You
may include expenses for yourself, your
spouse, your children and other dependents.
Qualified expenses are those which were
incurred during the plan year for the diagnosis,
treatment or prevention of disease. Expenses
that are merely beneficial to one's general
health or solely for cosmetic reasons are
generally not eligible. For a more complete
list of expenses, please contact the IRS
Forms Distribution Center at (800) 829-3676
and request Publication 502: Medical -Dental
Expenses or refer to IRS publication 502
at http://www.irs.treas.gov/forms_pubs/pubs/p502toc.htm.
Following is an alphabetical list of health
care expenses. Some of these items may be
reimbursable in entirety and some may not.
Where necessary, each item is followed by
a brief description.
Abortion - medical expenses
associated with a legal abortion are reimbursable.
Acupuncture
Alcoholism - Payments to
a treatment center for alcoholics or drug
addicts, including meals and lodgings.
Allergy Treatment - air-purifier
or water filter necessary to treat a specific
medical condition with proper medical documentation
from a doctor.
Alopecia - any personal
use items used to alleviate the symptoms
of the illness.
Alternative Remedies -
expenses of professional (i.e. naturopath)
may be eligible if legal.
Ambulance Service
Artificial Limb/Prosthesis
Autoette/Wheelchair - if
used mainly for the relief of sickness or
disability and not just to provide transportation
to and from work. The cost of operating
and upkeep is also allowable.
Birth Control Pills & Devices
- if prescribed by your doctor.
Braille Books and Magazines
- for use by a blind or visually handicapped
person, but only the part of the cost that
is greater than the cost of regular books
and magazines.
Capital Expenses - amounts
paid for special equipment installed in
your home if the main reason is for medical
care, reduced by the increase in value of
the property
Car - Cost of special equipment
and special design for the use of a person
with disabilities. The amount by which the
cost of a car specially designed to hold
a wheelchair exceeds the cost of a regular
car is a reimbursable medical expense.
Chiropractors
Christian Science Practitioners
Coinsurance Amounts and Deductibles
Contact Lenses including
solutions (see Vision Care)
Cosmetic Surgery - reimbursable
if the surgery is necessary to improve a
deformity arising from, or directly related
to, a congenital abnormality, a personal
injury resulting from an accident or trauma,
or a disfiguring disease.
Crutches - cost of renting
or buying.
Dental Treatment - fees
to dentists for X-rays, fillings, braces,
extractions, dentures, bridges, crowns,
etc.
Diets - see Special Foods.
Doctor's fees - including
psychiatric care
Drugs/Medicines - requiring
prescription by a doctor for its use by
an individual. You may not include vitamins,
aspirin, or other over-the-counter drugs.
Fertility - medical expenses
related to the treatment of infertility,
including in-vitro fertilization.
Genetic Testing - to the
extent it is done to determine possible
defects (e.g., if the mother is over age
40).
Guide Dog - the cost of
a guide dog or other animal used by the
visually or hearing impaired. Costs associated
with training to assist persons with other
physical disabilities. Amounts paid for
the care of these specially trained animals.
Hearing Aid & Batteries
Hospital Expenses - incurred
as an in-patient or out-patient for laboratory,
surgical and diagnostic services qualify
as medical expenses.
Laboratory Fees - related
to medical care.
Lead-based Paint Removal
- The cost of removing from surfaces in
your home to prevent a child who has or
had lead poisoning from eating the paint.
These surfaces must be in poor repair (peeling
and cracking) or within the child's reach.
Learning Disability - tuition
fees you pay to a special school for a child
who has severe learning disabilities caused
by a mental or physical handicap, including
nervous system disorders. Your doctor must
recommend that the child attend the school.
Tutoring for dyslexia is allowable if prescribed
by a doctor.
Legal Fees - if paid to
authorize treatment for mental illness.
Do not include guardianship or estate management
fees.
Lifetime Care - part of
a life-care or "founder's fee"
paid either monthly or as a lump sum under
an agreement with a retirement home is reimbursable
if it is allocable to medical care. The
agreement must require a specified fee payment
as condition for the home's promise to provide
lifetime care, including medical care. Advance
payments to a private institution for the
lifetime care, treatment and training of
an employee's physically or mentally impaired
dependent upon the employee's death or inability
to provide care are reimbursable. The payments
must be condition for the institution's
future acceptance of the dependent and must
be non-refundable.
