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HR Home >> Benefits >> Reimbursement Accounts >> Health Care >> What's Covered?

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REIMBURSEMENT ACCOUNTS

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What's Covered by Your Health Care Reimbursement Account

Eligible Expenses

In the box below are some examples of out-of-pocket expenses eligible for reimbursement from the Health Care Reimbursement Account. This is not a complete list. If you want to check if an expense that is not listed is eligible, contact WageWorks, the company that manages Duke's reimbursement accounts, at 1-877-924-3967, or refer to Internal Revenue Service (IRS) Publication 502, available by calling 1-800-TAX-FORM or by accessing the IRS web site at www.irs.gov. Note: Only expenses incurred during the plan year (Jan. - Dec. 2008) will be eligible for reimbursement. You must be participating in the plan when the expense is incurred.

Health Care Reimbursement Account
In general, expenses must be medically necessary and prescribed by your physician. The following are examples of eligible expenses:
  • Acupuncture
  • Alcoholism treatment
  • Ambulance fees
  • Animal trained to aid deaf person
  • Artificial limbs
  • Braille books and magazines (cost difference of common product)
  • Car controls for the disabled
  • Certain over-the-counter medications (e.g. pain relievers, allergy medications, etc.)
  • Chiropractor fees
  • Christian Science practitioner fees
  • Contact lenses and cleaning solutions
  • Co-pays, deductibles, and co-insurance not covered by insurance
  • Dental fees
  • Doctor fees
  • Drug addiction treatment
  • Eyeglasses (prescribed)
  • Eye surgery (e.g., LASIK and radial keratotomy)
  • Guide dogs
  • Hearing aids / exams
  • Hospital services
  • Infertility treatments
  • Lab fees
  • Lamaze classes for expectant mothers
  • Mileage (requires receipt from physician and distance traveled)
  • Nursing services
  • Optometrist fees
  • Orthodontia expenses
  • Oxygen
  • Psychotherapy for approved medical care (by approved provider)
  • Smoking cessation program fees and prescription drugs
  • Surgery
  • Telephone for the hearing impaired
  • Therapy (medical)
  • Transplants
  • Tuition at special schools for the disabled (select circumstances only)
  • Varicose vein treatment
  • Vision exams
  • Vitamins (prescribed)
  • Weight-loss programs at physician's discretion to treat existing disease
  • Wheelchairs
  • X-rays

Please note: Insurance premiums are not eligible expenses under a reimbursement account plan.


Ineligible Expenses

In the box below are some examples of expenses that are not eligible for reimbursement under a Health Care Reimbursement Account. If you want to check if an expense is eligible for reimbursement, contact WageWorks, the company that manages Duke's reimbursement accounts, at 1-877-924-3967.

Health Care Reimbursement Account: Ineligible Expenses
Expenses to promote general health are not reimbursable under the Health Care Reimbursement Account. The following are examples of ineligible expenses:
  • Babysitting & child care
  • Breast pumps*
  • Calcium supplements
  • Cancelled appointment fees
  • COBRA premiums
  • Contact lens insurance
  • Cosmetic surgery/procedures
  • Custom fitovers (clip ons)
  • Dancing lessons*
  • Diaper service
  • Discounted fees/write-offs
  • Electrolysis
  • Exercise equipment*
  • Eyeglass insurance
  • Fitness programs
  • Hair loss medication
  • Hair transplant
  • Health club dues
  • Treatment program (at a health club)*
  • Herbs & herbal medicines
  • Illegal operation or treatment
  • Insurance premium interest charge
  • Insurance premiums
  • Lamaze class***
  • Marriage counseling
  • Massage therapy**
  • Maternity clothes
  • Personal trainer
  • Prescription drug discount program premiums
  • Retin-A*
  • Rogaine*
  • Special foods* (cost difference of common product)
  • Student health premiums
  • Swimming lessons*
  • Tattoo removal
  • Teeth whitening/bleaching
  • Toiletries, toothpaste, etc.
  • Veneers*
  • Vision discount program premiums
  • Vitamins*
  • Weight loss programs and/or drugs*

* Eligible only with doctor's certification identifying the medical condition and length of treatment program.
 
** Eligible only with doctor's certification identifying the physical nature of the medical condition and length of treatment program. Massage therapy for the sole purpose of tension/stress relief or depression (even with a doctor's statement) does not qualify as an eligible expense.
 
*** Eligible expenses are limited to the mother's instruction related to birth.

 

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