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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 cents per mile)
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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