Over the Counter Med		Health Improvement Programs and Supplies
Prescriptions and Co-Pays		Health Related Expenses and Equipment
Vision Services and Supplies		Limitation on Qualified Expenses
Dental Services and Supplies		Doctor's Fee and Co-Pays

Antiseptics
• Antiseptic wash or ointment for cuts or scrapes
• Antiseptic mouthwash
• Benzocaine swabs
• Boric Acid powder
• First aid wipes
• Hydrogen Peroxide
• Iodine tincture
• Rubbing Alcohol
• Sublimed Sulfur powder

Cold, Flu, Asthma, and Allergy Medications
• Allergy medications
• Bronchodilator/expectorant tablets
• Bronchial asthma Inhalers
• Cold relief syrup, tablets, and drops
• Cough syrup, tablets, and drops
• Flu relief syrup, tables, and drops
• Medicated chest rub
• Nasal decongestant spray, drops, or inhaler
• Nasal strips to improve congestion
• Sinus and allergy nasal spray
• Homeopathic sinus medications
• Vapor patch cough suppressant

Diabetes
• Diabetic lancets
• Diabetic supplies
• Diabetic test strips
• Glucose meters
• Glucose tablets
• Syringes
• Needles

Ear/Eye Care
• Airplane ear protection
• Ear drops for swimmers
• Ear water-drying aid
• Ear wax removal drops
• Homeopathic earache tablets
• Contact lens solution

Health Aids
• Antifungal treatments
• Denture adhesive
• Diuretics and water pills
• Hemorrhoid relief
• Incontinence supplies
• Lice control
• Medicated bandages
• Motion sickness tablets
• Respiratory stimulant ammonia
• Sleeping aids

Pain Relief
• Arthritis pain reliever
• Bunion and blister treatments
• Itch relief
• Orajel
• Pain relievers, aspirin and non-aspirin
• Throat pain medications

Personal Test Kits
• Cholesterol tests
• Colorectal cancer screening tests
• Home drug tests
• Ovulation indicators
• Pregnancy tests

Skin Care
• Acne medications
• Anti-itch lotion
• Bunion and blister treatments
• Cold sore and fever blister medications
• Corn and callus removal medications
• Diaper rash ointment
• Eczema cream
• Medicated bath products
• Wart removal medications

Stomach Care
• Acid reducing gum, liquid, and tablets
• Anti-Diarrhea medications
• Gas prevention tablets or drops
• Ipecac syrup
• Laxatives
• Pinworm treatment
• Upset stomach medications

Dual use items that require a letter from health practitioner to qualify
• Adhesive or elastic bandages
• Blood pressure meter
• Cold or hot compresses
• Eye drops
• Foot spa
• Gauze and tape
• Gloves and masks
• Herbs
• Leg or arm braces
• Massagers
• Minerals
• Multivitamins
• Saline nose drops
• Special supplements
• Special teeth cleaning system
• Thermometers
• Vitamins

Over-the-counter items that DO NOT qualify:
• Aromatherapy
• Baby bottles and cups
• Baby oil
• Baby wipes
• Breast enhancement system
• Cosmetics
• Cotton swabs
• Dental floss
• Deodorants
• Feminine care fragrances
• Hair regrowth
• Low "carb" foods
• Low calorie foods
• Oral care
• Petroleum jelly
• Shampoo and conditioner
• Skin care
• Spa salts
• Sun tanning products
• Tooth brushes
• Over-the-counter items, drugs, or medications that are not medically necessary, or are not prescribed by your physician or health practitioner

