Page 41 - Takoma Park Benefits Guide 2022

HRA Eligible Expenses

Eligible Expense Examples – There are hundreds of eligible expenses for tax-free purchase with your account
funds, including prescriptions, doctor’s office copays, health insurance deductibles, and coinsurance. Many over-
the-counter (OTC) treatments are also eligible, though keep in mind that many require a prescription, letter of
medical necessity, or doctor’s directive.*
• Acupuncture • Hearing aids • Oxygen
• Alcoholism treatment • Hospital services • Physical exam
• Ambulance • Immunization • Physical therapy
• Artificial limb • Insulin and diabetic supplies • Prescription drugs
• Birth control pills • Insurance premiums (post tax) • Psychiatric care
• Blood pressure monitoring Laboratory fees • Retiree (post-65)
device • Laser eye surgery medical insurance
• Breast pumps and related • Long-term care premiums or premiums (post-tax)
supplies expenses (post tax)** • Smoking cessation
• Chiropractic care • Medical testing devices program and
• COBRA premiums (post tax • Nursing services medications*
only) • Obstetrical expenses • Surgery
• Contact lenses and related • Orthodontia (not for cosmetic • Sunscreen & sun block
materials reasons) (SPF 15+, broad
• Dental treatment • Over-the-counter (OTC) spectrum)
• Dentures treatments containing • Transportation for
• Diagnostic services medicine– cold treatments, medical care
• Drug addiction treatment ointments, pain relievers, • Weight loss program
• Eye examination, eye glasses stomach remedies, etc.* to necessary to treat a
and reading glasses • Over-the-counter (OTC) specific medical
• Family planning items treatments without medicine condition
• Fertility treatment – bandages, wraps, medical • Wheelchair, walkers,
• Flu shot testing devices, etc. crutches and canes

Ineligible Expense Examples – These items are not generally eligible for tax-free purchase with your account funds.
• Concierge service fees • Deodorant • Illegal operations and
(billed for future • Exercise equipment treatments
services; no treatment • Fitness programs • Maternity clothes
provided) • Funeral expenses • Teeth whitening
• Cosmetics and cosmetic • Hair transplants
surgery • Household help

Dual Purpose Items – Items that can be used for a medical purpose or for general health and well-being are
considered “dual purpose” and are eligible only with a prescription, doctor’s directive or letter of medical
necessity. Examples include:
• Dietary and weight loss supplements • Snoring cessation aids
• Fiber supplements • Vitamins and herbal supplements
• Orthopedic shoes and inserts

*OTC items that contain a drug or medication require a prescription in order to be reimbursed. A “prescription” means a written or electronic
order for a medicine or drug that meets the legal requirements of a prescription in the state where the medical expense is incurred, and the
prescription must be issued by an individual who is legally authorized to issue a prescription in that state.
**Limitations apply. See IRS Publication 502 for more information.

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