Access and manage your benefits account data with Via Benefits.

www.viabenefitsaccounts.com for the eligible expenses list. There are some product or services which require a letter of medical necessity from your physician, e.g. Massage Therapy, Wellness service, etc.)

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HEALTH CARE ELIGIBLE/INELIGIBLE EXPENSES New! Covid-19-related items are covered as eligible expenses as of March 2021.

INSTRUCTIONS Fill in the information requested below for the medical expenses you or your eligible dependents incurred.

Get the Most from Commuter Accounts With Commuter Accounts, you don’t pay taxes on money set aside from your paycheck for eligible commuting expenses, such as train passes and parking garage …

Special Health Assistance Provision (SHAP) Reimbursement Request Form Use this form to submit reimbursement requests for the Special Health Assistance Provision of the IBM Medical Plan. Parts …

Your employer provides 100% of the money in the account and determines the contribution level. Some employers may provide you the option to choose a contribution level. Depending on your plan, all …

Receipts for over-the-counter (OTC) medications must show the purchase date and the name of the medicine or drug. Please circle the expense and medication or drug name on your receipt. An EOB …