Katie Beckett Healthcare Reimbursement Account (HRA Guide)

August 2025 Update

TASC is the new HRA vendor for the Katie Beckett Program. TASC is working to update the HRA Guide which will be shared soon and will be communicated with families once it's available. If you happen to find a resource not yet updated contact our web guy.

TASC Portal Training

DDA and TASC conducted a webinar about the TASC portal on Wednesday, August 6, 2025. The webinar recording can be reviewed here.

Letters of Medical Necessity

Current Letters of Medical Necessity are acceptable so long as they list the item(s) and are still valid. Any expired LOMN documents must be updated by the treating clinician. Each claim submitted must include a current letter of medical necessity if one is required for that item or service. This has been clarified with the TASC customer service team. LOMNs may be signed by a medical practitioner MD, PA, Nurse practitioner, etc. and will be accepted by licensed therapists (PT,OT, SLP etc.) if the item or service is within the scope of their practice.

Companion/ Service Animals: These require a letter of medical necessity or proper documentation to differentiate a service animal from a pet.

Tuition: requires a LOMN and must indicate the program is designed to treat/address the child’s specific disability; the same applies for tablets and other items to be used as educational aids or as a curriculum.

As a reminder, the addition of any item or service to a previously signed LOMN is never allowed without an updated signature and may constitute fraud.

Denials

Denials for reimbursements will be sent via email(if an email has been established for each child enrolled) and will also be indicated in the portal with an “Alerts” bell. Please note a claim in pending status is not the same as a denial. Denials will be listed generally based on a drop-down option TASC utilizes. We are working with the vendor to look at options for providing additional information when a claim is denied. The portal includes a chat option, called “Support Requests”, that may be used to discuss claim issues. The TASC phone number (844-529-8137) is another option to access customer service.

Payment Time Frames

TASC is reviewing the entirety of claims received for each person. If there are multiple requests for reimbursements, TASC is attempting to clear all claims for each child and will pay out all approvable claims at once for the front-loaded claims which came in bulk on or about July 11, 2025. Once this initial bulk is cleared, payment for individual claims should proceed more quickly. To date, TASC has paid out over $1,000,000 in claims.

MyCash Cards

The initial payment of funds will go to MyCash, and each family has the ability to move the funds to their bank account by setting new deposits to the bank account using the recurring schedule option. Follow these steps to complete the recurring schedule setup:

Select the MyCash Balance menu and click Schedule a balance transfer.
Select when you want the transfer to happen.
Select the bank account you would like the funds to be transferred to (or add a new account) and click Next.
Enter the transfer threshold or date and click Next.
Review the schedule and click Submit.

Respite

Respite claims are being reviewed to verify: 1) all fields have been completed, 2) the math checks out for hours of care times with the hourly rate, 3) the dollar amount request matches the total on the respite form, and 4) there is a signature from both the provider of care and the parent.

The DDA respite form is the best option to submit the information, but TASC should not limit it to only the DDA form being allowed for respite claims. As long as the verification form utilized contains all of the required information regarding who provided the care, who received the care, a description of services rendered, date(s) and times of care, and the rate and total amount charged the claim should be paid, assuming there are sufficient funds in the child’s account. When researched, TASC indicated reports of denied respite claims stemmed from the required information not being present on forms submitted.

Suspended Card Resolution

Inspira processing of payments to settle previous card purchases ends 8/15/25. TASC will process re-payments and validate receipts for 2025 plan year forward . TASC cannot process re-payments for prior plan years but can accept documentation/receipts from prior plan years to support a card purchase made prior to 2025 or to offset the card purchase with other receipts not previously paid out.

Capital Expenses

Capital expense claims require a pre-appraisal and a post-appraisal of the home/property as indicated on the Capital Expense form. TASC encourages families to reach out priorto making large capital improvement purchases to review the planned purchase.

TASC Customer Service

When communicating with TASC customer service, you have the right to ask for a supervisor if the representative on the line is not able to resolve the issue. If the issue is still not resolved, your case manager should be contacted, and they will escalate the issue utilizing multiple methods of contact within TASC.

We appreciate the feedback received. The Department will continue to work directly with TASC to identify and address trends as the transition proceeds.

The Katie Beckett HealthCare Reimbursement Account (HRA) allows people to spend program dollars on IRS qualified HealthCare expenses. Inspira is the Katie Beckett Program’s HRA administrator. The HRA may be used with the Inspira card to cover out-of-pocket medical expenses or to reimburse claims from an itemized receipt.

