Limited Eligible Expenses
What's covered and not covered...
Below are eligible and ineligible expenses for the Limited Healthcare Flexible Spending Account.
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
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DENTAL AND ORTHODONTIA EXPENSES |
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| Dental Visits Dental Treatment Dental Co-insurance & Co-pays |
Orthodontia Dental Surgeries Dental Deductibles |
Teeth Cleanings Orthodontia Deductibles Most Dental Procedures |
OPTICAL EXPENSES |
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Lasik Surgery
Optical Deductibles Optical Operations / Surgery |
Most Optical Procedures Radial Keratotomy Optical Co-insurance & Co-pays |
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.
