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
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.