Shaffer Insurance Services

Benefits Division

Eligible Items

ü       Adoption.  Medical Expense for child

      (Incurred before adoption is finalized)

ü       Alcoholism Treatment

ü       Ambulance

ü       Artificial Limbs

ü       Artificial Teeth

ü       Braille Books/Magazines (only the difference between regular books/magazines and Braille books/magazines

ü       Car Controls for Handicapped

ü       Chiropractic Services

ü       Christian Science Practitioners (payments for medical care)

ü       Coinsurance Amounts and Deductibles

ü       Contact Lenses and Solution

ü       Crutches

ü       Dental Treatment

ü       Diagnostic Tests

ü       Drug Addiction Treatment

ü       Eye Examinations and Eyeglasses

ü       Guide dog or Other Animal (purchase, training, and care of animal)

ü       Hearing Aids and Examinations

ü       Hospital Services

ü       Injections

ü       Insulin

ü       Laboratory Fees

ü       Lasik Eye Surgery

ü       Medical Monitoring and Testing Devices (if prescribed by physician).

ü      Medicines (If prescribed by physician to treat a specific ailment and if only available by prescription.)

ü       Occlusal Guards (to prevent teeth grinding)

ü       Operations (Legal operations which treat a specific ailment)

ü       Optometrist

ü       Orthodontia (unless for cosmetic purposes)

ü       Osteopath

ü       Oxygen

ü       Periodontal Fees

ü       Physical Exams (except for employment-related physicals)

ü       Physical Therapy (for specified medical purpose)

ü       Prescription Sunglasses

ü       Private Hospital Room

ü       Psychiatric Care

ü       Psychoanalysis

ü       Psychologist

ü       Radial Keratotomy

ü       Surgery

ü       Telephone for the Deaf

ü       Transplants

ü       Transportation to Attend Seminar on Medical Condition of Employee, Spouse, or Dependent

ü       Cost of Seminar on Medical Condition of Employee, Spouse, or Dependent

ü       Vaccinations

ü       X-Rays

 

 

 

Shaffer Insurance Services

Benefits Division

Non Eligible Items

 

 

X             Body Piercing

X        Breast Pump

X        Chauffeur Services

X        Controlled Substances

X        Cosmetic Surgery directed only at improving appearance

X        Cosmetic Products

X        Dancing Lessons

X        Diapers for Infants

X        Diaper Service

X        Ear Piercing

X        Electrolysis

X        Fees written off by provider

X        Food supplements

X        Funeral Expenses

X        Hair Transplant

X        Health Club Dues

X        Herbs

X        Household and Domestic Help

X        Illegal Operations and Treatments

X        Insurance Premiums

X        Liposuction

X        Long-term care services.

X        Maternity Clothes

X        Medical Savings Accounts

X        Personal hygiene products

X        Personal Items

X        Preferred Provider Discounts

X        Pregnancy kits

X        Salary expense of a nurse to care for a healthy newborn at home

X        Swimming Lessons

X        Tattoos/Tattoo Removal

X        Teeth Whitening

X        Transportation expenses to and from work

X        Trip or vacation taken for well being

X        Weight Loss Program

X        Uniforms

X         Vitamins without Prescription