ICHRA

ICHRA Eligible Expenses: What's Covered and What's Not - The Ultimate List

Timothy Dahl
Oct 12, 2023
Resource

Regarding Individual Coverage Health Reimbursement Arrangements (ICHRA), understanding what expenses are eligible for reimbursement is crucial to managing your family's healthcare plan. With the flexibility that ICHRAs offer, it's essential to have a comprehensive list of covered expenses to make the most of this innovative healthcare option.

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. 

Photo by Antonika Chanel

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)

Photo by Zahra Amiri

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

Photo by Nathan Anderson

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.  

Share
twitter
facebook
LinkedIn
Copy link
Subscribe
By subscribing you agree to with our Privacy Policy.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
© 2023 Venteur Inc. All right reserved.
This website is operated by Venteur, Inc. and Venteur Insurance Services LLC and is not the Health Insurance Marketplace® website. In offering this website, Venteur Inc. is required to comply with all applicable federal law, including the standards established under 45 CFR §155.220(c) and (d) and standards established under 45 CFR §155.260 to protect the privacy and security of personally identifiable information. This website may not display all data on Qualified Health Plans being offered in your state through the Health Insurance Marketplace® website. To see all available data on Qualified Health Plan options in your state, go to the Health Insurance Marketplace® website at HealthCare.gov.