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Acupuncture   Ambulance   Artificial limbs   Braille books and magazines (above cost of regular print)   Chiropractors' fees (to treat a specific medical condition)   Christian Science practitioners' fees   Coinsurance   Contraceptive prescriptions   Copayments   Crutches   Dentists' fees (other than cosmetic services)   Dentures   Diabetic supplies   Eye exams   Fees associated with organ donations   Fees for the computer storage of medical records   Gynecologists' fees   Health insurance deductibles (associated with specific costs)   Hearing aids/batteries   Hearing trained cat (purchase, training and care)   Hypnosis for medical reasons   Immunizations/vaccinations   Insulin   Laboratory fees   Legal fees associated with the commitment of a mentally ill person   Mileage related specifically to an eligible medical visit   Obstetrical fees   Orthodontia   Orthopedic shoes (over cost of ordinary shoes)   Physical therapists' fees   Prescription drugs (for non-cosmetic reasons)   Prescription eyeglasses and/or contact lenses   Psychiatrists' fees (for medical reasons)   Psychologists' fees (for medical reasons)   Psychotherapists' fees (for medical reasons)   Radial keratotomy/Ortho keratology   Routine physicals   Seeing-eye dog (purchase, training and care)   Solutions for the care and maintenance of contact lenses   Skilled nurses' fees paid for medical reasons -- including room, board and Social Security Taxes   Speech therapists' fees   Sterilization fees   Treatment for substance addiction   Transportation expenses (for medical reasons)   Wheelchair Ineligible Health Care Expenses This is a partial list of health care expenses that are not eligible for reimbursement from your Health Care Spending Account.   Cosmetic surgery or procedures of any kind   Domestic help fees (for services of a non-medical nature)   Health club memberships   Lens replacement insurance   Over-the-counter drugs, products or formulas (even if prescribed by a physician)   Physical therapy treatments for general well-being   Smoking cessation treatments and prescriptions (even if prescribed by a physician)   Solutions for the care and maintenance of eyeglasses   Supplements prescribed by an alternative provider (e.g. naturopath or acupuncturist)   Union dues   Over the counter vitamins   Weight loss treatments and prescriptions (even if prescribed by a physician)   Insurance premiums Change In Status Life events that allow an employee to change their level of coverage under various benefit plans. These events are: employee's marriage, birth or adoption of a child, divorce or legal separation, termination or commencement of employment of employee's spouse, employee or employee's spouse taking a Leave of Absence, or a change in employee's or employee's spouse's employment status. Consult Human Resources if any of the events mentioned occurs. Getting Started Estimate the amount you will spend in Health and/or Dependent Care during the coming Plan Year. If you are a newly eligible employee, estimate the amount you will spend during the remainder of the current Plan Year. Please review the healthcare, dependent care, and premium reimbursement summaries for the accounts offered at your employer. Each account is separate. Funds cannot be transferred from one account to another. The maximum annual limit the dependent care account is $5,000 per family per year and contact your HR department for the healthcare account maximum. Divide your annual election by the number of pay periods in the plan year. This number is located on your announcement letter. As a newly eligible employee, divide your election by the number of pays remaining in the Plan Year. The amount(s) will then be deducted from your paycheck on a pre-tax basis each pay period, in equal installments. Enter all applicable information on the enrollment form, sign and return it in to your employer by the deadline date, located on the announcement letter. Please check with your employer to see if you can enroll online.(link to online) When you incur an eligible expense, be sure to get a detailed receipt containing the actual date of service, name and address of the provider, a description of the services rendered and the amount charged. Your claim form and receipts can be faxed or mailed to FlexAmerica Contact Us: info@flexamerica.com