| Option Blue (HSA) - Details | ||
| Maximum allowable contributions for 2010 | ||
| Single to age 54 - $3050.00 Single age 55+ - $$4050.00 | Family to age 54 - $6150.00 Family age 55+ - $7150.00 | For forms and more details, visit: www.selectaccount.com |
| ELIGIBLE MEDICAL EXPENSES | NON-ELIGIBLE MEDICAL EXPENSES | ||
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Abdominal supports Abortion Acupuncture Air conditioner (when necessary for relief from an allergy or for relief from difficulty in breathing) Alcoholism treatment Ambulance Anesthetist Arch supports Artificial limbs Autoette (when used for relief of sickness/disability) Birth control pills Blood tests Blood transfusions Braces Cardiographs Chiropractor Christian Science Practitioner Contact lenses Contraceptive devices Convalescent home (for medical treatment only) Crutches Dental treatment Dental x-rays Dentures Dermatologist Diagnostic fees Diathermy Drug addiction therapy Drugs (prescription) |
Elastic hosiery (prescription) Eyeglasses Fees paid to health institute prescribed by a doctor FICA and FUTA tax paid for medical care service Fluoridation unit Guide dog Gum treatment Gynecologist Healing services Hearing aids and batteries Hospital bills Hydrotherapy Insulin treatments Lab tests Laser eye surgery Lead paint removal Legal fees Lodging (away from home for outpatient care) Metabolism tests Neurologist Nursing (including board and meals) Obstetrician Operating room costs Ophthalmologist Optician Optometrist Oral surgery Organ transplant (including donor’s expenses) Orthopedic shoes Orthopedist Osteopath |
Over-the-counter drugs (except for the purchase of vitamins and supplements) Oxygen and oxygen equipment Pediatrician Physician Physiotherapist Podiatrist Postnatal treatments Practical nurse for medical services Prenatal care Prescription medicines Psychiatrist Psychoanalyst Psychologist Psychotherapy Radium therapy Registered nurse Special school costs for the handicapped Spinal fluid test Splints Sterilization Smoking cessation programs Surgeon Telephone or TV equipment to assist the hard-of-hearing Therapy equipment Transportation expenses (relative to health care) Ultraviolet ray treatment Vaccines Vasectomy Weight loss programs (when deemed medically necessary) Wheelchair X-rays |
Advance payment for services to be received next year Athletic club membership Automobile insurance premium allocable to medical coverage Boarding school fees Bottled water Cosmetic surgery and procedures Cosmetics, hygiene products and similar items Diaper service Domestic help Funeral, cremation or burial expenses Health programs offered by resort hotels, health clubs, and gyms Illegal operations and treatments Illegally procured drugs* Maternity clothes Premiums for life insurance, income protection, disability, loss of limbs, sight or similar benefits Scientology counseling Social activities Special food or beverages Specially designed car for the handicapped other than an autoette or special equipment Supplements Swimming pool Travel for general health improvement Tuition and travel expenses for a child with special needs at a particular school Vitamins *Includes drugs obtained outside the United States and brought into the country. |