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FSA Eligible Expenses

ELIGIBLE FSA HEALTH CARE EXPENSES

Below is a list of items that are accepted for reimbursement by a Flexible Spending Account with an appropriate diagnosis

 

 A 

 

Acupuncture

Air Purifier/Filter* (Requires LMN)

Acne treatment*

(Requires Prescription)

Adoption (Once a child is adopted, medical expenses for qualifying dependent are eligible)

Alcoholism Treatment /Substance Abuse Treatment

Athletic Bandages & Braces

Allergy Medication*

(Requires Prescription)

Ambulance and Emergency Health Services

Allergy Testing Asprin* (Requires Prescription) Ankle Brace Anti-Snore Guards* (Requires LMN)

Anesthesia

Arthritis Gloves

Antacids*

(Requires Prescription)

Anti-Diarrheal Medicines*

(Requires Prescription)

 

B

 

Band-Aids / Bandages

Birth Control

Blood Pressure Monitor or Unit

Back Brace Benadryl* (Requires Prescription) Blood Storage* (Requires LMN - if needed to treat existing or imminently probable disease)
Braces (Child under 19, Adult Requires LMN) Bridges Blood Donation

Blood Sugar Test Kits

Body Scans

Breast Pumps and Lactation Supply

 

 

 C

               

Carpal Tunnel Support

Childbirth/Classes

Chiropractor

Cancer Screenings

Cataract Surgery

Co-insurance

Compression stockings

Condoms

Christian Science/ Chinese Herbal Practitioners

Contact lenses and cleaning solutions

Co-payments

Counseling

 

Co-Insurance & Co-Pays

C-pap Devices

Crutches

Cough Medicines* (Requires Prescription)

 

 

D

               

Deductibles

Dental Care (for non –cosmetic purposes)

Dehumidifier* (NOT Eligible - Not required for treatment/prevention of medical condition)

Dentures, Bridges, etc.

Digital Thermometer Disposable Bra Pads for Nursing DNA Storage* (Requires LMN) Dermatologist Fees

Diabetic Supplies

Diagnostic Services

Diarrhea Medicine* (Requires Prescription)

Drug Addiction Treatment

Drugs (Prescription)

Doctor Fees

Dietary Supplements* (Requires Prescription)

Dyslexia Treatment

 

 E

               

Ear Care

Ear Wax Removal* (Requires Prescription)

Eye Examinations

Eye Surgery or Treatment to Correct Vision

Eczema Treatment* (OTC Items Require Prescription) Egg and Embryo Storage* (Requires LMN deemed medically necessary) Electrolyte Replacements* (Requires Prescription) Elevated Toilet Seats

Eyeglasses (Over The Counter)

Ergonomic Items* (Requires LMN)

Eyeglasses  (Prescription)

Eye drops* (Requires Prescription)

 

 F                

Fertility Monitor/Treatment*

Fertility Treatment* - Embryo/Semen Storage for future generations NOT eligible

First Aid Kit / Supplies

Foam Ring Cushion / Donut Pillow
Fitness Program* (Requires LMN indicating morbid obesity or treatment of medical condition) Fluoride Treatment Foreign Medical Care Foot Care
Fish Oil Supplements* (Requires LMN/Presciption) First Aid Drug/Medicines* (Require Prescription) Face Cream with Medication* (Requires Prescription)

Flu Shots

 

G

               

Glucosamine

Guide dogs

Gauze

Gel Breast Pads
Glasses Glucose Monitor/Supplies Guards for Teeth Grinding Gynecologist
Gastric Bypass Surgery Including Excess Skin Removal Gastrointestinal Medication* (Requires Prescription) Genetic Testing* (Requires LMN) Gait Belt

 

 

H

               

Health Screenings

Heating Pads

Hearing Aids and Batteries

Heart Rate Monitors

Hysterectomy Hydrogen Peroxide* (Requires Prescription) Half Way House* (Requires LMN) Handicap, Disability License Plates

Home Diagnostic Tests

Humidifier* (Requires LMN)

Hormone Replacement Therapy* (Requires Prescription)

