Interested in BeniComp Select Executive Medical Reimbursement but have questions about the application process?
A BeniComp Select policy reimburses eligible medical expenses not otherwise covered by health insurance.
Generally, if an expense is medically necessary and qualifies under Section 213(d) of the Internal Revenue Code, it would be eligible for reimbursement under this insurance plan. Some covered charges include, but are not limited to:
No benefits are payable unless the individual is under the direct care of a legally qualified physician for reasonable and necessary treatment.
Any premiums including, but not limited to Base Plan (or Cobra Continuation of the Base Plan), Medicare Part B, Medicare Part D, Prescription Drug Plans
Losses due to war
Expenses the individual is not legally obligated to pay in the absence of insurance
Charges for appointments not kept
Hospitalization, services, treatments or supplies furnished by the U.S. or foreign government agency, unless otherwise prohibited by law
Service contracts or warranties relating to vision care
Accident or illness for which the individual is entitled to benefits under any worker’s compensation or occupational disease law
Health club dues or exercise equipment
Hospital charges for confinement in a long-term care unit or skilled nursing facility unless confinement commences within 14 days after discharge from a qualifying hospital confinement
Baby sitting, childcare, and/or nursing services for a healthy child. You cannot include any amount paid for childcare even if this enables you, your spouse, and/or dependent(s) to receive medical treatment.
No. If vision, dental, and hearing are not covered by the underlying plan; BeniComp Select will reimburse the charges.
Yes, master social services and psychologists are covered by BeniComp Select, even if the services are not covered by the underlying plan.
Generally, if an expense is medically necessary and qualifies under Section 213 (d) of the Internal Revenue Code, it is eligible for reimbursement. Elective procedures that are not medically necessary are not covered by BeniComp Select.
You can include expenses you incur to lose weight if they are treatments for specific diseases diagnosed by a physician such as obesity, hypertension, or heart disease. This includes fees you pay for membership in a weight reduction group as well as fees for attendance at periodic meetings.
You cannot include membership dues in a gym, health club, or spa as medical expenses, but you can include separate fees charged there for weight loss activities.
You cannot include the cost of diet food or beverages in medical expenses because the diet food and beverages substitute for what is normally consumed to satisfy nutritional needs. You can include the cost of special food in medical expenses only if:
The amount eligible for reimbursement is limited to the amount by which the cost of the special food exceeds the cost of a normal diet.
Due to recent IRS regulations, BeniComp Select will no longer reimburse any premiums effective January 1, 2016 including, but not limited to:
For more information and to view the revised policy form, please click here.