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Medical Reimbursement
Health Care expenses are medically necessary expenses that are not covered by a health or dental insurance plan. See the following list for covered expenses. If you have any questions please contact Sheakley Pension Administration, Inc. toll free at 800-877-6630 or
e-mail:125@sheakley.com.
For Medical Reimbursement Forms, please contact your Customer Service Representative toll free at 800-877-6630 or email your request to 125@sheakley.com
To estimate your tax savings, use the Section 125 Tax Calculator.
Over-the-Counter Items Covered under Healthcare
The IRS has issued new guidance on over-the-counter and non-prescription medications. For a printable version of the Eligible and Non-Eligible Expenses, please click here.
Effective for taxable years beginning 01/01/11 the nontaxable reimbursement of Over The Counter (OTC) medicines from health FSAs will be eliminated, unless accompanied by a doctor’s prescription (excluding insulin). However other OTC non-medicines needed to treat a medical condition such as bandages and contact lens solutions will still be covered without a prescription. This change applies to all participants regardless of their companies plan year. OTC expenses incurred prior to 1/1/11 will be reimbursed without a prescription regardless of when the expense is submitted (within the coverage period).
The mySource debit card will no longer be able to be used to purchase over the counter medicines beginning 1/1/2011. Doctor approved OTC purchase will need to be submitted via a claim form with a copy of the prescription.
Expenses Covered Under Health Care
This list contains some of the eligible expenses under the Health Care Account followed by some of the items not covered. This is not an exclusive list, some expenses may be subject to additional medical review.
| Acupuncture |
Hearing Aids |
| Alcohol/Drug Treatment Centers | Health Club Dues (prescribed) |
| Ambulance | Home Modifications/Handicapped |
| Anesthesiologist's Fees | Massages (prescribed) |
| Chiropractic |
Neurologist's Fees |
| Christian Science Practitioners |
Nurse's Board (paid by taxpayer) |
| Contact Lenses & Solutions |
OB/GYN Treatments |
| Co-Payment |
Office Visits |
| Crutches |
Orthodontia |
| Deductibles |
Osteopath's Fees |
| Dental Services |
Pediatrician's Fees |
| Dermatologist's Fees |
Podiatrist's Fees |
| Diabetic Supplies |
Prescriptions |
| Drugs, (physician prescribed) |
Psychiatric Social Worker's Fees |
| Dust Free Supplies (prescribed) |
Psychiatrist's Fees |
| Exercise Equipment (prescribed) |
Radial & Photo Keratotomy (Lasik) |
| Eye Exams |
Routine Care |
| Eye Glasses |
Stop Smoking Programs |
| Fertility Treatments |
Swimming Lessons (prescribed) |
Expenses Not Covered under Healthcare
| Bleaching of Teeth |
| Cosmetic Procedures |
| Liposuction |
| Rogaine |
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