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Limited
Healthcare Flexible Spending Account
Reimbursed
items cannot be claimed again on an income tax return. Please
note: Insurance premiums are not reimbursed through this benefit.
Premiums are covered under the group health and supplemental
premiums benefit, not the Limited Healthcare FSA, and are
remitted directly to the provider on the participant's behalf.
Services and items that
can
be paid for with funds
from the LIMITED Healthcare Flexible Spending Account
|
DENTAL
AND ORTHODONTIA EXPENSES |
|
Dental
Visits
Dental
Treatment
Dental
Co-insurance & Co-pays |
Orthodontia
Dental
Surgeries
Dental
Deductibles
|
Teeth
Cleanings
Orthodontia
Deductibles
Most
Dental Procedures
|
|
OPTICAL
EXPENSES |
Lasik
Surgery
Optical
Deductibles
Optical
Operations / Surgery
|
Radial
Keratotomy
Optical
Co-insurance & Co-pays
Most
Optical Procedures
|
Contact
Lenses
Contact
Lens Solution
Eye
Exams / Eyeglasses
|
Services and items that cannot be paid for with
funds
from the LIMITED Healthcare Flexible Spending Account*
|
Medical
Doctor Visits
Medical
Deductible Expenses
Prescription
Co-insurance
Cosmetic
Dental Services |
Medical Expenses
Medical
Co-pays
Chiropractic
Cosmetic
Optical Services |
Most Over-the-Counter Drugs
Prescriptions
/ Co-pays
Mental
Health Expenses |
*except
for Dental, Orthodontia and Optical expenses, all other
medical and other expenses normally allowed through a FULL
Healthcare FSA are NOT allowable through
a LIMITED Healthcare FSA.
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