Limited Purpose FSA Eligible Expense List

Limited Purpose FSA Eligible Expense ListIMPORTANT:An lp fsa covers Eligible dental, orthodontia and vision expenses only and is intended for employees enrolled in a Health Savings Account (HSA). Eligible Dental & Orthodontia ExpensesDental care for non-cosmetic purposes, such as: Cleanings and exams Crowns and bridges Dental reconstruction, implants Dentures and denture care Diagnostic services Fillings Root canals X-rays Dental plan copaysDental plan co-insuranceDental plan deductiblesDental surgeryDiagnostic servicesOrthodontia work and appliancesOver-the-counter dental products that do not contain a drug or medicineOver-the-counter dental products that contain a drug or medicineTeeth grinding prevention devices, such as occlusal guardsEligible Vision ExpensesContact lensesContact lens solutionDiagnostic servicesEye examsEye related equipment/materialsEyeglasses (over-the-counter and prescription)Eyeglass repair kitEye surgeryGuide dog (dog, training and care)

Limited Purpose FSA Eligible Expense List IMPORTANT: An LP FSA covers eligible dental, orthodontia and vision expenses only and is intended for employees enrolled in a Health Savings Account (HSA). Eligible Dental & Orthodontia Expenses Dental care for non-cosmetic purposes, such as: • Cleanings and exams • Crowns and bridges

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  Limited, Purpose, Lists, Eligible, Expenses, Limited purpose fsa eligible expense list, Lp fsa

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