Qualified Expenses - Health Savings Accounts from United Fidelity Bank

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Qualified & Excluded Medical Expenses

QUALIFIED MEDICAL EXPENSES
• Alcoholism • Ambulance • Artificial Limb • Artificial Teeth • Autoette • Bandages • Breast Reconstruction Surgery • Birth Control Pills • Braille Books and Magazines • Capital Expenses • Car • Chiropractor • Christian Science Practitioner • Contact Lenses • Crutches • Dental Treatment • Diagnostic Devices • Disabled Dependent Care Expenses • Drug Addiction • Drugs • Eyeglasses • Eye Surgery • Fertility Enhancement • Guide Dog or Other Animal • Health Institute • Health Maintenance Organization (HMO) • Hearing Aids	• Home Care • Home Improvements • Hospital Services • Insurance Premiums • Laboratory Fees • Lead-Based Paint Removal • Learning Disability • Legal Fees • Lifetime Care—Advance Payments • Psychologist • Special Education • Sterilization • Stop-Smoking Programs • Surgery • Telephone • Television • Therapy • Transplants • Transportation • Trips • Tuition • Vasectomy • Vision Correction Surgery • Weight-Loss Program • Wheelchair • Wig • X-ray

EXCLUDED MEDICAL EXPENSES
• Controlled Substances • Baby Sitting, Childcare, and Nursing Services for a Normal, Healthy Baby • Cosmetic Surgery • Dancing Lessons • Diaper Service • Electrolysis or Hair Removal • Flexible Spending Account • Funeral Expenses • Future Medical Care • Hair Transplant • Health Club Dues • Health Coverage Tax Credit • Health Savings Accounts	• Household Help • Illegal Operations and Treatments • Insurance Premiums • Maternity Clothes • Medical Savings Account • Medicines and Drugs From Other Countries • Nonprescription Drugs and Medicines • Nutritional Supplements • Personal Use Items • Swimming Lessons • Teeth Whitening • Veterinary Fees • Weight-Loss Program

This listing is taken directly from the IRS website, www.irs.gov. The determination of a qualified expense is the sole responsibility of the IRS and not United Bank. Refer to Publication 502 (2004), Medical and Dental Expenses-Including the Health Coverage Tax Credit. For more information regarding Health Savings Accounts, contact any United Bank Branch Manager.