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Eligible Expenses
Over-the-Counter Drugs That Qualify
ACCEPTABLE
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Allergy medications such as Claritin and Benadryl
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Antacids such as Tagamet, Zantac and Pepcid AC
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Antidiarrhea medicines such as Imodium A-D
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Arthritis pain products such as BenGay
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Cough, cold and flu products such as Nyquil, Robitussin and PediaCare.
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Eye lubricants such as Murine and Visine
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Contact Lens Solution such as ReNu, and Opti-Free
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Hemorrhoidal suppositories and creams such as Preparation H
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Laxatives such as Phillips' Milk of Magnesia
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Pain relievers such as Aspirin (Bayer), Ibuprofen (Advil), and Acetaminophen (Tylenol)
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Psoriasis gels like Dermarest
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Sinus medications such as Sudafed
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Sleep aids such as Sominex and Unisom
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Smoking cessation products such as Nicoderm CQ, and Commit Lozenges
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First Aid Kits
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Bandages, Band-aids, Gauze Pads, and Medical Tape
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Blood Sugar Monitors such as Accu-Check
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Blood Pressure Monitors
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Ear Plugs
Not Acceptable
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Vitamins (doctors note required stating medical necessity)
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Supplements (doctors note required stating medical necessity)
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Lip Balm, and Chapstick
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Lotions, and Moisturizers
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Dr. Scholl's Inserts
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Oral Hygiene Products such as Toothpaste, Mouthwash, Toothbrushes, and Dental Floss
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Special Pillows
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Batteries (except for hearing aid batteries)
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Airborne Effervescent
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Pediasure, and Pedialyte
Disclaimer - Check with your Benefits Department for eligibility
Eligible Reimbursement Expenses
Acupuncture (with medical diagnosis)
Alcohol Treatment
Ambulance service
Birth Control Pills
Braille books and magazines
Chiropractic care
Contact lenses and solutions
Cosmetic surgery (medically necessary)
Crutches
Dental fees (excludes teeth whitening, toothbrushes, toothpaste, mouthwash, Sonicare products, dental floss, etc.)
Dental implants
Dermatologists
Durable medical equipment (with prescription and letter of necessity)
Equipment for the disabled
Hearing aids and batteries
Hearing Treatment
Hospital services (excluding telephone and television)
Lasik
Immunizations
Injections
Insulin
In vitro fertilization lab fees |
Medical nursing home services
Mileage to and from medical services (19 cents per mile allowed and documentation is required )
Nursing services
Optometrist fees
Ophthalmologist fees
Orthotics
Oxygen
Periodontal fees
Physical therapy
Physical exams
Physician fees
Prenatal care
Prescription drugs (dispensed by a physician)
Prescription eyeglasses (excluding sunglass clips)
Psychiatric fees
PRK
Services for diagnosed severe learning disabilities
Special schools for the disabled
Substance abuse treatment
Therapy for mental / nervous disorders
Transportation for medical care
Vaccinations
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Expenses not covered: Anything considered cosmetic and/or not medically necessary.
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