Flexible Benefits


Sitemap  

Home   Services   News & Events   About Us   Contact Us   Resources


Services


Cafeteria Plan Support

COBRA and Continuation Support

Enrollment Support

Client And Employee Portal

Contact Information


Provess Flexible Benefits
4050 Katella Avenue, Suite 213
Los Alamitos, CA 90720

Phone: (866) 639-5289
E-Fax: (866) 264-4093
E-mail: admin@provess.com

Palm Springs and Midwest Locations...

Latest News


January 2010

  • Latest News...

  • September 2009

  • New Provess Website...

  • August 2009

  • Thank you!...




  • Health Care FSA Eligible Expenses

    The following list represents expenses that are frequently submitted for reimbursement under Health Care Flexible Spending Accounts (FSA) and are generally eligible under an FSA. This list is not intended to be exhaustive and is intended only to be used as a general guide. Consequently, expenses contained in this generally eligible list may be denied if the supporting claims documentation is insufficient or shows that the expense was incurred for services not considered medical care, such as cosmetic procedures. Payment of claims will be based on the rules set out in the applicable regulations, your employer?s plan design and on the information in the required substantiation documentation.

    Abortion
    For operations that are legal

    Acne treatment
    Prescription and OTC

    Acupuncture
    For treatment of medical condition

    Adoption expenses
    Medical expenses incurred prior to adoption being finalized if child is tax dependent

    Alcoholism treatment
    Inpatient, outpatient and transport to AA meetings

    Allergy medications
    Prescription and OTC

    Alternative healers
    For treatment by professionals for specific medical condition

    Ambulance


    Analgesics
    Prescription and OTC

    Anesthesia
    UNLESS for cosmetic procedures

    Antacids
    Prescription and OTC

    Antihistamine
    Prescription and OTC

    Anti-itch creams
    Prescription and OTC

    Aspirin
    For medical condition

    Bandages
    To cover injury or torn skin

    Birth-control pills


    Blood pressure monitoring devices


    Blood sugar test items


    Body scan
    For diagnostic purposes

    Braille books/magazines
    For visually impaired individuals but only to extent of the costs above regular printed materials

    Breast Reconstruction Surgery
    Following mastectomy for treatment of cancer

    Carpal tunnel wrist supports


    Chelation therapy
    For treatment of medical condition (lead poisoning)

    Chiropractic care


    Christian Science practitioners


    Circumcision


    Contact lenses/Contact Supplies


    Contraceptive products and devices
    Condoms, spermicidal

    Co-pays


    Counseling, other than Marriage
    For treatment by professionals for specific medical condition

    Crutches


    Deductibles


    Dental treatment
    UNLESS for cosmetic proposes

    Dentures/Denture Supplies


    Diabetic supplies


    Diagnostic items/services
    Tests to detect heart attack, stroke, diabetes, osteoporosis, cancer, thyroid conditions, glaucoma, etc.

    Diarrhea medicine
    Prescription and OTC

    Drug addiction treatment
    Inpatient, outpatient and transport to meetings

    Egg donor fees


    Egg and Embryo Storage Fees
    Only eligible if the expenses are incurred for temporary storage and only to the extent necessary for immediate conception only, if stored and used within the same plan year.

    Eye examinations


    First Aid Kit


    Flu-shots


    Glucose


    Hearing aids/batteries


    Hemorrhoid treatments
    Prescription and OTC

    Home health care
    For nursing services

    Hormone replacement therapy
    For treatment of medical condition (menopause)

    Hot/cold packs
    For treatment of medical condition

    Hypnosis
    For treatment of medical condition and smoking cessation

    Immunizations


    In vitro fertilization


    Incontinence supplies


    Infertility treatments


    Inpatient hospitalization services
    UNLESS for cosmetic purposes or procedures

    Insulin


    Laboratory fees


    Lactation treatment
    For breast feeding difficulties ? but not for general instruction

    Lamaze classes
    For instruction relating to childbirth- but not for expenses related to childrearing instruction and guidance

    Laser eye surgery


    Lasik


    Laxatives
    Prescription and OTC

    Lodging at hospital
    For medical care

    Lodging not at hospital or similar institution (hotel)
    If essential to medical care and limited to $50 per night

    Massage therapy
    For treatment of medical condition ? NOT eligible when used for general well-being, relaxation, etc.

    Mastectomy bra


    Medic alert devices
    Bracelet or necklace

    Medical conference expenses
    For expenses for conference and transportation IF conference related to a chronic disease suffered by an individual, spouse or other dependent. Expenses for lodging and meals are NOT eligible.

    Medical monitoring and testing devices
    Examples: blood pressure monitors, syringes, glucose kit, etc.

    Medical records charges
    Fees associated with transferring records to new provider

    Menstrual pain relievers
    Prescription and OTC

    Mileage reimbursement
    For travel to and from medical care ($0.24 cents per mile)

    Nasal strips
    For treatment of sinus problems and sleep apnea- but NOT for common snoring

    Nicotine gum or patches


    Norplant insertion or removal


    Nursing services


    Nutritionist?s expenses
    For treatment by professional for specific medical condition

    Obstetrical expenses
    Two ways of submitting/paying claims: by reimbursing up to the full amount of the treatment, minus any previous reimbursements, once the initial treatment has begun (when applicable) or reimbursing as individual expenses are incurred.

