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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
UCR, Charges Above
Medical expenses in excess of your plan's usual, customary and reasonable charges are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA) if the underlying expenses qualify. Medical expenses in excess of your plan's usual, customary and reasonable charges are not eligible with a dependent care flexible spending account (DCFSA), or a limited-purpose flexible spending account (LPFSA).
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