• Acupuncture
• Air conditioners *
• Ambulance expenses
• Automobile equipment to assist the physically disabled
• Birth control pills
• Braille books and magazines
• Child birth preparation classes, for the mother only
• Chiropractic
• Contact lenses and solutions
• Copayments under your insurance plan
• Coinsurance
• Cost of a note-taker for a hearing impaired child in school
• Crutches
• Deductibles for medical, dental, and vision plans
• Dental cleanings and fillings
• Detoxification or drug abuse centers
• Diabetic supplies
• Diagnostic tests and health screenings
• Drug addiction/alcoholism treatment
  Expenses in excess of medical, dental, or vision plan limits
• Expenses for services connected with donating an organ
• Eye exams
• Eyeglasses
• Guide or guide dogs and associated expenses for persons who are visually or hearing impaired
• Hearing aids
• Household visual alert system for hearing impaired persons
• Injections and vaccinations
• In vitro fertilization
• Laser eye surgery
  

• Massage therapy
• Medically necessary mattresses and boards*
• Mileage to/from medical providers, 16.5 cents per mile in 2010
• Nicotine patches and gum
• Orthodontia***
• Orthopedic shoes
• Over-the-counter medicines**
• Physical therapy
• Postage/handling fees
• Prescription drugs
• Psychotherapy
• Radiation treatments
• Remedial reading *
• Respirators
• Routine physical exams
• Smoking cessation programs
• Specialized equipment for disabled persons
• Special devices, such as a tape recorder and typewriter, for people who are visually impaired
• Speech therapy
• Sterilization surgery
• Transportation expenses related to medical care
• Water fluoridation devices *
• Weight reduction program for physician-diagnosed obesity or other medical condition*
• Well-baby and well-child care office visits
• Wheelchairs
• Whirlpool*
• Wigs for hair loss due to any disease*
• X-rays

• Clip-on sunglasses
• Cosmetic expenses, including drugs – both prescription and over-the-counter – used for cosmetic purposes
• Expenses claimed on your income-tax return
• Expenses not eligible to be claimed as an income-tax deduction
• Expenses reimbursed by other sources, such as insurance companies
• Fees for exercise/athletic/health clubs where there is no specific medical reason for membership
• Hair transplants
• Illegal treatments, operations or drugs
• Insurance premiums
• Long-term-care expenses
• Marriage counseling
• Sundry items – soap, toothpaste, deodorant
• Teeth bleaching
• Varicose/spider-vein treatment
• Veneers
• Warranties
• Weight-reduction programs for general well being
  

* Expenses noted by asterisk must be accompanied by a letter of medical necessity from your medical provider that indicates the medical disorder, the specific treatment needed, and how this treatment will cure, mitigate, treat or prevent a specific medical condition. In some cases, additional documentation may also be required to validate the expense for reimbursement. Additionally, items claimed for the home, such as air conditioning units, must have certification from a “knowledgeable person” stating that the purchase did not increase the value of the residence; or only the difference of the charge and the increase in the home’s value may be claimed (i.e. if an air conditioning unit costs you $1,000 and a knowledgeable person states that it increases the value of your home by $300, you may only be reimbursed the $700 difference.)

** Participants submitting over-the-counter items for reimbursement must include a description of the medical condition they are treating with the item. For vitamins, herbs and nutritional supplements, a letter of medical necessity is required. The letter must come from your medical provider and must indicate the medical condition that is being treated and the specific over-the-counter items that must be taken to treat or mitigate the condition.

***Orthodontic expenses are reimbursed according to the prorated monthly fee. The plan administrator can reimburse the initial down payment amount and then must break down the remainder of the charges according to the monthly fee assessed. In order to receive reimbursement for orthodontic work, a copy of the original contract must be submitted to the plan administrator showing the total dollar amount the participant is responsible for, less any down payment amount as well as the estimated length of time the treatment will last. For example, if the total participant responsibility for orthodontic work is $2,000, the initial down payment amount is $500 and the expected treatment time is 15 months, the plan administrator can reimburse the $500 initially and then $100 per month thereafter. Per IRS regulations, the plan administrator is required to see that the down payment and monthly payment(s) have been paid in order to issue the reimbursements. Please remember that even if you pay for the entire amount of the orthodontic work up front, the expenses will be reimbursed only on a monthly basis.