Lodging & Meals - meals
and lodging in a hospital or similar institution
if the main reason for being there is to
receive medical care. The cost of lodging
not provided in a hospital or similar institution
if the lodging is primarily for and essential
to medical care. The cost is reimbursable
if four requirements are met: (1) the lodging
is primarily for and essential to medical
care; (2) the medical care is provided by
a doctor in a licensed hospital or in a
medical care facility related to, or the
equivalent of a licensed hospital; (3) the
lodging is not lavish or extravagant and
(4) there is no significant element of personal
pleasure, recreation or vacation in the
travel away from home. The amount cannot
exceed $50 per night per person.
Massage Therapy - to treat
an injury or trauma. Not, e.g., for massage
to relieve stress or depression. The treatment
must be for a limited, prescribed time.
Medical Information Plan
- amounts paid to a plan to store medical
information so that it may later be retrieved
from a computer data bank.
Mentally Retarded, special home
for - on the recommendation of
a psychiatrist, to help the person adjust
from life in a mental hospital to community
living.
Naturopathic Doctors -
but not their prescriptions if purchasable
over the counter. Expenses are not reimbursable
where treatment is illegal under applicable
law.
Nursing Home - the cost
of medical care in a home or institution
for the aged for an employee or for an employee's
spouse or dependent if the main reason for
being there is to receive medical care.
Nursing Services - wages
and other amounts paid for nursing services.
A licensed nurse need not perform services
as long as the services are of a kind generally
performed by a nurse. This includes services
connected with caring for the patient's
condition, such as giving medication or
changing dressings, as well as bathing and
grooming the patient.
Over the counter medications
- e.g., antacids, allergy medicine, cold
relief and pain relievers. Does not have
to be prescribed by a physician.
Orthotics - including shoes
and hose prescribed by a doctor
Oxygen - amounts paid for
oxygen and oxygen equipment to relieve breathing
problems caused by a medical condition.
Personal Use Items - items
that are ordinarily used for personal, living
and family purposes if they are used primarily
to prevent or alleviate a physical or mental
defect or illness.
Physical Exams are generally
reimbursable, except for employment-related
physicals.
Physical Therapy as required
for a specific medical condition.
Pre-existing Conditions
- medical expenses not covered because of
the plan's pre-existing condition limitations.
Psychiatric Care - the
cost of supporting a mentally ill dependent
at a specially equipped medical center where
the dependent receives medical care.
Psychoanalysis
Radial Keratotomy - laser
eye surgery to correct vision.
Schools, special - for
a mentally or physically handicapped person
if the main reason for using the school
is its resources for treating the disability.
Special Foods - if prescribed
to treat a specific illness or ailment,
to the extent the cost of amounts paid exceeds
cost of commonly available versions of the
same product. (Example: gluten-free or salt-free
diet)
Smoking Cessation Drugs
- non-prescribed (see over the counter medications)
Smoking Cessation Program
- amounts paid for participation in and
prescribed drugs for smoking cessation,
excluding over-the-counter drugs like nicotine
patches and gum.
Sterilization
Telephone/Television -
the cost of purchase and repair of special
telephone equipment that lets a hearing-impaired
person communicate over a regular telephone.
The cost of equipment that displays the
audio part of television programs as subtitles
for the hearing-impaired.
Transplants - including
payments for surgical, hospital, laboratory
and transportation expenses for a prospective
or actual donor of a kidney or other organ.
Transportation - when primarily
for and essential to medical care, including
bus, taxi, train or plane fare or ambulance
service. Include parking fees and tolls
and $0.13 per mile for use of personal car
to obtain medical care. Companion travel
expenses are not eligible unless necessary
due to the patient's medical condition.
The travel must NOT include a personal element.
Tuition - Charges for medical
care included in the tuition of a college
or private school. The charges must be listed
separately on the tuition billing.
Vision Care - Optometric
services and medical expenses for eyeglasses
and contract lenses needed for medical reasons
are reimbursable. Eye exams and expenses
for contact lens solutions are also reimbursable.
However, premiums for contact lens replacement
insurance are not reimbursable.
Vitamins - expenses for
vitamins prescribed by a physician that
are only available by prescription and are
to treat a specific medical condition.
Weight Loss Program -
as prescribed by a physician to treat a
medical illness (e.g., heart disease and
obesity). The cost of a weight loss program
for general health is not reimbursable even
if a doctor recommends the program.
Wigs - see Personal Use
Items.
X-ray Fees
For a more complete list of expenses, please
refer to IRS publication 502 at http://www.irs.gov.
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