Printable Katie Beckett Healthcare Reimbursement Account (HRA Guide)

Requesting HRA Service

The Katie Beckett Case Manager assists families with requesting the Katie Beckett HRA service. It is a one- time per year allocation and cannot be modified during the plan year. We strongly encourage families to review the types of expenditures listed below while considering how much of their Katie Beckett funds to allocate to the HRA. DDA cannot pay for claims submitted prior to the HRA authorization date on the plan. The $10,000 Katie Beckett budget expenditure cap may not exceed $10,000 across the calendar year and unspent funds cannot be rolled over into the next plan year. Once the services are authorized by the DIDD Case Manager on the child’s Katie Beckett support plan, TASC will mail your HRA debit card to the address on file.

Helpful tips on using the HRA may be found here:

· Accessing Benefit Account Funds Katie Beckett Part B

Using your HRA Benefit

The HRA can be used two ways:

· With the provided TASC card to pay for covered out-of-pocket medical expenses.

· Reimbursement claims with an itemized receipt.

Information about eligible expenses can be found in the appendix of this document. Those include but are not limited to:

· Copays and deductibles

· Speech Therapy, Occupational Therapy, Physical Therapy, and Non-Traditional Therapies

· Medical Equipment and Supplies

· Orthotics

· Vision and Dental

· Respite (reimbursement only)

· Prescriptions

Using the TASC Card:

The TASC card can currently be used at medical offices such as hospitals, doctors’ offices, therapy offices, vision providers, dental offices, and pharmacies. When using the card, it’s important to run it as credit, not debit. Please be aware that credit/debit card processing fees are not a covered expense.

Receipts must be submitted to validate all card purchases, and some purchases require a Letter of Medical Necessity (LOMN) from a healthcare provider to be an eligible expense. TASC currently aims to review and approve supporting documentation within 30 days.

Please be aware that the card cannot be used to purchase future appointments. For instance, the card cannot be used to purchase a block of 10 future therapy appointments, since there must be validation the visits have occurred. Doing so, may lead to suspension of your TASC card.

Submitting Claims for Reimbursement:

Submitting claims for reimbursement can be done on the TASC website or through the mobile app. These claims are paid into your MyCash account, upon review and approval of your claim. You then have the ability to spend the MyCash via the TASC benefit card at any merchant that accepts MasterCard, or you can setup a transfer to have the MyCash funds direct deposited into a personal checking or savings account.

There is no daily spending limit on the TASC card and you will have access to your full available balance on the first day of eligibility.

HRA Debit Card, Online Portal, and Mobile App

Families may expect to receive the HRA debit card within 21 days of authorization. If the card has not arrived within 21 days, please contact TASC using the provided contact information. It will arrive in a plain white envelope in the parent or legal guardian’s name and contain instructions on how to set up the account. The date the HRA service is authorized on your child’s Person-Centered Support Plan (PCSP) is the first date expenses are eligible. For instance, if the HRA service is authorized on 3/1/25, a doctor’s visit that occurs on or after that date would be eligible for HRA use. A doctor’s visit that occurs on 2/28/25 would not be eligible.

Only the enrolled child is covered by the HRA. It is currently a one-time per year allocation and cannot be modified during the calendar year. Funds left over from one calendar year do NOT carry over into a new year. Families with 2025 expenditures have until 3/31/2026 to submit claims.

You may log into the TASC online portal at www.tnkbbtasc.com or download the TASC mobile app to review your HRA balance, submit claims and check claims status. Additional information regarding the TASC online portal are located at Accessing MyTASC Katie Beckett Part B For information on the TASC mobile app click TASC Mobile App Guide Katie Beckett Part B

Reimbursement

Once approved, reimbursement claims from itemized receipts are paid into the MyCash account. MyCash funds are available instantly after the reimbursement has taken place, by using the TASC benefit card. Alternatively, you can establish a direct deposit transfer of the funds, and receive them into your personal checking or savings account within 1 – 3 business days of the transfer.

Submitting Claims

You may submit HRA claims by logging into the TASC online portal at www.tnkbbtasc.com or into the mobile app and selecting “File A Claim” to upload all supporting documentation (including receipts and invoices) for the expense. All claims should be submitted as expense type: “LifeStyle with LifeStyle Expense”.

