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Darla K
Are Calcium Pills eligible for reimbursement?
oriecat
I would generally consider calcium to be a nutritional supplement, in the same vein as vitamins. Those are still excluded, right?
Kirk Maldonado
If the person has osteoporosis and the doctor certified that the person needs them, then they might be covered.
JerseyGirl
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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