with children who have learning disabilities caused by mental or physical impairments, including nervous system disorders.

3 9 Qualifies if recommended by physician to treat specific condition;(e.g., obesity, heart disease, diabetes; however cost of food does not qualify). Potentially Eligible Dental Care Expenses Artificial teeth Dental treatment Potentially Eligible Eye Care Expenses Contact Lenses Eyeglasses Optometrist Prescription Sunglasses Eye Examinations Eye Surgery (e.g. LASIK) Potentially Eligible Over-the-Counter Medication Expenses* Type of Product or Service Example Product(s) Acne Treatments (Medically Necessary) Allergy & Sinus TYLENOL Severe Allergy, TYLENOL Sinus Congestion and Pain Daytime, TYLENOL Sinus Severe Congestion Daytime, ACTIFED Cold & Allergy, BENADRYL Allergy, BENADRYL-D Allergy Decongestant, NASALCROM, Nasal Spray, SINUTAB Sinus Caplets Analgesics/Antipyretics Asthma Medicines Blood Pressure Monitor Bug Bite Medication Carpal Tunnel Support Cold Relief TYLENOL Cold Products Cold Sore/Fever Blister Contact Lens Solution Contraceptive Products (e.g., Condoms) Congestion TYLENOL Cold Products, SUDAFED Brand Products, SUDAFED PE Brand Productss Dehydration Denture Adhesives Diabetic Supplies Digestive Health MYLANTA Supreme, MYLANTA Maximum Strength, MYLANTA Regular Strength, MYLANTA Ultimate Strength Chewables, MYLANTA Gas Maximum Strength Softgels, MYLANTA Gas Maximum Strength Chewable Tablets, MYLANTA Children's Products, Infants' MYLICON Gas Relief, Original Strength PEPCID AC, Maximum Strength PEPCID AC, PEPCID COMPLETE, IMODIUM A-D, DRAMAMINE Brand Products, EMETROL Brand Products,

4 GELUSIL Antacid and Anti-Gas, ROLAIDS Brand Products, DOXIDAN Stimulant Laxative Diuretics and Water Pills Ear Care Eye Care Feminine Products e.p.t. Home Pregnancy Test, MONISTAT Brand Products First Aid BAND-AID Brand Adhesive Bandages, CORTAID Brand Products, LAVACOL Rubbing Alcohol, MICATIN Antifungul, NEOSPORIN Brand Products, POLYSPORIN Antifungul, PROXACOL Hydrogen Peroxide, WART-OFF Salicylic Acid, TUCKS Brand Products Head Lice Treatment Hearing Aid Batteries Medicated Shampoo/Soaps (Medically Necessary) Pain Relievers TYLENOL Extra Strength, TYLENOL Regular Strength, TYLENOL 8 Hour, MOTRIN IB, TYLENOL Arthritis Pain, Women's TYLENOL Menstrual Relief, BENGAY Brand Products, HEMORID Brand Products Other OneTouch Products Pediatric Infants' TYLENOL, Children's TYLENOL, Children's MOTRIN, DESITIN Ointment Pediculicide Personal Test Kits Pinworm Treatment Poison Treatment Prenatal Vitamins (Medically Necessary) Reading Glasses Respiratory Stimulant Ammonia Skin Care CALADRYL Anti-Itch Lotion Smoking Cessation Throat Pain Medications Topical Steroids Weight Loss Products (Medically Necessary) *The products listed here are examples, not a complete listing of products that may be reimbursable. See your employer or benefits administrator for details about your specific HRA. BENGAY, DESITIN, CALADRYL, NEOSPORIN, POLYSPORIN, CORTAID and BAND-AID Brand are products and trademarks of Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc. TYLENOL, ACTIFED, BENADRYL, DRAMAMINE, DOXIDAN, EMETROL, GELUSIL, NASALCROM, LUDEN'S, SINUTAB, SUDAFED, SUDAFED PE, IMODIUM, MOTRIN, ST. JOSEPH, PEDIACARE, HEMORID, and SIMPLY SLEEP are products and trademarks of McNeil Consumer Healthcare

5 Division of McNEIL-PPC, Inc. PROXACOL, e.p.t, ROLAIDS, LAVOCOL, MICATIN, VISINE, WART- OFF, and TUCKS are products and trademarks of McNEIL-PPC, Inc. MYLANTA and MYLICON are products and trademarks of Johnson & Johnson Merck Consumer Pharmaceuticals Co. The PEPCID trademark is owned by Merck & Co., Inc. OneTouch is a product and trademark of LifeScan, Inc. INELIGIBLE HRA EXPENSES The following products and services, within the Healthcare and Over-the-Counter medication categories, are NOT eligible for Health Reimbursement (HRA) savings: Ineligible Healthcare Expenses Babysitting, Childcare, and Nursing Services for a Normal, Healthy Baby Controlled Substances (Without Prescription) Cosmetic Surgery 1 Dancing Lessons Diaper Service Electrolysis or Hair Removal Funeral Expenses Hair Transplant 1 Health Club Dues Health Coverage Tax Credit Household Help Illegal Operations and Treatments Insurance Premiums (other than specifically for health insurance) Maternity Clothes Medical Savings Account (MSA)/Health Saving Account (HSA) Contributions Nutritional Supplements 2 Personal Use Items 3 Swimming Lessons Teeth Whitening Veterinary Fees Weight-Loss Program not part of specific disease treatment Ineligible Over-the-Counter Products Aromatherapy Baby Products (e.g., Bottles, Wipes, Baby Oil) Breast Enhancements Cosmetic Products (e.g., Makeup, Perfumes) Dental Products (e.g., Toothbrush, Toothpaste, Dental Floss) Dietary/Nutritional Supplements (e.g., Ensure, Glucerna, Slimfast ) Feminine Care (e.g., Tampons) Herbal Supplements

6 Sun Tanning Products Toiletries (e.g., Deodorant, Shampoo, ChapStick ) Vitamins (for General Health/Routine Use) 1 You cannot include in medical expenses the amount you pay for unnecessary cosmetic surgery. This includes any procedure that is directed at improving the patient's appearance and does not meaningfully promote the proper function of the body or prevent or treat illness or disease. You cannot include in medical expenses the amount you pay for procedures such as face lifts, hair transplants, hair removal (electrolysis), teeth whitening and liposuction. 2 You cannot include in medical expenses the cost of nutritional supplements, vitamins, herbal supplements, etc. unless they are recommended by a medical practitioner as treatment for a specific medical condition diagnosed by a physician. 3 You cannot include in medical expenses the cost of an item used by personal living, or family purposes unless it is used primarily to prevent or alleviate a physical or mental defect or illness. For example, the cost of a toothbrush and toothpaste are not eligible expenses. 4 The third party trademarks used herein are trademarks of their respective owners.