Otcwebfactsheet.indd

OTC Category Reimbursement
This category list supersedes previous OTC information you may have received.
Over-the-Counter Expenses
Your Over-the-Counter (OTC) items, medicines and drugs may now be reimbursable through your Medical Expense FSA, Eligible Expense Categories
depending on your employer’s plan. You can save valuable tax (This is only a guide and not a comprehensive listing) dol ars on certain cat e go ries of OTC items, med icines and drugs. Contact your employer for specifi cs about your plan.
You may be reimbursed for OTCs through your Medical Expense • the item, medicine or drug was used for a specifi c medical condition for you, your spouse and/or your dependent(s) • the submitted receipt clearly states the purchase date, the purchase price, and the name of the item, medicine or • the reimbursement request is for an expense allowed by your employer's Medical Expense FSA plan and IRS regulations and • you submit your reimbursement request in a timely and complete manner as described in your benefi ts enrollment The list at right is only a partial list of eligible OTC items. For more comprehensive OTC guidelines, please refer to **The brands listed above are not to be considered an endorsement. They are only used as examples of eligible products reimbursable under your Medical Expense FSA. OTC Category Reimbursement
Eligible OTC Expenses
Ineligible OTC Expenses
Items Requiring Spe cial Documentation*
These items are not considered medical care and are not The following is a partial list of items that require reimbursable. This is only a partial list of ineligible a letter from a Health Care Provider that states the diagnosis of the medical condition and a recommendation of the OTC item.
• Hair loss/replacement medications, such as Rogaine, used to replace hair lost due to a medical condition, such as cancer treatment • Herbal supplements such as St. John’s Wort, when used • Hair removal treatments, such as waxing • Medicated shampoos to treat conditions such as • Sleep prevention drugs such as No Doz • OTC items primarily for general health and well-being • Vitamins, when prescribed by a physician to treat specifi c • Weight loss/dietary supplements used for a specifi c • Nasal sprays, such as Breathe Right, to treat snoring * Contact FBMC Customer Service at webcustomerservice@fbmc-benefi ts.com or call FBMC Customer Service at 1-800-342-8017 for more in for ma tion or to obtain a sample Letter of Medical Need or Personal Use/Capital Expenditures Statement.
IMPORTANT NOTES:
• OTC items, medicines and drugs, including bulk purchases, • BE SURE TO MAINTAIN SUFFICIENT DOCUMENTATION must be used in the same plan year in which you claim TO SUBMIT RECEIPTS FOR REIMBURSEMENT.
• You may resubmit a copy of your receipt from your records if • It is your responsibility to remain informed of updates to this a rejected OTC expense becomes eligible for reimbursement listing, which can be found at www.fbmc-benefi ts.com. later in the same plan year. (If your OTC claim has been denied for reimbursement, please refer to your enrollment materials • Newly eligible OTC items, medicines or drugs can be reimbursed retroactively to the start of the then current plan year, but are not considered a valid change in status event • FSA participants my obtain a sample Letter of Medical Need that would al ow you to change your annual Medical Expense or Personal Use Statement from our Web site, or by calling FSA election or salary reduction amount.
FBMC Interactive Benefi ts at 1-800-865-FBMC (3262).

Source: http://old.escambia.k12.fl.us/adminoff/riskmgt/overthecounteritems121207.pdf