What is Considered an Eligible Expense?

As a general rule, an eligible medical expense is an expense that has been incurred by you and/or your eligible dependent(s) that satisfies the following conditions:

• The expense is for medical care; that is, any amounts incurred to diagnose, treat or prevent a specific medical condition or for purposes of affecting any function or structure of the body;
• You certify that the expense has not been reimbursed by any other source and you will not seek reimbursement for the expense from any other source;
• The expense is incurred when the participant is provided with the medical care, not when the participant is formally billed.

Refer to the list of Sample Medical Expenses for a list of allowable expenses under the plan. If you have questions regarding an expense not listed, please contact S & A, Inc. Please note that not all plans allow for all medical expenses to be reimbursed.