Flex Plan Summary - Personnel - Sacramento County

A partial list of eligible expenses (For a complete list refer to IRS Publication 502)AcupunctureAlcoholism treatmentAmbulance serviceArtificial limbsBirth control pillsBreast pumpsBraille books and magazinesCar controls for the handicappedChiropractic careContact lenses – correctiveContact lens solutions and cleanersCrutchesDental feesDental implantsDiagnostic testsDoctors’ feesDuplicate prosthetic devicesDrug addiction treatmentDrugsExperimental medical treatmentEyeglassesGuide dogsHealth and dental insurance deductiblesand co-insuranceHearing aids and examsHearing treatmentHospital servicesIn-patient or out-patient therapy for mentalor nervous disordersInjectionsIn vitro fertilizationLab feesLaser eye surgeryLearning disability tuitionMassage therapyMedical mileageNursing servicesOptometrist feesOrthodontic treatmentOver the counter drugs with a prescriptionOrthopedic shoesOxygenPsychoanalysisPeriodontal feesPrescription drugs to alleviate nicotine withdrawalsymptomsReconstructive surgery after mastectomySmoking cessation programs/treatmentsRadial keratotomySpecial schools for the handicappedSurgeryTelephone for the deafTransplants of organsTransportation for local and medically necessary out-oftowncareVaccinationsVitamins/natural supplements - prescribedWeight-loss programs/meetingsWheelchairsX-raysSome of these items may require a Letter of Medical Necessity from the treating healthcare provideror may only be reimbursable if a physician prescribes the treatment as medically necessary to prevent,treat or alleviate a specific diagnosed medical illness (such as hypertension, diabetes, or obesity).INELIGIBLE EXPENSESAirborneBooksBoutique practice feesCOBRA premiumsCollege InsuranceCPR classesElectrolysis/laser hair removalFace liftImported OTC itemsImported prescriptionsInsurance premiumsLate feesLiposuctionMarijuanaMarriage counselingMassage chair6