Examples of Medical Reimbursement Expenses

ELIGIBLE HEALTH CARE EXPENSE
Eligible for reimbursement if not paid by insurance.

Ace bandages                                      Acupuncture
Actifed                                               Allergy medication
Ambulance fees                                    Advil
Aleve                                                  Alka Seltzer
Antacids                                             Anacin
Anti-diarrhea medicine                           Bactine
Balmax                                                Bayer
Bandage tape                                       Band-Aids
Ben Gay                                              Benadryl
Bufferin                                               Burn creams
Blood pressure monitor                           CPAP Machine
Calamine                                              Caladryl
Chiropractic                                          Chlor-Trimitron
Chloraseptic                                         Claritin
Copays                                                Cold medicine
Compound W                                        Condoms
Contac                                                Contraceptive foams
Contacts                                              Contact lens solution
Cortaid                                                Cough medicine
Crowns                                                Crutches
Dayquil                                                Deductibles
Desenex                                               Desitin
Dimetapp                                             Diabetic supplies
Diaper rash ointments                             Doctor visits
Dulcolax                                               Dramamine
Drixoral                                                Excedrin
Ex-Lax                                                 Eye drops
Eye exams                                            Fillings
First Aid creams                                    First Aid kits
First Aid supplies                                   Flexall
Gauze                                                  Gaviscon
Gas-X                                                  Glasses
Gyne-Lotrimin                                       Hearing aids
Hemorrhoid medication                            Hydrocortisone
Immodium AD                                        Kaopectate
Lab work                                              Lactose intolerance pills
Lamisil                                                 LASIK
Lotrimin                                               Laxatives
Little Colds                                           Little Noses
Maalox                                                 Marazine
Micatin                                                Midol
Midwives                                              Mentholatum
Milk-o-Magnesia                                    Monistat
Mylanta                                               Motrin
Naturopathic Dr. Visits                            Neosporin
Nicoderm                                              Nicorette
Nicotrol                                                Nicotine gum/patch
Nyquil                                                  Orthodontia
Orajel                                                  Pamprin
Pain relievers                                        PediaCare
Pepcid AC                                            Pepto-Bismal
Physical exams                                      Physical therapy
Pregnancy tests                                    Prenatal vitamins
Preparation H                                        Prescription drugs
Primatine Mist                                       Prilosec
Psychotherapy                                      Reading glasses
Riopan Plus                                           Robitussin
Rolaids                                                 Root canals
Rubbing alcohol                                     Saline solution
Simply Cough                                        Sinus medication
Sudafed                                               Surgery
Syrup of Ipecac                                    Sterilization procedures
Sunscreen                                            Tagamet
Thera-Flu                                             Thermometers
Tiger Balm                                            Tinactin
Triaminic                                              Tums
Tylenol                                                Vaccinations
Vagisil                                                 Visine
Vicks                                                   X-Rays
Zantac

INELIGIBLE HEALTH CARE EXPENSE

These expenses are not reimbursable through a Health Care FSA.

Airborne
Birthing coach
Breast pumps
Cosmetic surgery
Dental bleaching
Dental Veneers
Electrolysis
Family counseling
Gender Reassignment
Health club dues
Humidifiers
Hygiene products
Hypoallergenic linens
Hypoallergenic pillows
Insurance premiums
Marriage counseling
Marijuana
Shampoo
Naturopathic medicines
Neck support pillows
Rogaine
Shoe Insoles
Sonicare products
Special shoes
Toiletries
Weight loss
     meals/bars/shakes

DOCUMENTATION REQUIRED

Certain medical expenses are not reimbursable under a Health Care Flexible Spending Arrangement unless a licensed health care professional states that the service or product is medically necessary.

Acne treatment
Adult diapers
Air purifiers
Custom Orthotics
Herbs
Hormone therapy
Massage therapy
Specialty foods
Supplements
Vitamins

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