Eligible And Ineligible Expenses - BenefitHelp Solutions
Eligible andineligible expensesEligible expensesSeeking reimbursementFor expenses to be eligible for reimbursement, they must:A.B.C.D.Be for products or services that treat a medical conditionHave been incurred by you, your spouse or your eligible dependentBe adequately substantiated prior to any run-out period imposed by the planHave been incurred during the permitted plan year or applicable period of coverageA medical expense is incurred when the service that causes the expense is provided notwhen the expense is paid.For exact run-out periods imposed by your plan, please reference your Summary PlanDocument or ask your employer.Substantiation requirementsTo properly substantiate an eligible medical expense, the claim must include one or more thirdparty documents that show:1.2.3.4.5.The patient receiving careA description of the service or productThe provider or vendor’s nameThe date of service or saleThe final out-of-pocket expenseOur preferred form of substantiation is an explanation of benefits (EOB) provided by yourinsurance carrier. It will list the patient, dates of service, billing codes, the dollar amount ofpatient responsibility and amounts billed to the insurance carrier.TimingRun-out considerationsAt the end of the plan year, participants are allotted a period of time (decided by the employer)called the “run-out period,” during which the participant can submit claims that were incurredduring the plan year or applicable period of coverage. At the end of the run-out period, anyamounts remaining in the participant’s account may be forfeited.1
Please see the Summary Plan Document provided by your employer for the exact duration ofyour run-out period and any exclusions allowed.Termination considerationsTerminating employment may affect the amount of time available for participants to use theirelections. Termination also may limit the run-out period provided.Please check with your employer or consult your Summary Plan Document for detailsregarding termination and your health flexible spending account (FSA) and dependent careassistance program (DCAP).Additional considerationsDepending on your plan, you may have an additional grace period or carryover allowances thatwill affect the period available for incurring eligible expenses. Please check with your employeror consult your Summary Plan Document for details regarding your health FSA and DCAP.Potentially eligible expensesThe guidance permitting the use of pretax dollars for medical expenses expressly forbidsexpenses that are not exclusively for use in mitigating or treating an eligible medical condition.Potentially eligible expenses include products or services that may be used for general healthor cosmetic purposes, and must conform to additional substantiation prior to reimbursementunder a health FSA. Depending on the type of expense, the additional documentation can beany of the following:A. Letter of medical necessity (LOMN)See benefithelpsolutions.com/pdfs/med neccesity ltr.pdf.B. A prescriptionA prescription must include the drug prescribed; who the drug is for; the dosage,quantity and instructions for use; and the medical prescriber’s signature.C. A cost comparisonA typical cost comparison will be the receipt of the item and a demonstration of the priceof a comparable nonspecialized similar product.D. An itemized third-party statement including all servicesNote: It is important to adhere to the documentation requirements listed in the below table. Aprescription does not take the place of a letter of medical necessity because a prescription fails toidentify the condition being treated.Note: Any substantiating document must be valid on the date that your care or service is incurredto be eligible for reimbursement.Note: Your claim will not be processed until all documentation is received and completed .2
Over-the-counter itemsOn March 27, 2020, the CARES Act, H.R. 748 was signed into law, which among otherthings, no longer requires over-the-counter (OTC) medicines or drugs to be prescribed by aphysician in order to be eligible for reimbursement under a health FSA as of January 1,2020. Prior to this change, Insulin was the only exception to an ACA provision whichrequired such OTC medicines to be prescribed in order to be eligible.Over-the-counter (OTC) items that are not drugs or medicine are still reimbursable under ahealth FSA without a physician’s prescription. Examples of OTC items reimbursable without aprescription include sunscreen, bandages, contact lens solution, menstrual