The claim should include the following information:

· Provider or merchant name

· Type of expense (“medical with deductible”)

· Date of service

· Child’s name

· Child’s DOB

· Child’s last 4 digits of SSN

· Description of service

· EOB or other documentation showing reimbursement, or a statement that no other reimbursement is available and therefore no EOB to apply

· Final amount of patient liability owed (final out of pocket cost after all reimbursement)

· Letter of Medical Necessity (LOMN) if applicable

TASC will send an alert should the expense require additional information for upload. Be sure to respond timely to any requests as to not delay the determination. If no documentation is received within 90 days of the first written request, the TASC card will be temporarily inactivated until all appropriate supporting documentation of the expense is submitted and approved. For information on how to file a claim, select Accessing Benefit Account Funds Katie Beckett Part B . For additional information on the TASC Card please select TASC Card Education

Letter of Medical Necessity

TASC requires a Letter of Medical Necessity (LOMN) Form from the healthcare provider confirming the expenses are needed to treat a specific diagnosis. The LOMN needs to be attached to every claim that requires a LOMN. It must be completed by a child’s physician or therapist, including - but not limited to - pediatrician, specialist, medical healthcare provider, physician’s assistant, licensed/registered nurse practitioner, and occupational/physical/speech therapist. In addition, multiple expenses may be itemized on one form. If the form is not available, a statement on letterhead from the medical provider detailing each diagnosis and expense is acceptable. The letterhead should include the following information:

· Employer Name: State of Tennessee Katie Beckett HRA

· Member Number: last 4 digits of child’s social security number

· Duration

To view the LOMN form, please click, Katie Beckett Part B HRA Letter of Medical Necessity

A Letter of Medical Necessity form does not need to be renewed on an annual basis IF a healthcare provider indicates on the form that it is effective for the child’s duration of enrollment in the Katie Beckett Program.

“Please note: any attachments to a LOMN listing items for reimbursement must either come on the treating physician's letterhead or bear the signature of the treating physician. TASC must be able to verify any purchases have been approved by the treating physician. It cannot make this determination when the list has no designation that it has come from a physician.”

LOMN Guidance

Sensory Items: To resolve issues around listing out sensory items on a LOMN, TASC has determined items purchased that are listed on the following websites are allowable. The LOMN will just need to indicate “sensory items found on [website name from the list below]” and will no longer need a detailed list of every item purchased. If an item appears on one of the below websites and is purchased from a diﬀerent retailer, documentation that supports the items are listed on both websites will need to be submitted. Sensory items purchased that do not appear on any of the below websites will still need to be detailed on the LOMN. Examples can be found below.

The approved websites are as follows:

· https://autismcommunitystore.com/collections/visual?page=2

· https://funandfunction.com/best-sellers.html

· https://harkla.co

· https://nationalautismresources.com/sensory-toys/

· https://www.autism-products.com

· https://www.especialneeds.com/

· https://www.arktherapeutic.com/

Examples:

1. Several sensory items are purchased from autismcommunitystore.com. The LOMN only needs to say "Sensory items found on autismcommunitystore.com"

2. A family ﬁnds sensory items listed on autismcommunitystore.com but ﬁnds a better price

on an outside retailer.

The LOMN says “Sensory items found on autismcommunitystore.com”

The family may purchase the items from a diﬀerent retailer and submit screenshots of the items found on autismcommunitystore.com and the alternate retailer where the item was purchased.

3. A family buys sensory items that aren’t listed on any of the “approved” websites.

The LOMN must list each sensory item purchased in order to be eligible for HRA payment.

Cost Comparisons

Per IRS rules, the following items require a cost comparison in order to provide reimbursement:

· Adaptive bedding and beds vs non-adaptive bedding and beds

· Food not in standard form vs standard form

· Specialty shoes and clothing items vs standard shoes and clothing

Overpayments

If your HRA account has been frozen due to an overpayment of funds, you can remediate this by:

· Using another form of payment at the point of sale and submitting the claim to TASC

· Having the service provider refund the TASC benefit card

· Making payments to TASC via check or money order for overpayments

Checks should be made payable to TASC and mailed to:

            TASC Repayments
            PO Box 7308
            Madison, WI 53704-7308

You must indicate you are part of the State of TN Katie Beckett HRA and the parent should indicate their full first and last name. Please also include the 12-digit TASC ID of the account that is being repaid. This number is located on the back of the TASC benefit card.

