Eligible Medical Expenses Example

Medical
Acupuncture
Ambulance
Annual exams
Artificial limbs
Chiropractors
Co-insurance payments
College infirmary fees
Crutches/wheelchairs
Deductibles
Emergency room visits
Health care equipment
Hospital bills
Immunizations
Lab fees
OB/GYN exams
Office visits
Osteopaths
Oxygen
Physical therapy
Physician bills
Prescription drugs
Private hospital room
Private nurses
Psychiatrist
Routine check-ups
School physician charge
Smoking cessation aids (prescription only)
Special school, handicapped
Surgery
Well baby care
Mileage ($.12 per mile)
Parking

Hearing
Hearing aids
Hearing exams
Phone for deaf
Special TV for deaf
Maintenance
Mileage ($.12 per mile)
Parking

Dental
Anesthesia
Cleaning
Co-insurance payments
Crowns, bridges
Deductibles
Dental exams
Dentures
Extractions
Fillings/restorations
Fluoride treatments
Oral surgery
Orthodontics
Parking
Root canals
X-rays
Mileage ($.12 per mile)
Parking

Vision
Braille books
Contact lenses
Saline or enzyme solution
Eye exams
Glasses
Laser Surgery
Guide dog
Mileage ($.12/mile)
Parking

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