    Occlusal night guard
    For prevention of teeth grinding

    Operations
    If legal and NOT cosmetic in nature ? inpatient and outpatient

    Optometrist services


    Organ donors


    Orthodontia services
    Two ways of submitting/paying claims: by reimbursing up to the full amount of the treatment equal to the participant?s annual election, minus any previous reimbursements, once the initial treatment has begun or reimbursing over the entire orthodontia treatment period (e.g. monthly).

    Orthopedic shoes/inserts
    For treatment of medical condition ? but only to the extent of the cost in excess of normal shoes

    Osteopath services


    Over-the counter items
    Examples of generally eligible items as generally used for medical care:
    ·	Acne treatments 
    ·	Allergy prevention and treatment 
    ·	Antacid treatment 
    ·	Antibiotic ointments and creams 
    ·	Anti-diarrhea medications 
    ·	Anti-infection treatments 
    ·	Anti-itch lotions and creams 
    ·	Arthritis treatments 
    ·	Aspirin 
    ·	Bandages 
    ·	Blood pressure monitor 
    ·	Calcium 
    ·	Carpal tunnel wrist supports 
    ·	Chest rubs 
    ·	Cholesterol tests 
    ·	Claritin 
    ·	Cold and flu medications 
    ·	Cold sore treatments 
    ·	Cold/hot packs 
    ·	Colorectal cancer screening tests 
    ·	Constipation treatment 
    ·	Contact lens cleaning solution 
    ·	Cough medicines 
    ·	Dehydration treatment 
    ·	Diabetes monitors 
    ·	Diabetes supplies 
    ·	Diaper rash treatments 
    ·	Diuretics 
    ·	Ear drops 
    ·	Eye drops 
    ·	Fiber supplements 
    ·	Glucosamine / Chondroithin (arthritis) 
    ·	Headache relief 
    ·	Hemorrhoid treatments 
    ·	Incontinences supplies 
    ·	Joint pain 
    ·	Lactose intolerance products 
    ·	Laxatives 
    ·	Lice treatments 
    ·	Medicated hand creams 
    ·	Medicated shampoos 
    ·	Menopause treatments 
    ·	Motion sickness 
    ·	Muscle pain 
    ·	Pain relievers 
    ·	Pregnancy tests 
    ·	Premenstrual syndrome treatment 
    ·	Reading glasses 
    ·	Scar Treatment 
    ·	Sinus sprays and medications 
    ·	Sleeping aids 
    ·	Smoking cessation treatments 
    ·	St. Johnswort 
    ·	Toothache treatments 
    ·	Wart removal treatments 
    ·	Yeast infection treatments
    


    Ovulation monitor


    Oxygen
    Oxygen and equipment for medical condition

    Pain relievers
    Prescription and OTC

    Patterning exercises


    Physical examinations


    Physical therapy


    Pregnancy test kits


    Prenatal vitamins
    If taken during pregnancy

    Prescription drugs
    For treatment of medical condition

    Preventive care / screenings


    Prosthesis


    Psychiatric care


    Psychoanalysis
    For treatment of medical condition

    Psychotherapy
    For treatment of medical condition

    Radial keratotomy


    Reading glasses


    Retin-A
    IF prescribed for medical condition (i.e. acne) but NOT for cosmetic purposes such as reducing wrinkles

    Screening tests
    Examples: hearing, vision and cholesterol tests

    Seeing eye-dog
    Includes expenses related to dog (food, collar/harness, veterinary care, etc)

    Shipping (mailing) and handling charges
    For reimbursable products

    Sinus medications
    Prescription and OTC

    Smoking cessation products and treatment
    Prescription and OTC

    Special foods (such as Gluten-free, not Diet foods)
    For treatment of medical condition ? but only to extent of cost in excess of commonly used food

    Speech Therapy


    Sterilization procedures
    Example: hysterectomy, vasectomy

    Sunburn cream and ointments
    For treatment of sunburn

    Taxes on medical services and products
    For reimbursable services and products

    Telephone consultations


    Telephone for hearing impaired


    Television for hearing impaired


    Tens Unit
    For treatment of medical condition

    Thermometers


    Toothache and teething pain relievers
    Prescription and OTC

    Tuition for special needs programs
    Example: dyslexia

    Ultrasound


    Varicose vein treatment
    UNLESS for cosmetic purposes

    Walkers


    Wart remover treatments
    Prescription and OTC

    Weigh-loss programs and/or drugs prescribed to induce weight loss
    If weight loss program is recommended by a physician to treat an existing condition (obesity, diabetes, heart disease) and not just to improve general health

    Wheelchair


    Wigs
    IF hair lost due to medical condition or medical treatment

    X-ray expenses


    Home   Services   News & Events   About Us   Contact Us   Resources


    Copyright © 2007, Provess Flexible Benefits. All rights reserved.