Contact Information

You may contact TASC by calling (844)529-8137 if you have any questions. Be sure to indicate the child’s legal name and date of birth when contacting TASC. You may contact your Katie Beckett Case Manager with any questions regarding your support plan and budget authorizations.

Reference Materials

DDA has numerous resources for Katie Beckett families on their Katie Beckett webpage. Previous recordings and presentations will also be added to this page as we continue with TASC.

Appendix A

Internal Revenue Service Publication 502 (2024), Medical and Dental Expenses

IRS Eligible and Ineligible Items

The following list is the complete list of IRS eligible and ineligible items. There are many items that may not be applicable to a child in the Katie Beckett Program, but out of an abundance of caution, DDA is keeping the list in its entirety. Items deemed eligible by the IRS do not require a letter of medical necessity, however some items require the form. You may include multiple expenses on one LOMN form.

ELIGIBILE ITEMS	LOMN Required	INELIGIBLE ITEMS

Obstetrical Care Syntonic Phototherapy Fertility Enhancement and Treatments (surrogate or gestational carrier expenses) Nursing Pillows or Covers Egg and Embryo Storage Fees Dentures (for cosmetic reasons) Temporary Continuation of Coverage (TCC) Premiums (if you have a health care FSA) Medicated Lip Product (for cold sore/fever blister) Private Hospital Room Chinese Herbal Practioner and Herbal Treatments (for general health) Dependent Care (for healthy child) Finance Charges Deductibles Gynecologist Goggles (prescription) Flavoring Added to Medication Cold and Hot Packs (for non-medical use) Gambling Treatment Lip Balm (SPF 15 or higher) Homeopathic Care and Medicines Well Baby, Well Child Care Erectile Dysfunction Treatment Stem Cell Harvesting or Storage (for medical reasons) Pregnancy Termination Medicated Lip Product (lip balm lower than SPF 15) Lice Treatment and Removal (over-the- counter) Massage Therapy (for medical condition) Fertility Enhancement and Treatments (ovulation kit) Pre-Paid Payments Illegal Operations, Illegal Treatments Long Term Care Services Glucose Monitoring Device Sinus Medication Stem Cell Harvesting or Storage (for non- medical reasons) Lactation Consultant Funeral Expenses Minerals, Mineral Supplement (for medical condition) Medical Services (payment for treatment of medical condition) Ovulation Monitor Electrolysis (hair removal for medical condition) Transportation (for medical care) Paternity Testing Sales Tax Chiropractor Marijuana Laxatives Condoms Mediscope Dental Emergency Kit Train Fare (primarily for medical care) Dermabrasion (for cosmetic reasons) Contact Lens Service Agreement and Warranty Alcoholism, Drug Addiction Treatment Patterning Exercises Varicose Veins Treatment (for medical condition) Trips (for general health) Breast Reduction (for medical condition) Shampoos and Soaps Medical Alert Bracelet, Necklace Allergy Products (used even without allergies) Fuel, Gasoline for Medical Care Petroleum Jelly Teething, Toothache Remedies Food Neurologist Oxygen Vaporizer, Humidifier Meals (for inpatient care) Anti-Itch Migraine Relief (over-the-counter) Out-of-Network Provider Topical Steroids Sensory Items Health Club or Gym Membership Fees (for medical condition) Safety Glasses (Prescription) Prenatal Vitamins Automobile Modifications (cost of operating the car) Umbilical Cord Blood (harvesting/storage for medical condition) Organ Recipient Expenses (paid by the donor) COBRA Premiums (if you have a health care FSA) Dance Lessons (for medical condition) Umbilical Cord Blood (harvesting/storage for non-medical reasons) Guide Dog/ Companion Animal Hospice Care/Palliative Care Medicine and Drugs from Other Countries (purchased and consumed in another country – FDA approved and covered by Pregnancy Tests Wellness Scan Arthritis Care Compression Socks, Stockings (30-40 mmHG or above) used to treat a medical condition Bariatric Surgery (for cosmetic reasons) Late Payment Fee Fitness Program (for general health) Lead Paint Removal (for medical condition) Ambulance Service Medicine and Drugs, Over-the-Counter (OTC) Orthodontia Acne (over-the-counter item) Television