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Eligible Health Care FSA (HC FSA) Expenses

Your Health Care FSA covers hundreds of eligible health care services and products.

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 100 items per page. Activate to choose another option.
Displaying expenses 101-200 of 319
Eligible? Additional Document Expense
Eligible with a detailed receipt Eyeglasses (prescription)
Not eligible Face lifts
Not eligible Feminine hygiene care (Deodorants, General Cleansing products, Feminine spray)
Eligible with a detailed receipt Fertility monitor (over-the-counter)
Eligible with a detailed receipt Fertility treatment (for employee, spouse or dependent)
Not eligible Fertility treatment (for non-dependent surrogate)
Not eligible Finance Charges
Eligible with a detailed receipt First aid kits (over-the-counter)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Fitness programs (as treatment for a medical condition diagnosed by a licensed health care professional)
Eligible with a detailed receipt Flu shots
Not eligible Funeral expenses
Eligible with a detailed receipt Gastrointestinal medication (over-the-counter)
Eligible with a detailed receipt Genetic Counseling (for a medical condition)
Eligible with a detailed receipt Glucosamine and Chondroitin
Not eligible Gluten Free Products
Eligible with a detailed receipt Hair Growth Medication over-the-counter (i.e. Rogaine)
Not eligible Hair regrowth products
Not eligible Hair removal
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Hair supplements (eligible with LMN)
Not eligible Hair transplant
Not eligible Hand lotion (over-the-counter)
Eligible with a detailed receipt Hand Sanitizer
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt HCG Injections
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Health club dues (as treatment for a medical condition diagnosed by a licensed health care professional)
Eligible with a detailed receipt Hearing aids and batteries (OTC or prescribed)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Herbal or homeopathic medicines (over-the-counter)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Home improvements (as required for a medical condition diagnosed by a licensed health care professional)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Hormone Replacement or Pellet Therapy (for treatment of a medical condition)
Eligible with a detailed receipt Hospital fees
Eligible with a detailed receipt Hospital services and fees
Not eligible Household help
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Humidifier, vaporizer, filter and supplies
Not eligible Hygiene Products (toothbrush, lotion, soap, etc.)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Hypnosis
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Hypoallergenic Encasement products (Only cost difference between special and regular encasement product, plus documentation of cost difference required)
Not eligible Illegal operations or substances
Eligible with a detailed receipt Immunizations
Eligible with a detailed receipt Incontinence (adult) Supplies (e.g., depends)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Incontinence (children) Supplies (e.g., diapers) (for treatment of a medical condition)
Eligible with a detailed receipt Infertility treatment (for employee, spouse or dependent)
Not eligible Insect Repellant
Eligible with a detailed receipt Insulin, testing materials and supplies
Not eligible Insurance Payment/Adjustment
Not eligible Insurance Premiums
Eligible with a detailed receipt Invisalign and other clear dental aligners (including self-service mail order)
Eligible with a detailed receipt Lab (medical)
Eligible with a detailed receipt Laboratory fees
Eligible with a detailed receipt Lactation Supplies: creams/ointment, pad/shields, storage bags/bottles
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Lactose intolerance supplements (Over the Counter)
Eligible with a detailed receipt Lamaze classes (charges for mother only)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Laser Treatment
Eligible with a detailed receipt Lasik
Not eligible Late payment fees charged by health care provider
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Latex Gloves
Eligible with a detailed receipt Laxatives (over-the-counter)
Eligible with a detailed receipt Learning disability treatments
Eligible with a detailed receipt Lice treatment
Eligible with a detailed receipt Listening therapy
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Lodging (limited to $50 per night for patient to receive dental or vision care and $50 per night for one caregiver)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Lodging (limited to $50 per night for patient to receive medical care and $50 per night for one caregiver)
Not eligible Long term care services
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Magnetic therapy (over-the-counter)
Eligible with a detailed receipt Masks
Not eligible Massage Memberships Dues
Eligible with a detailed receipt Massage therapy
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Massager guns/devices (as a treatment for a medical condition)
Eligible with a detailed receipt Mastectomy-related special bras
Not eligible Maternity clothes
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Mattresses - Once every 10 yrs up to $800 max
Eligible with a detailed receipt Medical (Co-insurance, Co-Payment, Deductible)
Eligible with a detailed receipt Medical abortion
Eligible with a detailed receipt Medical equipment (for treatment of medical condition) and repairs
Not eligible Medical literature, books, pamphlets or audio
Not eligible Medical Marijuana (Not eligible)
Eligible with a detailed receipt Medical monitoring and testing devices
Eligible with a detailed receipt Medical records charges
Eligible with a detailed receipt Medical supplies (for treatment of a medical condition)
Eligible with a detailed receipt Medicines (over-the-counter)
Eligible with a detailed receipt Menstrual care products (Liners, Pads, Tampons, Cups, Menstrual undergarments)
Eligible with a detailed receipt Midwife
Not eligible Mileage (for travel to / from anything other than eligible care)
Eligible with a detailed receipt Mileage (for travel to/from eligible dental care)
Eligible with a detailed receipt Mileage (for travel to/from eligible health care)
Eligible with a detailed receipt Mileage (for travel to/from eligible vision care)
Not eligible Misc. Personal Use Items
Not eligible Missed Appointment Fee
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Modified equipment (Only cost difference between special and regular equipment, plus documentation of cost difference required)
Eligible with a detailed receipt Monitors & test kits (over-the-counter)
Eligible with a detailed receipt Motion & nausea (Over-the-Counter)
Eligible with a detailed receipt Nasal Spray (Medicated) (Over-the-Counter)
Eligible with a detailed receipt Nasal Spray (Saline Solution) (Over-the-Counter)
Eligible with a detailed receipt Nasal strips (over-the-counter)
Eligible with a detailed receipt Neti Pot
Eligible with a detailed receipt Non-prescription drugs and medicines (for non-cosmetic purposes)
Eligible with a detailed receipt Norplant insertion or removal
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
Currently showing 100 items per page. Activate to choose another option.
Eligibility Legend
Symbol Description
= Eligible with a detailed receipt
= Not eligible
= Eligible with appropriate documentation:
Conditional Requirements Legend
Symbol Description
= Requires Prescription from your doctor, plus detailed receipt
= Requires letter of Medical Necessity signed by your doctor, plus detailed receipt