products andreading glasses.StockpilingOTC items that are not drugs or medicine are restricted to amounts that can be reasonablyused within the period of coverage in order to qualify for reimbursement under a health FSA.This means no more than three of any one item can be reimbursed under a health FSA withina single month. First-aid kits are excluded from this allowance — please see first aid kit andsupplies for additional guidance.Ineligible expensesExpenses that have been labeled as ineligible for reimbursement are those that are usuallyused for personal, cosmetic or general health purposes. Even if these expenses are accompaniedby a letter of medical necessity, the treatments also must be permissible under regulatoryprovisions.Note: This eligible and ineligible expense list is meant to be a guide and is not all inclusive.3
TREATMENTELIGIBILITYNOTES AND EXAMPLESAbortionEligibleExcludes expenses for procedures that are illegal under applicable state or federallaw.Acne treatmentOver-the-counterBecause acne is considered a disease, the cost of prescription acne treatment willusually apply. Over-the-counter acne treatment also will be eligible and if theproduct is used primarily for the treatment of acne.Cosmetic or other items that simply contain acne-fighting ingredients are noteligible.Examples include: AcneFree Acnomel Ambi Even & Clear Bye Bye Blemish Clean & Clear Clearasil Murad Acne Complex Kit Nature's Cure Acne Treatment Neutrogena Acne Treatment OXY Proactiv Solution Stridex ZAPZYT Acne Treatment Zeno Acne Clearing DeviceNote: Generic and store-brand equivalents of name-brand acne treatments arealso eligible.Laser therapy performed by a medical provider to treat acne is potentiallyeligible.Required documents: prescription (if incurred before 2020)Acne laser treatmentPotentiallyRequired documents: letter of medical necessityActivity TrackerPotentiallyActivity trackers will qualify if recommended to treat a diagnosed medicalcondition and the expense must not have been incurred but for the medicalcondition. Will be excluded if used for general health or well-being.Required documents: letter of medical Adaptive equipmentPotentiallyRequired documents: letter of medical necessityAdaptive equipment used to alleviate sickness or disability will be eligible forreimbursement. Depending on the nature of the equipment, a cost comparisonmay be required. In some instances, only the amounts beyond a nonspecializedsimilar version will be eligible for reimbursement. Please see capital expenses.Required documents: letter of medical necessityAdoption feesIneligibleMedical expenses of an adopted child who is claimed as a dependent are eligible.4
TREATMENTELIGIBILITYNOTES AND EXAMPLESAdoption and preadoption medicalexpensesEligibleIncludes physicals for the adoptive parents and pre-adoption counseling.Adult diapersEligibleAdvanced paymentfor future careIneligibleIncludes deposits and prepayments.Air conditioners andair purifiersPotentiallyPlease see allergy products and mitigation.Required documents: letter of medical necessityAirfarePotentiallyPrimarily for and essential to medical care. Substantiation of related medical carereceived is required. Please see transportation.Required documents: letter of medical necessityRequired documents: letter of medical necessityAirfare, forcompanionPotentiallyAirway clearancevestEligibleAlcoholism, drug andsubstance abuse,treatment ofEligibleMeals and lodging provided at the treatment facility or during outpatient careand transportation expenses associated with meetings are eligible.Allergy medicinesOver-the-counterOver-the-counter allergy treatments are eligible for reimbursement. Must beprescribed if expense was incurred before 2020.Examples include: Actifed Benadryl Chlor-Trimeton Claritin Sudafed ZyrtecRequired documents: prescription (if incurred before 2020)5
TREATMENTELIGIBILITYNOTES AND EXAMPLESAllergy products andmitigationPotentiallyEligible expenses include products and home improvements to treat severeallergies.Examples include: Cost to remove carpet (but NOT the cost to replace flooring) Electrostatic air purifier HEPA furnace filters and HEPA vacuum cleaner filters (only the difference incost of the HEPA product minus the standard product can be reimbursed) Humidifier Home and automobile air conditioners Special vacuum cleaners for persons with respiratory problems (only thedifference in cost of the special vacuum cleaner minus a standard vacuum canbe reimbursed) Special pillow cases, mattress covers or other bedding barriers that provideprotection against allergens to alleviate an allergic conditionPlease see capital expenses for important additional guidance. Depending on thenature of the expense, a cost comparison may be necessary prior toreimbursement.Required documents: letter of medical necessityAlternative medicalservicesPotentiallyServices must be prescribed and rendered by a licensed healthcare provider totreat a specific illness or disorder.Required documents: letter of medical erExamples include: Advil Aleve Aspirin Ibuprofen Midol Naprosyn Pamprin TylenolTopical examples include: Aspercreme Bengay Icy Hot ZostrixRequired documents: prescription (if incurred prior to 2020)6