for Visually or Hearing Impaired (cost to modify TV or buy new) Transplant Breast Implants or Removal (for medical condition) Contraceptives Humidifier (for medical care) Swimming Lessons (for medical condition) Weight Loss Drugs, Medicines (over-the-counter for medical condition) Copayment (copay) Herbs and Herbal Supplement (for general health) Physician Fees, Pre-Paid Nursing Supplies Radial Keratotomy Baby Health Monitor Life Coach Body Scan Car Modification (cost of operating the car) Decongestant Warranty Eye Care (for eye drops) Insect Bite Cream, Ointment Nasal Strips Veneers (for cosmetic reasons) Joint Supplement (for medical condition) Psychologist Baby Monitor (visual monitoring only) Mileage (primarily for medical care) BRACAnalysis Testing Stop-Smoking Program PET Scan Liquid Adhesive Bandage for Small Cuts Wig (styling or cleaning products) Invisalign Orthodontics Exercise Equipment, Exercise Program (for medical condition) Legal Fees (for surrogate mother) Dental Treatment (tooth bonding) Personal Trainer Fees (for medical condition) First Aid Kit Suppositories Disabled Dependent Medical Care Calcium (for medical condition) Retin-A (for medical condition) Home Health Care Lessons (for medical condition) Durable Medical Equipment (DME) Toothbrushes Fiber Supplement (for general health) Ultrasound Exercise Equipment, Exercise Program (for general health) Marriage Counseling Medical Records Fertility Enhancement and Treatments (fees for preserving) Pedometer Retin-A (for effects of aging) Psychiatric Services and Care Crutches Organ Donor/Recipient Expenses (paid by recipient) Long Term Disability (LTD) Insurance Premiums (if you have a health care FSA) Veneers (non-cosmetic) Hand sanitizer Hydrotherapy Sunscreen (lower than SPF 15) Personal Protective Equipment (PPE) Whirlpool Baths Asthma Equipment and Treatment (over- the-counter products) Hypnosis Surgery (for cosmetic reasons) Tanning Salon Visits or Equipment (for cosmetic reasons/appearance) Rhinoplasty (for cosmetic reasons) Osteopath Egg Recipient Fees Nursing Home (medical care, meals and lodging) Occupational Therapy Fluoride Rinse, Pills and Toothpaste Therapy (marriage/family for non-medical reasons) Sleep Deprivation Treatment Newborn Nursing Care Birthing Classes (not related to the actual childbirth) Toiletries (Personal Hygiene) Counseling (for medical condition) Drug Addiction Treatment Toll Fees (primarily for medical care) Car Rental (for medical care) Naturopathic Care, Naturopathic Healers (for medical condition) Topical Analgesics (Muscles and Arthritis) Mask (personal protective equipment) Psychoanalysis Special Computer Program for the Blind Immunizations Propecia (for medical condition) Weight Loss Drugs, Medicines (RX/prescription required) Legal Fees (for divorce) Inclinator Adoption Medical Expenses (for tax qualified dependents) Lap Band Surgery (for obesity treatment) Sperm Storage (for non-medical reasons) Maternity Charges Lip Balm (SPF lower than 15) Sunburn Cream, Ointment Nutritional Supplement (for medical condition) Insulin Diagnostic Tests and Procedures Probiotics (for medical condition) Medicine, Prescription (for cosmetic reasons) Sunglasses (no vision correction) Cervical Pillow Bio-identical Hormone Replacement Therapy (used as an enhancement) Alternative Medicine, Alternative Healers (for medical condition) Bio-identical Hormone Replacement Therapy (for medical condition) Bandages, Band-Aids Specialty Clothing & Shoes Sterilization Procedure or Reversal Blood Donor Fee Gastric Bypass Surgery Diet Food Premiums (for Medicare supplement policies) Waterpik Digestive Aids (for medical condition) Orthopedic Shoes Over-the-Counter (OTC) Drugs and Medicines Lessons (non-medical) Acne (routine skin care) Vitamin (for general health) Hyperbaric Oxygen Therapy Eye Exams, Eyeglasses, Eye Surgery, Eye Care Somnoplasty Fiber Supplement (for medical condition) DNA Collection and Storage (for paternity testing) Glucosamine and Glucosamine Chondroitin Injection Snore Plasty Therapy (for medical condition) Rolfing, Structural Integration Telephone for Hearing Impaired (cost of phone in hospital/treatment center) Transportation (non-medical) Antihistamines Retention Fees Contact Lenses and Supplies (for cosmetic reasons) Homeopathic Care and Medicines (for general health) Naturopathic Healers Laboratory Fees Sexual Dysfunction Breathalyzer Chairs, Reclining Bedside Commode, Toilet (for medical reasons) Special Food Pregnancy Charges Paid Monthly per Contract Obstetrical Care (prepaid expenses for the birth) Investigational Surgery Personal Items CPR Throat Lozenges Automated External Defibrillator (AED) Speech Therapy Student Health Fee (cost of medical care) Cold and Hot Packs (for medical purposes) Body Restoration Technique Sexual Counseling Medical Care Outside U.S.