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<br />Breast augmentation - Expenses related to breast augmentation (such as implants or injections) are not <br />reimbursable because the procedure is cosmetic in nature. However, medical costs related to the removal of breast <br />implants that are causing a medical problem are reimbursable. <br /> <br />Breast pump - Even if prescribed, the breast pump is used for the convenience of the mother is not reimbursable. <br />However, a breast pump may be reimbursable if prescribed to alleviate a specific medical condition affecting either. <br />the mother (such as a cyst, for example) or the child (such as an aliment that prevents nursing). <br /> <br />Breast reductions - Medical expenses related to breast reduction surgery are reimbursable only if a physician <br />substantiates that the procedure is medically necessary and not for cosmetic purposes (that is, to prevent or treat an <br />iHness or disease). <br /> <br />Cancer Insurance - See Supplemental insurance policies. <br /> <br />Capital expenses - If their main purpose is medical care, capital expenses paid for special equipment installed in a <br />participant's home or for improvements to the home are reimbursable. For further details, see discussion under the <br />heading, "Capital Expenses" found later in this booklet. <br /> <br />Car - Medical expenses are reimbursable for special hand controls and other special equipment installed in a car for <br />the use of a person with disabilities. Also, the amount by which the cost of a car specially designed to hold a <br />wheelchair exceeds the cost of a regular car is a reimbursable medical expense. However, the cost of operating a <br />specially equipped car is not reimbursable (see Transportation). <br /> <br />Chair - The cost of a reclining chair purchased on the advice of a physician to alleviate a heart, back or other <br />condition is reimbursable. <br /> <br />Childcare - See Dependent care. <br /> <br />Childbirth classes - Expenses for childbirth classes are reimbursable, but are limited to expenses incurred by the . <br />mother-to-be. Expenses incurred by a "coach" - even ifthat is the father-to-be are not reimbursable. To qualify as <br />medial care, the classes must address specific medical issues, such as labor, delivery procedures and breathing <br />techniques. <br /> <br />Chiropractor - Expenses paid to a chiropractor for medical care are reimbursable. <br /> <br />Christian Science practitioners - Medical expenses paid to Christian Science practitioners are reimbursable. <br /> <br />Church of Scientology - See Scientology. <br /> <br />Clinic - Medical expenses for treatment at a health clinic are reimbursable. <br /> <br />COBRA coverage -COBRA premiums may not be reimbursed through their health FSAs. <br /> <br />Coinsurance amounts - Medical coinsurance amounts and deductibles are reimbursed. <br /> <br />Contact lenses - See Vision care. <br /> <br />Cosmetic surgery - Medical expenses for cosmetic surgery are reimbursable if the surgery is necessary to improve <br />a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an <br />accident or trauma, or disfiguring disease. However, medical expenses paid for other cosmetic surgery are not <br />reimbursable under a heath FSA. This applies to any procedure that is directed at improving the patient's appearance <br />and does not meaningfully promote the proper function of the body or prevent or treat illness or disease. For <br />example, face lifts, hair transplants, hair removal (electrolysis) and liposuction generally are not deductible. If there. <br />is a concern that a medical or dental surgery could be considered cosmetic, a doctor's certification should be <br />obtained explaining how the procedure meaningfully promotes the proper function of the body or prevents or treats <br />an illness or disease. This will help ensure that the claim is reimbursable. <br /> <br />Crutches - Medical expenses paid to buy or rent crutches are reimbursable. <br /> <br />Dancing lessons, swimming lessons, etc. - Dancing lessons, swimming lessons, etc., are not reimbursable even if <br />they are recommended by a doctor. <br /> <br />Day care - See Dependent care. <br /> <br />Deductibles - Medical insurance deductibles and coinsurance amounts under the employer's plan are reimbursable. . <br /> <br />Dental treatment - Medical expenses for dental treatment are reimbursable. This includes fees paid to dentists for <br />X-rays, fillings, braces, extractions, dentures, etc. Also see Cosmetic Surgery; <br /> <br />Page 12 <br />