Page 73 - Tampa Bay Rays 2022 Flipbook

Flexible Spending Accounts

What to know and how to use them

What’s Reimbursable?
Sometimes we have to require certain documentation or confirm a few details of
your plan with you — it’s all in the best interest of you and your organization. Our Reimbursable with a Letter,
commitment to doing things well and doing things right ensures that both you continued
and your employer are protected. Below are some examples of common types of Orthopedic shoes (not mass-
produced)
expenses reimbursable by your Medical/Dental/Vision Flexible Spending Account,
Vitamins & nutritional
based on Internal Revenue Code 213(d). These types of expenses are reimbursable supplements (only if
when incurred by you, as well as by your spouse and eligible dependents, even if recommended by a doctor for a
they are not enrolled in your employer’s insurance coverage. There are many other specific medical condition)
eligible expenses - find more at ProBenefits.com, or call us to discuss. Weight loss to treat existing
disease
Wigs

Medical
Dental Reimbursable with a Letter OTC Drugs and Medicines:
Insurance deductibles, copays, of Medical Necessity Prescription no longer
and coinsurance Orthodontia (special rules apply
– see ProBenefits.com) The following items may be Required
Office visits, diagnostic tests, reimbursable if accompanied
and surgical procedures (non- Exams, cleanings, x-rays by a note from a doctor New! Thanks to the CARES Act,
cosmetic) Fillings, caps, crowns, bridges recommending the item to treat passed on 3/27/20, over-the-
counter drugs and medicines
Prescription drugs Dentures a specific medical condition. purchased in 2020 and beyond no
Other special rules may apply.
Birth control/contraception longer require a prescription for
Please see ProBenefits.com for FSA reimbursement. You will soon
Hearing aids and batteries more information. be able to use your ProBenefits
Insulin and diabetic test Vision Cord blood/embryo/egg/sperm debit card to purchase these
supplies Eye exams storage items, and you may submit
reimbursement claims for them
Addiction treatment, including Contact lenses and care Home improvements for
smoking cessation programs supplies medical conditions through the mobile app or web
portal at any time.
Care, special education, and Glasses Massage
supplies for persons with Acid control medication
disabilities Laser eye surgery Nutritionist (Prevacid, Prilosec, Zantac, etc.)
Durable medical supplies such Acne treatment
as crutches, wheelchairs, and
bandages Allergy medication (Zyrtec,
Not Reimbursable Claritin, etc.)
Transportation expenses for Marriage counseling
medical services Here are some common examples Missed appointment fees Antacids (Tums, etc.)
of ineligible expenses: Anti-itch medication
Diagnostic devices such as Personal hygiene products
blood pressure monitors Cosmetic surgery (unless Spa fees Cold medication
Orthotics/orthopedic shoe restorative) Teeth whitening Cough drops
inserts Finance charges
Toothbrushes Nicotine patches or gum
Specialist services, including Food Pain relievers (Advil, Tylenol,
psychologists/psychiatrists, Imported drugs (Canada, Mexico) Toothpaste etc.)
physical therapy, chiropractors, Warranties (including extended
and acupuncture Insurance premiums for eyeglasses or corrective lens Sleep aid medication
individual policies
New in 2020: Menstrual care warranties, such as Eyewear Stomach remedies
products Long-term care expenses Protection Plans) (Pepto-Bismol, etc.)
3
ProBenefits.com