(FDA approved and covered by insurance) Sharps Container Air Fare (primarily for medical care) Ultrasound, Pre-Natal (non-medical request by patient) Lamaze Classes (not related to the actual childbirth) Lodging and Trips (for general health) Babysitting, Child and Dependent Care (for healthy child) Dance Lessons (non-medical) Maternity Clothes Motion Sickness Founder’s Fees Shipping and Handling Holistic, Homeopathic Professional (for medical condition) Health Screenings Prescription Drugs, Medicines Fever Reducing Medication Walker Allergy Treatment Products (required for medical condition) Analgesics (painkillers), Antipyretics (fever reducers) Naturopathic Care, Naturopathic Healers (for general health) UVR treatments Nasal Aspirator Headache Medicine Ear Care and Ear Wax Removal Products Operation (for cosmetic reasons) Dyslexia Treatment Acupuncture Non-Prescription Drugs, Medicines Tanning Salon Visits or Equipment (for medical condition) Circumcision Subway Fare (primarily for medical care) Automobile Modifications (for medical condition) Colon Therapy, Colon Hydrotherapy, Colonics Convalescent Home (custodial care) Educational Classes (for medical condition) Artificial Reproductive Technologies (active attempt to conceive) Tuition (for special school/camp/program) Cord Blood (harvesting/storage for non- medical reasons) Kenalog injections (for medical condition) Ophthalmologist Cold Sore and Fever Blister Treatments (lip balm SPF lower than 15) Collagen Injections (for medical condition) Crania-Sacral Therapy Legal Fees (for guardian/estate) Purifier Electrolysis (hair removal for cosmetic reasons) Club Dues and Fees (for medical condition) Schools, Special Thermography Kenalog Injections (for cosmetic reasons) Co-Insurance Breast Reconstruction Surgery Nutritional Supplement (for general health) Peak Flow Meter Artificial Insemination (active attempt to conceive) Telephone Consultation Fee Vasectomy, Vasectomy Reversal Wart Removal Treatment Egg and Sperm Donor Fees Laetrile Premiums (Post-tax non-employer paid medical insurance premiums) Thermacare Heat Wraps Pastoral Counseling X-Ray Baby Formula Tummy Tuck NSAIDS (over-the-counter) Fluoride product (over-the-counter) Thermometer Digestive Aids (for general health) Tubal Ligation, Tubal Ligation Reversal Taxes on Medical Services and Products Medicated Lip Product (lip balm SPF 15 or higher) Alternative Medicine, Alternative Healers (for general health) Blood Pressure Monitor Pillows for Lumbar and Cervical Support Lactation Aids and Supplies Flu Shot Maternity Aids Morning-After Contraception Pill Household Help Acupressure Autopsy Artificial Eye, Limb, Teeth Home modifications (with Capital Expense Form) Varicose Veins Treatment (for cosmetic reasons) HDHP, High-deductible health plan (premiums) Bleaching or Whitening Teeth Cosmetic Treatment (for medical condition) Back Brace Telephone for Hearing Impaired (fees for enhancing/repairing a phone) Alopecia Treatment Boutique, Concierge, Practice Fees Menstrual Pain Reliever Forms Completion Baldness Treatment (for cosmetic reasons) Arch and Insole Support Norplant insertion or removal Smoking Cessation Program and Medication Acne (services) Electronic Cigarettes Hormone Replacement Therapy (HRT) (used as an enhancement) Diaper Rash Creams Lice Treatment and Removal (fees paid to specialist) Medicine, Prescription Drugs (prescription) Fertility Enhancement and Treatments Home Diagnostic Kits, Tests, Devices Psychotherapist Restylane Injections (for cosmetic reasons) Weight Loss Programs (for medical condition) Speech Therapy (dvds, videos, software) Language Classes