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Ineligible expenses

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Common FSA eligible/ineligible expenses

account.optumbank.com

Ineligible expenses Listed below are some services and expenses that are not eligible for FSA reimbursement. This list is not all-inclusive: • Aromatherapy • Baby bottles and cups • Baby oil • Baby wipes • Breast enhancement • Cosmetics and skin care • Cotton swabs • Dental floss

  Expenses, Ineligible, Ineligible expenses

HEALTH CARE FSA ELIGIBLE EXPENSES

partners.tasconline.com

expenses can be incurred by you, your spouse, or qualified dependents. For more information, see your Employee Reimbursement Account (ERA) Participant Guide. For the complete list of eligible and ineligible expenses, visit www.IRS.gov and see IRS Publications 502 and 969. Medical Expenses Acupuncture Ambulance services

  Expenses, Ineligible, Ineligible expenses

ELIGIBLE EXPENSES FOR HCSA - Green Shield Canada

assets.greenshield.ca

Ineligible Expenses: rent, food, cleaning supplies, other operating costs such as support/maintenance staff. A letter from a medical practitioner is required certifying that the person is likely to continue to be dependent on others for their personal needs and care for the long-term

  Expenses, Ineligible, Ineligible expenses

FSA Eligible Expenses Election Worksheet

www.benstrat.com

Ineligible Expenses Examples Cosmetic Surgery & Procedures Health Club Dues Insurance Premiums Dental Hygiene Products *Dual Use items and services are those that can be used for general health as well as to treat an illness or physical defect. If the item/service is prescribed to treat an illness or physical defect, a Physician Statement form ...

  Expenses, Ineligible, Ineligible expenses

Limited Purpose FSA Eligible Expense List

www.benstrat.com

Ineligible Expenses Examples Teeth Bleaching/Whitening Cosmetic Dental Surgery Dental Hygiene Products (Ex: Toothpaste) Medical Treatment & Care If you have questions on what constitutes an LP FSA eligible expense, please contact our Customer Relations Team

  Limited, Purpose, Lists, Eligible, Expenses, Ineligible, Ineligible expenses, Limited purpose fsa eligible expense list

Emergency Solutions Grant (ESG) Eligible and Ineligible

66381bb28b9f956a91e2-e08000a6fb874088c6b1d3b8bebbb337.ssl.cf2.rackcdn.com

Community meeting expenses directly related to service provision. Ineligible Costs Notes and Resources Legal services Immigration and citizenship matters Issues relating to mortgages . Retainer fee arrangements and contingency fee arrangements . Eviction …

  Solutions, Eligible, Emergency, Expenses, Grants, Ineligible, Eligible and ineligible, Emergency solutions grant

THE YOUTH IN TRANSITION (YIT) PROGRAM

dhhs.michigan.gov

Ineligible Placements YIT is not available while the youth is in one of the ineligible placements. Facilities A youth placed in an ineligible facility listed below may be eligible for YIT funding if released to an eligible placement. • A public or private secure placement facility. • A non-secure public child caring institution for more than 25

  Ineligible

Over-the-Counter (OTC) Items

forms.benefitresource.com

SAMPLE CHART OF ELIGIBLE EXPENSES Please note that this is not a complete list, but is intended to provide Plan participants with examples to help determine what OTC items may be an eligible expense. Limited Medical FSA/HRA Plan participants should check their Plan Highlights to see if OTC items are eligible.

  Expenses

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