Hospital Services and Fees

 

 I 

               

Immunizations

Incontinence Products

Infertility Treatment

Insulin, Testing Materials and Supplies

In Vitro Fertilization (IVF)* (for account holder or qualified dependent)

Inpatient  Hospitalization  Services

Insoles Invisalign Orthodontics

 

 

L

               

Laboratory fees

Life Alert Emergency  Medical Alert System

Laser / Lasik eye surgery

Laxatives* (Requires Prescription)

Lice treatment* (Requires Prescription)

Lactation Aids

 

 

M

               

Medical Alert Bracelet or Necklace

Medical Records

Mastectomy-Related Bras

Medical Services and Supplies

Medicines (Prescription)

Mid-wife

Multivitamins* (Requires LMN)

Mileage – 17 cents per mile for medical care (2017)

Migraine relief* (Requires Prescription)

Monitors and Test Kits (Over The Counter)

Maternity Charges/Support Belt

Motion Sickness Medicines* (Requires Prescription)

 

N

               

Nasal Spray* (Requires Prescription)

Disposable and Non-Disposable Nursing  bra pads

Nasal Strips

Nebulizer

Neti Pot

Nutritional Supplements* (Requires LMN)

Nicotine Gum and Patches* (Requires Prescription)

Neurologist

 

 

O

 

               

OB/GYN Fees

Occlusal Guards

Occupational Therapy

Optometrist

Orthodontia

Orthotic Inserts

Osteopath

Organ Transplants

Over-The-Counter  Medicines or Drugs* (Requires Prescription)

OTC Supplies

Out Of Network Fees

Oxygen Equipment

 

 

P

               

Pain Relievers* (Requires Prescription)

Pads

Parking Fees and Tolls For Medical Visits

Physical Therapy

Pregnancy Aids and Tests

Pill Boxes/Clocks

Prescription Drugs   (non-cosmetic)

Preventive Care Screenings

Psychiatric Services and Care

Private Hospital Room

Pregnancy Ultrasound, Vitamins, Texts

Psychologist

 

R

               

Reading Glasses (OTC and Prescription)

Removal of benign mole, cyst or tumor

Retrieving Tools

Rehabilitation Center Retainer Radial Keratotomy

 

 

S

               

Sleep Aids* (Requires Prescription)

Saline Nasal Spray

Smoking Cessation Programs/Products* (Requires Prescription)

Speech Therapy

Sterilization

Service Animal (Cost for animal required for medical care)

Substance abuse

Subway Fare for Medical Visits

Sunglasses* (Prescription)

Shipping Fees (for medications)

Sunscreen w/30 SPF or Higher

Surrogacy Expenses

Skin Tag Removal* (Requires LMN) Sleep Deprivation Treatment Sperm Storage Fees* (Requires LMN) Support Braces

 

T

               

Taxi/Train Fare for Medical Visits

TENS Machine/Device

Therapy Teething Pain Reliever* (Requires Prescription)
Therapy Eye Mask Throat Lozenges* (Requires Prescription) Transplant Tubal Ligation
Tylenol* (Requires Prescription) Tutoring* (Requires LMN) Travel Size Sunscreen Transportation Expenses for person to receive medical care

 

U

               

Ultrasound

Urological Products / Urinalysis

Umbilical Cord Blood Storage* (Requires LMN)

 

 

V

               

Vaccinations

Personal Vaporizer* Different than humidifier and dehumidifier

Vasectomy and Reversal

Viagra* (Requires Prescription)

Vision Care/Correction

Varicose Vein Surgery

 

 

W

               

Walking Aids  (canes, crutches, walkers)

Wart Removal treatment* (Requires Prescription)

Weight Loss Procedures / Surgery

Water Pik* (NOT Eligible)

Wheelchair and Repairs

Well – Child Visits

Wound Care – Non-Medicine (OTC)

Wax for Braces
Weight Loss Counseling* (Requires LMN) Weightloss Programs/Drugs* (Requires LMN) Wig* (Requires LMN) Wrist Support

 

X

               

X-ray Fees  (dental and medical)

 

 

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