TREATMENTELIGIBILITYNOTES AND EXAMPLESAntacids and acidreducersOver-the-counterExamples include: Axid AR Gas-X Maalox Mylanta Pepcid AC Prilosec OTC Tagamet HB Tums Zantac 75Required documents: prescription (if incurred before 2020)Anti-arthriticsPotentiallyExamples include: Glucosamine ChondroitinRequired documents: letter of medical necessityAntibiotics, topicalOver-the-counterExamples include: Bacitracin Neosporin Triple Antibiotic OintmentRequired documents: prescription (if incurred before 2020)Anticandidal, yeastinfectionOver-the-counterExamples include: Femstat 3 Gyne-Lotrimin Monistat Mycelex-7 Vagistat-1Required documents: prescription (if incurred before 2020)Anti-diarrhealOver-the-counterExamples include: Imodium A-D Kaopectate Pepto-BismolRequired documents: prescription (if incurred before 2020)AntifungalOver-the-counterExamples include: Lamisil AT Lotrimin AF MicatinRequired documents: prescription (if incurred before 2020)AntihistaminesOver-the-counterPlease see allergy medicines.Required documents: prescription (if incurred before 2020)7
TREATMENTELIGIBILITYNOTES AND EXAMPLESAnti-itch products,lotions or creamsOver-the-counterExamples include: Bactine Benadryl Caldecort Caladryl Calamine Cortaid Hydrocortisone LanacortRequired documents: prescription (if incurred before 2020)Arthritis ificial entiallyPlease see fertility treatments.Includes fertility exams, artificial insemination (intracervical, intrauterine,intravaginal), in vitro/in vivo fertilization, sperm bank storage and fees (not toexceed 12 months), sperm implants, sperm washing, reverse vasectomy, embryoreplacement and storage (not to exceed 12 months), egg donor charge for recipientand embryo transfer.Required documents: letter of medical necessityArtificial teethEligibleAsthma medicinesOver-the-counterExamples include: Bronitin Mist Bronkaid Bronkolixer PrimateneFor delivery devices, please see nebulizer, inhaler, CPAP, BiPAP.Required documents: se see adaptive equipment.Required documents: letter of medical necessityBaby formulaPotentiallyIf your baby requires a special formula to treat an illness or disorder, thedifference in cost between the special formula and routine baby formula may bereimbursed.Required documents: letter of medical necessityBack bracePotentiallyRequired documents: letter of medical necessityBactineOver-the-counterRequired documents: prescription (if incurred before 2020)Band-Aids andbandagesEligiblePlease see over-the-counter supplies for important information regarding thereimbursement of bandages.8
TREATMENTELIGIBILITYBath tub rails andgripsEligibleBatteriesPotentiallyBeds, box springs andfoundationsIneligibleBeds, mattresses andbed boardsPotentiallyNOTES AND EXAMPLESBatteries are eligible only used to operate a device that is itself a qualifiedexpense.Only unique mattresses specifically described and prescribed by a physician totreat a specific medical condition will be considered. Reimbursement will belimited to the amounts above a nonspecialized mattress. Any types of support forthe mattress, such as box springs or special foundations, are not eligible.Required documents: letter of medical necessity and cost comparisonBedside commodesEligibleBed-wetting alarmPotentiallyReimbursement is limited to the amounts above that of a nonspecialized alarm.Required documents: letter of medical necessity and cost yBehavior modification programs and counseling may be eligible forreimbursement if used to treat autism, learning disabilities and other behavioralconditions.Required documents: letter of medical necessity oran explanation of benefitsBioidentical hormonereplacement therapyPotentiallyWill not be covered if used for cosmetic purposes. Please see cosmetic procedures.Required documents: letter of medical necessityBirth control,prescriptionEligibleBirth control pills, including but not limited to: Demulen Depo-Provera Loestrin Lo Ovral Mircette NuvaRing Ortho-Novum Ortho Tri-Cyclen Ovcon Ovral Tri-Norinyl Triphasil YasminAlso included: Intrauterine device (IUD) NorplantRequired documents: prescription9
