Various Eligible Expenses
You can use your Health Care FSA (HC FSA) funds to pay for a wide variety of health care products and services for you, your spouse, and your dependents. The IRS determines which expenses can be reimbursed by an FSA.
Keep Your Receipts
Please save your receipts and other supporting documentation related to your HC FSA expenses and claims. The IRS may request itemized receipts to verify the eligibility of your expenses. Credit card receipts, canceled checks, and balance forward statements do not meet the requirements for acceptable documentation.
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| Eligible? | Additional Document | Expense |
|---|---|---|
| Not eligible | Adoption fees | |
| Eligible with a detailed receipt | Concierge medical fees (billed for actual services received) | |
| Not eligible | Concierge medical fees (billed for future availability of services, with no services actually received) | |
| Eligible with a detailed receipt | Hospital fees | |
| Eligible with a detailed receipt | Hospital services and fees | |
| Eligible with a detailed receipt | Laboratory fees | |
| Not eligible | Late payment fees charged by health care provider | |
| Eligible with a detailed receipt | OB/GYN fees | |
| Eligible with a detailed receipt | Optometrist / ophthalmologist fees | |
| Eligible with a detailed receipt | Payment Processing Fees | |
| Eligible with a detailed receipt | Sales tax, shipping and handling fees (for any eligible expense) | |
| Eligible with appropriate documentation | Requires letter of Medical Necessity signed by your doctor, plus detailed receipt | Storage Fees: (Embryo, Egg, Sperm) |
Currently showing 50 items per page. Activate to choose another option.
| Symbol | Description | |
|---|---|---|
| = | Eligible with a detailed receipt | |
| = | Not eligible | |
| = | Eligible with appropriate documentation: |
| Symbol | Description | |
|---|---|---|
| = | Requires Prescription from your doctor, plus detailed receipt | |
| = | Requires letter of Medical Necessity signed by your doctor, plus detailed receipt |