In this article, we break it all down for you, separating the eligible expenses from those that aren't, providing you with a complete list so you can make informed decisions.
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What are ICHRAs?
ICHRAs are employer-sponsored health benefits that allow employees to use pre-tax dollars to pay for qualified medical expenses, making healthcare more accessible and cost-effective. At Venteur, we call this your "Health Wallet".
ICHRA Eligible Expenses - What's Covered
Here are the covered expenses that are eligible for reimbursement from your Venteur health wallet.
Medical Care
Acupuncture
Annual Physical Exams
Ambulance Services
Alcoholism Treatment
Artificial Limbs
Artificial Teeth
Abortion
Bandages
Birth Control Pills
Body Scans
Weight Loss and Weight Management Drugs (e.g., Ozempic and Wegovy)
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Vision and Dental Care
Contact Lenses
Dental Treatment
Eye Exams
Eyeglasses
Eye Surgery
Braille Books and Magazines
Guide Dog
Optometrist
Orthodontics
Vision Correction Surgery
Home Modifications and Care
Capital Expenses to Improve Your Home for Medical Care (e.g., ramps and support bars)
Car Hand Controls and Wheelchair Accessibility
Home Care
Lodging for Medical Care
Qualified Long-Term Care
Medical Conferences
Nursing Home Care
Oxygen
Transportation and Trips for Medical Reasons
Mental Health and Therapy
Christian Science Practitioner
Drug Addiction Treatment
Certain Medicines
Psychiatric Care
Psychoanalysis
Psychologist
Therapy
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Health-Related Services
Health Institute Treatment
HMO Expenses
Hospital Services
Hospital Meals
Specialized Medical Expenses:
Fertility Enhancement (e.g., in vitro fertilization)
Disabled Dependent Care Expenses
Learning Disabilities
Special Education for a Child
Sterilization
Stop-Smoking Programs
Surgery
Vasectomy
Weight-Loss Programs (for treating a disease)
Miscellaneous
Personal Protective Equipment (like masks and hand sanitizer)
Prepaid Insurance Premiums
Lactation Expenses
Lead-Based Paint Removal
Telephone Equipment for Deaf or Hard of Hearing Persons
Television Equipment for Deaf or Hard of Hearing Persons
X Rays
Wigs
Breast Pumps and Supplies
Breast Reconstruction Surgery
Crutches
Hearing Aids
Premium Tax Credit
Prosthesis
Transplants
Ineligible Expenses - What's Not Covered
While ICHRAs are incredibly versatile, there are some expenses that they typically do not cover and are unavailable for reimbursement:
Non-Medical Expenses
Babysitting
Childcare
Controlled Substances
Cosmetic Surgery
Dancing Lessons
Diaper Service
Electrolysis
Health Club Dues
Household Help
Illegal Operations and Treatments
Maternity Clothes
Medicine from Other Countries
Nonprescription Drugs and Medicines
Nutritional Supplements
Personal Use Items (like toothbrushes)
Swimming Lessons
Teeth Whitening
Veterinary Fees
Weight Loss Programs (that aren't for treating a disease)
Understanding the ins and outs of ICHRA eligible expenses is essential for maximizing this employee benefit. By knowing what's covered and what's not, you can effectively manage your healthcare expenses and ensure you receive the maximum benefit from your ICHRA.
As your ICHRA plan administrator, Venteur is available to help you navigate this list and any other questions you have about an ICHRA plan. Contact us today.
Refer to IRS Publication 502 for more detailed information about eligible medical expenses.
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