Astrohc.doc

Examples of
Over-the-Counter Medical Expense Reimbursements
Through Healthcare FSAs
IRS Rev. Rul. 2003 – 102, September 3, 2003
The below list is not intended to be all-inclusive, but is rather to answer frequently-asked questions. This list is subject to change per IRS rulings or interpretation changes. If you have further questions, please contact Aetna FSA Member Services at 1-888-238-6226. Reimbursable Expenses relating to Medical Care
Medical Care
Eligible for Reimbursement
Cold medicines, such as tablets, syrups, drops and lozenges Analgesics, such as Fever and Pain Reducers like Aspirin, Tylenol, Ibuprofen Antacids and Heartburn Relief, such as Alka-Seltzer, Mylanta, and Milk of Magnesia Stomach & Digestive Relief, such as Pepto-Bismol, Imodium, Colace, Lactaid Laxatives Eye care, such as contacts, saline solution, and lubricant eye drops Motion Sickness, such as Dramamine, patches, bracelets First Aid, such as heat wraps, compresses, bandages, tape, gauze dressing, adhesive pads, band aids, and pain relieving creams Joint Support Bandages and Hosiery, such as knee supports, elbow supports Arthritis Pain Relieving Creams Antibiotic ointments Anti-itch and hydrocortisone creams Allergy Relief, such as oral medications, nasal sprays, and patches Athlete’s Foot treatment, such as nail and foot anti-fungal creams Wart removal medication Diabetes, such as glucose monitor and related equipment Blood pressure monitor and related equipment Cholesterol test equipment Vaporizers and humidifiers Urinary Pain Relief Smoking Cessation Relief, such as patches, gum Feminine care relating to treatment of vaginal infections Tooth & Mouth Pain Relief, such as Orajel, Anbesol Shampoo treatments relating to treatment of psoriasis, lice Eye patches Incontinence Products, such as Depends and Serenity pads Family Planning, such as pregnancy tests, condoms II. Not Reimbursable Expenses relating primarily to Good Health
Merely Beneficial to Good Health
Exceptions
(These are considered eligible for reimbursement as they relate
Not Eligible for Reimbursement
primarily to medical care.)
Personal Hygiene, such as deodorant, soap, body powder, shaving cream and razors, feminine care and sanitary products Cosmetics, such as makeup, lipstick, Q-tips, cotton balls, baby oil Skin care, such as sun block, skin and body moisturizing lotion, lip balm, acne Hair care, such as hair color, shampoo, conditioner, brushes, and hair loss products like Rogaine Routine dental care, such as toothpaste, toothbrushes, dental floss, mouthwashes (including anti-bacterial mouthwash and fluoride rinses), breath strips, teeth whitening Denture care, such as denture cleansers and denture adhesive creams Nail care & personal grooming, such as scissors, nail files Vitamins prescribed at the direction of a doctor. A physician statement is required. Nutritional and Dietary Supplements, such as bars, milkshakes, power Supplements prescribed at the direction of a doctor. A physician Weight Reduction aids, such as Slimfast, appetite suppressants Weight reduction products prescribed at the direction of a doctor. A physician statement is required. Sleep aids, such as oral medications, snoring strips Sleep aids prescribed at the direction of a doctor. A physician statement is required.

Source: http://pms-corp.net/Benefits/Flexible%20Ben%20OverTheCounterMedReimb.pdf