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The following list represents expenses that are frequently submitted for reimbursement under Health Care Flexible Spending Accounts (FSA) and are generally eligible under an FSA. This list is not intended to be exhaustive and is intended only to be used as a general guide. Consequently, expenses contained in this generally eligible list may be denied if the supporting claims documentation is insufficient or shows that the expense was incurred for services not considered medical care, such as cosmetic procedures. Payment of claims will be based on the rules set out in the applicable regulations, your employer’s plan design and on the information in the required substantiation documentation. Abortion
Acne treatment
Prescription and OTC
Acupuncture
For treatment of medical condition
Adoption expenses
Medical expenses incurred prior to adoption being finalized if child is tax dependent
Alcoholism treatment
Inpatient, outpatient and transport to AA meetings
Allergy medications
Prescription and OTC
Alternative healers
For treatment by professionals for specific medical condition
Ambulance
Analgesics
Prescription and OTC
Anesthesia
UNLESS for cosmetic procedures
Antacids
Prescription and OTC
Antihistamine
Prescription and OTC
Anti-itch creams
Prescription and OTC
Aspirin
For medical condition
Bandages
To cover injury or torn skin
Birth-control pills
Blood pressure monitoring devices
Blood sugar test items
Body scan
For diagnostic purposes
Braille books/magazines
For visually impaired individuals but only to extent of the costs above regular printed materials
Breast Reconstruction Surgery
Following mastectomy for treatment of cancer
Carpal tunnel wrist supports
Chelation therapy
For treatment of medical condition (lead poisoning)
Chiropractic care
Christian Science practitioners
Circumcision
Contact lenses/Contact Supplies
Contraceptive products and devices
Condoms, spermicidal
Co-pays
Counseling, other than Marriage
For treatment by professionals for specific medical condition
Crutches
Deductibles
Dental treatment
UNLESS for cosmetic proposes
Dentures/Denture Supplies
Diabetic supplies
Diagnostic items/services
Tests to detect heart attack, stroke, diabetes, osteoporosis, cancer, thyroid conditions, glaucoma, etc.
Diarrhea medicine
Prescription and OTC
Drug addiction treatment
Inpatient, outpatient and transport to meetings
Egg donor fees
Egg and Embryo Storage Fees
Only eligible if the expenses are incurred for temporary storage and only to the extent necessary for immediate conception only, if stored and used within the same plan year. Eye examinations
First Aid Kit
Flu-shots
Glucose
Hearing aids/batteries
Hemorrhoid treatments
Prescription and OTC
Home health care
For nursing services
Hormone replacement therapy
For treatment of medical condition (menopause)
Hot/cold packs
For treatment of medical condition
Hypnosis
For treatment of medical condition and smoking cessation
Immunizations
In vitro fertilization
Incontinence supplies
Infertility treatments
Inpatient hospitalization services
UNLESS for cosmetic purposes or procedures
Insulin
Laboratory fees
Lactation treatment
For breast feeding difficulties – but not for general instruction
Lamaze classes
For instruction relating to childbirth- but not for expenses related to childrearing instruction and guidance
Laser eye surgery
Lasik
Laxatives
Prescription and OTC
Lodging at hospital
For medical care
Lodging not at hospital or similar institution (hotel)
If essential to medical care and limited to $50 per night
Massage therapy
Mastectomy bra
Medic alert devices
Bracelet or necklace
Medical conference expenses
For expenses for conference and transportation IF conference related to a chronic disease suffered by an individual, spouse or other dependent. Expenses for lodging and meals are NOT eligible.
Medical monitoring and testing devices
Examples: blood pressure monitors, syringes, glucose kit, etc.
Medical records charges
Fees associated with transferring records to new provider
Menstrual pain relievers
Prescription and OTC
Mileage reimbursement
For travel to and from medical care ($0.24 per mile for 2009 until December 31, 2009 and $0.165 per mile on or after January 1, 2010) Nasal strips
For treatment of sinus problems and sleep apnea- but NOT for common snoring
Nicotine gum or patches
Norplant insertion or removal
Nursing services
Nutritionist’s expenses
For treatment by professional for specific medical condition
Obstetrical expenses
Two ways of submitting/paying claims: by reimbursing up to the full amount of the treatment, minus any previous reimbursements, once the initial treatment has begun (when applicable) or reimbursing as individual expenses are incurred.
