The following lists provide a brief
summary of the information described in the Internal Revenue Code and
IRS publication. The lists are intended to serve as a quick reference to
help determine whether or not an expense may be eligible for HSA
reimbursement. This information is provided with the understanding that
we are not providing tax advice. Tax advice should be obtained from a
professional tax advisor. IRS Publication 502 can be ordered from the
IRS by calling 1-800-TAX-FORM (1-800-829-3676).
HSA
- Qualified
Medical Expenses Eligible for Reimbursement
abortion
acupuncture
air conditioner (when necessary for'
relief from an allergy or for relief from
difficulty in breathing)
alcoholism treatment
ambulance
anesthetists
artificial limbs
autoette (when used for relief
of sickness or disability)
birth control pills (by prescription)
blood tests
braces
cardiographs
chiropractor
Christian Science Practitioner
contact lenses
contraceptive devices
convalescent home (for medical treatment only)
crutches
dental treatment
dental x-rays
dentures
dermatologist
diagnostic fees
diathermy
drug addiction therapy
drugs (prescription)
eyeglasses
fees paid to health institute
prescribed by a doctor
FICA and FUTA tax paid for medical
care service
fluoridation unit
guide dog
gynecologist
healing services
hearing aid and batteries
hospital bills
hydrotherapy
insulin treatments
lab tests
lead paint removal
legal fees (to authorize treatment for
a mental illness)
lodging (away from home for outpatient care)
metabolism tests
neurologist
nursing (including board and
meals)
obstetrician
operating room costs
ophthalmologist
optician
oral surgery
organ transplant (including
donor's expenses)
orthopedic shoes
orthopedist
osteopath
oxygen and oxygen equipment
pediatrician
physician
physiotherapist
postnatal treatments
practical nurse for medical
services
premiums for long-term care
insurance
premiums for continuation coverage
required by Federal law (COBRA)
premiums for insurance received while
receiving unemployment compensation
prenatal care
prescription medicines
psychiatrist
psychoanalyst
psychologist
psychotherapy
radium therapy
registered nurse
special school costs for the handicapped
spinal fluid test
splints
sterilization
surgeon
telephone or TV equipment to assist the
hearing impaired
therapy equipment
transportation expenses (relative to
health care)
ultra-violet ray treatment
vaccines
vasectomy
vitamins (if prescribed)
wheelchair
x-rays
For a complete listing of benefits,
exclusions and limitation, please refer to the plan document. In
the event there are discrepancies with the information given here, the
terms and conditions of the coverage documents will govern.
* Long Term Consumer Care, Inc., Assurant
Health and its legal entities are not engaged in rendering tax,
investment, or legal advice. References are to federal tax
laws. State tax laws may differ. Federal and state tax regulations are
subject to change. If tax, investment, or legal advice is
required, seek the services of a licensed professional.
Non-network deductibles do not apply to One
Deductible/HSA PPO Plans. HSA deductibles are subject to change
annually, based on the Consumer Price Index.
Long Term Consumer
Care, Inc. California license number: 0D54126. Assurant Health markets insurance products
underwritten by Time Insurance Company, Milwaukee, WI. California
license number 6666.
