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.
| Eligible? | Additional Document | Expense |
|---|---|---|
| Not eligible | Nursing Home Care | |
| Eligible with a detailed receipt | Nursing services (wages and taxes) | |
| Eligible with appropriate documentation | Requires letter of Medical Necessity signed by your doctor, plus detailed receipt | Nutritional Counseling |
| Eligible with a detailed receipt | OB/GYN fees | |
| Eligible with a detailed receipt | Occlusal guards to prevent teeth grinding | |
| Eligible with a detailed receipt | Occupational therapy (related to a medical condition or disability) | |
| Eligible with a detailed receipt | Office visit (medical) | |
| Eligible with a detailed receipt | Office visits (vision) | |
| Eligible with a detailed receipt | Operations (for non-cosmetic purposes) | |
| Eligible with a detailed receipt | Optometrist / ophthalmologist fees | |
| Not eligible | Oral care (over-the-counter) | |
| Eligible with a detailed receipt | Organ transplants (recipient and donor) | |
| Eligible with a detailed receipt | Ortho keratotomy | |
| Eligible with a detailed receipt | Orthodontia | |
| Eligible with a detailed receipt | Orthodontia (braces and retainers) |
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 |