A health care professional must provide evidence of medical necessity for the cost of a professional birthing coach who provides medical care for the mother or child to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and expense is for treatment of a medical condition with the request for reimbursement.
A health care professional must provide evidence of medical necessity for the cost of the medical treatment to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and expense is for treatment of a medical condition with the request for reimbursement.
Note: Treatment for normal male pattern baldneess is not eligible if the sole purpose is to enhance appearance.
A health care professional must provide evidence of medical necessity showing the infant requires special dietary requirements, and a specific baby formula is recommended to treat an illness or disorder to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and expense is for treatment of a medical condition with the request for reimbursement.
Note: If your baby requires a special formula to treat an illness or a disorder, the difference in cost between the special formula and routine baby formula can be reimbursed.
A health care professional must prescribe Over-the-Counter (OTC) drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of OTC Aspirin medicine is an eligible medical expense.
A health care professional must provide evidence of medical necessity for the cost of Artificial Reproductive procedures to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and expense is for treatment of a medical condition with the request for reimbursement.
To qualify as potentially eligible, procedures must be intended to overcome an inability to have children due to medical reasons and are performed on you, your spouse or your dependent. Eligible medical expenses include (but are not limited to):
Fertility exams
Artificial insemination (intracervical, intrauterine, intravaginal)
In-vitro/In-vivo fertilization
Gamete Intrafallopian Transfer (GIFT)
Sperm bank storage/fees for artificial insemination. *Note: Storage fees can only be submitted for planned fertilizations during the current plan year.
Sperm implants
Sperm washing
Reverse vasectomyEmbryo replacement and storage.
*Note: Storage fees can only be submitted for planned fertilizations during the current plan year.
Egg donor charges for recipient
Embryo transfer
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