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Section 213(d) ELIGIBLE EXPENSES
supplies, patient lifting aids, orthopedic braces/supports, splints & casts, hydrocollators, nebulizers, electrotherapy products, catheters, unmedicated wound care, wheel chairs Incontinence Products Attends, Depend, GoodNites for juvenile incontinence, Prevail Prenatal Vitamins Stuart Prenatal, Nature's Bounty Prenatal Vitamins
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Flexible Spending Account Reimbursement Reque Form
www.benstrat.com$ _____ TOTAL Dependent Care Reimbursement Expenses Requested Please attach receipts OR have your provider complete the Dependent Care Provider Certification below. Dependent Care Provider Certification: Provider must certify that they have provided and been paid for the above services.
Limited Purpose (LP) FSA Eligible Expense List
www.benstrat.comLimited Purpose (LP) FSA Eligible Expense List Important: An LP FSA covers eligible dental and vision expenses only and is intended for employees enrolled in the High Deductible Health Plan with Health Savings Account (HSA).
HSAs and Medicare - benstrat.com
www.benstrat.comYou can contribute for months that you were eligible before you enrolled in Medicare. For example, if your 65 th birthday is May 6 and you enroll in Medicare immediately,
HSAs and Partial-Year Eligibility - benstrat.com
www.benstrat.comHSA GPS Fact Sheet Series HSAs and Partial-Year Eligibility Health Savings Account (HSA) rules generally apply to calendar years, regardless of when your
FSA Eligible Expenses Election Worksheet
www.benstrat.comIneligible 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 ...
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