What you need to know about Healthcare Reform and your FSA account
- As of January 1, 2011, there are changes occurring in reference to OTC purchases and the use of your Medical Flexible Spending Account. These changes are part of the Patient Protection and Affordable Care Act signed into law on March 23, 2010.
- Many OTC medicines and products will no longer be eligible for reimbursement without a doctor's prescription or Medical Necessity Form.
- If you are currently enrolled and using the HRC Total Access Card for your OTC medical expenses, you will no longer be able to use the card for certain expenses once the law takes effect on January 1.
- OTC items that are no longer eligible to be put on the card will need to be submitted manually.
- In order to be reimbursed manually for certain OTC medicines and products you will need a signed prescription from your doctor or have a Medical Necessity Form filled out. The additional documentation required for submission will need to be sent to HR Concepts before the claim can be processed and paid in their system.
The following OTC items are examples of items that require a doctor's prescription or Medical Necessity Form:
- Acid Controllers
- Digestive Aids
- Allergy & Sinus
- Feminine Anti-Fungal/Anti-Itch
- Antibiotic Products
- Hemorrhoid Preps
- Motion Sickness
- Anti-Itch & Insect Bite Pain Relief
- Anti-Parasitic Treatments
- Respiratory Treatments
- Baby Rash Ointments/Creams
- Sleep Aids & Sedatives
- Cold Sore Remedies
- Stomach Remedies
- Cough, Cold & Flu Meds
The following list of OTC items is an example of items that are still eligible for purchase and will not require additional documentation:
- Band Aids, Elastic Bandages & Wraps
- Birth Control
- First Aid Supplies
- Braces & Supports
- Insulin & Diabetic Supplies
- Ostomy Products
- Contact Lenses and contact lens solution
- Reading Glasses
- Denture Adhesives
- Wheelchairs, Walkers, Canes
- Diagnostic Tests & Monitors
HRC will continue to update materials and our web site to keep all of our participants informed of any additional changes based upon the Health Care Reform legislation.