TREATMENTELIGIBILITYNOTES AND EXAMPLESBirth control, overthe-counter drugsOver-the-counterBirth control, including but not limited to: SpermicidesRequired documents: prescription (if incurred before 2020)Birth control, overthe-counter suppliesEligibleBirth control, including but not limited to: Condoms Ovulation kitsBirthing classesEligibleExpenses for birthing classes, Lamaze classes or other methods of childbirtheducation will qualify to the extent that instruction relates to birth and notchildrearing. The fee should be apportioned to exclude instruction in topics suchas newborn care, breastfeeding and parenting. Expenses for the coach orsignificant others do not qualify.Required documents: Itemized third-party statement including allcovered topicsBirthing tubEligibleIncludes both rental and purchase costs.Blepharoplasty(eyelid surgery)PotentiallyRequired documents: letter of medical necessityBlood pressuremonitorsEligibleExamples includes: Blood pressure monitor docking stations Blood pressure monitor watchesBlood storagePotentiallyBlood storage is an eligible expense if you are storing blood for use duringscheduled elective surgery. Storage fees should not exceed six months. Theexpense can be reimbursed only after services are rendered.Required documents: letter of medical necessityBlood sugar test kitsand test stripsEligibleBody scansEligibleBotoxPotentiallyBotox is generally cosmetic and not an eligible expense, please see cosmeticprocedure.Botox used for the treatment of migraines can be reimbursed.Required documents: letter of medical necessityBoutique practice,concierge andprepaid physicianretainer feesIneligibleMonthly or annual fees that your provider may charge for improved access, 24/7availability and more personalized care are not considered medical care andcannot be reimbursed under a health FSA.Fees for medical services actually received at a boutique/concierge practice areeligible.BRACAnalysis testing EligibleLimited to diagnostic testing for genetic mutations that may include DNAcollection.Bradley classesEligiblePlease see birthing classes.Braille books andmagazinesEligibleThe cost difference of Braille books and magazines that exceed the price forregular books and magazines is an eligible expense.10
TREATMENTELIGIBILITYNOTES AND EXAMPLESBooks, health-relatedPotentiallyWill qualify if recommended by a physician to treat an illness or disease (such asasthma or diabetes), and not to promote general health.Breast augmentationIneligiblePlease see cosmetic procedure.Breast pumps andlactation suppliesEligibleExamples include: Breast pumps Breast pump parts Nursing cream and ointment Nursing pads and shields Storage bags and bottlesRequired documents: letter of medical necessityExcludes items that merely make breast feeding more convenient. For example,special bras.Items purchased may be subject to stockpiling limits.Breast reconstruction Eligiblesurgery followingmastectomyReimbursable if the surgery was done following a mastectomy for cancer.Breast reductionPotentiallyRequired documents: letter of medical necessityBreathalyzerEligibleIncludes in-home or doctor's office testing.Breathing stripsPotentiallyRequired documents: letter of medical necessityBrisIneligibleBus fareEligiblePlease see transportation.Calamine lotionOver-the-counterRequired documents: prescription (if incurred before 2020)Calcium supplementsPotentiallyExamples include: Calcium carbonate Calcium citrate Calcium gluconate Calcium lactate Caltrate Citracal Tricalcium phosphate ViactivPlease see cosmetic procedure for additional guidance.Required documents: letter of medical necessityCancer screeningsEligible11
TREATMENTELIGIBILITYNOTES AND EXAMPLESCapital expensesPotentiallyA capital expense (permanent or portable) can be reimbursed if its purpose is toprovide medical care for you, your spouse or your dependent.Expenses for improvements or special equipment added to your home can bereimbursed if the main purpose of the item is medical care. How much isreimbursed depends on the extent to which the expense permanently improvesthe property and whether others benefit.The amount paid for the improvement is reduced by the increase in the value ofyour home or property. The cost of the improvement minus the increased valueequals the eligible expense. In addition, the cost should be divided by the numberof individuals living in the household to determine the amount that isreimbursable for the person with