Continuous Positive Airway Pressure (CPAP) Diathermy Vision Correction Wig (for medical condition) Medicare Parts A, B and D (if you have a health care FSA) Lap Band Surgery (for medical condition) Physical Exam for Caregiver Medical Services (virtual office visits) Cough Suppressants Penile Implants Behavioral Modification Programs Surrogate Mother Fees (for search of surrogate) Birth Control (over-the-counter) Club Dues and Fees (for general health/non-medical) Handicap, Disability Placards and License Plates Aspirin Kenesio Tape Swimming Lessons (non-medical) Christian Science Treatments (for general health) Liposuction (for medical condition) Liposuction (for cosmetic reasons) Breast Reduction (for cosmetic reasons) Contact Lenses and Supplies (for vision correction) Learning Disabilities Medical Monitoring, Testing Devices Pregnancy Items Anti-Diarrhea Baldness Treatment (for medical condition) Expenses that have been reimbursed previously under or could be reimbursed under another medical plan Dermatology (for cosmetic reasons) Holistic, Homeopathic Professional (for general health) Surrogate Mother Fees (for medical expenses for the surrogate) Physical exam Insurance Premiums (for Medicare supplement policies) Transportation (for nurse or companion) Trips (to receive medical care) Birth Control (prescription) Contact Lenses and Supplies (over-the- counter products) Genetic Testing Prosthesis Nicotine Gum and Patches Work Related Physical Examination for the Employee Over-the-Counter (OTC) Supplies Doula Fees Concierge Medicine Half Way House Expenses not incurred during the coverage period Gastric Bypass Surgery Including Excess Skin Removal (for cosmetic reasons) Medical Services (phone consultation) Hair Removal or Transplant (for cosmetic reasons) Drug Overdose Treatment Diapers, Diaper Service Hospital Services Bariatric Surgery Birthing Classes (related to childbirth) Nutritionist (for general well-being) Antibiotics, topical Breastfeeding Supplies Transportation Cost of Disabled Individual Commuting To and From Work Educational Classes (non-medical/general well-being) Insurance Premiums (if you have a health care FSA) nor pre-tax employer-sponsored medical insurance premiums Seeing-eye Dog, Service Animal Surgery (for medical care) Dependent Care (for disabled person) Adaptive Equipment Calcium (for general health) Preventive Care Services Excess Skin Removal Medical Newsletter Appearance Improvement Stem Cell Injections Controlled Substances Orthotics Heart Rate Monitors Scale, food or weight Bariatric Surgery (for obesity treatment) Vitamin (for medical condition) Tutoring Lodging and Trips (to receive medical care) Childbirth Classes/Lamaze (related to childbirth) Insurance Premiums (post-tax only) Nursing services provided at home Occlusal Guard Collagen Injections (for cosmetic reasons) Dehumidifier First Aid Supplies Sunglasses (with prescription) Capital Expense (cost of installing equipment in home) Skin Tag Removal (for medical condition) Sitz Bath Braille Books and Magazines Fitness Program (for medical condition) Herbs and Herbal Supplement (for medical condition) Substance Abuse Treatment Rogaine (for cosmetic reasons) Sanitizing wipes Gastric Bypass Surgery Including Excess Skin Removal (for medical condition) Wheelchair, Walker Digestive Aids (over-the-counter) excludes probiotics Pill Cutters, Pill Box, Pill Sorters and Pill Organizers Hormone Replacement Therapy (HRT) (for medical condition) Feminine Hygiene Products Particulate Respirator Mask Hemorrhoid Treatment Parking Fees (primarily for medical care) Breast Pump Purchase or Rental Pulse Oximeter Childbirth Assisted Living Facility Childbirth Classes/Lamaze (not related to the actual childbirth) Cold Sore and Fever Blister Treatments (lip balm SPF 15 or higher) Joint Supplement (for general health) Pregnancy and Delivery Charges HMO, Health Maintenance Organization (premiums) Anti-Gas Long Term Care Insurance Premiums (if you have a health care FSA) Human Guide Dietary Supplement (for medical condition) Eye Care, Eyeglasses (warranties) Hearing Aids and Batteries Heating Pads Dehydration Treatment Personal Trainer Fees (for general health) Propecia (for cosmetic reasons) Organ Donor