Page 14 - RSD Guide
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Reminder! Over-the-Counter (OTC) medications are not eligible Healthcare FSA
expenses. Check with your FSA vendor for any exceptions to this rule, such as a
prescription being written for an OTC medication.
Account Use For Contribution
Most medical, dental, and vision care expenses not
Healthcare covered under the plan (i.e. copays, deductibles, $100 annual minimum
$1,000 annual
FSA orthodontia expenses, Lasik surgery, and prescription maximum
eyewear)
Dependent care expenses (i.e. daycare, after school $100 annual minimum
Dependent programs for children under age 13, or elder care $5,000 annual
care FSA programs) so you and your spouse can work or maximum
attend school full-time.*
* Tax ID or Social Security number of care giver is required for eligible charges.
14
2015 Benefit Guide
expenses. Check with your FSA vendor for any exceptions to this rule, such as a
prescription being written for an OTC medication.
Account Use For Contribution
Most medical, dental, and vision care expenses not
Healthcare covered under the plan (i.e. copays, deductibles, $100 annual minimum
$1,000 annual
FSA orthodontia expenses, Lasik surgery, and prescription maximum
eyewear)
Dependent care expenses (i.e. daycare, after school $100 annual minimum
Dependent programs for children under age 13, or elder care $5,000 annual
care FSA programs) so you and your spouse can work or maximum
attend school full-time.*
* Tax ID or Social Security number of care giver is required for eligible charges.
14
2015 Benefit Guide