the medical condition.If the value of your home or property is not increased by the improvement, theentire cost is an eligible expense.Examples include but are not limited to: Constructing entrance or exit ramps Widening or otherwise modifying doorways, hallways and stairways Installing railings, support bars or other modifications to bathrooms Kitchen modifications, including lowering cabinets and other equipment Electrical and plumbing modifications Exterior grading of the property to provide access to your home Lead-based paint removalRequired documents: letter of medical necessity and cost comparisonCar seatsIneligibleCardiopulmonaryresuscitation (CPR)classesPotentiallyAs part of a childbirth class or in situations where it is deemed medicallynecessary.Required documents: letter of medical necessityCarpal tunnel wristsupportsEligibleCarpet removalPotentiallyPlease see allergy products and mitigation.Required documents: letter of medical necessityCayenne pepperOver-the-counterRequired documents: letter of medical necessityCenegenticsPotentiallyWill be excluded if the service is primarily for the purpose of general health orwell-being.Required documents: letter of medical necessity12
TREATMENTELIGIBILITYNOTES AND EXAMPLESChairs: ng chairs that both elevate the legs and tilt the torso may be considered forreimbursement. The chair must be specifically prescribed by a physician toalleviate a specific medical condition, and you must submit a fully completedletter of medical necessity that clearly documents how the chair will alleviate thecondition or diagnosis for the expense to be considered.Only the amount above the cost of a regular chair will be eligible forreimbursement.Required documents: letter of medical necessity and cost comparisonChelation therapyEligibleChinese herbalpractitioner andherbal treatmentsPotentiallyRequired documents: letter of medical necessity and itemized third-partystatement including all covered servicesChiropractic careEligibleServices performed by a chiropractor are eligible, including: TENS treatment Ultrasound therapyChondroitinPotentiallyPlease see anti-arthritics.Required documents: letter of medical necessityChristian SciencepractitionersEligiblePayments for medical care can be reimbursed.CialisPotentiallyIf purchased through a pharmacy, we do not need a prescription.Required documents: prescriptionCircumcisionEligibleA bris performed in the home by a rabbi or nonlicensed provider is not an eligibleexpense.Classes, healthrelatedPotentiallyRequired documents: letter of medical necessityCOBRA premiumsIneligibleUnder IRS rules, insurance premiums cannot be reimbursed under a health FSA.COBRA premiums which qualify as medical expenses under Section 213(d) can beconsidered eligible for reimbursement under a HRA.See Also: Insurance PremiumsCochlear implantsEligibleCoinsuranceEligibleTo be eligible for reimbursement, the underlying cost must be permissible underregulatory guidance and cannot be reimbursed by secondary insurance or anyother source.13
TREATMENTELIGIBILITYNOTES AND EXAMPLESCold and flumedicinesOver-the-counterExamples include: Actifed Advil Cold and Sinus Alka-Seltzer Cold and Flu Children's Advil Cold DayQuil Drixoral Neo-Synephrine 12-Hour NyQuil PediaCare Robitussin Sudafed Tavist-D Theraflu Triaminic Tylenol Cold and Flu Cough drops Nasal sprays Throat lozengesThe following are not eligible for reimbursement: Cold-EEZE Zicam AirborneRequired documents: prescription (if incurred before 2020)Cold sore medicinesOver-the-counterExamples include: Abreva HerpecinRequired documents: prescription (if incurred before 2020)Cold and hot packsEligibleCold and hot packs as medical supplies ONLY.Collagen injectionsPotentiallyRequired documents: letter of medical necessityColonicsOver-the-counterExample includes: ColonixRequired documents: prescription (if incurred before 2020)Compression hosieryand socksPotentiallyExample includes: Jobst surgical support hose and socksRequired documents: letter of medical necessity and cost comparisonCondomsEligibleConference, medicalEligibleExcludes meals and lodging while attending the conference. Includes individualadmission and related transportation expenses. Substantiating documents mustcontain medical diagnosis.Contact lensesEligibleIncludes cleaning solution and storage. Please see eyewear, medical supplies andrepair.14
