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<br />Medical Care Flexible Spending Account <br /> <br />You can use the Medical Care Flexible Spending Account to reimburse you and your eligible dependents' <br />health-related expenses that are: <br /> <br />· Not covered under a health, dental, or vision care plan; <br />· Eligible for, but not used as a tax deduction; and <br />· Incurred during the plan year in which you participate in the Medical Care Flexible Spending <br />Account. <br /> <br />Eligible Dependents <br /> <br />· A subscriber's lawful, not common law, spouse; <br />· Any unmarried child (including stepchild, legally adopted child as well as natural child) of the <br />subscriber, who is under age 19, who is chiefly dependent upon the subscriber for support. A <br />dependent can also include a child for whom the subscriber is a court-appointed legal guardian, or <br />if claimed as a dependent on the subscriber's taxes and IRS documentation is supplied to the <br />Plan. Foster children are not eligible. <br />· Any unmarried child who is between age 19 and the limiting student age of 24, unless otherwise <br />specified, provided the child is a full-time student in an accredited educational institution. <br />· Dependents who are incapable of self-sustaining support because of mental or physical disability. <br />· Coverage mandated by court order issued for subscriber's eligible dependents. <br /> <br />Eligible Expenses <br /> <br />The Internal Revenue Service allows the Medical Care Flexible Spending Account to reimburse tax- <br />deductible expenses that are not reimbursed or paid by an insurance plan. QualifYing health care <br />expenses are those expenses incurred by you, your spouse or eligible dependents for '"medical care". This <br />means an item for which you could have claimed a medical care expense deduction on an itemized federal <br />income tax return. Medical care expenses include amounts paid for the diagnosis, cure, mitigation, <br />treatment, or prevention of disease, or for treatments affecting any part of function of the body. The <br />expenses must be primarily to alleviate or prevent a physical or mental defect or illness. Expenses for <br />solely cosmetic reasons generally are not expenses for medical care. Also, expenses that are merely <br />beneficial to one's general health are not expenses for medical care. Such expenses include (but are not <br />limited to): <br /> <br />Chiropractic Exams and Treatment <br />Contact Lenses (including maintenance supplies) <br />Glasses/Contacts <br />Oxygen Tanks <br />Prescription Birth Control Pills <br />Insulin <br />Smoking cessation programs and stop smoking items <br />Expenses in excess of the annual or lifetime limits under your medical and dental coverage <br /> <br />Co-payments and Deductibles <br />Orthodontics <br />Ambulance Fee <br />Hearing Aids and Batteries <br />Laser Vision or Eye Correction Surgery <br />P~ycllOtherapy <br /> <br />Expenses not Covered <br /> <br />Certain expenses are not eligible for reimbursement from your Medical Care Flexible Spending Account, <br />including: <br /> <br />6 <br />