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© Hitesman & Wold, P.A. 2019 Cafeteria Plan Summary Description (3-11) 60 Medicine and Drugs Allowable expenses: • Medicine and drugs that require a prescription • Insulin • Over the counter medicine and drugs when used to alleviate or treat personal injuries or sickness (including antacids, antihistamines, aspirin/pain relievers, bandages, cold medicines, acne medicine, etc.) Expenses specifically disallowed by the IRS or courts: • Medicine and drugs for personal, general health, or cosmetic purposes • Dietary supplements if for general health Medical Equipment Allowable expenses: • Blood sugar test kits • Wheelchair or autoette (cost of operating/maintaining) • Crutches (purchased or rented) • Special mattress & plywood boards prescribed to alleviate arthritis • Oxygen equipment and oxygen used to relieve breathing problems that result from a medical condition • Artificial limbs • Support hose (if medically necessary) • Wigs (where necessary to mental health of individual who loses hair because of disease) • Excess cost of orthopedic shoes over cost of ordinary shoes • Breast pumps for nursing mothers Expenses specifically disallowed by the IRS or courts: • Wigs, when not medically necessary for mental health • Vacuum cleaner purchased by an individual with dust allergy • Mechanical exercise device not specifically prescribed by physician Physicals Allowable expenses: • Physicals and other well visits • Immunizations Expenses specifically disallowed by the IRS or courts: • Physicals for employment purposes Vision Care Allowable expenses: • Optometrist’s or ophthalmologist’s fees • Eyeglasses and prescription sunglasses • Insurance for replacement of lost or damaged contact lenses • Contact lens and contact lens solutions • Laser eye surgery Assistance for the Handicapped Allowable expenses: • Cost of guide for a blind person • Cost of note-taker for a deaf child in school • Cost of Braille books and magazines in excess of cost of regular editions • Seeing eye dog (cost of buying, training and maintaining) • Household visual alert system for deaf person • Excess costs of specifically equipping automobile for handicapped person over cost of ordinary automobile; device for lifting handicapped person into automobile • Special devices, such as tape recorder and typewriter, for a blind person