TREATMENTELIGIBILITYNOTES AND EXAMPLESContraceptivesOver-the-counterSpermicidal products such as: Gels Advantage-S Encare Gynol II Ortho VCFRequired documents: prescription (if incurred before 2020)Contraceptives,deviceEligibleExamples include: Condoms Films les include: Birth control pills Norplant, including insertion and removalControlled substances PotentiallyExamples include: Darvon Percocet Ritalin ValiumRequired documents: prescriptionControlledsubstances, t be reimbursed by secondary insurance or any other source.Cord blood storagePotentiallyCan be reimbursed if there is a specific medical condition that the cord blood isintended to treat. Indefinite storage is not an eligible expense.Required documents: letter of medical necessityCorneal ringsegmentsEligibleCosmetic dentistryIneligibleExpenses for cosmetic dentistry, such as teeth whitening or bleaching, porcelainveneers or bonding are not eligible for reimbursement, unless the procedure isnecessary to improve a deformity arising from a congenital abnormality orpersonal injury from accident or trauma, or to restore appearance related totreatment for another medical diagnosis or condition. Please see cosmeticprocedures for additional guidance.Cosmetic proceduresIneligibleCosmetic procedures to improve or enhance appearance are not eligible.Cosmetic procedures(cont.)PotentiallyA cosmetic procedure or service necessary to improve a deformity arising from acongenital abnormality or personal injury from accident or trauma, or to restoreappearance related to treatment for another medical diagnosis or condition, canbe reimbursed.Required documents: letter of medical necessity15
TREATMENTELIGIBILITYNOTES AND EXAMPLESCotton ballsIneligibleExamples include: Cotton balls Swabs Q-tipsCough medicinesOver-the-counterExamples include: Chloraseptic Cough drops Mucinex Robitussin Throat lozenges Vicks 44Required documents: prescription (if incurred before 2020)Cough suppressantsOver-the-counterExamples include: PediaCare Robitussin Cough dropsRequired documents: prescription (if incurred before 2020)CounselingIneligibleLife coaching, career counseling and marriage counseling do not qualify.Counseling (cont.)PotentiallyCounseling must be provided to treat a medical or mental diagnosis and berendered by a licensed provider.Diagnosis examples include: Bereavement Behavior modificationRequired documents: letter of medical necessityCounseling (cont.)EligibleExamples include: Psychoanalysis PsychotherapyRequired documents: explanation of benefits, letter of medical necessityor itemized third-party statement including diagnosis and treatmentcodes (CPT)CPAP (continuouspositive airwaypressure) devicesEligibleCranial technologyPotentiallyEligible if used to correct plagiocephaly.Required documents: letter of medical necessityCrownsPotentiallyCrutchesEligibleCrowns will not qualify if obtained for cosmetic purposes. Please see dental care.16
TREATMENTELIGIBILITYNOTES AND EXAMPLESDancing lessonsPotentiallyMay qualify if only for a short duration and if prescribed for a special medicalcondition, such as part of a rehabilitation program after surgery.Required documents: letter of medical necessityDecongestantsOver-the-counterExamples include: Dimetapp SudafedRequired documents: prescription (if incurred before ibleDental careEligibleDental FlossIneligibleDental maintenanceorganization (DMO)IneligibleCannot be reimbursed by secondary insurance or any other source.Covered services include but are not limited to: Bridges Cleanings Crowns Dental implants Dentures Endodontic care (root canal) Extractions Fillings Periodontal services Routine prophylaxis Sealants X-raysPlease see insurance premiums.Dentures and denture EligibleadhesivesDependent careexpenses, disabledPotentiallyMay qualify as an eligible expense under a health FSA or a Dependent CareAssistance Program (DCAP) but not both.Required documents: letter of medical necessityDermatologistEligibleExcludes cosmetic-related care.Diabetic socksPotentiallyDiabetic socks and shoes are eligible, but only the cost difference between thediabetic socks or shoes and regular socks or shoes will be reimbursed.Required documents: letter of medical necessity and cost comparisonDiabetic suppliesEligibleIncludes insulin, glucose-monitoring equipment, blood sugar test stripsand kits.Diagnostic items,services and testservicesEligibleIncludes tests to detect heart attack, stroke, diabetes, osteoporosis, thyroidconditions and cancer.17
