www.healthequity.com/wageworks
Health Reimbursement
Arrangement (HRA)
Retiree - Eligible Expenses*
Services by an M.D. or Licensed Practitioner when medically
necessary, including
• Acupressurist • Optometrist
• Acupuncturist • Osteopath
• Anesthesiologist • Podiatrist
• Chiropractor • Psychiatrist/Psychologist
• Christian Science Practitioner • Psychotherapist
• Dermatologist • Surgeon
• Ophthalmologist
Medical/Hospital services or other fees:
• Diagnostic services by or under direction of M.D.
• Surgical services by or under direction of M.D.
• X-rays and radiological services for diagnosis or treatment
• Expenses for donating or receiving an organ transplant
• Nursing services for specific medical ailments by an RN or
LPN who is not related to employees.
• Services of a physical, speech or an occupational therapist
• Ambulance
• Laboratory fees
• Prescription drugs: including insulin, laetrile and birth control pills
• Vitamins and dietary supplements.** Only a quantity of six may be
purchased at a time.
• Va
ccinations and immunizations.
• Orthotics
• Transportation and lodging expenses incurred for medical reasons.
• Deductibles and copayments.
• Over-the-counter (OTC ) drug or medicine.
Other health-related expenses
• Treatment of alcoholism or drug dependency, including
expenses for meals and lodging at a treatment center.
• Lead-based paint removal in the home.*
• Smoking cessation programs and related drugs.
• Employee plus dependent Medical, Dental, Vision, Rx, Medicare,
COBRA or other healthcare insurance premiums.
Dental, vision & hearing
• Dental checkups and care (by a DDS or dental hygienist), including
dentists’ fees, X-rays, fillings, braces, extractions and dentures
• Orthodontics (usually pro-rated cost attributable to this plan year)
• Cost of guide dog for blind or deaf.*
• Braille books and magazines (in excess of regular book cost).
• LASIK, Laser, RK surgery or PRK surgery, prescription eyeglasses
and contact lenses (including solutions).
• Special Equipment for the blind.
• Hearing aids and care (including batteries).
• Cost of note-taker for a deaf person in school.*
• Household visual alert & expenses for special phone equipment for
a deaf person.*
• Adapting a television for the deaf.*
Maintenance & support devices (these require a letter of
medical necessity from a licensed physician)
• Support hose and orthopedic shoes (in excess of regular
shoe cost).
• Wheelchairs, crutches and wigs for hair loss due to medical
treatment.
• Oxygen and oxygen equipment.
• Cost of equipping an auto for the disabled (in excess of
regular auto cost).
• Prostheses and prosthetic supplies.
• Colostomy supplies
.
• Capital expenses - the amounts between the cost of improvements
or special equipment installed and the increase in the value of the
home.
• Psychiatric care - may include costs of supporting mentally ill
dependents at a specially equipped center where a dependent
receives medical care.
• Massage therapy.
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• Athletic or health club membership
• Cosmetic procedures and/or surgeries
• Household help
• Any illegal treatment
• Prepayment for services
• Cost of remedial reading classes for a
non-handicapped child
• Dancing or ballet, even when recommended by a doctor
• Weight reduction programs for general well-being
• Teeth bleaching or whitening
• Marriage counseling
• Toiletries and sundry items (such as toothpaste, shaving
cream, deodorant, shampoo, makeup
• Electric toothbrushes
• Sunscreen under SPF15
Ineligible Expenses (Health Care)
* If used for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of
the body. Requires a letter of medical necessity from a licensed physician.
** If specifically directed by a licensed practitioner of the healing arts, a written directive is needed.