Doctor's Fees and Co-Pays
Co-pays and other payments to doctors and healthcare providers qualify unless they are reimbursed by insurance:
• Doctor office co-pays
• Emergency room co-pays
• Out-patient surgery co-pays
• Inpatient admission co-pays
• Office visits
• Routine check ups
• Routine physicals and other non-diagnostic services or treatments
• Psychologist and psychiatrist fees
• Obstetrics and fertility
• Chiropractor and podiatrist fees
• Orthodontist and dentist fees
• Periodontist and endodontist fees
• Physician and Osteopath fees
• Acupuncture fees
• Eye exams
• Christian Science practitioner's fees
• Radiology
• Surgical fees
• Lab fees
• Diagnostic fees
• X-rays and MRI
• Weight loss programs and fees pertaining to a specific disease
• Reconstructive surgery in connection with birth defects, disease or accident

Doctor's fees that DO NOT qualify:
• Cosmetic surgery and procedures unless it is for reconstruction due to disease, birth defect or accident
• Dental bleaching
• Marriage counseling
• Weight loss programs for general health or appearance
• Over-the-counter items, drugs, or medications that are not medically necessary, or are not prescribed by your physician or health practitioner

Vision Services and Supplies Vision services and supplies qualify unless they are reimbursed by insurance:
• Vision co-pays
• Office visits and routine eye exams
• Prescribed sunglasses and eyeglasses
• Contact lenses, solutions, and supplies
• Corrective eye surgery
• LASIK surgery
• Cataract surgery
• Optometrist fees
• Physician and Ophthalmologist fees
• Surgical fees and x-rays

Vision services and supplies that DO NOT qualify:
• Cosmetic surgery and procedures unless it is for reconstruction due to disease, birth defect or accident
• Over-the-counter items, drugs, or medications that are not medically necessary, or are not prescribed by your physician or health practitioner

Dental Services and Supplies
Dental services and supplies qualify unless they are reimbursed by insurance:
• Co-payments
• Dental fillings, crowns, and bridges
• Deductibles
• Dentures
• Diagnostic fees
• Oral surgery
• Orthodontist and dentist fees
• Periodontist and endodontist fees
• Prescribed medicines
• Routine checkups
• Dental sealants
• Surgical fees
• X-rays

Dental services and supplies that DO NOT qualify:
• Cosmetic surgery and procedures unless it is for reconstruction due to disease, birth defect or accident
• Over-the-counter items, drugs, or medications that are not medically necessary, or are not prescribed by your physician or health practitioner

Health Improvement Programs and Supplies
Health improvement programs that qualify unless they are reimbursed by insurance:
• Physical and speech therapy
• Weight-loss programs (for specific disease)
• Quit-smoking programs, patches, and gums
• Alcoholism and drug treatment
• Special schooling for a disabled child
• Body scans
• Reconstructive surgery associated with birth defect, disease, or accident
• Home drug tests
• Cholesterol tests and monitors
• Home blood tests
• Gastric bypass surgery

Health improvement programs that DO NOT qualify:
• Weight-loss programs for general health or appearance
• Cosmetic surgery and procedures unless it is for reconstruction due to disease, birth defect, or accident
• Dental bleaching
• Marriage counseling
• Over-the-counter items, drugs, or medications that are not medically necessary, or are not prescribed by your physician or health practitioner

Health Related Expenses and Equipment
Generally, the following items require a doctor's prescription to qualify.
Health related expenses and equipment that qualify unless they are reimbursed by insurance:
• Humidifiers and vaporizers
• First aid bandages, gloves, and masks
• Hot and cold compress packs and wraps
• Oxygen
• Pill boxes
• Shower protection for casts, prostheses, etc.
• Therapeutic support gloves
• Elevated toilet seat
• Thermometers
• Special school for disabled child
• Artificial limbs and braces
• Arches and orthopedic shoes
• Wigs for hair loss caused by disease
• Shower bars and safety handles
• Hearing devices and batteries
• Crutches and canes
• Wheelchairs, walkers, and shower chairs
• Medical alert bracelet and fees
• Bedpans and ring cushions
• Travel to doctors or healthcare facilities
• Ambulance expenses

Healthcare expenses that DO NOT qualify
• Expenses and equipment that are not medically necessary or are not prescribed by your health practitioner
• Weight-loss programs for general health or appearance