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HRA

HSA

FSA

Limited Purpose FSA

Dependent Care FSA

HRA

HSA

FSA

Limited Purpose FSA

Dependent Care FSA

Eligible

Eligible with Rx

Eligible with LMN

Eligible

Eligible with Rx

Eligible with LMN

Bonding of the teeth

Bonding of the teeth reimbursement may be eligible if required for treatment of a medical condition. A Letter of Medical Necessity (LMN) from a medical professional would be required for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA) or a limited-purpose flexible spending account (LPFSA). Bonding of the teeth reimbursement is not eligible with a dependent care flexible spending account (DCFSA).

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