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Note: The IRS defines which medical expenses are eligible under a tax-deferred account. However, employers may only allow some of these expenses with your plan. It's important to always check with your benefits administrator to determine which expenses are eligible before you shop.

Eligible Product

Details

UCR, Charges Above

Medical expenses in excess of your plan's usual, customary and reasonable charges are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA) if the underlying expenses qualify. Medical expenses in excess of your plan's usual, customary and reasonable charges are not eligible with a dependent care flexible spending account (DCFSA), or a limited care flexible spending account (LCFSA).

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Ultrasound

Ultrasound reimbursement is eligible with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Ultrasound is not eligible for reimbursement with a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

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Ultrasound, Prenatal

An ultrasound is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). An ultrasound is not eligible with a dependent care flexible spending account (DCFSA), or a limited care flexible spending account (LCFSA).

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Umbilical cord blood storage

Umbilical cord blood storage is sometimes eligible with a Letter of Medical Necessity (LMN) from a physician if it is to treat an existing or imminently probable disease with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Umbilical cord blood storage reimbursement is not eligible with a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

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Upset Stomach Relief

Upset stomach relief medications are eligible with a prescription for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Upset stomach relief medications are not eligible with a dependent care flexible spending account (DCFSA) or a limited care flexible spending account (LCFSA).

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Urinalysis

Urinalysis products are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Urinalysis products are not eligible with a dependent care flexible spending account (DCFSA) or a limited care flexible spending account (LCFSA).

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Urological Products

Urological products are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Urological products are not eligible with a dependent care flexible spending account (DCFSA) or a limited care flexible spending account (LCFSA).

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Used Needle Container

A used needle container is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). A used needle container is not eligible with a dependent care flexible spending account (DCFSA) or a limited care flexible spending account (LCFSA).

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Usual and customary charges, excess

Excess usual and customary charges are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA) if the underlying expenses qualify for reimbursement. Excess usual and customary charges are not eligible with a dependent care flexible spending account (DCFSA), and are sometimes eligible with a limited care flexible spending account (LCFSA).

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UV Protective Clothing

UV protective clothing is not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

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UVR treatments

UVR treatments are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA). UVR treatments are not eligible with a dependent care flexible spending account (DCFSA) or a limited care flexible spending account (LCFSA).

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AZ-PROD-WEB01 12/10/2018 2:03:26 AM