Expenses (paid by donor) Ostomy, Colostomy Supplies Micro-Dermabrasion (for cosmetic reasons) Tattoo Removal (for cosmetic reasons) Botox Injections (for medical condition) Blood Sugar Test Kits and Strips Student Health Fee (fees/premium for program) Midwife Dental, cosmetic Respite Care Drugs (controlled substances) Television for Visually or Hearing Impaired (cost of TV in hospital/treatment center) Transportation (to attend Alcoholics Anonymous) Gauze Pads Dietician Premiums (if you have a health care FSA) Anti-Fungal Life Alert Emergency Medical Alert System Orthokeratology Chemical Peel (for cosmetic reasons) Missed Appointment Fees LASIK, Laser Eye Surgery Infertility Treatments Lumbar Support Anesthesiology Fluoride Device and Treatment (In home or Office) Reflexology Cold Medicines First Aid Drugs and Medicines Urinalysis Botox Injections (for cosmetic reasons) Phone Consultation with healthcare provider Chelation Therapy Medical Conference (admission and transportation) Pain Relievers (Over-the-counter) Meals (for a companion) Rogaine (for medical condition) Experimental Medical Services (FDA Approved and covered by insurance Eye Exams, Eyeglasses, Eye Surgery, Eye Care (not needed for vision correction) Progesterone, Testosterone Hormones (for cosmetic reasons) Ear Plugs Minerals, Mineral Supplement (for general health) Face Lift (for cosmetic reasons) Expectorant Sperm Storage (for medical reasons – up to 1 year) Taxi Fare (primarily for medical care) Braces, Orthodontia Phototherapy Smoking Cessation Program and Medication (over-the-counter) Swimming Pool (for medical condition) Allergy Medicine Physical Therapy Probiotics (for general health) Ultrasound, Pre-Natal (to monitor growth/condition) Inversion Table Legal Fees (for adoption) Counseling (marriage/family for non- medical reasons) Lap Band Surgery (for cosmetic reasons) Vaccinations Nebulizer Skin Tag Removal (for cosmetic reasons) Spermicide Crown, dental Veterinary Fees (for guide dog/animal) Epsom Salts Progesterone, Testosterone Hormones (for medical condition) Mattress Air Conditioner, Air Filter, Air Purifier Psychotherapy Cosmetic Treatment (for non-medical reasons) Vision Discount Programs Preventative Care Screenings Birthing Coach Antacids, Acid Reducers Blood Storage In Vitro Fertilization Asthma Equipment and Treatment Neti Pot Carpal Tunnel Wrist Supports, Braces Oncologist Rehabilitation Center (meals and lodging) Convalescent Home (medical care, meals & lodging) Natural Lens Replacement Optometrist Glucose Tabs Sunscreen (SPF 15 or higher) Yeast Infection Medication Diarrhea Medicine Nutritionist (for medical condition) Post Mastectomy Clothing Adoption Medical Expenses (incurred by birth mother, associated with birth) Adoption Medical Expenses (incurred before adoption negotiations) Swimming Pool (for recreation) Breast Augmentation (for cosmetic reasons) Bus Fare (for medical care) Impotence Medicine and Drugs from Other Countries (purchased in another country for use in U.S.) Tri-Care Premiums (if you have a health care FSA) Weight Loss Programs (for general health) Screening Tests Prescription Drug Discount Program Fee Operation (for medical care) Car Modification (for medical condition) Surrogate Mother Fees (for medical expenses, if member is surrogate) Dental Treatment (oral hygiene & supplies) Ear, Body Piercing Dental Maintenance Organization (DMO) Fees (if you have a health care FSA) Cord Blood (harvesting/storage for medical condition) OSHA Handling Fees for Bio-Hazards Waste Disposal. Breast Implants or Removal (for cosmetic reasons) Hair Removal or Transplant (for medical condition) Reading Glasses Nasal Sprays, Nasal Solutions Cold Sore and Fever Blister Treatments (over-the-counter) Rehabilitation Center (custodial care for permanent residence) Cholesterol Testing Lamaze Classes (related to childbirth) Incontinence Products Health Club or Gym Membership Fees (for general health/non-medical) Mastectomy-Related Expenses Supplement (for general health) Dietary Supplement (for general health) Lead Paint Correction (repaint affected area) Massage Therapy (for general health) Experimental Drugs (FDA Approved and covered by insurance) Defibrillator Kinesiology Mouth Guard