The Patient Protection and Affordable Care Act (PPACA) changes to OTC Drug Reimbursements
Effective January 1, 2011,
The Patient Protection and Affordable Care Act (PPACA) establishes a new uniform standard that applies to Flexible Spending Arrangements (FSAs) and Health Reimbursement Arrangements (HRAs). The cost of over-the-counter drugs or medicine can no longer be reimbursed under these plans unless a prescription is obtained, with a few exceptions.
For example, the following items are still eligible 213(d) expenses:
Insulin (even if purchased without a prescription)
Medical devices
Eye glasses
Contact lenses
Co-pays
Deductibles
The new standard will only apply to purchases made on or after
January 1, 2011. Medicines and drugs purchased over-the-counter prior to the effective date are still eligible to be reimbursed in the 2011 plan year.
These new rules will also affect distribution from Health Savings Accounts (HSAs) and Archer Medical Savings Accounts (Archer MSAs). More information may be found on the IRS website.
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