Darla K
Jun 7 2004, 02:32 PM
Are Calcium Pills eligible for reimbursement?
oriecat
Jun 7 2004, 04:36 PM
I would generally consider calcium to be a nutritional supplement, in the same vein as vitamins. Those are still excluded, right?
Kirk Maldonado
Jun 7 2004, 06:29 PM
If the person has osteoporosis and the doctor certified that the person needs them, then they might be covered.
JerseyGirl
Jun 7 2004, 06:34 PM
This is another circumstance where the answer is *maybe*. If the plan allows for the reimbursement of Over-The-Counter products (and not all of then do – check the docs!), and the participant has as part of their documentation for the claim a letter from their physician stating that they are recommending the use of calcium for the treatment of a specific medical condition, then it would be an eligible expense. Most of the claims we see for dubious OTC products do not include the proper documentation from the doctor. As a result we deny it with a request for additional information so that we can reconsider and possibly reverse the denial. 9 times out of 10, it never comes up again for that particular participant, and that 1 in 10 resubmits the claim with a note from their doctor that allows us to then reimburse it.
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