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Fox & Fox
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Flexible Spending Account Eligible Expenses

The following outlines expenses that are normally eligible for reimbursement under the Medical Reimbursement Account (MRA) program or the Dependent Care Assistance Program (DCAP) administered by FOX & FOX.

This page, and the content herein, are designed specifically for clients of Fox & Fox. This information is not deemed to function as a Summary Plan Description (SPD). If there is any conflict between this information and your SPD, your SPD will override this information.

FSA Eligible Expenses Services and Expenses Eligible for Reimbursement under the Flexible Spending Program:

For the MRA, services listed in this document are eligible for reimbursement, if the services are:

  • Rendered by a health care professional appropriately licensed or certified in the state in which he or she practices; and
  • Performed within the scope of the health care professional's license.

For the DCAP, services listed in this document are eligible for reimbursement, if the services are:

  • For an individual you claim as a dependent on your Federal Tax return who is under 13 or incapable of self-care (if you are part of a divorced household, in addition to claiming the individual as a tax dependent, you must be the custodial parent for more than 50% of the year); and
  • Necessary to allow you and your spouse, if married, to work, look for work or attend school full-time.

*Please note, all "potentially eligible expenses" require a letter of medical necessity from your health care provider in order to be considered eligible for reimbursement. The letter must include the diagnosis or symptoms for which you, your spouse or dependent are being treated, along with specific information on how the product or service is intended to alleviate symptoms or improve function. This letter must be submitted with every claim.

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