Eligible Plan Expenses

Non-Group Premium & Co-pay Expenses
Individual Premiums
Medical Deductibles
COBRA
Medicare Premiums
Medical Co-pays
TRICARE Premiums
TRICARE Supplements

• Medical Facility & Service Expenses
• Handicapped Equipment & Service Expenses
• Quality of Life Expenses
• Family Expenses

Medical Facility & Service Expenses
Acupuncture
Ambulance
Anesthetist
Chiropractor
Dentist
Gynecologist
Hospital
Laboratory
Nurse
Obstetrician
Ophthalmologist
Optometrist
Oral Surgery
Orthodontics
Osteopath
Pediatrician
Physician
Psychoanalyst
Podiatrist
Psychiatrist
Psychoanalyst
Sanitarium
Surgeon
Speech Therapy
Surgery
Transplants
X-Ray
Chemical Addiction
Christian Science Practitioner
Rx Drugs /OTC Drugs
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Handicapped Equipment & Service Expenses
Crutches
Corrective Devices
Braille Print Items
Home/Access Equip.
Special Homes
Hearing Devices
Telephone for Deaf
Learning Disabilities
Auto/Access Equip.
Nursing Services
Seeing Eye Dog
Wheelchairs
Artificial Limb
Support Devices
Special Education
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Quality of Life Expenses
Smoking Cessation
Weight Loss Program
Lead Paint Removal
Lasik® Procedures
Tuition
Employee Assistance Program
Contact Lenses
Eyeglasses
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Family Expenses
Child Day Care
Birthing Center
Immunizations
Family Planning
Fertility Enhancement
Well-baby Care
Birth Control Rx
Nursing Home
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