Page 12 - Venafi - 2021 Benefit Guide - CA
P. 12

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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