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WHAT’S ELIGIBLE? We’ve assembled a list of common expenses that are eligible for reimbursement. Not all eligible items are on this list. Visit our website for more information: www.naviabenefits.com. ELIGIBLE HEALTH CARE EXPENSES Acne treatment AcupunctureAllergy & Sinus medication AntacidsAntibiotic ointment Anti-diarrhealAntifungal foot cream Anti-gas medication Anti-itch cream/gel AntisepticAsthma treatment Bandages/gauzeBirthing classes or Lamaze Blood pressure monitor Braces (knee, ankle, wrist) Breast pumpBurn creamChiropractic services CoinsuranceCold/hot packCold sore treatment Cold/cough medication Compression stockings Contacts & solutionsContraceptivesCo-paysCPAP machineCrutchesDeductiblesDental servicesDiabetic suppliesDiaper rash ointment Digestive AidsDrug addiction treatment Ear wax removal kitsEye dropsFeminine Anti-Fungal/Anti-ItchFertility monitorFertility treatmentFirst Aid KitFlu shotsGenetic testingGroup therapyHearing aids & supplies Hemorrhoid medication Home COVID-19 TestsHormone therapyHospital feesHumidifiersImmunizationsIncontinence supplies Individual counseling Insect bite treatmentLab workLactation Consultant Lactose intolerance pills Laser eye surgery LaxativeLice treatment products Massage therapyMedical records Menstrual Care ProductsMileage for travel to and from healthcare ap-pointmentsMotion sickness relief Nasal stripsNaturopathic visits OrthodontiaOrthotic insertsOver-the-counter drugsOxygen and equipment Pain relievers Parasitic treatmentPersonal Protective Equip-ment (PPE)Physical ExamPhysical TherapyPregnancy testPrenatal vitaminsPrescription drugs Prescription glassesReading glassesRespiratory TreatmentsSaline nasal spraySleep Aids & SedativesSleep deprivation treatment Smoking cessation products Smoking cessation programs Speech therapySterilization proceduresStool softenerThermometerThroat lozengesVision careWalkerWart treatmentWheelchair & repairX-rays ADDITIONAL DOCUMENTATION REQUIRED Certain medical expenses are not reimbursable unless a licensed health care practitioner states that the service or product is medically necessary. We will need a Letter of Medical Necessity (LMN) for these items to be reimbursed. The LMN is available on our website. Please note that certain expenses may require additional documentation to be reimbursed. Automobile modifications Braille books Breast augmentation Breast reduction Cosmetic procedures Family therapy Home medical equipment Learning disability fees Lumbar support Mole removal Motorized scooter Nutritionist expenses Vitamins and supplements Weight loss programs INELIGIBLE HEALTH CARE EXPENSES The following expenses are not eligible. Under no circumstances will the following items be reimbursed. Please do not submit claims for these items. Books Boutique practice fees COBRA premiums College insurance CPR classes Electrolysis/laser hair removal Face lift Finance charges Funeral expenses Gym membership Hair transplant Household help Hygiene products Illegal operations/substances Imported OTC items Imported prescriptions Insurance premiums Late fees Liposuction Marijuana Marriage counseling Massage chair Mattress Missed appointment fee Hair growth products Electric toothbrush/picks Teeth whitening Toiletries Veneers Warranties