TREATMENTELIGIBILITYNOTES AND EXAMPLESDiaper rashointments andcreamsOver-the-counterExamples include: Balmex DesitinRequired documents: prescription (if incurred before 2020)Diapers, diaperserviceIneligibleNot for routine care of a healthy newborn.Diapers, diaperservice (cont.)PotentiallyTo relieve or ameliorate the effect of a particular illness or disease on you, yourdisabled child or a dependent, who would not need this product if it weren't forthe medical condition.Required documents: letter of medical necessityDiarrhea medicineOver-the-counterExamples include: Imodium KaopectateRequired documents: prescription (if incurred before 2020)Diet drugsOver-the-counterExamples include: Dexatrim AlliRequired documents: prescription (if incurred before 2020) and letter ofmedical necessityDiet drugs,prescriptionPotentiallyDiet foodsIneligibleDiet programsPotentiallyRequired documents: letter of medical necessityReimbursement for diet programs varies extensively depending on the nature ofthe program. Each program is evaluated independently. Your physician will needto provide the specific condition that the diet program is treating (such as obesityor heart disease). Components of the diet program also will be reviewed. Enrollment costs may be reimbursable after the conclusion of the program. Food, drugs, vitamins and supplements associated with the diet program willbe addressed independently. Please see food, diet drugs, dietary supplements andvitamins for additional information.An itemized listing of all services rendered will be required prior toreimbursement.Required documents: letter of medical necessity and itemized thirdparty statement including all covered services18
TREATMENTELIGIBILITYNOTES AND EXAMPLESDietary supplementsPotentiallyExamples include: Ensure Glucerna Power drinks Protein barsMeal replacements are not eligible. Dietary supplements must be necessary totreat a specific medical condition.Required documents: letter of medical necessityDNA collection andstoragePotentiallyThis service generally will not qualify. Temporary storage (unde
Activity Tracker Potentially Activity trackers will qualify if recommended to treat a diagnosed medical condition and the expense must not have been incurred but for the medical condition. Will be excluded if used for general health or well-b
amaya anna ineligible ambrose david ineligible ambrose joshua ineligible amidon patrick ineligible amidon rebecca ineligible . brown-bey tamela ineligible brown-jr nathaniel ineligible
174. 200314 MD MURSLEEN KHAN Eligible 175. 200316 SHAILENDRA CHAUDHARY Eligible 176. 200326 MINAL Eligible 177. 200328 JATIN ANAND Eligible 178. 200329 SHIPRA KUMARI Eligible 179. 200332 VIVEK SHARMA Eligible 180. 200335 RAHUL Eligible 181. 200336 MD HABIBULLAH Eligible 182. 200337 MD ZIA Eligible 183. 200338 RAVI KUMAR SUMAN Eligible
g. Expenses for electrical service upgrades or any upgrades upstream from the electrical service such as transformer or distribution upgrades, if required, will be evaluated on a case-by-case basis. Municipalities are encouraged to leverage existing electrical infrastructure whenever possible. 3.4 Ineligible Expenses Ineligible expenses include: a.
1. An expenses policy template 2. An expenses trends infographic 3. Concur employee expenses benchmark report 4. A blog about combining people, policy and compliance to drive effective behavioural change 5. An expenses fraud e-book 6. A fun quiz and a great infographic about 'fiddling expenses' 7. A webinar about keeping the tax man happy 8.
S.No REGISTRATION NO. NAME FATHERS NAME Shop Clerk 1 3720000001 C NIZAMUDHEEN C UMMER KOYA Eligible 2 3720000002 M SARAVANA K MANI Eligible 3 3720000003 AMIT KUMAR PAUL A K PAUL Eligible 4 3720000004 M BALAJI M MOHAN Eligible 5 3720000005 SAMEER TETE SILVESTER TETE Eligible 6
Opportunity Scholarships can be applied to tuition, books, fees, and other relevant educational expenses. What if a student is ineligible to complete the FAFSA? Students who are ineligible to complete the FAFSA (e.g., undocumented students, international students attending school in the U.S.) can still earn an entry for this scholarship.
Disclosure of Travel and Hospitality Expenses December 2021 Senior Management Monthly Travel and Hospitality Expenses Gloria Loree SVP, Marketing Strategy & Chief Marketing Officer Disclosure group: Senior officer Travel Expenses Beginning Ending 0.00 0.00 0.00 Hospitality Expenses Government of Canada officials Guests 1 1 44.99 10 8 190 .
A02 transactions for nonpermanent employees, including: TAU Limited Term T&D assignments Retired Annuitants Emergency 3. 120 transactions for employees who may have been placed in a duplicate position number as a result of the mass update. Departments should run a MIRS report to identify affected employees. In order to limit the fallout and manual processing required, departments should not .
