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Health Savings Account (HSA) Eligible Expenses

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Over-The-Counter Medications<br />

and Treatments<br />

The new healthcare reform law significantly changes your<br />

over-the-counter (OTC) benefits. Effective January 1, 2011,<br />

you may only use your healthcare payment card to purchase<br />

OTC drugs and medicines if you have a physician’s<br />

prescription at a retail establishment, such as a pharmacy,<br />

that meets IRS standards.<br />

Based on communications from a trade association of<br />

healthcare payment card companies, we believe that you<br />

may use your healthcare payment card at retail<br />

establishments that meet IRS standards for a limited number<br />

of purchases without a prescription. Examples include:<br />

Antiseptics and wound cleansers<br />

Bandages and dressings<br />

Contact lens solution and eye care related drops<br />

Contraceptives<br />

Denture adhesives, repair, pain relief and cleansers<br />

Diagnostic products (thermometer, blood pressure monitor,<br />

cholesterol testing)<br />

Ear care<br />

First aid burn remedies, dressings and supplies<br />

Foot care antifungal and treatments<br />

Hearing aid/medical batteries<br />

Home health care (limited segments)<br />

Incontinence protection and treatment products<br />

Insulin<br />

Reading glasses and maintenance accessories<br />

A Note about Insurance<br />

Premium <strong>Expenses</strong><br />

Some health insurance premiums are considered qualified<br />

expenses. Call 800-941-6121 for more information.<br />

Examples include:<br />

COBRA premiums<br />

Long term care insurance premiums<br />

Retiree medical insurance premiums<br />

Ineligible <strong>HSA</strong> <strong>Expenses</strong><br />

<strong>Expenses</strong> merely beneficial to general health or for<br />

cosmetic reasons are not qualified. Examples include:<br />

Cosmetic surgery<br />

Cosmetics<br />

Deodorant<br />

Exercise equipment<br />

Fitness programs<br />

Funeral expenses<br />

Hair transplants<br />

Household help<br />

Illegal operations and treatments<br />

Insurance premiums<br />

Maternity clothes<br />

Moisturizers and wrinkle creams<br />

Sun tan lotions<br />

Teeth whitening services and products<br />

Toothpaste, toothbrushes and mouth wash<br />

Vitamins taken to improve overall health<br />

Go to premera.com or call 800-941-6121 for more information about your<br />

<strong>Health</strong> <strong>Savings</strong> <strong>Account</strong> and qualified expenses.<br />

* For more detailed information, refer to IRS Publication 969, “<strong>Health</strong> <strong>Savings</strong> <strong>Account</strong>s and Other Tax-Favored <strong>Health</strong> Plans,” which you can<br />

download from the IRS Web site, www.irs.gov, or order by calling 1-800-TAX FORM. This material is not intended to be tax or legal advice. The<br />

reader should consult with his or her own tax advisor to determine the tax implications of participating in a personal funding account discussed<br />

herein. Advice, if any, included in this material was not intended or written by Premera to be used, and it cannot be used, by any taxpayer for the<br />

purpose of avoiding penalties that may be imposed on the taxpayer.<br />

022856 (12-2010)

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