Occlusal night guard
For prevention of teeth grinding
Operations
If legal and NOT cosmetic in nature – inpatient and outpatient
Optometrist services
Organ donors
Orthodontia services
Two ways of submitting/paying claims: by reimbursing up to the full amount of the treatment equal to the participant’s annual election, minus any previous reimbursements, once the initial treatment has begun or reimbursing over the entire orthodontia treatment period (e.g. monthly).
Orthopedic shoes/inserts
For treatment of medical condition – but only to the extent of the cost in excess of normal shoes
Osteopath services
Over-the counter items
Examples of generally eligible items as generally used for medical care: Acne treatments Allergy prevention and treatment Antacid treatment Antibiotic ointments and creams Anti-diarrhea medications Anti-infection treatments Anti-itch lotions and creams Arthritis treatments Aspirin Bandages Blood pressure monitor Calcium Carpal tunnel wrist supports Chest rubs Cholesterol tests Claritin Cold and flu medications Cold sore treatments Cold/hot packs Colorectal cancer screening tests Constipation treatment Contact lens cleaning solution Cough medicines Dehydration treatment Diabetes monitors Diabetes supplies Diaper rash treatments Diuretics Ear drops Eye drops Fiber supplements Glucosamine / Chondroithin (arthritis) Headache relief Hemorrhoid treatments Incontinences supplies Joint pain Lactose intolerance products Laxatives Lice treatments Medicated hand creams Medicated shampoos Menopause treatments Motion sickness Muscle pain Pain relievers Pregnancy tests Premenstrual syndrome treatment Reading glasses Scar Treatment Sinus sprays and medications Sleeping aids Smoking cessation treatments St. Johnswort Toothache treatments Wart removal treatments Yeast infection treatments
Ovulation monitor
Oxygen
Oxygen and equipment for medical condition
Pain relievers
Prescription and OTC
Patterning exercises
Physical examinations
Physical therapy
Pregnancy test kits
Prenatal vitamins
If taken during pregnancy
Prescription drugs
For treatment of medical condition
Preventive care / screenings
Prosthesis
Psychiatric care
Psychoanalysis
For treatment of medical condition
Psychotherapy
For treatment of medical condition
Radial keratotomy
Reading glasses
Retin-A
IF prescribed for medical condition (i.e. acne) but NOT for cosmetic purposes such as reducing wrinkles
Screening tests
Examples: hearing, vision and cholesterol tests
Seeing eye-dog
Includes expenses related to dog (food, collar/harness, veterinary care, etc)
Shipping (mailing) and handling charges
For reimbursable products
Sinus medications
Prescription and OTC
Smoking cessation products and treatment
Prescription and OTC
Special foods (such as Gluten-free, not Diet foods)
For treatment of medical condition – but only to extent of cost in excess of commonly used food
Speech Therapy
Sterilization procedures
Example: hysterectomy, vasectomy
Sunburn cream and ointments
For treatment of sunburn
Taxes on medical services and products
For reimbursable services and products
Telephone consultations
Telephone for hearing impaired
Television for hearing impaired
Tens Unit
For treatment of medical condition
Thermometers
Toothache and teething pain relievers
Prescription and OTC
Tuition for special needs programs
Example: dyslexia
Ultrasound
Varicose vein treatment
UNLESS for cosmetic purposes
Walkers
Wart remover treatments
Prescription and OTC
Weigh-loss programs and/or drugs prescribed to induce weight loss
If weight loss program is recommended by a physician to treat an existing condition (obesity, diabetes, heart disease) and not just to improve general health
Wheelchair
Wigs
IF hair lost due to medical condition or medical treatment
X-ray expenses
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