Page 12 - Venafi - 2021 Benefit Guide - CA
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preventive care and medical expenses
Preventing and Services for Children include but aren't limited to: • Braille books and magazines
• Breast reconstruction surgery
Alcohol & Drug Use Assessment, Autism
detecting disease Screening, Behavioral Screening, Cervical • Car modifications
• Chiropractor
Dysplasia Screening, Congenital Hypothyroidism
early, are important to Screening, Developmental Screening, Fluoride • Christian Science practitioner
• Contact lenses
Chemoprevention Supplements, Gonorrhea
living a healthy life. Preventive Medication, Hearing Screening, Height, • Coinsurance, Copays, and Deductibles
• Crutches, purchase or rental
Weight, and Body Mass Index Measurements,
Hemotocrit or Hemoglobin Screening, HIV Screening, • Dental expenses including Dentures
The better your health, the lower your health care • Diagnostic & Laboratory fees
costs are likely to be. Following these guidelines, Immunizations, Iron Supplements, Lead Screening, • Eyeglasses & sunglasses (prescription only)
along with the advice of your doctor, can help you Obesity Screening and Counseling, Oral Health Risk • Eye surgery, including LASIK
stay healthy. Talk to your doctor about your specific Assessment, PKU Screening, Sexually Transmitted • Guide dog or other animal
health questions and concerns, and follow his or Infection Prevention, Tuberculin Testing, and Vision • Hearing aids and batteries
her recommendations. Preventive care visits are Screening. • Immunizations
100% covered without a copay, or having to meet For a complete list of preventive care services, visit • Infertility treatments
your deductible. However, if diagnostic services are healthcare.gov. • Learning disability
performed during your preventive checkup, co-pays • Legal fees to authorize treatment of mental illness
and deductibles may apply. Qualified expenses • Legal termination of pregnancy
Adult Services include but aren't limited to: • Lifetime care-advance payments
• Long-term care
Alcohol Misuse Screening and Counseling, Blood This is a list of healthcare expenses reimbursable • Medical conferences concerning chronic illnesses
Pressure Screening, Cholesterol Screening, Colorectal under your HSA or FSA Account. These expenses • Nursing home and nursing services
Cancer Screening, Depression Screening, Type 2 must be medically necessary and satisfy all other • Optometrist
Diabetes Screening, HIV Screening, Immunizations, requirements for reimbursement under your • Oxygen
Obesity Screening and Counseling, Sexually employer’s Flexible Benefits Plan and applicable • Physical therapy
Transmitted Infection Prevention, Tobacco Cessation federal tax law. This list is not intended to be a • Prescription medications
and Syphilis Screening. comprehensive guide to assist you in determining • Psychoanalysis (other than related to training)
whether an expense is eligible for reimbursement.
Women's Services include but aren't limited to: This list may be modified from time to time. For • Smoking cessation programs
Anemia Screening, Urinary Tract & Other Infection specific questions regarding expenses eligible for • Special education (if prescribed by doctor)
Screening for Pregnant Women, BRCA Counseling, reimbursement, please contact Health Equity. • Special home for mentally handicapped person
Breast Cancer Mammography Screening, Breast • Sterilization (reproductive) including Vasectomy
Cancer Chemoprevention Counseling, Breast Feeding • Acupuncture • Telephone or television for hearing
Support, Cervical Cancer Screening, Chlamydia • Alcoholism or drug addiction treatment • Therapy prescribed as treatment
Screening, Folic Acid Supplements, Gonorrhea • Ambulance services • Transplants (cost of donor)
• Artificial limbs and other Prosthesis
• Transportation & travel costs for medical care
Screening, Hepatitis B Screening, Osteoporosis • Birth control pills or other prescription • Weight loss program (if prescribed by doctor)
Screening, RH Incompatibility Screening, Tobacco contraceptives and condoms • Wheelchair costs
Cessation, and Syphilis Screening.
• Braces (medically necessary) • X-rays
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