Eligible and ineligible expenses - BenefitHelp …

1 Eligible and ineligible expenses Eligible expenses Seeking reimbursement For expenses to be Eligible for reimbursement, they must: A. Be for products or services that treat a medical condition B. Have been incurred by you, your spouse or your Eligible dependent C. Be adequately substantiated prior to any run-out period imposed by the plan D. Have been incurred during the permitted plan year or applicable period of coverage A medical expense is incurred when the service that causes the expense is provided not when the expense is paid. For exact run-out periods imposed by your plan, please reference your Summary Plan Document or ask your employer. Substantiation requirements To properly substantiate an Eligible medical expense, the claim must include one or more third-party documents that show: 1. The patient receiving care 2. A description of the service or product 3. The provider or vendor s name 4. The date of service or sale 5.

1 Eligible and ineligible expenses . Eligible expenses Seeking reimbursement For expenses to be eligible for reimbursement, they must: A. Be for products or services that treat a medical condition

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