WHAT'S ELIGIBLE / WHAT'S NOT (continued)

• Eyeglasses prescribed by your doctor
• Eye examination fees
• Eye surgery (cataracts, LASIK, etc.)
• Hearing devices and batteries
• Hospital bills
• Insulin
• Laboratory fees
• Laser eye surgery
• Obstetrical expenses
• Oral surgery
• Orthodontic fees
• Orthopedic devices
• Over-the-counter drugs that are medically necessary like allergy medications, aspirin, or antacids. Click here for a more complete list.
• Oxygen
• Physician fees
• Prescribed medicines
• Psychiatric care
• Psychologist's fees
• Routine physicals and other non-diagnostic services or treatments
• Smoking-cessation programs
• Smoking-cessation over-the-counter drugs
• Surgical fees
• Weight-loss programs with doctor's letter of medical necessity
• Weight-loss over-the-counter drugs with doctor's letter of medical necessity
• Wheelchair
• Vitamins with doctor's letter of medical necessity
• X-rays

Healthcare reimbursement limitation

The amount of Healthcare reimbursement may not exceed the maximum allowed under the plan. Please review your Summary Plan Description or see your Plan Administrator for more information.

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