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.
Currently showing 15 items per page. Activate to choose another option.
Displaying expenses 46-51 of 51
| Eligible? | Additional Document | Expense |
|---|---|---|
| Eligible with a detailed receipt | Transportation: Airfare (for treatment of a medical condition) | |
| Eligible with appropriate documentation | Requires letter of Medical Necessity signed by your doctor, plus detailed receipt | Tuition or educational classes (for a specific medical condition) |
| Eligible with a detailed receipt | Varicose vein removal surgery (for medical care) | |
| Eligible with appropriate documentation | Requires letter of Medical Necessity signed by your doctor, plus detailed receipt | Vitamins - Treatment of Medical Condition |
| Eligible with appropriate documentation | Requires letter of Medical Necessity signed by your doctor, plus detailed receipt | Weight loss program (for treatment of a medical condition) |
| Eligible with a detailed receipt | X-ray (medical) |
Currently showing 15 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 |