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Eligible Expenses

Below is a sample list of permissible expenses reimbursable through a full scope Healthcare Flexible Spending Account
(FSA) that is incurred by you, your spouse, or qualified dependents. Please note, a limited purpose Healthcare FSA only allows dental and vision expenses.

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Medical Expenses

  • Acupuncture
  • Artificial limbs
  • Bandages
  • Birth control, contraceptive devices
  • Birthing classes/Lamaze – only the mother’s portion (not the coach/spouse) and the class must
  • be only for birthing instruction, not child rearing
  • Blood pressure monitor
  • Blood sugar test kits/test strips
  • Chiropractic therapy/exams/adjustments
  • Contact lens and contact lens solutions
  • Co-payments
  • Crutches (purchased or rented)
  • Deductible and co-insurance
  • Diabetic supplies
  • Eye exams
  • Eyeglasses, contacts, or safety glasses, prescription only (warranties are not reimbursable)
  • Flu shots
  • Hearing aids and hearing aid batteries (warranties are not reimbursable)
  • Heating pad
  • Incontinence supplies
  • Infertility treatments
  • Insulin
  • Lactation expenses (breast pumps, etc.)
  • Laser eye surgery; LASIK
  • Legal sterilization
  • Medical supplies to treat an injury or illness
  • Mileage to and from doctor appointments
  • Nasal strips
  • Optometrist’s or ophthalmologist’s fees
  • Orthopedic inserts
  • Physicals
  • Physical therapy (as medical treatment)
  • Physician’s fee and hospital services
  • Pregnancy test
  • Prescription drugs and medications
  • Psychotherapy, psychiatric and psychological service
  • Reading glasses
  • Sales tax on eligible expenses
  • Services connected with donating an organ
  • Sleep apnea services/products (as prescribed)
  • Smoking cessation programs
  • Treatment for alcoholism or drug dependency Vaccinations
  • Wrist supports, elastic wraps
  • X-ray fees

OTC Medicines and Drugs

Other than insulin, in the past, over-the-counter (OTC) medicines and drugs required a prescription from your physician to be reimbursable. Effective January 1, 2020, however, a doctor’s prescription is not necessary.

  • Bengay, Flexall, pain relieving creams or gels
  • Calamine lotion
  • Canker/cold sore relievers
  • Cold medicines
  • Corn removal
  • Diaper rash ointment
  • GasX, baby gas drops
  • Hemorrhoid creams and treatments
  • Hydrogen Peroxide or rubbing alcohol
  • Indigestion or anti-acid relievers
  • Laxatives
  • Nicotine patch
  • Pain relievers (Tylenol, Advil, Aspirin, etc.)
  • Sinus medicines
  • Suppositories
  • Teething gel
  • Wart removal medication

Menstrual Care Products

  • Tampons
  • Pads
  • Liners
  • Cups
  • Sponges

Dental Expenses

  • Braces and orthodontic services
  • Cleanings
  • Crowns
  • Deductibles, co-insurance
  • Dental implants
  • Dentures, adhesives
  • Fillings

For the Disabled

  • Automobile equipment and installation costs for a disabled person in excess of the cost of an ordinary automobile; device for lifting a mobility impaired person into an automobile
  • Braille books/magazines in excess of cost of regular editions
  • Note-taker for a hearing impaired child in school
  • Seeing eye dog (buying, training, and maintaining)
  • Special devices, such as a tape recorder or typewriter for a visually impaired person
  • Visual alert system in the home or other items such as a special phone required for a hearing impaired person
  • Wheelchair or autoette (cost of operating/maintaining)

Requiring Additional Documentation

The following expenses are eligible only when incurred to treat a diagnosed medical condition. Such expenses require a
Letter of Medical Necessity from your physician, containing the medical necessity of the expense, diagnosed condition,
onset of condition, and physician’s signature.

  • Ear plugs
  • Massage treatments
  • Nursing services for care of a special medical ailment
  • Orthopedic shoes (excess cost of ordinary shoes)
  • Oxygen equipment and oxygen
  • Support hose
  • Varicose vein treatment
  • Veneers
  • Vitamins and supplements
  • Wigs (for mental health condition of individual who loses hair because of a disease)

Dependent Care Expenses

  • Day camp (primary purpose must be custodial care and not educational in nature)
  • Dependent care expenses that are necessary for you (and your spouse) to work, actively look for work, or attend school full-time
  • Dependent care for children under the age of 13 or for elderly dependents who reside with you
  • FICA/FUTA taxes of day care provider
  • Late pick-up fees
  • Nanny expenses attributed to dependent care
  • Nursery school (preschool)
  • Registration fees (allocated to dependent care services)

Does not cover medical costs; use Healthcare FSA for medical expenses incurred by you or your dependents.

Ineligible Medical Expenses

  • Athletic mouth guards
  • Auto insurance providing medical coverage
  • Chapstick/lip balm
  • Contributions to state disability funds
  • Cosmetic surgery, dentistry, or other cosmetic procedures
  • Cosmetic supplies (makeup, cleansers, moisturizers, etc.)
  • Deodorant
  • Dental floss
  • Diaper service
  • Diet (cost of special foods taken as substitute for regular diet)
  • Dietary and fiber supplements Divorce (when recommended by doctor or psychiatrist)
  • Distilled water purchased to avoid drinking fluoridated city water or for use in medical equipment
  • Domestic help (companion, babysitter, chauffeur who primarily renders services of a non-medical nature)
  • Electrolysis/hair removal
  • Exercise equipment and fees
  • Eye drops for general comfort
  • Eyeglass cases
  • Hand sanitizer
  • Health club or athletic club membership fees
  • Herbal supplements
  • Illegal treatment or medication
  • Insurance premiums, all types
  • Lanyards
  • Lotions or skin moisturizers
  • Marriage counseling
  • Maternity clothes
  • Mattress
  • Medicare premiums
  • Medicated shampoos, conditioners, and soaps
  • Mobile telephone used for personal and physician calls
  • Nursemaids or practical nurses who render general care for healthy infants
  • Pajamas/slippers purchased to wear in hospital
  • Personal use items (toothbrush, pillow, shampoo, mattress, etc.)
  • Physical treatment unrelated to specific health problems (massage for general well-being, stress, depression, or chiropractic wellness)
  • Premiums for coverage through other medical plans (spouse’s employer-sponsored plan or individual plan)
  • Safety glasses (non-prescription)
  • Special foods purchased to replace nutrition or for general health needs (such as diet foods)
  • Sunglasses (nonprescription) and sun clips
  • Teeth whitening products
  • Toiletries
  • Toothbrush (includes prescribed electric ones) and toothpaste
  • Vacuum cleaner purchased by an individual with dust allergy
  • Vitamins and supplements for well-being
  • Warranties
  • Weight loss drugs/programs for general well being